ArticleBMJ open2025
Exploring multilevel determinants of stillbirth: a comprehensive analysis across sub-Saharan African countries.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Experiences, support networks, and resilience among women after stillbirth in Ghana: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Spatial Distribution and Multilevel Analysis of Pregnancy Loss in India: Examining Individual and Contextual Factors.Journal of research in health sciences · 2025Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundStillbirths and associated outcomes remain a significant concern in sub-Saharan Africa (SSA), with approximately 41% of global stillbirths.
designOur cross-sectional analysis included a weighted sample of women aged 15-49 years who had given birth or experienced stillbirth.
settingSub-Saharan African Countries. THE
main outcome measuresDeterminants of stillbirth among women in 29 SSA countries.
resultAmong a sample of 197 328, stillbirth prevalence was 8.4/1000 live births. Among individual-level factors, the risk increased with age. Higher maternal educational levels were significantly associated with decreased stillbirth risk (aOR=0.62, 95%CI: 0.44 to 0.89, higher versus no education). Single women had significantly lower odds of stillbirth compared with those who no longer lived together or were separated from their partners (aOR=0.38, 95%CI: 0.25 to 0.60). Contextually, women with a job had an increased risk compared with women without a job (aOR=1.19, 95%CI: 1.06 to 1.34), and living in a rural residential area was a significant factor (aOR=1.30, 95%CI: 1.13 to 1.50).
conclusionThe complex interplay between individual-level and contextual factors continues to influence stillbirth outcomes in SSA. Cross-sector integrative care approaches to maternal and neonatal health are needed to address the multifaceted determinants of stillbirths.
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