Covariate adjusted simple logistic regression of factors that influenced the utilization of antenatal care, skilled delivery, and postnatal care services
REGRESSION, WEST, SECONDARY
A covariates adjusted simple logistic regression model was used to determine the factors that influenced the utilization of antenatal care, skilled delivery, and postnatal care services after the community-based intervention. The results show that age at first marriage, education status, distance to a health facility, received health education on maternal health services, paid money to staff for ANC and delivery, and application of traditional remedies during pregnancy or delivery were factors that were associated with at least four ANC visit times, skilled delivery and PNC uptake; after adjusting for confounding variables in the model (Table The odds of at least four ANC visits, skilled delivery, and PNC attendance were significantly higher among women in the intervention group (AOR = 3.49, CI: 1.76–7.83), (AOR = 5.22, CI: 2.88–12.01), and (AOR = 3.82, CI: 1.81–8.97) respectively compared to the control site. Women who had attained tertiary education were 2.38 times more likely to attend ANC at least four times when compared with women with no formal education (AOR = 2.38; [95%CI = 0.09–1.67]; p = 0.022).Regarding skilled birth attendance, age at first marriage, education status, distance to a health facility, received HIV test results during pregnancy, and application of traditional remedies during pregnancy or delivery were the factors that influenced women to utilize skilled birth services; after adjusting for confounding variables. Women who have attained primary and secondary levels of education were 4.71 and 7.91 times, respectively, more likely to have skilled birth attendance compared to women with no formal education (AOR = 4.71; [95%CI = 1.13–19.54]; p = 0.033) and (AOR = 7.91; [95%CI = 0.86–72.62]; p = 0.031) respectively (Table Distance to a health facility, receiving HIV test results during pregnancy and paying money to staff for ANC and delivery were the factors that influenced women to utilize PNC services. Women who travelled less than 5 km to a health facility had significantly higher odds of attending ANC at least four times (AOR = 2.58; 95%CI: 1.31–5.07; p = 0.026), skilled delivery (AOR = 3.55; [95%CI = 1.49–8.72]; p = 0.038), and PNC (AOR = 3.47; [95%CI = 1.32–9.01]; p = 0.026) compared to women who travelled more than 5 km to reach a health facility. Similarly, women who received HIV test results during pregnancy were 3.45 times more likely to attend ANC and PNC compared to those who did not receive HIV test results during pregnancy (AOR = 3.45; [95%CI = 1.54 − 7.75]; p = 0.004) (Table 
Covariate adjusted simple logistic regression of factors that influenced the utilization of antenatal care, skilled delivery, and postnatal care services in two selected remote districts of the Upper West Region after the community-based intervention (2019–2020)