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September 28, 2025Open Access

Quality of childbirth care provided by skilled birth attendants: A conceptual framework, new estimate of effective coverage and indicator assessment in Nepal, Senegal, and Zambia

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Authors

DPDavid PhillipsGates FoundationLHLaith Hussain‐AlkhateebKing Saud bin Abdulaziz University for Health SciencesYHYao HeUniversity of Washington

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Implication

Analysis reveals significant quality gaps in maternal care by skilled birth attendants, suggesting improved monitoring methods are needed.

Key Points

  • Effective coverage of skilled birth attendants is substantially lower than crude statistics, indicating a quality gap.
  • In Nepal, effective coverage estimates range from 25% to 43%, revealing significant room for improvement in maternal care.
  • A new metric for assessing quality was developed, identifying key indicators for monitoring in low- and middle-income countries.
  • Analysis highlights the relationship between effective SBA coverage and early neonatal mortality rates, indicating urgent intervention needs.

Cite This Study

Phillips et al. (2025) studied this question.

synapsesocial.com/papers/68d9051b41e1c178a14f4e21https://doi.org/10.21203/rs.3.rs-7643874/v1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Exploring local views on strengths and challenges in pre-service education for skilled birth attendants, skilled health professionals, and midwives in Nepal2025 · 1 citations
  2. 2Factors Impacting Quality of Skilled Birth Attendant Services in Rural India2024
  3. 3How effective coverage has been used to measure quality in maternal and child health services in sub-Saharan Africa: a scoping review2026
  4. 4Skilled birth delivery and its predictors in sub-Saharan Africans using a multilevel analysis and propensity score matching modelling2026
  5. 5Mixed methods analysis of childbirth care provider education in Nepal shows priorities to strengthen maternal and newborn health2026