Abstract
OBJECTIVE: This study sought to describe factors associated with facility-based delivery among women of reproductive age in Kwale County, Kenya. RESULTS: Between March and December 2015, 745 women from 15 villages were interviewed through a cross-sectional household survey. Respondents were selected using stratified, systematic sampling and completed a sexual and reproductive health questionnaire. Of 632 (85%) women who had a previous birth, 619 (98%) reported antenatal care attendance. Of these, 491 (79%) subsequently had a facility-based delivery. Factors associated with increased likelihood of facility delivery included respondent's education (odds ratio, OR = 2.0, 95% confidence interval, CI 1.2-3.2, P = 0.004), ideal antenatal care attendance (OR = 2.3, 95% CI 1.4-3.7, P = 0.001) and pregnancy intention (OR = 1.5, 95% CI 1.0-2.2, P = 0.040). Being in a polygamous relationship (OR = 0.6, 95% CI 0.3-0.9, P = 0.024) and having a husband ≥ 40 years (OR = 0.5, 95% CI 0.3-0.9, P = 0.013) were associated with reduced likelihood of facility delivery. Respondent's education (aOR = 1.9, 95% CI 1.1-3.3, P = 0.030) as well as ideal ANC attendance (aOR = 2.0, 95% CI 1.0-3.8, P = 0.040) remained significantly associated with facility delivery in multivariate analyses.