Factors associated with skilled attendants at birth among married adolescent girls in Nigeria: evidence from the Multiple Indicator Cluster Survey, 2016/2017

Olakunde, Babayemi O; Adeyinka, Daniel A; Mavegam, Bertille Octavie; Olakunde, Olubunmi A; Yahaya, H; Ajiboye, Oluwatosin A; Ogundipe, Temitayo; Ezeanolue, Echezona E.

doi:10.1093/inthealth/ihz017

Cited by 16 publications

(25 citation statements)

References 27 publications

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“…Women within the richest wealth quintile specifically had higher propensity of utilizing maternal healthcare services, compared to their counterparts from the poorest wealth quintile, a finding that is consistent with previous studies in other countries [16,17]. Some studies have specifically found higher likelihood of utilization of ANC services among women in the richest wealth quantile [43,18,10,44], with similar observations on SBA utilization [21,22,27,45]. In Guinea, the main reason for the low likelihood of maternal healthcare utilization among women from poorer households could not be the cost associated with healthcare.…”

Section: Discussionsupporting

confidence: 87%

Determinants of antenatal care and skilled birth attendance services utilization among childbearing women in Guinea: evidence from the 2018 Guinea Demographic and Health Survey data

Seidu

Agbaglo

Adu

et al. 2021

BMC Pregnancy Childbirth

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Background Globally, maternal health remains a major priority. Most of maternal deaths globally occur in sub-Saharan Africa, with most of these deaths linked to lack of access to antenatal care and skilled assistance during delivery. This study assessed the determinants of antenatal care and skilled birth attendance services utilization among childbearing women in Guinea. Methods Data for this study were obtained from the 2018 Guinea Demographic and Health Survey (GDHS). Data of 4,917 childbearing women were considered as our analytical sample. The outcome variables for the study were utilization of antenatal care and skilled birth attendance. Analysis was carried out using chi-square tests and multivariable logistic regression. Results The results showed that women aged 15-24 (AOR=1.29, CI=1.03-1.62), women who had secondary/higher level of education (AOR=1.70, CI=1.33-2.19), and those whose partners had secondary/higher level of education (AOR=1.46, CI=1.22-1.75), women in the richest wealth quintile (AOR=5.09, CI=3.70-7.00), those with planned pregnancies (AOR=1.50, CI=1.23-1.81), Muslim women (AOR=1.65, CI=1.38-2.12), those who take healthcare decisions alone (AOR=1.53, CI=1.24-1.89), and those who listened to radio less than once a week (AOR= 1.30, CI=1.10-1.53) had higher odds of antenatal care uptake. Also, women with secondary/higher level of education (AOR=1.83, CI=1.25-2.68), those whose partners had secondary/higher level of education (AOR=1.40, CI=1.11-1.76), those in the richest wealth quintile (AOR=10.79, CI=6.64-17.51), those with planned pregnancies (AOR=1.25, CI=1.03-1.52), Christian women (AOR=4.13, CI=3.17-5.39), those living in urban areas (AOR=3.00, CI=2.29-3.94), women with one birth (AOR= 1.58, CI=1.20-2.06), those who take healthcare decisions alone (AOR=1.87, CI=1.46-2.39), those who read newspaper at least once a week (AOR= 1.19, CI=1.01-1.40), those who watched television at least once week (AOR=1.69, CI=1.30-2.19), and those in female-headed households (AOR=1.52, CI=1.20-1.92) were more likely to utilize the services of skilled birth attendants. Conclusion The study proved that various socio-economic and contextual factors influence antenatal care and skilled birth attendance in Guinea. These findings suggest the need to design community-based interventions (e.g., miniature local ANC clinics, early screening services) that prioritize women’s education and vocational training, media accessibility, especially among the poor, and those residing in rural settings. Such interventions should not ignore the influence of other socio-cultural norms that hinder the utilization of antenatal care and skilled birth attendance services in Guinea.

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Section: Discussionsupporting

confidence: 87%

Determinants of antenatal care and skilled birth attendance services utilization among childbearing women in Guinea: evidence from the 2018 Guinea Demographic and Health Survey data

Seidu

Agbaglo

Adu

et al. 2021

BMC Pregnancy Childbirth

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“…The positive association between higher birth interval and the utilization of unskilled birth attendants may be explained by women having more confidence about receiving assistance from unskilled birth attendants after the first birth and may not seek skilled birth attendants in subsequent pregnancies. Previous studies conducted in Nigeria [69,70] and India [29] have shown that younger women were less likely to use ANC compared to older women, which may explain why those in the youngest age groups (15-24 years) were more likely to utilize unskilled birth attendants in the present study. Also, this study found that women who had frequent ANC (≥4) visits were less likely to be assisted by unskilled birth attendants compared to those who had no ANC visits.…”

Section: Discussionmentioning

confidence: 47%

Prevalence, Trends, and Drivers of the Utilization of Unskilled Birth Attendants during Democratic Governance in Nigeria from 1999 to 2018

Ogbo

Trinh²,

Ahmed

et al. 2020

IJERPH

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Comprehensive epidemiological data on prevalence, trends, and determinants of the use of unskilled birth attendants (traditional birth attendants (TBAs) and other unskilled birth attendants) are essential to policy decision-makers and health practitioners, to guide efforts and resource allocation. This study investigated the prevalence, trends, and drivers of the utilization of unskilled birth attendants during democratic governance in Nigeria from 1999 to 2018. The study used the Nigeria Demographic and Health Surveys data for the years 1999 (n = 3552), 2003 (n = 6029), 2008 (n = 28,647), 2013 (n = 31,482), and 2018 (34,193). Multivariate multinomial logistic regression was used to investigate the association between socioeconomic, demographic, health-service, and community-level factors with the utilization of TBAs and other unskilled birth attendants in Nigeria. Between 1999 and 2018, the study showed that the prevalence of TBA-assisted delivery remained unchanged (20.7%; 95% CI: 18.0–23.7% in 1999 and 20.5%; 95% CI: 18.9–22.1% in 2018). The prevalence of other-unskilled-birth-attendant use declined significantly from 45.5% (95% CI: 41.1–49.7%) in 2003 to 36.2% (95% CI: 34.5–38.0%) in 2018. Higher parental education, maternal employment, belonging to rich households, higher maternal age (35–49 years), frequent antenatal care (ANC) (≥4) visits, the proximity of health facilities, and female autonomy in households were associated with lower odds of unskilled birth attendants’ utilization. Rural residence, geopolitical region, lower maternal age (15–24 years), and higher birth interval (≥2 years) were associated with higher odds of unskilled-birth-attendant-assisted deliveries. Reducing births assisted by unskilled birth attendants in Nigeria would require prioritized and scaled-up maternal health efforts that target all women, especially those from low socioeconomic backgrounds, those who do not attend antenatal care, and/or those who reside in rural areas.

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“…The sub-Saharan African countries included in this study were Ghana, Mali, Burkina Faso, Cote d’Ivoire, Benin, Senegal, Zimbabwe, Gambia, Namibia, Guinea, Nigeria, Gabon, Sierra Leone, Togo, Burundi, Cameroon, Uganda, Ethiopia, Kenya, Comoros, Malawi, Rwanda, Zambia, Angola, Congo DR, Congo, Liberia, Chad, and Lesotho [ 25 ]. The variables of this study were derived with respect to their theoretical relevance, parsimony and practical significance with SBA during delivery [ 20 , 26 – 29 ].…”

Section: Methodsmentioning

confidence: 99%

“…Considering the negative effects of early childbearing on maternal healthcare services utilization [ 14 , 20 , 21 ], it is important to understand how early age at first birth affects the utilization of SBA among young women in SSA, especially because early childbearing could have long term effect on SBA use. Therefore, we estimated the prevalence of early age at first childbirth and skilled birth attendance among young women in sub-Saharan Africa and.…”

Section: Introductionmentioning

confidence: 99%

Early age at first childbirth and skilled birth attendance during delivery among young women in sub-Saharan Africa

Budu

Chattu

Seidu

et al. 2021

BMC Pregnancy Childbirth

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Background Despite the numerous policy interventions targeted at preventing early age at first childbirth globally, the prevalence of adolescent childbirth remains high. Meanwhile, skilled birth attendance is considered essential in preventing childbirth-related complications and deaths among adolescent mothers. Therefore, we estimated the prevalence of early age at first childbirth and skilled birth attendance among young women in sub-Saharan Africa and investigated the association between them. Methods Demographic and Health Survey data of 29 sub-Saharan African countries was utilized. Skilled birth attendance and age at first birth were the outcome and the key explanatory variables in this study respectively. Overall, a total of 52,875 young women aged 20-24 years were included in our study. A multilevel binary logistic regression analysis was performed and the results presented as crude and adjusted odds ratios at 95% confidence interval. Results Approximately 73% of young women had their first birth when they were less than 20 years with Chad having the highest proportion (85.7%) and Rwanda recording the lowest (43.3%). The average proportion of those who had skilled assistance during delivery in the 29 sub-Saharan African countries was 75.3% and this ranged from 38.4% in Chad to 93.7% in Rwanda. Young women who had their first birth at the age of 20-24 were more likely to have skilled birth attendance during delivery (aOR = 2.4, CI = 2.24-2.53) than those who had their first birth before 20 years. Conclusion Early age at first childbirth has been found to be associated with low skilled assistance during delivery. These findings re-emphasize the need for sub-Saharan African countries to implement programs that will sensitize and encourage the patronage of skilled birth attendance among young women in order to reduce complications and maternal mortalities. The lower likelihood of skilled birth attendance among young women who had their first birth when they were adolescents could mean that this cohort of young women face some barriers in accessing maternal healthcare services.

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Factors associated with skilled attendants at birth among married adolescent girls in Nigeria: evidence from the Multiple Indicator Cluster Survey, 2016/2017

Cited by 16 publications

References 27 publications

Determinants of antenatal care and skilled birth attendance services utilization among childbearing women in Guinea: evidence from the 2018 Guinea Demographic and Health Survey data

Determinants of antenatal care and skilled birth attendance services utilization among childbearing women in Guinea: evidence from the 2018 Guinea Demographic and Health Survey data

Prevalence, Trends, and Drivers of the Utilization of Unskilled Birth Attendants during Democratic Governance in Nigeria from 1999 to 2018

Early age at first childbirth and skilled birth attendance during delivery among young women in sub-Saharan Africa

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