Table 6 HBM constructs and other factors associated with institutional delivery service use in Central Gondar zone, Northwest Ethiopia, 2021

Perceived susceptibility

Low

312

398

1.00

1.00

High

496

183

3.45 (2.76–4.33)*

1.87 (1.19–2.92)*

0.006

Perceived severity

Low

321

395

1.00

1.00

High

487

186

3.22 (2.57–4.03)*

1.01 (0.64–1.58)

0.981

Perceived benefit

Low

219

347

1.00

1.00

High

589

232

4.05 (3.22–5.08)*

0.87 (0.44–1.65)

0.643

Perceived barrier

Low

538

206

3.62 (2.89–4.54)*

1.29 (0.78–2.13)

0.323

High

270

375

1.00

1.00

Self-efficacy

Low

157

235

1.00

1.00

High

651

346

2.82 (2.21–3.58)*

0.78 (0.56–1.25)

0.269

cues to action

Low

136

240

1.00

1.00

High

672

341

3.48 (2.72–4.45)*

1.57 (1.04–2.36)*

0.031

Age of the respondent

18–24

95

75

0.97 (0.69–1.35)

0.81 (0.51–1.23)

0.385

25–34

484

371

1.00

1.00

≥ 35

229

135

1.30 (1.01, 1.67)*

1.26 (0.90–1.77)

0.174

Educational status of the respondent

Cannot read and write

600

505

1.00

1.00

Primary school

152

58

2.21 (1.59–3.05)*

1.21 (0.88–1.83)

0.363

Secondary school and above

56

18

2.61 (1.52–4.51)*

1.22 (0.64–2.32)

0.543

Educational status of husband

Cannot read and write

349

418

1.00

1.00

Primary school

346

123

3.37 (2.62–4.32)*

1.43 (1.06–1.94)*

0.020

Secondary school and above

12

6

2.40 (0.89–6.45)

Parity/number of child birth

≤ 2

225

84

1.00

1.00

3–4

326

318

0.38 (0.29–0.51)*

2.78 (1.78–4.36)*

0.000

≥ 5

257

179

0.54 (0.39–0.73)*

2.96 (1.85–4.72)*

0.000

Home based discussion on institutional delivery

Yes

715

254

9.90 (7.55–12.98)*

4.25 (2.85–6.35)*

0.000

No

93

327

1.00

1.000

No close follow-up by health workers

Yes

685

444

1.72 (1.31–2.25)*

0.59 (0.39–0.88)*

0.011

No

123

137

1.00

1.00

Regular ANC Follow up

Yes

677

266

6.12 (4.77–7.84)*

1.77 (1.23–2.58)*

0.003

No

131

315

1.00

1.00

Location of health facility is too far

Yes

246

382

0.23 (0.18–0.29)*

0.88 (0.62–1.25)

0.464

No

562

199

1.00

1.00

Status of birth

Planned

629

416

1.39 (1.09–1.78)*

1.22 (0.87–1.71)

0.257

Unplanned

179

165

1.00

1.00

Service given in health facility is time taken and costly

Yes

192

351

0.20 (0.16–0.26)*

0.69 (0.45–1.10)

0.122

No

616

230

1.00

1.00

Poor information delivery system

Yes

241

354

0.27 (0.22–0.34)*

1.18 (0.79–1.76)

0.411

No

567

227

1.00

1.00

Bad history of health facility in child birth

Yes

199

357

0.21 (0.16–0.26)*

0.69 (0.45–1.08)

0.106

No

609

224

1.00

1.00

Health professionals lack of respect to clients

Yes

136

45

2.41 (1.69–3.44)*

2.32 (1.45–3.79)*

0.000

No

672

536

1.00

1.00

Lack of health workers

Yes

142

273

0.24 (0.19–0.31)*

0.43 (0.29–0.61)*

0.000

No

666

308

1.00

1.00