Household and context-level determinants of birth registration in Sub-Saharan Africa.

Autor: Ebbers AL; Global Data Lab, Institute for Management Research, Radboud University, Nijmegen, The Netherlands., Smits J; Global Data Lab, Institute for Management Research, Radboud University, Nijmegen, The Netherlands.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Apr 08; Vol. 17 (4), pp. e0265882. Date of Electronic Publication: 2022 Apr 08 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0265882
Abstrakt: While according to the United Nations birth registration is a human right, in sub-Saharan Africa (SSA) only half of new-born children currently have their birth registered. To gain insight into the reasons behind this low registration rate, we study the role of determinants at the household, sub-national regional and country level, using self-reported birth registration data on 358,842 children in 40 SSA countries. While most of the variation in reported birth registration is due to factors at the household level, context factors are found to play an important role as well. At the household level, poverty, low education, restricted autonomy of women, and belonging to a traditional religion are associated with lower odds of being registered. Lack of professional care during pregnancy, delivery, and early life also decrease the odds of being registered. Important factors at the context level are the average number of prenatal care visits in the local area, living in an urban area, the kind of birth registration legislation, decentralization of the registration system, fertility rates, and the number of conflicts. To improve registration, the complex dynamics of these factors at the household and context level have to be taken into account.
Competing Interests: The authors declare that no competing interests exist.
Databáze: MEDLINE
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