A Meta-Analysis of Socio-Demographic Factors Predicting Birth in Health Facility
نویسندگان
چکیده
BACKGROUND The low proportion of health facility delivery in developing countries is one of the main challenges in achieving the Millennium Development Goal of a global reduction of maternal deaths by 75% by 2015. There are several primary studies which identified socio-demographic and other predictors of birth in health facility. However, there are no efforts to synthesis the findings of these studies. The objective of this meta-analysis was to determine the strength of the association of birth in the health facility with selected sociodemographic factors. METHODS A meta-analysis of Mantel-Haenszel odds ratios was conducted by including 24 articles which were reported between 2000 and 2013 from developing countries. A computer-based search was done from MEDLINE, African Journals Online, Google Scholar and HINARI databases. Included studies did compare the women's' health facility delivery in relation to their selected socio-demographic characteristics. RESULTS The pooled analysis demonstrated association of health facility delivery with living in urban areas (OR = 9.8), secondary and above educational level of the parents (OR = 5.0), middle to high wealth status (OR = 2.3) and first time pregnancy (OR = 2.8). The risk of delivering outside the health facility was not significantly associated with maternal age (teenage vs 20 years and above) and marital status. The distance of pregnant women's residence from the health facility was found to have an inverse relation to the proportion of health facility delivery. CONCLUSION Although the present meta-analysis identified several variables which were associated with an increase in health facility delivery, the most important predictor of birth in the health facility amenable to intervention is educational status of the parents to be. Therefore, formal and informal education to women and family members on the importance of health facility delivery needs to be strengthened. Improving the wealth status of the population across the world may not be achieved soon, but should be in the long-term strategy to increase the birth rate in the health facility.
منابع مشابه
Role of Socio-demographic Factors in Predicting the Use of Communication Technologies by Older People in Iran
Background: The use of communication technologies enables the older people to deal with limitations and problems of modern life. Objective: This study aims to determine the socio-demographic factors predicting the use of common communication technologies (computers, internet, ATMs, and mobile phones) by the elderly in Iran. Methods: In this descriptive analytical study conducted in 2017, part...
متن کاملSurvey predictive factors of neonatal low birth weight in mothers referring to hospitals in Rasht
Introduction: Nowadays birth of low weight infants is considered one of the most important ‎problems of global health and causes ‎‏65%‏‎ of mortality cases in infants.‎‏ ‏So it seems necessary ‎for nurses to identify factors predicting low birth weight infants. In attention to research ‎results which indicates the importance of maternal factors in giving ...
متن کاملA Meta-Analysis of Socio-Demographic Factors for Perinatal Mortality in Developing Countries: A Subgroup Analysis of the National Surveys and Small Scale Studies
BACKGROUND Although the perinatal mortality in low income countries is about five-folds higher than in the high income countries, little is known about the association of socio-demographic factors with perinatal mortality. National and small scale studies so far reported have shown very contradictory results. The objective of this meta-analysis was to assess the association of perinatal mortali...
متن کاملA mediation approach to understanding socio-economic inequalities in maternal health-seeking behaviours in Egypt
BACKGROUND The levels and origins of socio-economic inequalities in health-seeking behaviours in Egypt are poorly understood. This paper assesses the levels of health-seeking behaviours related to maternal care (antenatal care [ANC] and facility delivery) and their accumulation during pregnancy and childbirth. Secondly, it explores the mechanisms underlying the association between socio-economi...
متن کاملAssessment of the Role of Maternal Characteristics, Mental Health and Maternal Marital Satisfaction in Prediction of Neonatal Birth Weight
Background Neonatal mortality comprises a large part of infant mortality, and it depends largely on neonatal birth weight. Besides maternal diseases, it seems that other important factors such as maternal demographic characteristics, mental health and marital satisfaction, affects their infants birth weight. This study conducted aiming to evaluate these affecting factors on neonatal birth weig...
متن کامل