Predictors of Institutional Delivery in Nigeria: A Multilevel Mixed-effect Analysis of the Nigeria 2013 DHS

  • Joseph Ayodeji KUPOLUYI Obafemi Awolowo University, Ile-Ife, Nigeria
  • Jane MUMMA Great Lakes University of Kisumu, Kenya.
DOI: https://doi.org/10.53555/hsn.v1i11.826
Keywords: institutional delivery,, community,, multilevel, predictor, Nigeria

Abstract

Deaths of women during pregnancy and childbirth still remain a major reproductive
health risk in Nigeria with institutional delivery of 37%.
Objective: The study assessed the effects of individual and community-level factors on the use of
institutional delivery in Nigeria.
Methods: A multilevel logistic modeling was employed on data from the 2013 Nigeria
Demographic and Health survey with a sample of 20,467 women aged 15–49 years who had a live
birth during the 5 years preceding the survey.
Findings: The result shows that delivery in a health facility was high in communities with highest
maternal education (OR=11.43, p<0.01), highest wealth (OR=5.9, p<0.01), high level of ANC
utilization (OR=1.8, P<0.05) and low in communities where distance to health facilities was a big
problem (OR=0.5, p<0.05). The ICC (30.1%) and PCV (76.1%) indicate that both community and
individual level factors explained the variations in institution delivery.
Conclusion: The study suggests that poverty level; ANC visits, distance to health facility and
education should be addressed to increase the number of deliveries in health facilities.

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Author Biographies

Joseph Ayodeji KUPOLUYI, Obafemi Awolowo University, Ile-Ife, Nigeria

Department of Demography and Social Statistics,

Jane MUMMA, Great Lakes University of Kisumu, Kenya.

Tropical Institute of Community Health/Centre of Research Excellence, Faculty of Health Sciences,

Published
2016-11-30
How to Cite
KUPOLUYI, J. A., & MUMMA, J. (2016). Predictors of Institutional Delivery in Nigeria: A Multilevel Mixed-effect Analysis of the Nigeria 2013 DHS. IJRDO -JOURNAL OF HEALTH SCIENCES AND NURSING, 1(11), 45-68. https://doi.org/10.53555/hsn.v1i11.826
Issue
Vol. 1 No. 11 (2016): IJRDO - Journal of Health Sciences and Nursing
Section
Articles

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