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Table 2 Factors associated with attending postnatal care among Nepalese women, Demographic and Health Survey 2011

From: Factors associated with the utilisation of postnatal care services among the mothers of Nepal: analysis of Nepal Demographic and Health Survey 2011

Factor

Unadjusted OR (95% CI)

Adjusted OR (95% CI)

 

Model 1

Model 2

Model 3

Community factors

    

Place of residence

P < 0.001

P < 0.001

P < 0.001

P = 0.593

Rural

1.00

1.00

1.00

1.00

Urban

3.835 (2.971-4.950)

3.953 (2.992-5.222)

1.574 (1.196-2.072)

0.897 (0.603-1.336)

Ecological region

P < 0.001

P < 0.001

P < 0.017

P = 0.477

Mountain

1.00

1.00

1.00

1.00

Hill

1.648 (1.095-2.482)

1.422 (0.935-2.161)

1.007 (0.694-1.459)

0.898 (0.628-1.268)

Terai

2.713 (1.854-3.971)

2.498 (1.700-3.669)

1.469 (0.997-2.165)

1.374 (0.945-1.997)

Sociodemographicfactors

    

Wealth status

P < 0.001

 

P < 0.001

P = 0.018

Poor (Lower 40%)

1.00

 

1.00

1.00

Middle (Middle 40%)

2.489 (1.958-3.166)

 

1.638 (1.260-2.129)

1.452 (1.094-1.928)

Rich (Upper 20%)

7.055 (5.469-9.056)

 

3.182 (2.171-4.665)

1.794 (1.103-2.917)

Ethnicity

P < 0.001

 

P = 0.735

Not in model

Advantaged

1.00

 

1.00

 

Disadvantaged (Janjati)

0.566 (0.441-0.726)

 

0.921 (0.690-1.228)

 

Disadvantaged (Dalit)

0.509 (0.407-0.636)

 

1.037 (0.808-1.332)

 

Religion

P = 0.008

 

P = 0.170

Not in model

Hindu

1.525 (1.115-2.086)

 

1.263 (0.899-1.774)

 

Others

1.00

 

1.00

 

Maternal education

P < 0.001

 

P < 0.001

P = 0.049

No education

1.00

 

1.00

1.00

Primary

1.826 (1.453-2.296)

 

1.469 (1.180-1.828)

1.092 (0.809-1.476)

Secondary

4.320 (3.402-5.482)

 

2.279 (1.754-2.961)

1.153 (0.823-0.823)

Higher

16.247 (10.309-25.605)

 

4.623 (2.880-7.421)

2.257 (1.193-4.267)

Maternal occupation

P < 0.001

 

P = 0.002

P = 0.462

Not working

1.00

 

1.00

1.00

Agriculture

0.305 (0.237-0.394)

 

0.623 (0.481-0.807)

0.864 (0.602-1.241)

Working (paid)

1.077 (0.791-1.466)

 

0.782 (0.578-1.052)

0.749 (0.471-1.193)

Paternal education

P < 0.001

 

p = 0.042

P = 0.862

No education

1.00

 

1.00

1.00

Primary

1.497 (1.105-2.028)

 

1.266 (0.967-1.657)

1.064 (0.754-1.504)

Secondary

3.194 (2.394-4.262)

 

1.489 (1.129-1.965)

1.146 (0.804-1.635)

Higher

9.244 (6.155-13.887)

 

1.736 (1.099-2.742)

1.257 (0.665-2.378)

Paternal occupation

P < 0.001

 

P < 0.001

P = 0.768

Agriculture

1.00

 

1.00

1.00

Professional/Technical

3.990 (3.147-5.059)

 

1.718 (1.354-2.179)

1.099 (0.851-1.421)

Manual and others

1.704 (1.350-2.151)

 

1.398 (1.102-1.772)

1.095 (0.578-2.074)

Proximate factors

    

Mother’s age (in years)

P < 0.001

  

P = 0.294

15-19

1.00

  

1.00

20-29

0.800 (0.603-1.061)

  

1.321 (0.858-2.035)

30-34

0.624 (0.452-0.860)

  

1.420 (0.835-2.416)

> = 35

0.348 (0.246-0.494)

  

1.580 (0.989-2.524)

Number of ANC visits

P < 0.001

  

P < 0.001

No ANC visit

1.00

  

1.00

1-3

2.983 (1.983-4.487)

  

1.597 (1.083-2.355)

4 or more

13.323 (8.570-20.711)

  

3.624 (2.343-5.604)

Place of delivery

P < 0.001

  

P = <0.001

Home

1.00

  

1.00

Health facility

49.739 (36.179-68.348)

  

31.084 (22.416-43.106)

Maternal final say on her own health care

P = 0.001

  

P = 0.587

Women alone

1.00

  

1.00

Women with partner/other

1.131 (0.910-1.405)

  

1.143 (0.855-1.530)

Partner alone/someone else

0.765 (0.605-0.966)

  

1.084 (0.801-1.468)

  1. Model 3: Cox and Snell Psedu R squares: 0.479. Valid cases N = 4079.
  2. Model 1: Place of residence and ecological region. Model 2: place of residence, region, ethnicity, religion, maternal education, maternal occupation, paternal education and paternal occupation. Model 3: place of residence, region, ethnicity, religion, maternal education, maternal occupation, paternal education and paternal occupation, maternal age, number of antenatal visits, place of delivery, maternal autonomy for her own health. P = p- value. 1.00 = reference group. OR = Odd ratio. 95% CI = 95% Confidence interval. ANC: Antenatal care. All values are weighted for the sampling weight, cluster weight and multi stage sampling.