Prevalence and Determinants of Home Delivery in Urban and Rural Philippines: Evidence from the 2017 National Demographic and Health Survey

Background: Women’s choice of place of delivery has implications on maternal and child mortality. This study aims to provide an updated and detailed comparison of prevalence and determinants of home delivery in the Philippines, and in urban and rural communities. Methods: Based on data from the 2017...

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Main Authors: Amit, Arianna Maever L, Pepito, Veincent Christian F, De Los Reyes, Sarah J, Tang, Clinton S, Aliazas, Neil Andrew K, Tanchanco, Lourdes S
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Published: Archīum Ateneo 2022
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Online Access:https://archium.ateneo.edu/asmph-pubs/90
https://archium.ateneo.edu/cgi/viewcontent.cgi?article=1090&context=asmph-pubs
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spelling ph-ateneo-arc.asmph-pubs-10902023-02-20T06:57:49Z Prevalence and Determinants of Home Delivery in Urban and Rural Philippines: Evidence from the 2017 National Demographic and Health Survey Amit, Arianna Maever L Pepito, Veincent Christian F De Los Reyes, Sarah J Tang, Clinton S Aliazas, Neil Andrew K Tanchanco, Lourdes S Background: Women’s choice of place of delivery has implications on maternal and child mortality. This study aims to provide an updated and detailed comparison of prevalence and determinants of home delivery in the Philippines, and in urban and rural communities. Methods: Based on data from the 2017 Philippine National Demographic and Health Survey (NDHS), we estimated the prevalence of home delivery and determined factors influencing women’s decision to deliver at home. Analyses were restricted to data from 7229 women who were cohabiting or married, and their last-born child using logistic regression methods for survey data. Results: There remain a considerable proportion of women aged 15–49 years old who delivered at home (17.92%(95% confidence interval (CI): 15.77; 20.30)). More women in rural areas delivered at home (23.53% (95% CI: 20.38, 26.99)) than their counterparts in urban areas (10.72% (95% CI: 8.23; 13.85)); reflecting a significant difference in the home delivery prevalence of women relative to their place of residence. Our regression analyses showed that there isa relatively greater effect observed for the rural population in most of the proximal factors considered including birth order, women’s decision-making power, and emergency preparedness during pregnancy. Wealth index has the most pronounced effect with a significant increase in odds of home delivery among urban and rural women of the lowest wealth categories. Conclusion: The use of institutional childbirth services remains suboptimal in the Philippines with significant disparities between urban and rural communities. Current strategies therefore need to adopt a multi-sectoral approach to address the complex factors influencing women’s decision on place of delivery. Targeted efforts specific to population groups should also be made to contextualize and co-create health care services and solutions that will motivate them to deliver in health facilities. 2022-01-01T08:00:00Z text application/pdf https://archium.ateneo.edu/asmph-pubs/90 https://archium.ateneo.edu/cgi/viewcontent.cgi?article=1090&context=asmph-pubs Ateneo School of Medicine and Public Health Publications Archīum Ateneo childbirth demographic health survey home delivery maternal health Philippines Sustainable Development Goals universal health care Health and Medical Administration Health Services Administration Health Services Research Maternal and Child Health Medicine and Health Sciences Public Health
institution Ateneo De Manila University
building Ateneo De Manila University Library
continent Asia
country Philippines
Philippines
content_provider Ateneo De Manila University Library
collection archium.Ateneo Institutional Repository
topic childbirth
demographic health survey
home delivery
maternal health
Philippines
Sustainable Development Goals
universal health care
Health and Medical Administration
Health Services Administration
Health Services Research
Maternal and Child Health
Medicine and Health Sciences
Public Health
spellingShingle childbirth
demographic health survey
home delivery
maternal health
Philippines
Sustainable Development Goals
universal health care
Health and Medical Administration
Health Services Administration
Health Services Research
Maternal and Child Health
Medicine and Health Sciences
Public Health
Amit, Arianna Maever L
Pepito, Veincent Christian F
De Los Reyes, Sarah J
Tang, Clinton S
Aliazas, Neil Andrew K
Tanchanco, Lourdes S
Prevalence and Determinants of Home Delivery in Urban and Rural Philippines: Evidence from the 2017 National Demographic and Health Survey
description Background: Women’s choice of place of delivery has implications on maternal and child mortality. This study aims to provide an updated and detailed comparison of prevalence and determinants of home delivery in the Philippines, and in urban and rural communities. Methods: Based on data from the 2017 Philippine National Demographic and Health Survey (NDHS), we estimated the prevalence of home delivery and determined factors influencing women’s decision to deliver at home. Analyses were restricted to data from 7229 women who were cohabiting or married, and their last-born child using logistic regression methods for survey data. Results: There remain a considerable proportion of women aged 15–49 years old who delivered at home (17.92%(95% confidence interval (CI): 15.77; 20.30)). More women in rural areas delivered at home (23.53% (95% CI: 20.38, 26.99)) than their counterparts in urban areas (10.72% (95% CI: 8.23; 13.85)); reflecting a significant difference in the home delivery prevalence of women relative to their place of residence. Our regression analyses showed that there isa relatively greater effect observed for the rural population in most of the proximal factors considered including birth order, women’s decision-making power, and emergency preparedness during pregnancy. Wealth index has the most pronounced effect with a significant increase in odds of home delivery among urban and rural women of the lowest wealth categories. Conclusion: The use of institutional childbirth services remains suboptimal in the Philippines with significant disparities between urban and rural communities. Current strategies therefore need to adopt a multi-sectoral approach to address the complex factors influencing women’s decision on place of delivery. Targeted efforts specific to population groups should also be made to contextualize and co-create health care services and solutions that will motivate them to deliver in health facilities.
format text
author Amit, Arianna Maever L
Pepito, Veincent Christian F
De Los Reyes, Sarah J
Tang, Clinton S
Aliazas, Neil Andrew K
Tanchanco, Lourdes S
author_facet Amit, Arianna Maever L
Pepito, Veincent Christian F
De Los Reyes, Sarah J
Tang, Clinton S
Aliazas, Neil Andrew K
Tanchanco, Lourdes S
author_sort Amit, Arianna Maever L
title Prevalence and Determinants of Home Delivery in Urban and Rural Philippines: Evidence from the 2017 National Demographic and Health Survey
title_short Prevalence and Determinants of Home Delivery in Urban and Rural Philippines: Evidence from the 2017 National Demographic and Health Survey
title_full Prevalence and Determinants of Home Delivery in Urban and Rural Philippines: Evidence from the 2017 National Demographic and Health Survey
title_fullStr Prevalence and Determinants of Home Delivery in Urban and Rural Philippines: Evidence from the 2017 National Demographic and Health Survey
title_full_unstemmed Prevalence and Determinants of Home Delivery in Urban and Rural Philippines: Evidence from the 2017 National Demographic and Health Survey
title_sort prevalence and determinants of home delivery in urban and rural philippines: evidence from the 2017 national demographic and health survey
publisher Archīum Ateneo
publishDate 2022
url https://archium.ateneo.edu/asmph-pubs/90
https://archium.ateneo.edu/cgi/viewcontent.cgi?article=1090&context=asmph-pubs
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