ArticleBMC public health2020
Skilled birth attendance in Sierra Leone, Niger, and Mali: analysis of demographic and health surveys.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Inequity in uptake of maternal health care services in developing countries: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Sex-stratified mortality trends in preterm birth complications in Sierra Leone: progress, persistence, and equity implications.Global health action · 2026Article
- Birth Preparedness and Complication Readiness Among Pregnant Women: A Facility-Based Cross-Sectional Study.AJPM focus · 2026Article
- Association between healthcare providers type and maternal-child healthcare services utilization in Pakistan: evidence from 2018 DHS using generalized structural equation modelling.BMC pregnancy and childbirth · 2025Article
- Association between the Survey-based Women's Empowerment (SWPER) index and barriers to healthcare in sub-Saharan Africa.International health · 2025Article
- Application of the random forest algorithm to predict skilled birth attendance and identify determinants among reproductive-age women in 27 Sub-Saharan African countries; machine learning analysis.BMC public health · 2025Article
- Association of facility-based normal delivery healthcare services access with health facility factors: evidence from linked population and health facility survey data in Bangladesh.BMC health services research · 2025Article
- Article
- Trends and factors associated with skilled birth attendance in a post-Ebola context: DHS Guinea 2018.Journal of public health in Africa · 2025Article
- Spatial Heterogeneity and association between the survey-based Women's Empowerment Index (SWPER) and unmet need for birth spacing in sub-Saharan Africa.Contraception and reproductive medicine · 2024Article
- Women's involvement in decision-making and association with reproductive health behaviors: findings from a cross-sectional survey in Niger.BMC women's health · 2024Article
- Factors Associated with Use of Traditional Birth Attendants for Child Delivery: A Cross-Sectional Study.Global journal on quality and safety in healthcare · 2024Article
- Socioeconomic inequalities in skilled attendance at birth and caesarean section rates in Myanmar 2015-2016: a cross-sectional study.BMJ open · 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
- Article
- Article
- Estimates and determinants of health facility delivery in the Birhan cohort in Ethiopia.PloS one · 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
- Multilevel and subnational analysis of the predictors of maternity continuum of care completion in Nigeria: a cross-sectional survey.Scientific reports · 2023Article
- Socioeconomic and geographical inequalities in using skilled birth attendants during delivery in Bangladesh over two decades.BMC pregnancy and childbirth · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSkilled 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%.
methodsUsing 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.
resultsLess 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.
conclusionInterventions 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.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.