Evidence map›Paper›PMID 40627778›Full record

ArticlePloS one2025

Urban-rural disparities in skilled birth attendance among women in Ethiopia: Multivariate decomposition analysis.

Tsegereda Abebe Andargie, Emebet Birhanu Lealem, Betelhem Abebe Andargie

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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3 authors.

Tsegereda Abebe AndargieInternational Institute for Primary Health Care- Ethiopia, Addis Ababa, Ethiopia.ORCID https://orcid.org/0000-0001-6758-9997
Emebet Birhanu LealemDepartment of Epidemiology and biostatistics, Institute of public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Betelhem Abebe AndargieDepartment of Epidemiology and biostatistics, Institute of public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSkilled birth attendants play an important role in reducing maternal mortality. Although Ethiopia has shown a remarkable reduction in maternal mortality, maternal health service utilization, such as skilled birth attendance, remains low. Thus, this study aims to assess the urban-rural disparity in skilled birth attendance in Ethiopia using the 2019 Ethiopian mini demographic health survey. METHODS AND MATERIALS: The study was based on data obtained from demographic and health surveys in Ethiopia. A total weighted sample of 5,527 women who gave birth within 5 years preceding the survey was included. The result of descriptive statistics was reported using the frequency, percentages, graphs, and tables. A multivariate decomposition analysis was used to identify factors contributing to the disparity of skilled birth attendance across residence. Statistical significance was defined at a 95% confidence interval with a p-value of less than 0.05.

resultSkilled birth attendance utilization among women in Ethiopia was 49.8% (95% CI: 48.5-51.1). The disparity in skilled birth attendance coverage between urban and rural areas was significantly high (Urban coverage was 72.1% and rural coverage was 42.5%). Endowment coefficients (women's characteristics) explained 88% of the urban-rural disparity in the magnitude of skilled birth attendance. Women with secondary and above educational status, four or more antenatal care visits, households with televisions and radio, women in the richest wealth index and women with five or more parity were the determinants that explained the urban-rural disparity in skilled birth attendance. CONCLUSION AND RECOMMENDATIONS: There was a significant disparity in skilled birth attendance utilization between urban and rural areas. Factors like maternal education, wealth status, antenatal care visits, and media access explained the disparity. To attain equitable progress towards universal coverage of SBA, special efforts and resources should be targeted towards rural women. Initiatives aimed at enhancing access to health services and health care consultations for the rural community are also recommended.

Indexed as

Delivery, ObstetricHealthcare DisparitiesMaternal Health ServicesRural PopulationUrban PopulationAdolescentAdultEthiopiaFemaleHumansMaternal MortalityMiddle AgedMultivariate AnalysisPatient Acceptance of Health CarePregnancyPrenatal Care

Identifiers

PMID40627778
PMCPMC12237044

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