How many births in sub-Saharan Africa and South Asia will not be attended by a skilled birth attendant between 2011 and 2015?

BMC Pregnancy and Childbirth

Research Article

Anthony Costello¹  Martin Utley²  Christina Pagel²  Sonya Crowe² 

[1] Centre for International Health and Development, University College London Institute of Child Health, London, UK;Clinical Operational Research Unit, University College London, London, UK;

关键词: Mathematical Notation;    Maternal Mortality;    Maternal Death;    Institutional Delivery;    Annual Percentage Change;   

DOI  :  10.1186/1471-2393-12-4

 received in 2011-04-01, accepted in 2012-01-17,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe fifth Millennium Development Goal target for 90% of births in low and middle income countries to have a skilled birth attendant (SBA) by 2015 will not be met. In response to this, policy has focused on increasing SBA access. However, reducing maternal mortality also requires policies to prevent deaths among women giving birth unattended. We aimed to generate estimates of the absolute number of non-SBA births between 2011 and 2015 in South Asia and sub-Saharan Africa, given optimistic assumptions of future trends in SBA attendance. These estimates could be used by decision makers to inform the extent to which reductions in maternal mortality will depend on policies aimed specifically at those women giving birth unattended.MethodsFor each country within South Asia and sub-Saharan Africa we estimated recent trends in SBA attendance and used these as the basis for three increasingly optimistic projections for future changes in SBA attendance. For each country we obtained estimates for the current SBA attendance in rural and urban settings and forecasts for the number of births and changes in rural/urban population over 2011-2015. Based on these, we calculated estimates for the number of non-SBA births for 2011-2015 under a variety of scenarios.ResultsConservative estimates are that there will be between 130 and 180 million non-SBA births in South Asia and sub-Saharan Africa from 2011 to 2015 (90% of these in rural areas). Currently, there are more non-SBA births per year in South Asia than sub-Saharan Africa, but our projections suggest that the regions will have approximately the same number of non-SBA births by 2015. We also present results for each of the six countries currently accounting for more than 50% of global maternal deaths.ConclusionsOver the next five years, many millions of women within South Asia and sub-Saharan Africa will give birth without an SBA. Efforts to improve access to skilled attendance should be accompanied by interventions to improve the safety of non-attended deliveries.

【 授权许可】

CC BY   
© Crowe et al; licensee BioMed Central Ltd. 2012