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Table 3 Multivariable multilevel logistic regression analysis of both individual and community-level factors associated with skilled birth attendant delivery in East Africa countries from 2008 to 2017

From: Pooled prevalence and determinants of skilled birth attendant delivery in East Africa countries: a multilevel analysis of Demographic and Health Surveys

Individual and community-level variables

Models

Null model

Model I

Model II

Model III

AOR (95%CI)

AOR (95%CI)

AOR (95%CI)

AOR (95%CI)

Age group

 15–24

 

1

 

1

 25–34

 

1.19(1.15,1.24)

 

1.14(1.09,1.18)*

 35–49

 

1.21(1.15,1.27)

 

1.16(1.10,1.23)*

Marital status

 Single

 

1

 

1

 Married

 

0.86(0.83,0.88)

 

1.04(0.99,1.07)

Maternal education

 No education

 

1

 

1

 Primary

 

1.60(1.55,1.65)

 

1.57(1.51,1.63)*

 Secondary and above

 

2.65(2.54,2.77)

 

2.85(2.70,3.01)*

Husband education

 No education

 

1

 

1

 Primary

 

1.16(1.13,1.20)

 

1.11(1.07,1.15)*

 Secondary and above

 

1.63(1.57,1.69)

 

1.46(1.40,1.53)*

Maternal Occupation

 Had no Occupation

 

1

 

1

 Had Occupation

 

1.19(1.16,1.22)

 

0.95(0.92,1.02)

Wealth Index

 Poor

 

1

  

 Middle

 

1.40(1.36,1.45)

 

1.43(1.38,1.49)*

 Rich

 

2.14(2.33,2.49)

 

2.38(2.28,2.48)*

ANC visit

 No ANC visit

 

1

 

1

 Had ANC visit

 

1.70(1.66,1.75)

 

1.68(1.62,1.73)*

Wanted Pregnancy

 Yes

 

1

 

1

 No

 

1.14(1.10,1.19)

 

0.91(0.87,1.03)

Number of gestation

 Single

 

1

 

1

 Multiple

 

1.92(1.78,2.06)

 

2.06(1.90,2.25)*

Parity

 1

 

1

 

1

 2–4

 

0.73(0.70,0.77)

 

0.65(0.61,0.69)*

 5+

 

0.47(0.44,0.50)

 

0.44(0.41,0.47)*

Accessing health Care

 Big problem

 

1

 

1

 Not bog problem

 

1.14(1.10,1.19)

 

1.32(1.28,1.36)*

Birth Interval

 Less than 24 month

 

1

 

1

 24 month and above

 

0.96(0.93,0.99)

 

0.91(0.87,0.94)*

Residence

 Urban

  

1

1

 Rural

  

0.18(0.17,0.19)

0.43(0.41,0.45)*

Country

 Burundi

  

0.58(0.53.0.64)

0.77(0.70,0.85)*

 Ethiopia

  

0.039(0.036,0.043)

0.05(0.04,0.06)*

 Kenya

  

0.09(0.08,0.10)

0.09(0.085,0.104)*

 Comoros

  

0.37(0.33,0.43)

0.55(0.47,0.63)*

 Madagascar

  

0.37(0.33,0.43)

0.065(0.05,0.071)*

 Malawi

  

0.07(0.06,0.078)

1.01(0.91,1.12)

 Mozambique

  

1.11(1.01,1.23)

0.12(0.11,0.13)*

 Rwanda

  

1

1

 Tanzania

  

0.006(0.0062,.007)

0)

0.005(0.004,0.0057)*

 Uganda

  

0.27(0.25,0.29)

0.27(0.25,0.30)*

 Zambia

  

0.13(0.11,0.14)

0.12(0.11,0.13)*

 Zimbabwe

  

0.33(0.30,0.37)

0.19(0.17,0.21)*

Random effects

 Community variance(SE)

0.79(0.04)1)

0.446(0.026)

0.52(0.03)

0.075(0.0046)

 ICC%

19.39%

11.94%

13.71

7.50%

 PCV%

1

43.54%

34.17

90.50%

 MOR

2.32(2.22,2.42))

1.88(1.80,1.95)

1.98(1.90,2.06)

1.63(1.58,1.69)

Model comparison

 Log-likelihood ratio

−89,568

−80,035

−68,848

−62,929

 Deviance

179,136

160,070

137,696

125,858

  1. NB: * = Significant at P-value < 0.05 ICC = Intraclass Correlation Coefficient, MOR Median Odds Ratio, PCV Proportional Change in Variance, SE Standard Error, AOR Adjusted Odds Ratio, ANC Antenatal Care