ArticlePloS one2022
Household and context-level determinants of birth registration in Sub-Saharan Africa.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Missed at birth: a cross-sectional analysis of national determinants and subnational changes in birth registration coverage in Kenya, using 2014 and 2022 Demographic and Health Survey (DHS) data.BMJ public health · 2026Article
- Spatially varying relationships between birth registration and influencing factors in Kenya, using a suite of geographically weighted regressions.Spatial and spatio-temporal epidemiology · 2025Article
- From Policy to Practice: The Achievements, Challenges, and Outlook of Birth Registration in Ghana.International journal of pediatrics · 2025Review
- Prevalence and factors associated with undocumented children under-five in Haiti.International journal for equity in health · 2024Article
- Determinants of birth registration in sub-Saharan Africa: evidence from demographic and health surveys.Frontiers in public health · 2023Article
- Birth Notification and Registration: A Survey on Knowledge and Attitude Among Postpartum Women in Northwest Ethiopia.Risk management and healthcare policy · 2023Article
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Authors and funding
2 authors.
Funding
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Abstract
While according to the United Nations birth registration is a human right, in sub-Saharan Africa (SSA) only half of new-born children currently have their birth registered. To gain insight into the reasons behind this low registration rate, we study the role of determinants at the household, sub-national regional and country level, using self-reported birth registration data on 358,842 children in 40 SSA countries. While most of the variation in reported birth registration is due to factors at the household level, context factors are found to play an important role as well. At the household level, poverty, low education, restricted autonomy of women, and belonging to a traditional religion are associated with lower odds of being registered. Lack of professional care during pregnancy, delivery, and early life also decrease the odds of being registered. Important factors at the context level are the average number of prenatal care visits in the local area, living in an urban area, the kind of birth registration legislation, decentralization of the registration system, fertility rates, and the number of conflicts. To improve registration, the complex dynamics of these factors at the household and context level have to be taken into account.
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