Skilled birth attendance in Sierra Leone, Niger, and Mali: analysis of demographic and health surveys.

Ameyaw, EK; Dickson, KS

Skilled birth attendance in Sierra Leone, Niger, and Mali: analysis of demographic and health surveys.

Ameyaw, EK Dickson, KS

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Publisher:: BMC
Publication Type:: Journal Article
Citation:: BMC public health, 2020, 20, (1)
Issue Date:: 2020-02-03

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Field	Value	Language
dc.contributor.author	Ameyaw, EK
dc.contributor.author	Dickson, KS
dc.date.accessioned	2020-09-18T05:47:29Z
dc.date.available	2020-01-21
dc.date.available	2020-09-18T05:47:29Z
dc.date.issued	2020-02-03
dc.identifier.citation	BMC public health, 2020, 20, (1)
dc.identifier.issn	1471-2458
dc.identifier.issn	1471-2458
dc.identifier.uri	http://hdl.handle.net/10453/142740
dc.description.abstract	BACKGROUND:Skilled birth attendance (SBA) is a key strategy for averting maternal mortality ratio (MMR). The lifetime risk of maternal death is high in countries with low SBA. With the presence of a skilled birth attendant, the possibility of death owing to intrapartum-related complications or stillbirth can be reduced by 20%. METHODS:Using data from the most recent Demographic and Health Surveys, we investigated the prevalence of skilled birth attendance, variations, and associated factors. The sample was drawn from women aged 15-49 who were surveyed in these countries as part of the Demographic and Health Survey (DHS) program. With multivariate logistic regression, we explored the socio-demographic factors that predict women's likelihood of seeking skilled birth attendance or otherwise. RESULTS:Less than half of the women in Niger, Sierra Leone, and Mali obtained skilled birth attendance, with the worst case occurring in Niger (32.6%). Women in rural areas have less likelihood of obtaining skilled birth attendance (OR 0.21; 95% CI 0.16-0.28), as compared to women in urban locations. Highly educated women (OR 2.50; 95% CI 0.72-8.69), those who had subscribed to health insurance (OR 1.39; 95% CI 0.88-2.20), those who obtain four or more antenatal care visits (OR 1.63; 95% CI 1.43-1.86), and women who watch television at least once a week (OR 2.33; 95% CI 1.88-2.88) are more probable to seek SBA. CONCLUSION:Interventions to increase SBA rates in these countries need to be reassessed to focus on the rural-urban disparity in healthcare, female education, and ANC attendance.
dc.format	Electronic
dc.language	eng
dc.publisher	BMC
dc.relation.ispartof	BMC public health
dc.relation.isbasedon	10.1186/s12889-020-8258-z
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	Public Health
dc.subject.mesh	Humans
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Delivery, Obstetric
dc.subject.mesh	Demography
dc.subject.mesh	Pregnancy
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Rural Population
dc.subject.mesh	Urban Population
dc.subject.mesh	Educational Status
dc.subject.mesh	Mali
dc.subject.mesh	Niger
dc.subject.mesh	Sierra Leone
dc.subject.mesh	Female
dc.subject.mesh	Healthcare Disparities
dc.subject.mesh	Young Adult
dc.subject.mesh	Humans
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Delivery, Obstetric
dc.subject.mesh	Demography
dc.subject.mesh	Pregnancy
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Rural Population
dc.subject.mesh	Urban Population
dc.subject.mesh	Educational Status
dc.subject.mesh	Mali
dc.subject.mesh	Niger
dc.subject.mesh	Sierra Leone
dc.subject.mesh	Female
dc.subject.mesh	Healthcare Disparities
dc.subject.mesh	Young Adult
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Delivery, Obstetric
dc.subject.mesh	Demography
dc.subject.mesh	Educational Status
dc.subject.mesh	Female
dc.subject.mesh	Healthcare Disparities
dc.subject.mesh	Humans
dc.subject.mesh	Mali
dc.subject.mesh	Middle Aged
dc.subject.mesh	Niger
dc.subject.mesh	Pregnancy
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Rural Population
dc.subject.mesh	Sierra Leone
dc.subject.mesh	Urban Population
dc.subject.mesh	Young Adult
dc.title	Skilled birth attendance in Sierra Leone, Niger, and Mali: analysis of demographic and health surveys.
dc.type	Journal Article
utslib.citation.volume	20
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2020-09-18T05:47:25Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	20
utslib.citation.issue	1

Abstract:

BACKGROUND:Skilled birth attendance (SBA) is a key strategy for averting maternal mortality ratio (MMR). The lifetime risk of maternal death is high in countries with low SBA. With the presence of a skilled birth attendant, the possibility of death owing to intrapartum-related complications or stillbirth can be reduced by 20%. METHODS:Using data from the most recent Demographic and Health Surveys, we investigated the prevalence of skilled birth attendance, variations, and associated factors. The sample was drawn from women aged 15-49 who were surveyed in these countries as part of the Demographic and Health Survey (DHS) program. With multivariate logistic regression, we explored the socio-demographic factors that predict women's likelihood of seeking skilled birth attendance or otherwise. RESULTS:Less than half of the women in Niger, Sierra Leone, and Mali obtained skilled birth attendance, with the worst case occurring in Niger (32.6%). Women in rural areas have less likelihood of obtaining skilled birth attendance (OR 0.21; 95% CI 0.16-0.28), as compared to women in urban locations. Highly educated women (OR 2.50; 95% CI 0.72-8.69), those who had subscribed to health insurance (OR 1.39; 95% CI 0.88-2.20), those who obtain four or more antenatal care visits (OR 1.63; 95% CI 1.43-1.86), and women who watch television at least once a week (OR 2.33; 95% CI 1.88-2.88) are more probable to seek SBA. CONCLUSION:Interventions to increase SBA rates in these countries need to be reassessed to focus on the rural-urban disparity in healthcare, female education, and ANC attendance.

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http://hdl.handle.net/10453/142740