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Table 4 Multivariable logistic regression analyses

From: Ghana’s National Health insurance scheme and maternal and child health: a mixed methods study

 

Facility delivery (N = 788)

Four or more ANC visits (N = 767)

Illness need not be severe for care-seeking (N = 955)

Education

   

None

Ref

Ref

Ref

Primary

1.3 (0.84- 2.09)

1.3(0.73-2.27)

1.6(0.90-2.75)

Secondary

2.4*** (1.52-3.92)

1.6 + (0.95-2.64)

1.4(0.79-2.37)

Wealth

   

Lowest

Ref

Ref

Ref

Middle

1.8 (0.74-1.57)

0.6 + (0.38-1.03)

2.0**(1.31-2.98)

Richest

1.6*(1.04-2.47)

0.46*(0.24-0.88)

1.0(0.56-1.86)

Health insurance coverage

   

No coverage

Ref

Ref

Ref

1-2 years

1.8*(1.13-2.96)

1.0(0.70-1.59)

1.7** (1.15-2.38)

3 years

1.1(0.59-2.11)

1.6(0.74-3.62)

1.96*(1.13-3.40)

Health insurance while pregnant

  

NA

No

Ref

Ref

 

Yes

2.5**(1.35-4.46)

1.2(0.70-2.07)

 

Distance to nearest health

   

Center/hospital

  

NA

<1 km

Ref

Ref

 

1 km-5 km

0.6 (0.27-1.32)

0.9(0.39-2.06)

 

6 km+

0.5 + (0.23-1.02)

0.4 + (0.18-1.13)

 

Distance to nearest health

   

Post/health center/hospital

NA

NA

 

<1 km

  

Ref

1 km-5 km

  

2.0(0.89-4.67)

6 km+

  

1.8(0.61-5.04)

Midwife presence at nearest facility

  

NA

Whole year

Ref

Ref

 

Part of the year

0.4 (0.09-2.05)

0.7(0.33-1.64)

 

Not at all

0.9 (0.49-1.72)

1.1(0.64-1.87)

 

Don’t know

0.8 (0.22-3.13)

0.5(0.73-2.81)

 

Pseudo R2

0.24

0.07

0.11

  1. + p < 0.10 *p < 0.05 **p < 0.01 ***p < 0.001.
  2. Note: Models also control for mother’s age, parity, marital status, working status, ethnicity, residence, region and child’s age (for the early care-seeking outcome). N’s presented are the analysis sample; overall, 50.5% of women had a facility delivery, 58.3% of women had four or more ANC visits, and 73.9% reported that an illness need not be severe to seek care.