Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?
Bolarinwa, Obasanjo Afolabi, Fortune, Effiong, Aboagye, Richard Gyan, Seidu, Abdul-Aziz, Olagunju, Olalekan Seun, Nwagbara, Ugochinyere Ijeoma, Ameyaw, Edward Kwabena, and Ahinkorah, Bright Opoku (2021) Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter? PLoS One, 16 (11). e0259250.
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Abstract
Background: High maternal mortality ratio in sub-Saharan Africa (SSA) has been linked to inadequate medical care for pregnant women due to limited health facility delivery utilization. Thus, this study, examined the association between age at first childbirth and health facility delivery among women of reproductive age in Nigeria.
Methods: The study used the most recent secondary dataset from Nigeria's Demographic and Health Survey (NDHS) conducted in 2018. Only women aged15-49 were considered for the study (N = 34,193). Bi-variate and multivariable logistic regression models were used to examine the association between age at first birth and place of delivery. The results were presented as crude odds ratios and adjusted odds ratios (aOR) with corresponding 95% confidence intervals (CIs). Statistical significance was set at p<0.05.
Results: The results showed that the prevalence of health facility deliveries was 41% in Nigeria. Women who had their first birth below age 20 [aOR = 0.82; 95%(CI = 0.74-0.90)] were less likely to give birth at health facilities compared to those who had their first birth at age 20 and above.
Conclusion: Our findings suggest the need to design interventions that will encourage women of reproductive age in Nigeria who are younger than 20 years to give birth in health facilities to avoid the risks of maternal complications associated with home delivery. Such interventions should include male involvement in antenatal care visits and the education of both partners and young women on the importance of health facility delivery.
| Item ID: | 72707 |
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| Item Type: | Article (Research - C1) |
| ISSN: | 1932-6203 |
| Copyright Information: | © 2021 Bolarinwa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited |
| Date Deposited: | 02 Mar 2022 08:31 |
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