ArticlePloS one2023
Factors associated with unskilled birth attendance among women in sub-Saharan Africa: A multivariate-geospatial analysis of demographic and health surveys.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Article
- Trends and socioeconomic inequalities in contraceptive use, skilled birth attendance, and fertility in Malawi (2015-2024).BMC public health · 2026Article
- Knowledge, Attitudes, and Practices of Traditional Birth Attendants in Bangladesh: A Qualitative Study on Maternal and Newborn Healthcare in Local Community.Health science reports · 2025Article
- Socio-economic and geographic equity in maternal health services utilization in Ethiopia: a community-based cross-sectional study.BMC health services research · 2025Article
- Socio-demographic disparities in basic under-two immunization coverage: insights from the 2016 Malawi demographic and health survey.BMC public health · 2025Article
- Article
- Spatial distribution and determinants of unskilled birth attendance in Ethiopia: spatial and multilevel analysis.Scientific reports · 2024Article
- A multilevel analysis of social determinants of skilled birth attendant utilisation among married and cohabiting women of Madagascar.International health · 2024Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral studies have shown that unskilled birth attendance is associated with maternal and neonatal morbidity, disability, and death in sub-Saharan Africa (SSA). However, little evidence exists on prevailing geospatial variations and the factors underscoring the patterns of unskilled birth attendance in the region. This study analysed the geospatial disparities and factors associated with unskilled birth attendance in SSA.
methodsThe study is based on data from thirty (30) SSA countries captured in the latest (2010-2019) demographic and health surveys (DHS). A total of 200,736 women aged between 15-49 years were included in the study. Geospatial methods including spatial autocorrelation and hot spot analysis as well as logistic regression models were used to analyse the data.
resultsThere were random spatial variations in unskilled birth attendance in SSA, with the main hotspot located in Chad, whereas South Africa and the Democratic Republic of Congo showed coldspots. Residence (urban or rural), wealth status, education, maternal age at the time of the survey and age at birth, desire for birth, occupation, media exposure, distance to a health facility, antenatal care visits, and deaths of under-five children showed significant associations with unskilled birth attendance.
conclusionRandom geospatial disparities in unskilled birth attendance exist in SSA, coupled with various associated socio-demographic determinants. Specific geospatial hotspots of unskilled birth attendance in SSA can be targeted for specialised interventions to alleviate the prevailing disparities.
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