ArticleAJOG global reports2025
Mapping traditional birth attendance in sub-Saharan Africa between 2012 and 2023: analysis of data from demographic and health surveys.
Article in AJOG global reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Analysis of Disease Burden and Future Trend Prediction for Iron Deficiency-Induced Abortion and Miscarriage in BRICS Countries.International journal of women's health · 2026Article
- Healthcare access barriers and maternal healthcare service uptake in 14 sub-Saharan African countries (2017-2021): a propensity score matched analysis.BMJ public health · 2026Article
- Spatial distribution of effective coverage of child immunisation in Ethiopia.BMJ public health · 2025Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Traditional birth attendance (TBA) remains common in Sub-Saharan Africa (SSA), impacting maternal and neonatal mortality rates. This study aimed at producing high-resolution geospatial estimates and identifying predictors of TBA-assisted childbirth in SSA. Methods: We used the latest Demographic and Health Survey (DHS) data (2012-2023) from 32 SSA countries. Our sample included 231,189 reproductive-aged women who had given live birth to a child within the past 5 years. A multilevel binary logistic regression model was employed to identify the predictors of TBA-assisted childbirth, accounting for individual, household, and community-level factors. Geospatial analysis identified geographic hotspot areas where TBA is most prevalent. Result: The proportion of TBA-assisted childbirth among reproductive-aged women in SSA was 12.43% (95% CI: 10.02%, 14.84%), ranging from 0.3% (South Africa) to 49.4 % (Chad). Hotspot clusters of TBA-assisted childbirth were found in Chad, Ethiopia, Madagascar, Guinea, and Niger. TBA-assisted childbirth was associated with women with community low women literacy (AOR=2.82; 95% CI; 2.57, 3.09), low household wealth status (AOR=1.42; 95% CI; 1.34, 1.49), and residing in rural areas (AOR=2.95; 95% CI; 2.68, 3.24) or had major problems with distance from the health facilities (AOR=1.22; 95% CI; 1.17, 1.26). Conclusion: Significant geographic variation in TBA-assisted childbirth among women in SSA indicates the need for targeted health interventions to improve access to skill delivery services and empower women through financial and literacy initiatives.
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