Table 3 Binomial logistic regression for the determinants of utilisation of better technical quality of routine MNH services in Nepal, 2015

Structural

Structural

 Ethnicity (women)

Brahmin/Chhetri

1.00

Ethnicity (women)

Brahmin/Chhetri

1.00

Janajatis

0.46(0.22,0.94) *

Janajatis

1.07(0.57, 2.03)

Madhesi

0.33(0.16,0.69) **

Madhesi

0.23(0.10, 0.51) ***

Dalit

0.43(0.20,0.94) *

Dalit

0.51(0.21, 1.26)

Muslims

0.20(0.08,0.53) **

Managed by

Public

1.00

1.00

 Education

No schooling

1.00

Private

4.64(2.05, 10.48) ***

2.63(1.14, 6.08) *

Up to 10 grades

2.21(1.20,4.08) *

Intermediary

SLC and above

1.86(0.99,3.50)

Province

One

1.00

1.00

 Managed by

Public

1.00

Two

0.17(0.04, 0.67) *

0.15(0.03, 0.63) *

Private

0.50(0.28,0.87) *

Three

3.03(0.83,11.08)

2.04(0.57, 7.31)

Intermediary

Four

1.19(0.29, 4.85)

0.94(0.21, 4.21)

 Province

One

1.00

1.00

Five

1.89(0.46, 7.70)

1.58(0.36, 7.00)

Two

0.72(0.26,1.94)

0.52(0.19,1.38)

Six

1.71(0.47, 6.20)

2.94(0.68, 12.69)

Three

1.82(0.72,4.60)

2.11(0.84, 5.32)

Seven

0.49(0.13, 1.91)

0.59(0.15, 2.33)

Four

4.55(1.58,13.08) **

4.03(1.56, 10.40) **

Women’s age (years)

15–19

1.00

Five

2.32(0.88,6.08)

1.60(0.63, 4.04)

20–24

0.80(0.39, 1.61)

Six

4.01(1.14,14.11) *

3.28(0.90,12.01)

25–29

1.73(0.78, 3.86)

Seven

3.88(1.43,10.49) **

2.77(0.94, 8.16)

≥30

2.67(0.96, 7.38)

 Waiting time

Immediately

1.00

Delivery Companion

No

1.00

Up to 30 min

1.22(0.70,2.10)

Yes

0.73(0.39, 1.37)

> 30 min

0.98(0.50,1.92)

 Region

Terai

1.00

Health system

Mountain

1.95(0.48,7.89)

HF capacity

Low

1.00

Hill

1.84(1.08, 3.15) *

Medium

0.56(0.23, 1.32)

 Women’s age (years)

15–19

1.00

High

0.46(0.20, 1.05)

20–24

1.42(0.69,2.90)

Supervision of staff

No

1.00

25–29

1.13(0.58,2.21)

Yes

0.33(0.14, 0.78) *

≥30

1.14(0.44,2.99)

HF Meeting

Never

1.00

 Facility types

PHCCs and hospitals

1.00

Sometimes

1.06 (0.20, 5.72)

HPs and clinics

0.78(0.43, 1.39)

Monthly

0.80(0.35, 1.85)

Health system

Feedback collection

Yes

1.00

 HF capacity

Low

1.00

1.00

No

0.32(0.16, 0.64) **

Medium

2.21 (1.07, 4.56) *

2.12(1.03, 4.35) *

QA activities

No

1.00

High

1.41(0.67, 2.97)

1.27(0.55, 2.94)

Yes

1.85(0.85, 4.02)

 Supervision of staff

No

1.00

Aama program

No

1.00

Yes

1.79(0.91,3.52)

Yes

0.37(0.14, 1.02)

 HF meeting

Never

1.00

Decision

No

1.00

Sometimes

0.74(0.22,2.47)

Timely

0.63(0.21, 1.89)

Monthly

1.04(0.43,2.53)

Providers

Nurse

1.00

 Feedback collection

Yes

1.00

Doctors

2.26(1.27, 4.04) **

No

0.75(0.41,1.37)

 Quality assurance

No

1.00

Yes

1.04(0.55,1.97)

PNC Mothers

Nurses

1.00

 Waiting area

No

1.00

Doctor

2.44(1.29, 4.62) **

Yes

1.39(0.53,3.66)

PNC Newborn

Nurses

1.00

1.00

 HWs category

GP/Specialists

1.00

1.00

Doctor

2.79(1.44, 5.42) **

2.14(1.13, 4.04) *

MBBS

0.85(0.18,4.07)

1.00 (0.23, 4.35)

First baby

No

1.00

Nursing

2.06(1.07,3.94) *

2.89(1.33, 6.29) **

Yes

0.88 (0.55, 1.40)

Paramedics

0.91(0.21,3.96)

0.89(0.21, 3.74)

Delivery

Normal

1.00

 Staff supervision

No

1.00

1.00

Assisted

1.88(1.00, 3.52) *

Yes

1.71(0.96,3.03)

1.71(1.01,2.92) *

 Problem felt (clients)

No

1.00

Yes

0.70(0.42,1.14)

 Need to pay

Yes

1.00

No

1.19 (0.71,1.99)