Table 3 Factors associated with CoC utilisation in Sierra Leone as per the 2019 SLDHS
From: Continuum of maternal and newborn health in Sierra Leone: a 2019 national survey
Characteristics | Cross tabulation N = 7326 | Logistic regression N = 7214 | ||||
|---|---|---|---|---|---|---|
No COC n (%) | Yes, CoC n (%) | P-value | Crude model cOR (95% CI) | P-value | Adjusted model aOR (95% CI) | |
Visited by fieldworker | Â | Â | 0.403 | Â | 0.403 | Â |
 No | 4173 (69.4) | 886 (67.6) |  | 1 |  | – |
 Yes | 1842 (30.6) | 425 (32.4) |  | 1.09 (0.89–1.32) |  |  |
ANC timinga |  |  | < 0.001 |  | < 0.001 |  |
 Above first trimester | 2480 (42.0) | 733 (55.9) |  | 1 |  | 1 |
 Within first trimester | 3422 (58.0) | 578 (44.1) |  | 1.75 (1.50–2.04) |  | 1.71 (1.46–2.00) |
Age | Â | Â | 0.735 | Â | 0.771 | Â |
 35 to 49 | 1548 (25.7) | 350 (26.7) |  | 1 |  | – |
 20 to 34 | 3971 (66.0) | 860 (65.6) |  | 0.96 (0.83–1.11) | 0.572 |  |
 15 to 19 | 496 (8.3) | 101 (7.7) |  | 0.90 (0.67–1.22) | 0.504 |  |
Residence | Â | Â | 0.150 | Â | 0.151 | Â |
 Rural | 3762 (62.5) | 769 (58.7) |  | 1 |  | 1 |
 Urban | 2253 (37.5) | 542 (41.3) |  | 1.17 (0.94–1.47) |  | 0.99 (0.70–1.41) |
Region | Â | Â | 0.003 | Â | 0.001 | Â |
 Western | 1227 (20.4) | 252 (19.2) |  | 1 |  | 1 |
 Southern | 1159 (19.3) | 333 (25.4) |  | 1.40 (1.01–1.96) | 0.048 | 1.85 (1.23–2.80) |
 Northwestern | 1167 (19.4) | 213 (16.2) |  | 0.89 (0.63–1.27) | 0.520 | 1.16 (0.74–1.82) |
 Northern | 1237 (20.6) | 197 (15.0) |  | 0.78 (0.53–1.13) | 0.185 | 0.93 (0.61–1.44) |
 Eastern | 1225 (20.3) | 316 (24.1) |  | 1.26 (0.87–1.83) | 0.224 | 1.52 (0.99–2.33) |
Religion | Â | Â | 0.038 | Â | 0.038 | Â |
 Islam | 4773 (79.3) | 994 (75.8) |  | 1 |  | 1 |
 Christianity and others | 1242 (20.7) | 317 (24.2) |  | 1.23 (1.01–1.49) |  | 1.07 (0.87–1.32) |
Sex household head | Â | Â | 0.180 | Â | 0.180 | Â |
 Male | 4557 (75.8) | 963 (73.5) |  | 1 |  | 1 |
 Female | 1458 (24.2) | 348 (26.5) |  | 1.13 (0.95–1.35) |  | 1.06 (0.87–1.28) |
Household Size | Â | Â | 0.125 | Â | 0.125 | Â |
 7 and above | 2755 (45.8) | 564 (43.0) |  | 1 |  | 1 |
 Less than 7 | 3260 (54.2) | 747 (57.0) |  | 1.12 (0.97–1.30) |  | 1.11 (0.95–1.29) |
Working status | Â | Â | 0.372 | Â | 0.373 | Â |
 Not working | 1396 (23.2) | 287 (21.9) |  | 1 |  | – |
 Working | 4619 (76.8) | 1024 (78.1) |  | 1.08 (0.91–1.28) |  |  |
Marital status | Â | Â | 0.214 | Â | 0.215 | Â |
 Not married | 1073 (17.8) | 256 (19.5) |  | 1 |  | 1 |
 Married | 4942 (82.2) | 1055 (80.5) |  | 0.90 (0.76–1.07) |  | 1.05 (0.87–1.26) |
Education Level |  |  | < 0.001 |  | < 0.001 |  |
 No Education | 3226 (53.6) | 632 (48.2) |  | 1 |  | 1 |
 Primary Education | 829 (13.8) | 204 (15.6) |  | 1.26 (1.03–1.54) | 0.027 | 1.13 (0.91–1.39) |
 Secondary Education | 1801 (29.9) | 413 (31.5) |  | 1.17 (0.99–1.39) | 0.066 | 0.93 (0.77–1.13) |
 Tertiary | 159 (2.6) | 62 (4.7) |  | 1.98 (1.43–2.75) | < 0.001 | 1.26 (0.84–1.90) |
Wealth Index | Â | Â | 0.004 | Â | 0.003 | Â |
 Poorest | 1358 (22.6) | 229 (17.5) |  | 1 |  | 1 |
 Poorer | 1288 (21.4) | 263 (20.1) |  | 1.21 (0.98–1.50) | 0.082 | 1.28 (1.02–1.60) |
 Middle | 1206 (20.0) | 281 (21.4) |  | 1.38 (1.12–1.71) | 0.003 | 1.45 (1.17–1.79) |
 Richer | 1127 (18.7) | 315 (24.0) |  | 1.66 (1.27–2.16) | < 0.001 | 1.76 (1.27–2.44) |
 Richest | 1036 (17.3) | 223 (17.0) |  | 1.27 (0.93–1.74) | 0.134 | 1.35 (0.86–2.10) |
Parity | Â | Â | 0.073 | Â | 0.048 | Â |
 5 and above | 1118 (18.6) | 204 (15.6) |  | 1 |  | 1 |
 2–4 | 3282 (54.6) | 733 (55.9) |  | 1.22 (1.02–1.46) | 0.028 | 1.16 (0.95–1.41) |
 1 | 1615 (27.2) | 374 (28.5) |  | 1.27 (1.03–1.56) | 0.025 | 1.17 (0.92–1.49) |
Newspapers exposure | Â | Â | 0.143 | Â | 0.143 | Â |
 No | 5696 (94.7) | 1225 (93.4) |  | 1 |  | 1 |
 Yes | 319 (5.3) | 86 (6.6) |  | 1.25 (0.93–1.68) |  | 0.98 (0.72–1.34) |
Exposure to Radio | Â | Â | 0.091 | Â | 0.091 | Â |
 No | 3506 (58.3) | 718 (54.7) |  | 1 |  | 1 |
 Yes | 2509 (41.7) | 593 (45.3) |  | 1.16 (0.98–1.37) |  | 1.05 (0.88–1.25) |
Exposure to TV | Â | Â | 0.391 | Â | 0.391 | Â |
 No | 4562 (75.8) | 1017 (77.6) |  | 1 |  | – |
 Yes | 1453 (24.2) | 294 (22.4) |  | 0.90 (0.73–1.13) |  |  |
Internet use |  |  | < 0.001 |  | < 0.001 |  |
 No | 5461 (90.8) | 1125 (85.8) |  | 1 |  | 1 |
 Yes | 554 (9.2) | 186 (14.2) |  | 1.63 (1.28–2.08) |  | 1.49 (1.12–1.98) |
Permission to access healthcare | Â | Â | 0.020 | Â | 0.020 | Â |
 Big problem | 1549 (25.8) | 277 (21.1) |  | 1 |  | 1 |
 Not big problem | 4466 (74.2) | 1034 (78.9) |  | 1.29 (1.04–1.61) |  | 1.34 (1.06–1.69) |
Distance to health facility | Â | Â | 0.802 | Â | 0.802 | Â |
 Big problem | 2829 (47.0) | 625 (47.7) |  | 1 |  | – |
 Not big problem | 3186 (53.0) | 686 (52.3) |  | 0.98 (0.80–1.19) |  |  |