March 1, 2015 Thesis Open Access

ABEBE DEBU LIGA

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    <subfield code="a">DETERMINANTS OF OBSTETRIC FISTULA IN ETHIOPIA: AN APPLICATION OF BINARY AND MULTILEVEL LOGISTIC REGRESSION MODELS</subfield>
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    <subfield code="a">&lt;p&gt;Obstetric fistula is a maternal morbidity creating devastating health problems for the women who&lt;br&gt;
are affected. Continuous and uncontrollable leaking of urine or faeces from the vagina can lead to&lt;br&gt;
life changing stigmatization for women in third world countries. This study examined and&lt;br&gt;
identifies the determinants of obstetric fistula in Ethiopia based on the Ethiopian demographic and&lt;br&gt;
health survey (EDHS, 2005) data conducted by Central Statistical Agency (CSA). The survey&lt;br&gt;
collected information on a total of 14,070 women were interviewed face to face on their&lt;br&gt;
background characteristics as well as reproductive health issues, out of which 3178 women were&lt;br&gt;
complete measurements and considered in this study. In order to meet our objective descriptive,&lt;br&gt;
multiple logistic regression and multilevel logistic regression statistical techniques were used for&lt;br&gt;
data analysis using demographic, socio-economic, health and environmental related variables as&lt;br&gt;
explanatory variable and status of obstetric fistula as response variable. The results of multiple&lt;br&gt;
logistic regression showed that geographical region, place of residence, educational status, age at&lt;br&gt;
first birth, age at first marriage, employment status, place of delivery and follow up of antenatal&lt;br&gt;
care during pregnancy are a significant determinant factors of obstetric fistula in Ethiopia. The&lt;br&gt;
results of multilevel logistic regression analysis showed that the random intercept and fixed&lt;br&gt;
coefficient model provided the best fit for the data under consideration. The variance of the&lt;br&gt;
random component related to the intercept term was found to be statistically significant implying&lt;br&gt;
differences in prevalence of obstetric fistula among the regions. It also found that place of&lt;br&gt;
residence, educational status, age at first birth, age at first marriage, employment status, place of&lt;br&gt;
delivery and follow up of antenatal care were significant determinant factors of variations of&lt;br&gt;
prevalence of obstetric fistula among regions. However, the significant predictors did not show&lt;br&gt;
underlying variation from region to region&lt;/p&gt;</subfield>
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