# name
Determinants of institutional delivery among young married women
                in Nepal: Evidence from the Nepal Demographic and Health Survey,
                2011

# metadata.dc.description.abstract[].value
OBJECTIVES: To identify the determinants of institutional
                delivery among young married women in Nepal. DESIGN: Nepal
                Demographic and Health Survey (NDHS) data sets 2011 were
                analysed. Bivariate and multivariate logistic regression
                analyses were performed using a subset of 1662 ever-married
                young women (aged 15-24 years). OUTCOME MEASURE: Place of
                delivery. RESULTS: The rate of institutional delivery among
                young married women was 46%, which is higher than the national
                average (35%) among all women of reproductive age. Young women
                who had more than four antenatal care (ANC) visits were three
                times more likely to deliver in a health institution compared
                with women who had no antenatal care visit (OR: 3.05; 95% CI:
                2.40 to 3.87). The probability of delivering in an institution
                was 69% higher among young urban women than among young women
                who lived in rural areas. Young women who had secondary or above
                secondary level education were 1.63 times more likely to choose
                institutional delivery than young women who had no formal
                education (OR: 1.626; 95% CI: 1.171 to 2.258). Lower use of a
                health institution for delivery was also observed among poor
                young women. Results showed that wealthy young women were 2.12
                times more likely to deliver their child in an institution
                compared with poor young women (OR: 2.107; 95% CI: 1.53 to
                2.898). Other factors such as the age of the young woman,
                religion, ethnicity, and ecological zone were also associated
                with institutional delivery. CONCLUSIONS: Maternal health
                programs should be designed to encourage young women to receive
                adequate ANC (at least four visits). Moreover, health programs
                should target poor, less educated, rural, young women who live
                in mountain regions, are of Janajati ethnicity and have at least
                one child as such women are less likely to choose institutional
                delivery in Nepal.

# metadata.dc.relation.isformatof[].value
Reproducció del document publicat a:
                http://dx.doi.org/10.1136/bmjopen-2016-012446

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
Determinants of institutional delivery among young married women
                in Nepal: Evidence from the Nepal Demographic and Health Survey,
                2011