Factors associated with skilled attendants at birth among married adolescent girls in Nigeria: evidence from the Multiple Indicator Cluster Survey, 2016/2017.

Autor: Olakunde BO; Department of Community Prevention and Care Services, National Agency for the Control of AIDS, Plot 823, Ralph Shodeinde Street, Central Business District, Abuja, Nigeria., Adeyinka DA; Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Canada.; National AIDS & STIs Control Programme, Federal Ministry of Health, Abuja, Nigeria., Mavegam BO; Department of Environmental and Occupational Health, School of Community Health Sciences, University of Nevada, Las Vegas, NV, USA., Olakunde OA; Department of Disease Control and Immunization, Ondo State Primary Health Care Development Board, Ondo, Nigeria., Yahaya HB; Department of Community Prevention and Care Services, National Agency for the Control of AIDS, Plot 823, Ralph Shodeinde Street, Central Business District, Abuja, Nigeria., Ajiboye OA; Department of Community Prevention and Care Services, National Agency for the Control of AIDS, Plot 823, Ralph Shodeinde Street, Central Business District, Abuja, Nigeria., Ogundipe T; Department of Community and Family Medicine, Howard University Hospital, Washington DC, USA., Ezeanolue EE; Department of Pediatrics and Child Health, University of Nigeria, Nsukka, Enugu, Nigeria.; HealthySunrise Foundation, Las Vegas, NV, USA.
Jazyk: angličtina
Zdroj: International health [Int Health] 2019 Nov 13; Vol. 11 (6), pp. 545-550.
DOI: 10.1093/inthealth/ihz017
Abstrakt: Background: This study examines the factors associated with skilled birth attendants at delivery among married adolescent girls in Nigeria.
Methods: The study was a secondary data analysis of the fifth round of the Multiple Indicator Cluster Survey conducted between September 2016 and January 2017. Married adolescent girls aged 15-19 y who had live births in the last 2 y preceding the survey were included in the analysis. We performed univariate and multivariate logistic regression analyses with a skilled birth attendant (doctor, nurse or midwife) at delivery as the outcome variable and sociodemographic, male partner- and maternal health-related factors as explanatory variables.
Results: Of the 789 married adolescent girls, 387 (27% [95% CI=22.8-30.7]) had a skilled birth attendant at delivery. In the adjusted model, adolescent girls who were aged ≥18 y (ref: <18 y), primiparous (ref: multiparous), had antenatal care (ANC) provided by skilled healthcare providers (ref: no ANC), belonged to at least the poor and middle wealth index quintiles (ref: poorest), and resided in the south west zone (ref: north central), independently had a significantly higher likelihood of having a skilled birth attendant at delivery.
Conclusions: Interventions that will reduce pregnancy in younger adolescent girls, poverty, and increase ANC provided by skilled attendants, are likely to improve deliveries assisted by skilled birth attendants among married adolescent girls in Nigeria.
(© The Author(s) 2019. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze: MEDLINE
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