Risk Factors for Non-use of Skilled Birth Attendants: Analysis of South Sudan Household Survey, 2010
| Autor: | Ngatho Samuel Mugo, Kingsley E Agho, Michael J. Dibley |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Rural Population Pediatrics medicine.medical_specialty Epidemiology Prevalence Logistic regression Midwifery 03 medical and health sciences Household survey Young Adult 0302 clinical medicine Pregnancy medicine Humans Maternal Health Services 030212 general & internal medicine South Sudan 030219 obstetrics & reproductive medicine business.industry Public health Public Health Environmental and Occupational Health Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Prenatal Care Odds ratio Middle Aged Patient Acceptance of Health Care medicine.disease Delivery Obstetric Confidence interval Pregnancy Complications Parity Maternal Mortality Socioeconomic Factors Health Care Surveys Pediatrics Perinatology and Child Health Regression Analysis Female Rural area business Demography |
| Zdroj: | Maternal and child health journal. 20(6) |
| ISSN: | 1573-6628 |
| Popis: | Objectives South Sudan has the lowest percentage of births attended by skilled health personnel in the world. This paper aims to identify potential risk factors associated with non-use of skilled birth attendants at delivery in South Sudan. Methods Secondary data analyses of the 2010 South Sudan Household Health Survey second round were conducted with data for 3504 women aged 15–49 years who gave birth in the 2 years prior to the survey. The risk of non-use of skilled birth attendants was examined using simple and multiple logistic regression analyses. Results The prevalence rates for skilled, unskilled and no birth attendants at delivery were 41 [95 % confidence interval (CI) 38.2, 43.0], 36 [95 % CI 33.9, 38.8], and 23 % [95 % CI 20.6, 24.9] respectively. Multivariable analyses indicated that educated mothers [adjusted odds ratio (AOR) 0.70; 95 % CI 0.57, 0.86], mothers who had three and more complications during pregnancy [AOR 0.77; 95 % CI 0.65, 0.90], mothers who had at least 1–3 ANC visits [AOR 0.38; 95 % CI 0.30, 0.49] and mothers from rich households [AOR 0.52; 95 % CI 0.42, 0.65] were significantly more likely to use skilled birth attendants (SBAs) at delivery. Mothers who lived in rural areas [AOR 1.44; 95 % CI 1.06, 1.96] were less likely to deliver with SBAs. Conclusion Intensive investments to recruit and train more skilled birth attendants’ on appropriate delivery care are needed, as well as building a community-based skilled birth attendants’ program to reduce avoidable maternal mortality in South Sudan. |
| Databáze: | OpenAIRE |
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