Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study
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...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Language: | English |
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BMJ PUBLISHING GROUP
2019
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| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/97783 |
| _version_ | 1848766314976378880 |
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| author | Adewuyi, Emmanuel Khanal, Vishnu Zhao, Yun David, Lungcit Bamidele, Olasunkanmi David Auta, Asa |
| author_facet | Adewuyi, Emmanuel Khanal, Vishnu Zhao, Yun David, Lungcit Bamidele, Olasunkanmi David Auta, Asa |
| author_sort | Adewuyi, Emmanuel |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T11:49:11Z |
| format | Journal Article |
| id | curtin-20.500.11937-97783 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:49:11Z |
| publishDate | 2019 |
| publisher | BMJ PUBLISHING GROUP |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-977832025-05-22T14:52:32Z Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study Adewuyi, Emmanuel Khanal, Vishnu Zhao, Yun David, Lungcit Bamidele, Olasunkanmi David Auta, Asa Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine PUBLIC HEALTH GYNAECOLOGY Maternal medicine ANTENATAL CARE SERVICES INSTITUTIONAL DELIVERY NEONATAL-MORTALITY WOMEN DETERMINANTS PROJECTIONS PREVALENCE COMMUNITY MARRIAGE INSIGHTS GYNAECOLOGY Maternal medicine PUBLIC HEALTH Adolescent Cross-Sectional Studies Delivery, Obstetric Female Health Facilities Health Surveys Home Childbirth Humans Logistic Models Mothers Nigeria Patient Acceptance of Health Care Pregnancy Prenatal Care Prevalence Rural Population Socioeconomic Factors Urban Population Young Adult Humans Prenatal Care Delivery, Obstetric Home Childbirth Health Surveys Prevalence Logistic Models Cross-Sectional Studies Mothers Pregnancy Socioeconomic Factors Adolescent Rural Population Urban Population Health Facilities Patient Acceptance of Health Care Nigeria Female Young Adult 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. 2019 Journal Article http://hdl.handle.net/20.500.11937/97783 10.1136/bmjopen-2018-025494 English BMJ PUBLISHING GROUP unknown |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine PUBLIC HEALTH GYNAECOLOGY Maternal medicine ANTENATAL CARE SERVICES INSTITUTIONAL DELIVERY NEONATAL-MORTALITY WOMEN DETERMINANTS PROJECTIONS PREVALENCE COMMUNITY MARRIAGE INSIGHTS GYNAECOLOGY Maternal medicine PUBLIC HEALTH Adolescent Cross-Sectional Studies Delivery, Obstetric Female Health Facilities Health Surveys Home Childbirth Humans Logistic Models Mothers Nigeria Patient Acceptance of Health Care Pregnancy Prenatal Care Prevalence Rural Population Socioeconomic Factors Urban Population Young Adult Humans Prenatal Care Delivery, Obstetric Home Childbirth Health Surveys Prevalence Logistic Models Cross-Sectional Studies Mothers Pregnancy Socioeconomic Factors Adolescent Rural Population Urban Population Health Facilities Patient Acceptance of Health Care Nigeria Female Young Adult Adewuyi, Emmanuel Khanal, Vishnu Zhao, Yun David, Lungcit Bamidele, Olasunkanmi David Auta, Asa Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study |
| title | Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study |
| title_full | Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study |
| title_fullStr | Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study |
| title_full_unstemmed | Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study |
| title_short | Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study |
| title_sort | home childbirth among young mothers aged 15–24 years in nigeria: a national population-based cross-sectional study |
| topic | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine PUBLIC HEALTH GYNAECOLOGY Maternal medicine ANTENATAL CARE SERVICES INSTITUTIONAL DELIVERY NEONATAL-MORTALITY WOMEN DETERMINANTS PROJECTIONS PREVALENCE COMMUNITY MARRIAGE INSIGHTS GYNAECOLOGY Maternal medicine PUBLIC HEALTH Adolescent Cross-Sectional Studies Delivery, Obstetric Female Health Facilities Health Surveys Home Childbirth Humans Logistic Models Mothers Nigeria Patient Acceptance of Health Care Pregnancy Prenatal Care Prevalence Rural Population Socioeconomic Factors Urban Population Young Adult Humans Prenatal Care Delivery, Obstetric Home Childbirth Health Surveys Prevalence Logistic Models Cross-Sectional Studies Mothers Pregnancy Socioeconomic Factors Adolescent Rural Population Urban Population Health Facilities Patient Acceptance of Health Care Nigeria Female Young Adult |
| url | http://hdl.handle.net/20.500.11937/97783 |