Research Article

The Role of Demand Factors in Utilization of Professional Care during Childbirth: Perspectives from Yemen

Table 1

Location of the previous childbirth (home/clinic or health unit/hospital) among women in the study population by selected factors (n: 220).

Home birth (%)Clinic birth (%)Hospital birth (%)Totals (%)

Social and demographic factors
Women’s age
 <25 years42 (70)4 (7)14 (23)60 (100)
 25–35 years76 (67)8 (7)30 (26)114 (100)
 >35 years33 (72)2 (4)11 (24)46 (100)
P value = . 9 5 2
Place of residence
 Urban66 (59)13 (12)33 (29)112 (100)
 Rural85 (79)1 (1)22 (20)108 (100)
P value = . 0 0 0 6
Number of dependents
 2–522 (47)3 (6)22 (47)47 (100)
 6–942 (66)7 (11)15 (23)64 (100)
 10–1354 (78)4 (6)11 (16)69 (100)
 >1433 (83)0 (0)7 (17)40 (100)
P value = . 0 0 1
Dead children
 Yes102 (69)8 (5)38 (26)148 (100)
 No49 (68)6 (8)17 (24)72 (100)
P value = . 6 9 1
Antenatal care
 Yes93 (61)12 (8)47 (31)152 (100)
 No58 (85)2 (3)8 (12)68 (100)
P value = . 0 0 2
Distance by walking to location of childbirth
 None (home birth)153 (100)0 (0)0 (0)153 (100)
 <half an hour0 (0)11 (58)8 (42)19 (100)
 half an hour–one hour0 (0)1 (14)6 (86)7 (100)
 one hour–two hours0 (0)0 (0)1 (100)1 (100)
 >two hours0 (0)1 (2)39 (98)40 (100)
P value < . 0 0 0 1

Literacy and education
Women’s literacy
 Yes33 (54)8 (13)20 (33)61 (100)
 No118 (74)6 (4)35 (22)159 (100)
P value = . 0 0 5
Women’s literacy and education
 Illiterate114 (74)5 (3)35 (23)154 (100)
 Reads Quran4 (66)1 (17)1 (17)6 (100)
 Primary school20 (51)7 (18)12 (31)39 (100)
 Intermediary school4 (67)0 (0)2 (33)6 (100)
 Secondary school7 (54)1 (8)5 (38)13 (100)
 Higher education2 (100)0 (0)0 (0)2 (100)
P value = . 0 5 8
Husbands’ literacy and education
 Illiterate67 (79)0 (0)18 (21)85 (100)
 Reads Quran6 (75)0 (0)2 (25)8 (100)
 Primary school20 (50)4 (10)16 (40)40 (100)
 Intermediary school17 (77)2 (9)3 (14)22 (100)
 Secondary school18 (60)6 (20)6 (20)30 (100)
 Higher education23 (66)2 (6)10 (28)35 (100)
P value = . 0 0 5

Occupation and income
Women’s employment and wage salary during the last 3 months
 Yes7 (41)3 (18)7 (41)17 (100)
 No144 (71)11 (5)48 (24)203 (100)
P value = . 0 2 2
Occupational status of husband
 Farmer/laborer72 (73)3 (3)23 (24)98 (100)
 Government employee79 (65)11 (9)32 (26)122 (100)
P value = . 1 5
Other family income (land/cattle)
 Yes43 (88)0 (0)6 (12)49 (100)
 No108 (63)14 (8)49 (29)171 (100)
P value = . 0 0 3

Factors related to childbirth
Own choice of birth attendance/location of childbirth
 Yes133 (73)11 (6)39 (21)183 (100)
 No18 (49)3 (8)16 (43)37 (100)
P value = . 0 1 3
Birth complications (self-rated)
 Yes25 (40)5 (8)32 (52)62 (100)
 No126 (80)9 (6)23 (14)158 (100)
P value < . 0 0 0 1
Women’s authority during childbirth
 Yes135 (85)10 (6)15 (9)160 (100)
 No16 (27)4 (7)40 (66)60 (100)
P value < . 0 0 0 1
Presence of birth support person(s)
 Yes128 (92)6 (4)5 (4)139 (100)
 No23 (28)8 (10)50 (62)81 (100)
P value < . 0 0 0 1
Mother-infant proximity following birth (n = 217, 3 stillborn children)
 Skin-to-skin17 (100)0 (0)0 (0)17 (100)
 Wrapped/dressed in arms62 (86)2 (3)8 (11)72 (100)
 Separate bed/elsewhere near55 (68)8 (10)18 (22)81 (100)
 Other place in room but out of contact15 (38)2 (5)22 (57)39 (100)
 Separate room/place out of sight2 (25)1 (12)5 (63)8 (100)
P value < . 0 0 0 1