ArticleInternational journal of environmental research and public health2019
Determinants of Health Facility Utilization at Birth in South Sudan.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Maternal and neonatal health service access and utilisation in sub-Saharan Africa (2015-2023): a systematic review and meta-analysis.BMC health services research · 2026Pooled it
- Assessing the barriers to maternal, newborn and child health service utilization in internally displaced people (IDPs): a community-based cross-sectional study in Banadir, Somalia.Conflict and health · 2026Article
- Development of a new wealth index for South Sudan: association between household wealth and malaria prevention practices in the context of seasonal malaria chemoprevention in Northern Bahr el Ghazal, South Sudan.Infectious diseases of poverty · 2025Article
- Determinants of health seeking behaviour in South Sudan: a cross-sectional household survey.BMC public health · 2025Article
- A scoping review of the social determinants of maternal health in the MENA region.The Pan African medical journal · 2024Article
- A Review of Vitamin A Supplementation in South Sudan: Successes, Challenges, and Opportunities for the Way Forward.Global health, science and practice · 2022Review
- Factors associated with health facility utilization during childbirth among 15 to 49-year-old women in Uganda: evidence from the Uganda demographic health survey 2016.BMC health services research · 2021Article
- The Utilization of Maternal Healthcare Services Among Ethnic Minority Populations in Vietnam.Journal of racial and ethnic health disparities · 2021Article
- Community-level factors associated with the use of facility-based delivery assistance in Uganda: a multilevel analysis.BMC pregnancy and childbirth · 2020Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
South Sudan has a high maternal mortality ratio estimated at 800 deaths per 100,000 live births. Birth in health facilities with skilled attendants can lower this mortality. In this cross-sectional study, we determined the level and determinants of health facility utilization and skilled birth attendance in Jubek State, South Sudan. Mothers of children aged less than two years were interviewed in their homes. Multivariable regression analysis was performed to determine factors associated with health facility births. Only a quarter of the mothers had given birth at health facilities, 209/810 (25.8%; 95% CI 18.2-35.3) and 207/810 had a skilled birth attendant (defined as either nurse, midwife, clinical officer, or doctor). Factors positively associated with health facility births were four or more antenatal visits (adjusted odds ratio (AOR) 19; 95% CI 6.2, 61), secondary or higher education (AOR 7.9; 95% CI 3, 21), high socio-economic status (AOR 4.5; 95% CI 2.2, 9.4), and being primipara (AOR 2.9; 95% CI 1.5, 5.4). These findings highlight the need for efforts to increase health facility births in South Sudan.
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