{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:25:30Z","timestamp":1772252730808,"version":"3.50.1"},"reference-count":48,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T00:00:00Z","timestamp":1646611200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Institutional delivery at birth is an important indicator of improvements in maternal health, which remains one of the targets of sustainable development goals intended to reduce the maternal mortality ratio. The purpose of the present study was to identify the determinants of utilization of institutional delivery in Zambia. A population-based cross-sectional study design was used to examine 9841 women aged 15\u201349 years from the 2018 Zambia Demographic and Health Survey. A multiple logistic regression was applied to calculate odds ratios (ORs) with 95% confidence intervals (CIs) to identify determinants of utilization of institutional delivery. Sociodemographic factors were significantly associated with institutional delivery: woman\u2019s (OR: 1.76; 95% CI: 1.04\u20132.99) and husband\u2019s (OR: 1.83; 95% CI: 1.09\u20133.05) secondary\/higher education, higher wealth index (OR: 2.31; 95% CI: 1.27\u20134.22), and rural place of residence (OR: 0.55; 95% CI: 0.30\u20130.98). Healthcare-related factors were also significantly associated with institutional delivery: 5\u201312 visits to antenatal care (OR: 2.33; 95% CI: 1.66\u20133.26) and measuring blood pressure (OR: 2.15; 95% CI: 1.32\u20132.66) during pregnancy. To improve institutional delivery and reduce maternal and newborn mortality, policymakers and public health planners should design an effective intervention program targeting these factors.<\/jats:p>","DOI":"10.3390\/ijerph19053144","type":"journal-article","created":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T10:21:16Z","timestamp":1646648476000},"page":"3144","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Determinants of Utilization of Institutional Delivery Services in Zambia: An Analytical Cross-Sectional Study"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7558-4168","authenticated-orcid":false,"given":"Mamunur","family":"Rashid","sequence":"first","affiliation":[{"name":"Department of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of G\u00e4vle, Kungsbacksv\u00e4gen 47, 80176 G\u00e4vle, Sweden"}]},{"given":"Mohammad Rocky Khan","family":"Chowdhury","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, University of Monash, 553 St Kilda Road, Melbourne, VIC 3004, Australia"},{"name":"Department of Public Health, First Capital University of Bangladesh, Chuadanga 7200 R747, Bangladesh"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8181-648X","authenticated-orcid":false,"given":"Manzur","family":"Kader","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Karolinska Institute, Solnav\u00e4gen 1, 17177 Solna Stockholm, Sweden"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0500-1638","authenticated-orcid":false,"given":"Anne-Sofie","family":"Hisw\u00e5ls","sequence":"additional","affiliation":[{"name":"Department of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of G\u00e4vle, Kungsbacksv\u00e4gen 47, 80176 G\u00e4vle, Sweden"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4415-7942","authenticated-orcid":false,"given":"Gloria","family":"Macassa","sequence":"additional","affiliation":[{"name":"Department of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of G\u00e4vle, Kungsbacksv\u00e4gen 47, 80176 G\u00e4vle, Sweden"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,7]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (WHO) (2021, January 21). 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