Women empowerment and skilled birth attendance in sub-Saharan Africa: A multi-country analysis.

<h4>Introduction</h4>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 facto...

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Autores principales: Kwamena Sekyi Dickson, Kenneth Setorwu Adde, Edward Kwabena Ameyaw
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:c4af6ef83d4243b586dae65a11d02e8a2021-12-02T20:15:36ZWomen empowerment and skilled birth attendance in sub-Saharan Africa: A multi-country analysis.1932-620310.1371/journal.pone.0254281https://doaj.org/article/c4af6ef83d4243b586dae65a11d02e8a2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254281https://doaj.org/toc/1932-6203<h4>Introduction</h4>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.<h4>Materials and methods</h4>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).<h4>Results</h4>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.<h4>Conclusion</h4>These findings accentuate that going forward, successful skilled birth attendant interventions are the ones that can prioritise the empowerment of women.Kwamena Sekyi DicksonKenneth Setorwu AddeEdward Kwabena AmeyawPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254281 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Kwamena Sekyi Dickson
Kenneth Setorwu Adde
Edward Kwabena Ameyaw
Women empowerment and skilled birth attendance in sub-Saharan Africa: A multi-country analysis.
description <h4>Introduction</h4>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.<h4>Materials and methods</h4>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).<h4>Results</h4>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.<h4>Conclusion</h4>These findings accentuate that going forward, successful skilled birth attendant interventions are the ones that can prioritise the empowerment of women.
format article
author Kwamena Sekyi Dickson
Kenneth Setorwu Adde
Edward Kwabena Ameyaw
author_facet Kwamena Sekyi Dickson
Kenneth Setorwu Adde
Edward Kwabena Ameyaw
author_sort Kwamena Sekyi Dickson
title Women empowerment and skilled birth attendance in sub-Saharan Africa: A multi-country analysis.
title_short Women empowerment and skilled birth attendance in sub-Saharan Africa: A multi-country analysis.
title_full Women empowerment and skilled birth attendance in sub-Saharan Africa: A multi-country analysis.
title_fullStr Women empowerment and skilled birth attendance in sub-Saharan Africa: A multi-country analysis.
title_full_unstemmed Women empowerment and skilled birth attendance in sub-Saharan Africa: A multi-country analysis.
title_sort women empowerment and skilled birth attendance in sub-saharan africa: a multi-country analysis.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/c4af6ef83d4243b586dae65a11d02e8a
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AT kennethsetorwuadde womenempowermentandskilledbirthattendanceinsubsaharanafricaamulticountryanalysis
AT edwardkwabenaameyaw womenempowermentandskilledbirthattendanceinsubsaharanafricaamulticountryanalysis
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