Prevalence and determinants of facility-based delivery among married adolescent girls in Northern Nigeria: A population based cross-sectional study

Tope Olubodun, Olorunfemi Ogundele, Turnwait O. Michael

Abstract

This study assessed the prevalence and determinants of facility-based delivery among married adolescent mothers in Northern Nigeria. We analysed pooled data of 2,628 adolescents aged 15 – 19 years from the NDHS 2008, NDHS 2013 and NDHS 2018. Only 18.26% of the adolescent mothers utilized health facility for delivery. Girls with secondary/higher education (aOR 1.82; 95% CI 1.15 – 2.90), girls who were of the ‘rich’ wealth index (aOR 1.64; 95% CI 1.13 – 2.38), girls who attended more than four antenatal visits, girls who considered distance to health facility not a big problem were more likely to deliver in a health facility. Girls who lived in rural areas (aOR 0.89; 95% CI 0.63 – 1.13) had lower odds of delivering in a health facility. Policy makers and programme managers should of importance, utilize these determinants in designing interventions and policies aimed at increasing health facility delivery for married adolescent girls in Northern Nigeria

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References

Papri FS, Khanam Z, Ara S and Panna MB. Adolescent

Pregnancy: Risk Factors, Outcome and Prevention.

Chattagram Maa-O-ShishuHospital Med Coll J.

;15(1):53–6.

WHO. Adolescent pregnancy. The MassGeneral Hospital for

Children Adolescent Medicine Handbook. 2014.

Available from:

https://apps.who.int/iris/bitstream/handle/10665/329

/WHO-RHR-19.15-eng.pdf (Accessed 11/02/2023)

Kassa GM, Arowojolu AO, Odukogbe AA and Yalew AW.

Prevalence and determinants of adolescent

pregnancy in Africa: A systematic review and Meta

analysis. Reprod Health. 2018;15(1):1–17.

Save the Children. Early Marriage: A Harmful Traditional

Practice.

Available

from:

https://resourcecentre.savethechildren.net/document

/early-marriage-harmful-traditional-practice/

(Accessed 11/02/2023)

Girls not Brides. Child marriage and health. 2021. Available

from:

https://www.girlsnotbrides.org/learning

resources/child-marriage-and-health/

(Accessed

/02/2023)

Okoli CI, Hajizadeh M, Rahman MM, Velayutham E and

Khanam R. Socioeconomic inequalities in teenage

pregnancy in Nigeria: evidence from Demographic

Health Survey. BMC Public Health. 2022;22(1):1

WHO. Institutional births. 2 023. Available from:

https://www.who.int/data/gho/indicator-metadata

registry/imr-details/institutional-birth

(Accessed

/02/2023)

Rai RK, Singh PK and Singh L. Utilization of Maternal

Health Care Services among Married Adolescent

Women: Insights from the Nigeria Demographic and

Health Survey, 2008. Womens Heal Issues.

;22(4):e407–14.

Alex-Ojei CA, Odimegwu CO and Akinyemi JO. Patterns of

delivery assistance among adolescent mothers in

Nigeria. Midwifery. 2020;82:102619.

Adewuyi EO, Khanal V, Zhao Y, David L, Bamidele OD

and Auta A. Home childbirth among young mothers

aged 15-24 years in Nigeria: A national population

based cross-sectional study. BMJ Open. 2019 Sep

;9(9):e025494.

Dahiru T and Oche OM. Determinants of antenatal care,

institutional delivery and postnatal care services

utilization in Nigeria. Pan Afr Med J. 2015;21:1–17.

Kawakatsu Y, Adolph C, Mosser JF, Baffoe P, Cheshi F,

Aiga H, Watkins D and Sherr KH. Factors

consistently associated with utilisation of essential

maternal and child health services in Nigeria:

analysis of the five Nigerian national household

surveys (2003-2018). BMJ Open. 2022;12(9):1–11.

Ononokpono DN and Odimegwu CO. Determinants of

Maternal Health Care Utilization in Nigeria: a

multilevel approach. Pan Afr Med. 2014;17 Suppl

(Suppl 1):2.

Dickson KS and Amu H. Determinants of Skilled Birth

Attendance in the Northern Parts of Ghana. Adv

Public Heal. 2017;2017:1–8.

Mumtaz S, Bahk J and Khang YH. Current status and

determinants of maternal healthcare utilization in

Afghanistan:

Analysis

from

Afghanistan

demographic and health survey 2015. PLoS One.

;14(6):1–14.

Zegeye B, Ahinkorah BO, Idriss-wheelr D, Oladimeji O,

Olorunsaiye CZ and Yaya S. Predictors of

institutional delivery service utilization among

study.

women of reproductive age in Senegal : a population

based

BMC Pregnancy Childbirth.

;20(1):187.

Kabir S, Hasan MR, Hossain MI, Suraiya S, Islam FB,

Nayan MIH, Haq I and Hossain MS. Determinants

and Trends of Health Facility Delivery in

Bangladesh: A Hierarchical Modeling Approach.

Biomed Res Int. 2022;2022:1359572.

Rahman MA, Rahman MA, Rawal LB, Paudel M,

Howlader MH, Khan B, Siddiquee T, Rahman A,

Sarkar A, Rahman MS, Botlero R and Islam SMS.

Factors influencing place of delivery: Evidence from

three

south-Asian

;16(4):e0250012.

countries.

PLoS One.

Banke-Thomas OE, Banke-Thomas AO and Ameh CA.

Factors influencing utilisation of maternal health

services by adolescent mothers in Low-and middle

income countries: A systematic review. BMC

Pregnancy Childbirth. 2017;17(1):1–14.

Shahabuddin ASM, Delvaux T, Utz B, Bardaji A and De

Brouwere V. Determinants and trends in health

facility-based deliveries and caesarean sections

among married adolescent girls in Bangladesh. BMJ

Open. 2016;6(9):1–8.

Rashid M, Chowdhury MRK, Kader M, Hiswåls AS and

Macassa G. Determinants of Utilization of

Institutional Delivery Services in Zambia: An

Analytical Cross-Sectional Study. Int J Environ Res

Public Health. 2022 Mar 7;19(5):3144.

Berelie Y, Yeshiwas D, Yismaw L and Alene M.

Determinants of institutional delivery service

utilization in Ethiopia: A population based cross

sectional study. BMC Public Health. 2020;20(1):1

Makinde OA, Sule A, Ayankogbe O and Boone D.

Distribution of health facilities in Nigeria:

Implications and options for Universal Health

Coverage.

Int

J

;33(4):e1179–92.

Health

Plann

Manage.

Agaba P, Magadi M and Orton B. Predictors of health

facility childbirth among unmarried and married

youth in Uganda. PLoS One. 2022;17(4):e0266657.

Omeje AN. Inequality and Regional Poverty in Nigeria : A

Decomposition Analysis from Foster-Greer-

Thorbecke Index. Res Sq. 2022;1–17.

UNICEF. Literacy among young women. Available from:

https://www.unicef.org/nigeria/media/1631/file

(Accessed 15/3/2023)

Kunnuji M, Wammanda RD, Ojogun TO, Quinley J,

Oguche S, Odejimi A, Weiss W, Abba BI, King R

and Franca-Koh A. Health beliefs and (timely) use of

facility-based care for under-five children: lessons

from the qualitative component of Nigeria’s 2019

VASA. BMC Public Health. 2022;22(1):1–13.

Anaba EA, Alangea DO, Addo-Lartey A, Modey EJ, Manu

A, Alor SK and Torpey K. Determinants of health

facility delivery among young mothers in Ghana;

insights from the 2014 Ghana Demographic and

Health Survey. BMC Pregnancy Childbirth.

;22(1):1–8.

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