Predicting Health Facility Delivery among Women in Egypt Based on Antenatal Care

Faculty Commerce Year: 2021
Type of Publication: ZU Hosted Pages:
Authors:
Journal: International Journal of Contemporary Mathematical Sciences Bulgaria Volume:
Keywords : Predicting Health Facility Delivery among Women    
Abstract:
Antenatal care in Egypt is considered a top health priority, as obtaining high-quality medical care before pregnancy, during pregnancy and childbirth in the appropriate timing contributes greatly to reducing maternal mortality. Therefore, the state must inform pregnant women about antenatal care services and at the same time ensure the readiness and capacity of health facilities to provide services in the quantity and quality required; the quantity in terms of accommodating service seekers, and the quality in terms of providing high quality service. The results of the Egypt Demographic Health Survey indicate a clear improvement in antenatal care coverage since 2008, as it has been found that currently out of every 10 women of reproductive age 15-49 years in Egypt, there are 9 women who receive antenatal care from a service provider trained primarily by a doctor. Also, 83% of women received recommended antenatal care during pregnancy at least 4 times. About 67% of the women received antenatal care for 4 times or more, and also two-thirds of the women received iron pills or tablets during their pregnancy in their last child. It was also found that, three quarters of women who received antenatal care in their last child; this resulted in protecting that newborn from neonatal tetanus. The results of the survey also showed that out of only 4% of pregnant women who were given information about pregnancy problems, blood pressure was measured for 93% of them, a urine sample was taken for 78% of them, and a blood sample was taken for 81% of them. In addition, 90% of mothers visited the service provider in cases of the last child to obtain antenatal care. About 87% of births took place in a health facility during the five-year period preceding the survey. The number of cesarean deliveries was slightly higher than half in the 2014 Demographic Health Survey compared to 28% in the 2008 Demographic Health Survey. A multivariate logistic model was built to predict the response variable (birth in a health facility) with information on the explanatory variables (maternal age at last birth, level of education, urban-rural residence, governorate, wealth index and birth order), and the odds ratio was calculated. The study concluded that "the proportion of women who give birth in a health facility" is highly correlated with "the number of antenatal care visits" as the relationship between them was positive with odds ratio of (AOR 2.9, 95% CI 1.1- 5.9), Likewise, and the same was the relationship for the variable "quality of antenatal care" variable. For example, women who had received four pre-pregnancy visits, the odds ratio was (AOR 6.5, 95% CI 4.9-9.2). It was also found that women who received four or more good services were six times more likely to give birth in a health facility compared to women who received one service, and that both the level of higher education and the lower order of births and residence in urban versus rural - all these explanatory variables- were in a strong positive relationship with the variable "birth in a health facility". Finally, the probability of giving birth in a health facility increases with the increase in the wealth index, as wealthier women receive more services of higher quality.
   
     
 
       

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