ArticleBMJ open2015
Predictors of skilled attendance at delivery among antenatal clinic attendants in Ghana: a cross-sectional study of population data.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.
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Who cites it
49 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The proper application of logistic regression model in complex survey data: a systematic review.BMC medical research methodology · 2025Pooled it
- Systematic review and meta-analysis of the association between dimensions of inequality and a selection of indicators of Reproductive, Maternal, Newborn and Child Health (RMNCH).Journal of global health · 2019Pooled it
- Trial
- Prevalence and Determinants of Facility Delivery Among Women in Somalia: Insights from the 2020 Somali Demographic and Health Survey (SDHS).International journal of women's health · 2026Article
- Article
- Spatial variation and determinants of skilled birth attendant delivery among women of reproductive age in Ethiopia: a spatial and multilevel analysis.BMC pregnancy and childbirth · 2025Article
- Skilled birth attendance and its associated factors in Chad and Nigeria: A multilevel analysis of DHS data.PLOS global public health · 2025Article
- Spatial distribution and determinants of unskilled birth attendance in Ethiopia: spatial and multilevel analysis.Scientific reports · 2024Article
- A multilevel analysis of social determinants of skilled birth attendant utilisation among married and cohabiting women of Madagascar.International health · 2024Article
- Home delivery among women who receive antenatal care in Ethiopia, design-based logistic regression analysis.BMJ public health · 2024Article
- What predicts health facility delivery among women? analysis from the 2021 Madagascar Demographic and Health Survey.BMC pregnancy and childbirth · 2024Article
- Factors associated with facility childbirth and skilled birth attendance in Migori County, Kenya and the effect of Lwala Community Alliance intervention: a cross-sectional assessment from the 2019 and 2021 Lwala household surveys.Frontiers in global women's health · 2024Article
- Spatial variation of skilled birth attendance and associated factors among reproductive age women in Ethiopia, 2019; a spatial and multilevel analysis.Frontiers in global women's health · 2024Article
- A multilevel analysis of the predictors of health facility delivery in Ghana: Evidence from the 2014 Demographic and Health Survey.PLOS global public health · 2024Article
- A multilevel Bayesian Markov Chain Monte Carlo Poisson modelling of factors associated with components of antenatal care offered to pregnant women in Nigeria.BMC health services research · 2023Article
- Inequalities in the prevalence of skilled birth attendance in Ghana between 1993 and 2014.International health · 2023Article
- Utilization of optimal antenatal care, institutional delivery, and associated factors in Northwest Ethiopia.Scientific reports · 2023Article
- Intimate partner violence and its association with skilled birth attendance among women in Nigeria: evidence from the Nigeria Demographic and Health Surveys.BMC pregnancy and childbirth · 2022Article
- Trends in antenatal care visits and associated factors in Ghana from 2006 to 2018.BMC pregnancy and childbirth · 2022Article
- Factors associated with the utilisation of skilled delivery services in Papua New Guinea: evidence from the 2016-2018 Demographic and Health Survey.International health · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo identify demographic, maternal and community predictors of skilled attendance at delivery among women who attend antenatal clinic at least once during their pregnancy in Ghana.
designA cross-sectional study using the 2008 Ghana Demographic and Health Survey (DHS) data. We used frequencies for descriptive analysis, χ(2) test for associations and logistic regression to identify significant predictors. Predictive models were built with estimation of area under the receiver operating characteristic curves (AUC).
settingGhana.
participantsA total of 2041 women who had a live birth in the 5 years preceding the survey, and attended an antenatal clinic having a skilled provider, at least once, during the pregnancy. OUTCOME: Skilled attendance at delivery.
resultsOverall, 60.5% (1235/2041) of women in our study sample reported skilled attendance at delivery. Significant positive associations existed between skilled attendance at delivery and the variables such as maternal educational level, wealth status class, ever use of contraception, previous pregnancy complications and health insurance coverage (p<0.001). Significant predictors of skilled attendance were wealth status class, residency, previous delivery complication, health insurance coverage and religion in a model with AUC (95% CI) of 0.85 (0.83 to 0.88).
conclusionsWomen less likely to have skilled attendance at delivery can be identified during antenatal care by using data on wealth status class, health insurance coverage, residence, history of previous birth complications and religion, and targeted with interventions to improve skilled attendance at delivery.
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