Skilled birth attendance in Sierra Leone, Niger, and Mali: analysis of demographic and health surveys.
- Publisher:
- BMC
- Publication Type:
- Journal Article
- Citation:
- BMC public health, 2020, 20, (1)
- Issue Date:
- 2020-02-03
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Full metadata record
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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