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Table 5 Factors associated with the use of skilled delivery attendant, Kailahun District, Sierra Leone, 2020

From: Socio-economic determinants of maternal health care utilization in Kailahun District, Sierra Leone, 2020

Variable

SDA

COR (95% CI)

AOR (95% CI)

No

n = 355(%)

Yes n = 199(%)

 

Age

 10–19

44(12.4)

32(16.1)

1.00

 

 20–24

110(31.0)

62(31.2)

0.78(0.45 1.35)

.

 25–35

164(46.2)

90(45.2)

0.75(0.45 1.27)

.

  > 35

37(10.4)

15(7.5)

0.56(0.26 1.18)

.

Residence**

 Rural

282(79.4)

99(49.8)

1.00

1.00

 Urban

73(20.6)

100(50.3)

3.90(2.67 5.70)*

6.20(3.61 10.63)*

Parity**

  1

75(21.1)

57(28.6)

1.00

1.00

  2–4

183(51.6)

109(54.8)

0.78(0.52 1.19)

0.90(0.56 1.47)

  5+

97(27.3)

33(16.6)

0.45(0.27 0.76)*

0.58(0.31 1.10)

Religion

 Christian

136(38.3)

81(40.7)

1.00

.

 Islam

219(61.7)

118(59.3)

0.90(0.63 1.29)

.

Marital Status

 Single

19(5.4)

18(9.1)

1.00

.

 Married/Living Together

324(91.3)

172(86.4)

0.56(0.29 1.10)

.

 Divorced/Separated/Widowed

12(3.4)

9(4.5)

0.79(0.27 2.33)

.

Ethnicity

 Others

20(5.6)

11(5.5)

1.00

.

 Mende

258(72.7)

141(70.9)

0.99(0.46 2.13)

.

 Kissi

77(21.7)

47(23.6)

1.11(0.49 2.52)

.

Occupation**

 Unemployed

62(17.5)

59(29.6)

1.00

1.00

 Employed

293(82.5)

140(70.4)

0.50(0.33 0.76)*

0.67(0.40 1.13)

Education level attainment**

 None

145(40.9)

65(32.7)

1.00

1.00

 Primary

88(24.8)

54(27.1)

1.37(0.87 2.14)

0.97(0.58 1.62)

 Junior Secondary

94(26.5)

48(24.1)

1.14(0.72 1.79)

0.91(0.53 1.58)

 Senior Secondary/Vocational

28(7.9)

32(16.1)

2.25(1.42 4.58)*

1.22(0.57 2.59)

Number of Births in past 5 years

 1

160(45.1)

105(52.8)

1.00

.

 2+

195(54.9)

94(47.2)

0.73(0.52 1.04)

.

Husbands Occupation

 Unemployed

43(12.1)

35(17.6)

1.00

.

 Employed

312(87.9)

164(82.4)

0.65(0.40 1.05)

.

Husband Education level attainment**

 None

166(46.8)

72(36.2)

1.00

1.00

 Primary

40(11.3)

32(16.1)

1.84(1.07 3.17)*

2.38(1.30 4.35)*

 Junior Secondary

68(19.2)

41(20.6)

1.39(0.86 2.24)

1.34(0.79 2.29)

 Senior Secondary

57(16.1)

55(12.6)

1.01(0.59 1.74)

0.67(0.35 1.25)

 Vocational/Higher

24(6.8)

29(14.6)

2.79(1.52 5.11)*

1.85(0.93 3.72)

Distance to Health Facility** (Minutes)

  < 30

126(35.5)

70(35.2)

1.00

1.00

 30–60

70(19.7)

62(31.2)

1.59(1.02 2.50)*

2.98(1.67 5.33)*

  > 60

159(44.8)

67(33.7)

0.76(0.50 1.14)

2.37(1.33 4.24)*

Type of Floor

 Natural

260(73.2)

134(67.3)

1.00

.

 Modern

95(26.8)

65(32.7)

1.33(0.91 1.94)

.

Type of Toilet

 Pit and Others

346(97.5)

194(97.5)

1.00

.

 Flush

9(2.5)

5(2.5)

0.99(0.33 3.00)

.

  1. *Significant association at P < 0.05 ** Variables adjusted for the effect of the other variables