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Year : 2022  |  Volume : 9  |  Issue : 1  |  Page : 19-24

Trends in the use of skilled birth attendants among women of reproductive age in a resource-limited setting

1 Department of Public Health, Walden University, Minneapolis, MN, USA
2 Department of Family Medicine, Lagos State Health Service Commission, Lagos, Nigeria
3 Department of Public health, University of Central Nicaragua, Managua, Nicaragua
4 Department of Logistics and Supply Chain Management, University of Science and Technology, Selangor, Malaysia
5 Surveillance Department, Nigeria Center for Disease Control, Jabi Abuja, Nigeria
6 Department of Strategic Supply Chain Management, University of Roehampton, London, UK
7 Department of Public Health, Texila American University,  
8 Department of Procurement and Supply Chain Management, Akesis, Abuja, Nigeria
9 Research and Development Department, Fescosof Data Soultions, Ogun State, Nigeria

Correspondence Address:
Dr. Uduak Bassey
Department of Public Health, Walden University, Minneapolis, MN.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mgmj.mgmj_78_21

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Background: Although there has been growing awareness on the need for professional assistance at delivery, and this has improved health-seeking behavior and the use of antenatal care (ANC) of pregnant women, presenting for ANC does not directly imply that a woman would use a skilled birth attendant (SBA) at delivery. This study analyzed the trend in the use of SBAs at delivery among Nigerian reproductive women from 2007 to 2017. Materials and Methods: The study used the United Nations Children’s Fund, Multiple Indicator Cluster Surveys data for the years 2007 (n = 1021), 2011 (n = 2927), and 2016/2017 (n = 4155). Multivariate logistic regression was used to determine the relationship between the use of SBAs and demographic characteristics of women aged 15–49 years in Nigeria. Results: There was a significant decline in the utilization of SBAs at delivery from 82.7% in 2007 to 71.8% in 2016/2017 (P < 0.001). There was a decline in the proportion of doctors and nurses/midwives as birth attendants from 28.3% and 54.4% in 2007 to 22.8% and 49.0% in 2016/2017, respectively (P < 0.001), whereas the use of traditional birth attendants increased from 5.2% to 8.0% during the periods (P = 0.003). Urban residence [adjusted odds ratio (AOR)=1.32, 95% confidence interval (CI)=1.18–1.47, P < 0.01], higher maternal age (AOR=1.49, 95% CI=1.30–1.70; P < 0.01), and education attainment (AOR=3.78, 95% CI=3.39–4.22; P < 0.001) were associated with higher odds of the utilization of SBAs. Conclusion: There is a need for intervention programs for women in rural areas and women with a low level of education and lower maternal age. This will further reduce the maternal mortality ratios of the country.

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