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Prevalence, Trends, and Drivers of the Utilization of Unskilled Birth Attendants during Democratic Governance in Nigeria from 1999 to 2018

Author

Listed:
  • Felix Akpojene Ogbo

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia
    General Practice Unit, Prescot Specialist Medical Centre, Welfare Quarters, Makurdi 972261, Benue State, Nigeria)

  • Felicity F. Trinh

    (Neeta City Medical Dental and Specialists Centre, Suite 1, Level 2/54 Smart St, Fairfield, NSW 2165, Australia
    Joint second authors.)

  • Kedir Y. Ahmed

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia
    College of Medicine and Health Sciences, Samara University, P.O. Box 132 Samara, Ethiopia
    Joint second authors.)

  • Praween Senanayake

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia
    Joint second authors.)

  • Abdon G. Rwabilimbo

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia
    Chato District Council, Chato, Geita Region, Northwestern, Tanzania
    Joint second authors.)

  • Noel E. Uwaibi

    (Edo University Iyamho, Kilometer 7 Auchi–Abuja Expressway, Auchi, Edo State, Nigeria)

  • Kingsley E. Agho

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • Global Maternal and Child Health Research Collaboration (GloMACH)

    (Members are listed at the end of Acknowledgments.)

Abstract
Comprehensive epidemiological data on prevalence, trends, and determinants of the use of unskilled birth attendants (traditional birth attendants (TBAs) and other unskilled birth attendants) are essential to policy decision-makers and health practitioners, to guide efforts and resource allocation. This study investigated the prevalence, trends, and drivers of the utilization of unskilled birth attendants during democratic governance in Nigeria from 1999 to 2018. The study used the Nigeria Demographic and Health Surveys data for the years 1999 (n = 3552), 2003 (n = 6029), 2008 (n = 28,647), 2013 (n = 31,482), and 2018 (34,193). Multivariate multinomial logistic regression was used to investigate the association between socioeconomic, demographic, health-service, and community-level factors with the utilization of TBAs and other unskilled birth attendants in Nigeria. Between 1999 and 2018, the study showed that the prevalence of TBA-assisted delivery remained unchanged (20.7%; 95% CI: 18.0–23.7% in 1999 and 20.5%; 95% CI: 18.9–22.1% in 2018). The prevalence of other-unskilled-birth-attendant use declined significantly from 45.5% (95% CI: 41.1–49.7%) in 2003 to 36.2% (95% CI: 34.5–38.0%) in 2018. Higher parental education, maternal employment, belonging to rich households, higher maternal age (35–49 years), frequent antenatal care (ANC) (≥4) visits, the proximity of health facilities, and female autonomy in households were associated with lower odds of unskilled birth attendants’ utilization. Rural residence, geopolitical region, lower maternal age (15–24 years), and higher birth interval (≥2 years) were associated with higher odds of unskilled-birth-attendant-assisted deliveries. Reducing births assisted by unskilled birth attendants in Nigeria would require prioritized and scaled-up maternal health efforts that target all women, especially those from low socioeconomic backgrounds, those who do not attend antenatal care, and/or those who reside in rural areas.

Suggested Citation

  • Felix Akpojene Ogbo & Felicity F. Trinh & Kedir Y. Ahmed & Praween Senanayake & Abdon G. Rwabilimbo & Noel E. Uwaibi & Kingsley E. Agho & Global Maternal and Child Health Research Collaboration (GloMA, 2020. "Prevalence, Trends, and Drivers of the Utilization of Unskilled Birth Attendants during Democratic Governance in Nigeria from 1999 to 2018," IJERPH, MDPI, vol. 17(1), pages 1-26, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:1:p:372-:d:305738
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    References listed on IDEAS

    as
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    2. United Nations, 2016. "The Sustainable Development Goals 2016," Working Papers id:11456, eSocialSciences.
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    6. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7222, eSocialSciences.
    7. Felix Akpojene Ogbo & Mansi Vijaybhai Dhami & Ebere Maureen Ude & Praween Senanayake & Uchechukwu L. Osuagwu & Akorede O. Awosemo & Pascal Ogeleka & Blessing Jaka Akombi & Osita Kingsley Ezeh & Kingsl, 2019. "Enablers and Barriers to the Utilization of Antenatal Care Services in India," IJERPH, MDPI, vol. 16(17), pages 1-14, August.
    Full references (including those not matched with items on IDEAS)

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