Trend and projection of skilled birth attendants and institutional delivery coverage for adolescents in 54 low- and middle-income countries, 2000–2030
Article
Article Title | Trend and projection of skilled birth attendants and institutional delivery coverage for adolescents in 54 low- and middle-income countries, 2000–2030 |
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ERA Journal ID | 40887 |
Article Category | Article |
Authors | Rahman, Md. Mizanur, Taniguchi, Hiroko, Nsashiyi, Raïssa Shiyghan, Islam, Rashedul, Mahmud, Syed Riaz, Rahman, Shafiur, Jung, Jenny and Khan, Shahjahan |
Journal Title | BMC Medicine |
Journal Citation | 20 (1), pp. 1-11 |
Article Number | 46 |
Number of Pages | 11 |
Year | 2022 |
Place of Publication | United Kingdom |
ISSN | 1741-7015 |
Digital Object Identifier (DOI) | https://doi.org/10.1186/s12916-022-02255-x |
Web Address (URL) | https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-022-02255-x |
Abstract | Background: Limitations to accessing delivery care services increase the risks of adverse outcomes during pregnancy and delivery for all pregnant women, particularly among adolescents in LMICs. In order to inform adolescent-specific delivery care initiatives and coverage, we conducted a comprehensive analysis of trends, projections and inequalities in coverage of delivery care services among adolescents at national, urban-rural and socio-economic levels in LMICs. Methods: Using 224 nationally representative cross-sectional survey data between 2000 and 2019, we estimated the coverage of institutional delivery (INSD) and skilled birth attendants (SBA). Bayesian hierarchical regression models were used to estimate trends, projections and determinants of INSD and SBA. Results: Coverage of delivery care services among adolescents increased substantially at the national level, as well as in both urban and rural areas in most countries between 2000 and 2018. Of the 54 LMICs, 24 countries reached 80% coverage of both INSD and SBA in 2018, and predictions for 40 countries are set to exceed 80% by 2030. The trends in coverage of INSD and SBA of adult mothers mostly align with those for adolescent mothers. Our findings show that urban-rural and wealth-based inequalities to delivery care remain persistent by 2030. In 2018, urban settings across 54 countries had higher rates of coverage exceeding 80% compared to rural for both INSD (45 urban, 16 rural) and SBA (50 urban, 19 rural). Several factors such as household head age ≥ 46 years, household head being female, access to mass media, lower parity, higher education, higher ANC visits and higher socio-economic status could increase the coverage of INSD and SBA among adolescents and adult women. Conclusions: More than three-quarters of the LMICs are predicted to achieve 80% coverage of INSD and SBA among adolescent mothers in 2030, although with sustained inequalities. |
Keywords | Adolescent; Bayesian model; Delivery care; Inequalities; Institutional delivery; Prediction; Skill birth attendants |
PubMed ID | 35115000 |
Funder | Japan Society for the Promotion of Science |
Byline Affiliations | University of Hitotsubashi, Japan |
University of Tokyo, Japan | |
Global Public Health Research Foundation, Bangladesh | |
Hamamatsu University, Japan | |
Centre for Health Research |
https://research.usq.edu.au/item/w45z7/trend-and-projection-of-skilled-birth-attendants-and-institutional-delivery-coverage-for-adolescents-in-54-low-and-middle-income-countries-2000-2030
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