ArticleBMC pregnancy and childbirth2021
Early age at first childbirth and skilled birth attendance during delivery among young women in sub-Saharan Africa.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 25 citations in OpenAlex.
- Primary Health Care Coverage and Child Mortality in Sub-Saharan Africa.JAMA network open · 2026Article
- Spatial disparities and determinants of obstetric fistula among childbearing women in sub-Saharan Africa: A geospatial regression approach.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Factors associated with time to first marriage among women in Somalia: a Weibull survival analysis.Reproductive health · 2026Article
- Household wealth and timing of first birth among highly educated women in sub-Saharan Africa: evidence from survey-adjusted survival analysis.Frontiers in reproductive health · 2026Article
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- Identifying Predictors of Utilization of Skilled Birth Attendance in Uganda Through Interpretable Machine Learning.International journal of environmental research and public health · 2025Article
- Influence of paternal education on maternal and child health outcomes in Sub-Saharan Africa: evidence from demographic and health surveys.Reproductive health · 2025Article
- Analyzing factors affecting age at first birth among married women in Somalia: a Bayesian shared frailty modelling approach using SDHS 2020.BMC women's health · 2025Article
- Skilled birth attendance and its associated factors in Chad and Nigeria: A multilevel analysis of DHS data.PLOS global public health · 2025Article
- Level of completion of maternity continuum of care among ever-married women: An analysis of Somalia's health and demographic survey 2020.PLOS global public health · 2025Article
- A multilevel analysis of social determinants of skilled birth attendant utilisation among married and cohabiting women of Madagascar.International health · 2024Article
- Women empowerment indices and utilization of health facilities during childbirth: evidence from the 2019 Sierra Leone demographic health survey.BMC health services research · 2023Article
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Authors and funding
9 authors at 6 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite 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.
methodsDemographic 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.
resultsApproximately 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.
conclusionEarly 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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