ArticleBMJ open2021
Trend and decomposition analysis of risk factors of childbirths with no one present in Nigeria, 1990-2018.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Midwives' Perspective on Birth Preparedness and Complication Readiness Structure: A Qualitative Study.International journal of community based nursing and midwifery · 2026Article
- Trend and social determinants of non-facility births in Northwestern Nigeria: pooled analysis of demographic and health survey 2003-2018.BMC public health · 2026Article
- Trend and decomposition analysis of factors influencing teenage pregnancy and motherhood in Nigeria, 2003-2018.PloS one · 2025Article
- Article
- Birth Preparedness and Complication Readiness among Antenatal Attendees in a Tertiary Hospital in Northern Nigeria.International journal of MCH and AIDS · 2024Article
- Correlates of non-institutional delivery to delayed initiation of breastfeeding in Nigeria: logit-decomposition and subnational analysis of population-based survey.Journal of health, population, and nutrition · 2023Article
- Article
- Factors contributing to household wealth inequality in under-five deaths in low- and middle-income countries: decomposition analysis.BMC public health · 2022Article
- Article
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Authors and funding
6 authors.
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Abstract
objectivesTo assess the trend and decompose the determinants of delivery with no one present (NOP) at birth with an in-depth subnational analysis in Nigeria.
designCross-sectional.
settingNigeria, with five waves of nationally representative data in 1990, 2003, 2008, 2013 and 2018.
participantsWomen with at least one childbirth within 5 years preceding each wave of data collection. PRIMARY AND SECONDARY OUTCOME MEASURES: The outcome of interest is giving birth with NOP at delivery defined as childbirth assisted by no one. Data were analysed using Χ
resultsThe prevalence of having NOP at delivery was 15% over the studied period, ranges from 27% in 1990 to 11% in 2018. Overall, the prevalence of having NOP at delivery reduced significantly by 35% and 61% within 2003-2018 and 1990-2018, respectively (p<0.001). We found wide variations in NOP across the states in Nigeria. The highest NOP practice was in Zamfara (44%), Kano (40%) and Katsina (35%); while the practice was 0.1% in Bayelsa, 0.8% in Enugu, 0.9% in Osun and 1.1% in Imo state. The decomposition analysis of the changes in having NOP at delivery showed that 85.4% and 14.6% were due to differences in women's characteristics (endowment) and effects (coefficient), respectively. The most significant contributions to the changes were the decision-maker of healthcare utilisation (49%) and women educational status (24%). Only Gombe experienced a significant increase (p<0.05) in the level of having NOP between 2003 and 2018.
conclusionA long-term decreasing secular trend of NOP at delivery was found in Nigeria. NOP is more prevalent in the northern states than in the south. Achieving zero prevalence of NOP at delivery in Nigeria would require a special focus on healthcare utilisation, enhancing maternal education and healthcare utilisation decision-making power.
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