Women empowerment and skilled birth attendance in sub-Saharan Africa: A multi-country analysis.
Educational Status
Female
Health Knowledge, Attitudes, Practice
Health Surveys
/ statistics & numerical data
Humans
Midwifery
/ statistics & numerical data
Parturition
Patient Acceptance of Health Care
Pregnancy
Prenatal Care
/ statistics & numerical data
Rwanda
Tanzania
Women, Working
/ statistics & numerical data
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2021
2021
Historique:
received:
07
12
2020
accepted:
24
06
2021
entrez:
8
7
2021
pubmed:
9
7
2021
medline:
24
11
2021
Statut:
epublish
Résumé
In 2017, the highest global maternal deaths occurred in sub-Saharan Africa (SSA). The WHO advocates that maternal deaths can be mitigated with the assistance of skilled birth attendants (SBAs) at childbirth. Women empowerment is also acknowledged as an enabling factor to women's functionality and healthcare utilisation including use of SBAs' services. Consequently, this study investigated the association between women empowerment and skilled birth attendance in SSA. This study involved the analysis of secondary data from the Demographic and Health Surveys of 29 countries conducted between January 1, 2010, and December 3, 2018. For this study, only women who had given birth in the five years prior to the surveys were included, which is 166,022. At 95% confidence interval, Binary Logistic Regression analyses were conducted and findings were presented as adjusted odds ratios (aORs). The overall prevalence of skilled birth attendance was 63.0%, with the lowest prevalence in Tanzania (13.8%) and highest in Rwanda (91.2%). Women who were empowered with high level of knowledge (aOR = 1.60, 95% CI = 1.51, 1.71), high decision-making power (aOR = 1.19, 95% CI = 1.15, 1.23), and low acceptance of wife beating had higher likelihood of skill birth attendance after adjusting for socio-demographic characteristics. Women from rural areas had lesser likelihood (OR = 0.53, 95% CI = 0.51-0.55) of skilled birth attendance compared to women from urban areas. Working women had a lesser likelihood of skilled birth attendance (OR = 0.91, 95% CI = 0.88-0.94) as compared to those not working. Women with secondary (OR = 2.13, 95% CI = 2.03-2.22), or higher education (OR = 4.40, 95% CI = 3.81-5.07), and women in the richest wealth status (OR = 3.50, 95% CI = 3.29-3.73) had higher likelihood of skilled birth attendance. These findings accentuate that going forward, successful skilled birth attendant interventions are the ones that can prioritise the empowerment of women.
Identifiants
pubmed: 34234362
doi: 10.1371/journal.pone.0254281
pii: PONE-D-20-38431
pmc: PMC8263257
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0254281Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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