IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i1p372-d305738.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/1/372/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/1/372/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7097, eSocialSciences.
    2. United Nations, 2016. "The Sustainable Development Goals 2016," Working Papers id:11456, eSocialSciences.
    3. Sarwat Mumtaz & Jinwook Bahk & Young-Ho Khang, 2019. "Current status and determinants of maternal healthcare utilization in Afghanistan: Analysis from Afghanistan Demographic and Health Survey 2015," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-14, June.
    4. Masayuki Kudamatsu, 2012. "Has Democratization Reduced Infant Mortality In Sub-Saharan Africa? Evidence From Micro Data," Journal of the European Economic Association, European Economic Association, vol. 10(6), pages 1294-1317, December.
    5. Tanvir M Huda & Morseda Chowdhury & Shams El Arifeen & Michael J Dibley, 2019. "Individual and community level factors associated with health facility delivery: A cross sectional multilevel analysis in Bangladesh," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-13, February.
    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)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Shannon L. Sibbald & Nicole Haggerty, 2019. "Integrating Business and Medical Pedagogy to Accomplish the Sustainable Development Goals," Journal of Education for Sustainable Development, , vol. 13(1), pages 92-101, March.
    2. Kristine Belesova & Ilan Kelman & Roger Boyd, 2016. "Governance through Economic Paradigms: Addressing Climate Change by Accounting for Health," Politics and Governance, Cogitatio Press, vol. 4(4), pages 87-96.
    3. Mohammad Zaved Kaiser Khan & Ataur Rahman & Mohammad Azizur Rahman & André M. N. Renzaho, 2021. "Impact of droughts on child mortality: a case study in Southern African countries," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 108(2), pages 2211-2224, September.
    4. Kamshat Tussupova & Peder Hjorth & Ronny Berndtsson, 2016. "Access to Drinking Water and Sanitation in Rural Kazakhstan," IJERPH, MDPI, vol. 13(11), pages 1-13, November.
    5. M. Niaz Asadullah & Antonio Savoia & Kunal Sen, 2020. "Will South Asia Achieve the Sustainable Development Goals by 2030? Learning from the MDGs Experience," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 152(1), pages 165-189, November.
    6. Makhlouf, Yousef & Kellard, Neil M. & Vinogradov, Dmitri, 2017. "Child mortality, commodity price volatility and the resource curse," Social Science & Medicine, Elsevier, vol. 178(C), pages 144-156.
    7. Suneeta Dhar, 2018. "Gender and Sustainable Development Goals (SDGs)," Indian Journal of Gender Studies, Centre for Women's Development Studies, vol. 25(1), pages 47-78, February.
    8. Margaret L. Satterthwaite & Sukti Dhital, 2019. "Measuring Access to Justice: Transformation and Technicality in SDG 16.3," Global Policy, London School of Economics and Political Science, vol. 10(S1), pages 96-109, January.
    9. Nkrumah K. Osei, 2020. "Issues Confronting Governance and Implementation: Sustainable Development Goals in Ghana," Journal of Public Administration and Governance, Macrothink Institute, vol. 10(3), pages 355368-3553, December.
    10. Madhusmita Dash & Bhagirath Behera & Dil Bahadur Rahut, 2018. "Understanding the factors that influence household use of clean energy in the Similipal Tiger Reserve, India," Natural Resources Forum, Blackwell Publishing, vol. 42(1), pages 3-18, February.
    11. Yarnall, Kala & Olson, Mira & Santiago, Ivonne & Zelizer, Craig, 2021. "Peace engineering as a pathway to the sustainable development goals," Technological Forecasting and Social Change, Elsevier, vol. 168(C).
    12. Taiyang Zhong & Zhenzhong Si & Steffanie Scott & Jonathan Crush & Kui Yang & Xianjin Huang, 2021. "Comprehensive Food System Planning for Urban Food Security in Nanjing, China," Land, MDPI, vol. 10(10), pages 1-17, October.
    13. Marilia R. Nepomuceno & Cássio M. Turra, 2019. "Assessing the quality of self-reported education in Brazil with intercensal survivorship ratios," MPIDR Working Papers WP-2019-022, Max Planck Institute for Demographic Research, Rostock, Germany.
    14. José Antonio Rodríguez Martín & Juan Dios Jiménez Aguilera & José Antonio Salinas Fernández & José María Martín Martín, 2016. "Millennium Development Goals 4 and 5: Progress in the Least Developed Countries of Asia," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 129(2), pages 489-504, November.
    15. Caroline Jennings Saul & Heiko Gebauer, 2018. "Digital Transformation as an Enabler for Advanced Services in the Sanitation Sector," Sustainability, MDPI, vol. 10(3), pages 1-18, March.
    16. Subramaniam, Mega & Pang, Natalie & Morehouse, Shandra & Asgarali-Hoffman, S. Nisa, 2020. "Examining vulnerability in youth digital information practices scholarship: What are we missing or exhausting?," Children and Youth Services Review, Elsevier, vol. 116(C).
    17. Bruno F. Sunguya & Yue Ge & Linda B. Mlunde & Rose Mpembeni & Germana H. Leyna & Krishna C. Poudel & Niyati Parekh & Jiayan Huang, 2022. "Targeted and Population-Wide Interventions Are Needed to Address the Persistent Burden of Anemia among Women of Reproductive Age in Tanzania," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    18. Yong‐Shik Lee, 2020. "New general theory of economic development: Innovative growth and distribution," Review of Development Economics, Wiley Blackwell, vol. 24(2), pages 402-423, May.
    19. Leena Eklund Karlsson & Anne Leena Ikonen & Kothar Mohammed Alqahtani & Pernille Tanggaard Andersen & Subash Thapa, 2020. "Health Equity Lens Embedded in the Public Health Policies of Saudi Arabia: A Qualitative Document Analysis," SAGE Open, , vol. 10(4), pages 21582440209, October.
    20. Valensisi, Giovanni & Gauci, Adrian, 2013. "Graduated without passing? The employment dimension and LDCs' prospects under the Istanbul Programme of Action," MPRA Paper 86966, University Library of Munich, Germany.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:1:p:372-:d:305738. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.