Table 3 Association of institutional delivery and district-level health system quality with neonatal mortality (N = 191,963).

From: The association between institutional delivery and neonatal mortality based on the quality of maternal and newborn health system in India

Fixed Part

Null

M1

M2

M3

 

AOR

(UCI,

LCI)

AOR

(UCI,

LCI)

AOR

(UCI,

LCI)

Individual-level

Institutional delivery

 

0.95

(0.80,

1.12)

0.95

(0.80,

1.12)

3.57

(1.47,

8.68)

District-level

District mean score

    

0.65

(0.16,

2.59)

2.73

(0.38,

19.49)

Cross-level interaction

Institutional delivery × score

       

0.13

(0.03,

0.53)

Random part

Null

M1

M2

M3

N*

State

36

36

36

36

 

District

640

640

640

640

 

Individual

191,963

191,963

191,963

191,963

Variance

State

0.168(0.063)

0.090 (0.032)

0.082 (0.029)

0.074 (0.028)

 

District

0.114(0.046)

0.083(0.042)

0.084(0.042)

0.084(0.042)

VPC (%)

State

4.5

2.6

2.4

2.1

 

District

3.2

2.4

2.4

2.4

PCV (%)**

State

–

44.5

49.5

54.5

 

District

–

25.0

24.4

24.0

  1. M1 –M3: Adjusted for newborn gender, birth order & birth interval, multiple birth, maternal age, marital status, maternal education, previous pregnancy ending in stillbirth or miscarriage, wealth level, urban or rural residence, district-level poverty.
  2. AOR Adjusted odds ratio, VPC Variance partition coefficient, PCV Proportional change in variance.
  3. *N: 10 observations were excluded in null model due to missing values in outcome variable. An additional 698 were excluded in M1 ~ M3 due to missing values in the independent variables (refer to Table 1).
  4. **PCV of M1–M3: calculated compared to null model.
Back to article page