The University of Southampton
University of Southampton Institutional Repository

Contextual influences on the use of health facilities for childbirth in Africa

Stephenson, Rob, Clements, Steve, Baschieri, Angela, Hennink, Monique and Madise, Nyovani (2004) Contextual influences on the use of health facilities for childbirth in Africa , Southampton, UK Southampton Statistical Sciences Research Institute 35pp. (S3RI Applications and Policy Working Papers, A04/18).

Record type: Monograph (Working Paper)


Studies of maternal health seeking behaviour have focused on individual and household level factors. This analysis examines community level influences on the decision to deliver a child in a health facility across six African countries. Demographic and Health Survey data are linked with contextual data, and multilevel models are fitted to identify the determinants of childbirth in a health facility in the six countries. There are strong community level influences on a woman’s decision to deliver her child in a health facility. Several pathways of influence between the community and individual were identified. Community economic development, the climate of female autonomy, service provision and fertility preferences all exert an influence on a woman’s decision to seek care during labour, although significant community variation remains unexplained.

PDF 12493-01.pdf - Other
Download (439kB)

More information

Published date: 22 November 2004


Local EPrints ID: 12493
PURE UUID: d4a1c620-f70f-4ce9-96ef-b255c0a82978
ORCID for Nyovani Madise: ORCID iD

Catalogue record

Date deposited: 22 Nov 2004
Last modified: 17 Jul 2017 17:03

Export record


Author: Rob Stephenson
Author: Steve Clements
Author: Angela Baschieri
Author: Monique Hennink
Author: Nyovani Madise ORCID iD

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton:

ePrints Soton supports OAI 2.0 with a base URL of

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.