Table 4 Multilevel analysis showing determinants of health faciity delivery among young mothers aged 15–24 years In Nigeria

Age at last childbirth

 12 – 19

1

1

 20 -24

1.19 (0.94—1.50)

1.08 (0.86—1.36)

Highest Level of Education

 No education

1

1

 Primary

1.78 (1.24—2.54)**

1.25 (0.91 – 1.36)

 Secondary

3.07 (2.01- 4.67)***

1.53 (1.09—2.14)*

 Higher

12.93 (4.55—36.76)***

4.42 (1.83 – 10.68)**

Employment status

 Currently working

1.43 (1.11—1.83)**

1.23 (0.98 – 1.55)

 Not currently working

1

1

Number of children born

 1

1

1

 2–3

0.39 (0.28—0.55)***

0.43 (0.32—0.58)***

 4–7

0.42 (0.24—0 .71)**

0.44 (0.26—0.73)**

Wanted Index Pregnancy

 Pregnancy wanted

0.97 (0.68—1.38)

0.97 (0.68 – 1.37)

 Pregnancy not wanted

1

1

Number of Antenatal visits

 No ANC

1

1

 Less than 4

8.36 (4.42—15.78)***

6.81 (3.90 – 11.94)***

 At least 4

20.00(8.97—44.61)***

13.49 (6.89—26.42)***

Getting medical help for self: Distance to Health Facility

 A big problem

1

1

 Not a big problem

1.16 (0.89—1.50)

1.21 (0.93—1.56)

Wealth Index

 Poor

1

1

 Middle

1.57 (1.15—2.15)**

1.52 (1.11—2.08)**

 Rich

1.69 (1.22—2.32)**

1.67 (1.17—2.39)**

Exposure to Mass media

 No exposure

1

1

 Exposed

1.46 (1.12—1.90)**

1.22 (0.96—1.57)

Participates in Healthcare Decision

 Participates

1

1

 Does not Participate

1.25 (0.97—1.61)

0.98 (0.77—1.23)

Partner’s level of education

 No education

1

1

 Primary

1.30 (0.89—1.89)

0.87 (0.60—1.25)

 Secondary

2.00 (1.38—2.90)***

1.18 (0.86—1.62)

 Higher

2.59 (1.56—4.31)***

1.69 (1.08—2.64)*

COMMUNITY VARIABLES

Community level of Poverty

 Low

1

1

 Medium

0.98 (0.71—1.35)

1.18 (0.84—1.66)

 High

0.65 (0.44—0.96)*

1.37 (0.88 – 2.14)

Community women’s education

 Low

1

1

 Medium

4.01 (2.62—6.14)***

2.09 (1.41 – 3.10)***

 High

6.48 (3.58—11.73)***

2.49 (1.42 – 4.38)**

Community skilled prenatal support

 Low

1

1

 Medium

2.11 (1.51—2.96)***

1.50 (1.41 – 3.10)***

 High

3.21 (2.21—4.67)***

1.73 (1.42—4.38)**

Community transportation support

Low

1

1

1.94 (1.42—2.65)***

1.69 (1.24—2.31)*

High

4.61 (2.93—7.26)***

3.75 (2.34—5.99)*

Place of residence

 Urban

1

1

 Rural

0.99 (0.71—1.36)

0.16 (0.82—1.63)

Region

 Northcentral

1

1

 Northeast

0.32 (0.21 – 0.49)***

0.26 (0.16 – 0.42)***

 Northwest

0.12 (0.07 – 0.21)***

0.10 (0.53 – 0.20)***

 Southeast

1.93 (1.16 – 3.22)*

1.21 (0.72 – 2.06)

 South-south

0.14 (0.08 – 0.26)***

0.10 (0.05 – 0.23)***

 Southwest

1.06 (0.67 – 1.67)

0.71 (0.44 – 1.16)

 Variance

1.063(0.230 – 4.870)***

1.542 (0.340—6.995)***

1.9593 (0.7300—5.2587)***

1.366 (0.283- 6.592)***

 ICC(%)

66.52

49.56

47.18

37.09

 Log Likelihood

-3001.64

-2109.56

-2541.67

-1913.00

Model fit Statistics

 AIC

6009.29

4261.11

5117.33

3896.00

 BIC

6029.07

4396.79

5229.43

4122.13