Dataset Information

Home childbirth among young mothers aged 15-24 years in Nigeria: a national population-based cross-sectional study.

ABSTRACT:

Objective

To estimate the prevalence and identify factors associated with home childbirth (delivery) among young mothers aged 15-24 years in Nigeria.

Design

A secondary analysis of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (NDHS).

Setting

Nigeria.

Participants

A total of 7543 young mothers aged 15-24 years.

Outcome measure

Place of delivery.

Results

The prevalence of home delivery among young mothers aged 15-24 years was 69.5% (95% CI 67.1% to 71.8%) in Nigeria-78.9% (95%CI 76.3% to 81.2%) in rural and 43.9% (95%CI 38.5% to 49.5%, p<0.001) in urban Nigeria. Using the Andersen's behavioural model, increased odds of home delivery were associated with the two environmental factors: rural residence (adjusted OR, AOR: 1.39, 95%?CI 1.06 to 1.85) and regions of residence (North-East: AOR: 1.97, 95%?CI 1.14 to 3.34; North-West: AOR: 2.94, 95%?CI 1.80 to 4.83; and South-South: AOR: 3.81, 95%?CI 2.38 to 6.06). Three of the enabling factors (lack of health insurance: AOR: 2.34, 95%?CI 1.16 to 4.71; difficulty with distance to healthcare facilities: AOR: 1.48, 95%?CI 1.15 to 1.88; and <4 times antenatal attendance: AOR: 3.80, 95%?CI 3.00 to 4.85) similarly increased the odds of home delivery. Lastly, six predisposing factors-lack of maternal and husband's education, poor wealth index, Islamic religion, high parity and low frequency of listening to radio-were associated with increased odds of home delivery.

Conclusions

Young mothers aged 15-24 years had a higher prevalence of home delivery than the national average for all women of reproductive age in Nigeria. Priority attention is required for young mothers in poor households, rural areas, North-East, North-West and South-South regions. Faith-based interventions, a youth-oriented antenatal care package, education of girls and access to health insurance coverage are recommended to speed up the reduction of home delivery among young mothers in Nigeria.

SUBMITTER: Adewuyi EO

PROVIDER: S-EPMC6756611 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Home childbirth among young mothers aged 15-24 years in Nigeria: a national population-based cross-sectional study.

Adewuyi Emmanuel O EO Khanal Vishnu V Zhao Yun Y David Lungcit L Bamidele Olasunkanmi David OD Auta Asa A

BMJ open 20190918 9

<h4>Objective</h4>To estimate the prevalence and identify factors associated with home childbirth (delivery) among young mothers aged 15-24 years in Nigeria.<h4>Design</h4>A secondary analysis of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (NDHS).<h4>Setting</h4>Nigeria.<h4>Participants</h4>A total of 7543 young mothers aged 15-24 years.<h4>Outcome measure</h4>Place of delivery.<h4>Results</h4>The prevalence of home delivery among young mothers aged 15-24 years was 6 ...[more]

PMID: 31537553

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Dataset Information

Home childbirth among young mothers aged 15-24 years in Nigeria: a national population-based cross-sectional study.

Objective

Design

Setting

Participants

Outcome measure

Results

Conclusions

Publications

Home childbirth among young mothers aged 15-24 years in Nigeria: a national population-based cross-sectional study.

Similar Datasets

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