Place of Delivery

 

Percent distribution of births by place of delivery, and the percentage of births delivered in a health facility

 

Definition

1)      Percent distribution of births (live births and/or stillbirths) in the past 2 years by place of delivery.

2)      Percentage of births (live births and/or stillbirths) in the past 2 years delivered in a health facility.

 

Coverage:

Population base:

a)       Live births to interviewed women in the 2 years preceding the survey (NR file)

b)      Stillbirths to interviewed women in the 2 years preceding the survey (NR file)

c)       All births (live births and stillbirths) to interviewed women in the 2 years preceding the survey (NR file)

Time period: Two years preceding the survey

 

Numerators:

1)      Number of births within each base population distributed according to whether the delivery took place in a:

a)       Public sector health facility (m15 in 20:29)

b)      Private medical sector (non-NGO) health facility (m15 in 30:39)

c)       Private medical sector (NGO) health facility (m15 in 40:49)

d)      At home (m15 = 11 or 12), or

e)      Other place (m15 = 96)

2)      Number of births within each base population that took place in a health facility (m15 in 20:49)

 

Denominator: Number of births in each of the population bases:

a)       Live births to interviewed women in the 2 years preceding the survey (m80 in 1:2 & p19 < 24)

b)      Stillbirths to interviewed women in the 2 years preceding the survey (m80 in 3:4 & p19 < 24)

c)       All births (live births and stillbirths) to interviewed women in the 2 years preceding the survey (m80 in 1:4 & p19 < 24)

 

Variables: NR file.

m80

Pregnancy outcome for this section

p19

Months since pregnancy outcome

m15

Place of delivery

v005

Woman’s individual sample weight

 

Calculation

 

For percent distribution, numerator divided by denominator, multiplied by 100.

For the percentage of births delivered in a health facility: numerator divided by denominator, multiplied by 100.

 

Handling of Missing Values

 

Births with missing information are included in the denominator for both the distribution of place of delivery and percentage of all births delivered in a health facility.

 

Notes and Considerations

 

Percent distribution adds up to 100 percent.

 

Changes over Time

 

In DHS-8, the reference time period for this indicator changed from 5 years to 2 years, reflecting a shorter time period asked about in the women’s questionnaire. Also in DHS-8, the population base for this indicator was expanded from only women who had at least one live birth in the 2 years preceding the survey to include women who had a stillbirth in the 2 years preceding the survey, as well as women who had one or more births (either live birth or stillbirth) in the 2 years preceding the survey.

 

Private sector facilities were disaggregated to include NGO and non-NGO facilities separately in the distribution. Both are still included as health facilities for the percentage of births delivered in a health facility.

 

References

 

Campbell, O.M., L. Benova, D. MacLeod, R.F. Baggaley, L.C. Rodrigues, K. Hanson, T. PowellJackson, L. PennKekana, R. Polonsky, K. Footman, and A. Vahanian. 2016. “Family planning, antenatal and delivery care: crosssectional survey evidence on levels of coverage and inequalities by public and private sector in 57 lowand middleincome countries.” Tropical medicine & international health21(4), pp.486-503. https://www.ncbi.nlm.nih.gov/pubmed/26892335

 

Fort, A.L., M.T. Kothari, and N. Abderrahim. 2006. Postpartum care: levels and determinants in developing countries. DHS Comparative Reports No. 15. Calverton, Maryland, USA: Macro International. https://dhsprogram.com/publications/publication-cr15-comparative-reports.cfm

 

Lawn, J. E., Blencowe, H., Waiswa, P. et al. Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet. 2016. 387(10018), 587-603.

 

MacQuarrie, K. L.D., L. Mallick, and C. Allen. 2017. Sexual and reproductive health in early and later adolescence: DHS data on youth Age 10-19. DHS Comparative Reports No. 45. Rockville, Maryland, USA: ICF. https://dhsprogram.com/publications/publication-cr45-comparative-reports.cfm

 

Resources

 

DHS-8 Tabulation plan: Table 9.7

 

API Indicator IDs:

RH_DELP_C_PUB, RH_DELP_C_PRV, RH_DELP_C_HOM, RH_DELP_C_OTH, RH_DELP_C_DKM, RH_DELP_C_DHF

(API link, STATcompiler link)

 

MICS6 Indicator TM.8: Institutional deliveries.