Maternal health is a major concern in Africa especially due to high level of maternal mortality in the region. A significant cause of high mortality is the unavailability of health facilities and preference for home-based delivery often carried out by unskilled health attendants. Reports reveal that 69% of young women in Nigeria opt for home-based delivery in Nigeria and some of these mothers lose their lives as a result of childbirth complications that are not properly attended to. This trend calls for urgent concern in the nation’s health system. Against this backdrop, this study examined the determinants of non-institutional delivery among women of reproductive age in Nigeria using the country’s National Demographic Health Survey [NDHS] (2018. Demographic health survey data. NPC and ICF, Abuja, Nigeria and Rockville. MD, USA) The data for this study include 12,567 of women of childbearing-age contained in the NDHS data. To analyse the data, the multilevel binary logistic regression was used to examine the determinants of non-institutional delivery among the women of childbearing-age. The results were presented using adjusted odds ratios (AOR) with 95% confidence interval. The result revealed that 56.8% of women preferred to have their children outside health institutions. The findings further revealed that educated women including urban dwellers, women with some level of formal education, high exposure to news media, high level of income and women with significant level of autonomy were less likely to deliver their babies outside health institutions. Based on the findings of the study, that there is the need to expand educational opportunities for Nigerian women, enhance and strengthen advocacy, and utilise focused group discussions, family outreach programmes and peer education to educate mothers on the benefits of using healthcare facilities during childbirth.

孕产妇健康是非洲的一个主要问题，尤其是由于该地区孕产妇死亡率很高。高死亡率的一个重要原因是缺乏卫生设施，并且偏爱通常由不熟练的卫生服务人员进行的在家分娩。报告显示，尼日利亚 69% 的年轻女性选择在家分娩，其中一些母亲因未得到适当照顾的分娩并发症而丧生。这一趋势要求国家卫生系统迫切关注。在此背景下，本研究使用该国的全国人口健康调查 [NDHS]（2018 年。人口健康调查数据。NPC 和 ICF，阿布贾，尼日利亚和罗克维尔。MD 调查了尼日利亚育龄妇女非机构分娩的决定因素。 , 美国）本研究的数据包括 NDHS 数据中包含的 12,567 名育龄妇女。为了分析数据，使用多级二元逻辑回归来检查育龄妇女非机构分娩的决定因素。使用具有 95% 置信区间的调整优势比 (AOR) 呈现结果。结果显示，56.8%的女性更愿意在医疗机构之外生孩子。调查结果进一步表明，受过教育的女性，包括城市居民、受过一定程度正规教育、新闻媒体曝光率高、收入水平高和拥有高度自主权的女性，不太可能在卫生机构之外分娩。根据研究结果，需要扩大尼日利亚妇女的教育机会，