ArticleBMJ open2022
Rural-urban correlates of skilled birth attendance utilisation in Sierra Leone: evidence from the 2019 Sierra Leone Demographic Health Survey.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 18 citations in OpenAlex.
- Sex-stratified mortality trends in preterm birth complications in Sierra Leone: progress, persistence, and equity implications.Global health action · 2026Article
- Success and opportunities: maternal mortality and health services in Sierra Leone.Frontiers in global women's health · 2026Article
- The impact of surgical task-sharing in Sierra Leone: a nationwide longitudinal observational study on surgical workforce and volume, 2012-2023.BMJ global health · 2025Observational
- Article
- Trends and inequalities in adequate antenatal care coverage among women in Sierra Leone, 2008-2019.Archives of public health = Archives belges de sante publique · 2024Article
- Article
- Do disempowered childbearing women give birth at home in Sierra Leone? A secondary analysis of the 2019 Sierra Leone demographic health survey.BMC pregnancy and childbirth · 2023Article
- Status of the latest 2016 World Health Organization recommended frequency of antenatal care contacts in Sierra Leone: a nationally representative survey.BMC health services research · 2022Article
- Continuum of maternal and newborn health in Sierra Leone: a 2019 national survey.Archives of public health = Archives belges de sante publique · 2022Article
- Rural-urban correlates of modern contraceptives utilization among adolescents in Zambia: a national cross-sectional survey.BMC women's health · 2022Article
- Factors associated with utilization of quality antenatal care: a secondary data analysis of Rwandan Demographic Health Survey 2020.BMC health services research · 2022Article
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Authors and funding
4 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesUnderstanding the rural-urban context-specific correlates of skilled birth attendance (SBA) is important to designing relevant strategies and programmes. This analysis aimed to assess for the rural-urban correlates of SBA in Sierra Leone.
settingThe latest nationally representative Sierra Leone Demographic and Health Survey of 2019.
participantsThe study included a weighted sample of 7326 women aged 15-49 years. Each of them had a live birth within 5 years prior to the survey (4531 in rural areas and 2795 women in urban areas). PRIMARY AND SECONDARY OUTCOME MEASURE: SBA (primary) and predictors of SBA (secondary).
resultsSBA was higher in urban areas at 94.9% (95% CI 94.1% to 95.7%) compared with 84.2% (95% CI 83.8% to 85.9%) in rural areas. Rural women resident in the Southern, Northern and Eastern regions, with postprimary education (adjusted OR (aOR) 1.8; 95% CI 1.3 to 2.5), exposure to mass media (aOR 1.5; 95% CI 1.1 to 1.9), not having difficulties with distance to the nearest health facility (aOR 2.3; 95% CI 1.7 to 3.0) were associated with higher odds of SBA. Urban women resident in the Southern, Eastern region, with households having less than seven members (aOR 1.5; 95% CI 1.1 to 2.3), exposure to mass media (aOR 1.8; 95% CI 1.1 to 2.9) and not having difficulties with distance to the nearest health facility (aOR 1.6; 95% CI 1.1 to 2.5) were associated with higher odds of SBA.
conclusionGiven the observed differences, improving SBA requires programmes and strategies that are context-specific.
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