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The study demonstrates that home delivery after ANC visits was high. The RF machine-learning algorithm effectively predicts home delivery. To reduce home deliveries, efforts should improve early ANC initiation, enhance healthcare quality, and expand facility-based services. Policymakers should prioritize increasing health facility accessibility, promoting media-based health education, and addressing financial barriers for women with low incomes. Strengthening these areas is crucial for improving maternal and neonatal health outcomes in East Africa.
Walle et al. (Thu,) studied this question.