What does this research mean for the field?

The pooled prevalence of skilled birth delivery in sub-Saharan Africa is 67.25%, and its utilization—which significantly reduces under-five child mortality—is strongly predicted by maternal education, wealth, antenatal care attendance, and geographic region. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To determine the pooled prevalence and identify socioeconomic and demographic predictors of skilled birth attendant utilization during childbirth across sub-Saharan Africa.

August 22, 2026Scientific ReportsOpen Access

Skilled birth delivery and its predictors in sub-Saharan Africans using a multilevel analysis and propensity score matching modelling

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Authors

DDDerese Eshetu DebelaMadda Walabu University DGDegefa GomoraMadda Walabu University GBGirma BeressaMadda Walabu University

Discussion

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Implication

Cross-sectional study reveals a 67.25% skilled birth delivery rate in sub-Saharan Africa, highlighting antenatal care and socioeconomic status as key drivers of healthcare utilization.

Key Points

To determine the pooled prevalence and identify socioeconomic and demographic predictors of skilled birth attendant utilization during childbirth across sub-Saharan Africa.
Analyzed Demographic and Health Survey data collected between 2016 and 2025 across 25 sub-Saharan African countries (weighted N = 266,077 women).
Fitted a multivariable multilevel mixed-effects logistic regression model and applied inverse probability weighting with directed acyclic graphs to assess causal predictors.
The pooled prevalence of skilled birth delivery was 67.25% (95% CI, 67.07% to 67.43%), ranging from 33.13% in Ethiopia to 95.88% in South Africa.
Antenatal care attendance was the strongest positive predictor, including ≥8 visits (AOR = 2.72, 95% CI, 2.08 to 2.47) and <8 visits (AOR = 1.62, 95% CI, 1.54 to 1.71).
Skilled delivery was significantly lower among rural residents (AOR = 0.72, 95% CI, 0.69 to 0.75), uneducated women (AOR = 0.85, 95% CI, 0.77 to 0.95), and the poorest wealth quintile (AOR = 0.66, 95% CI, 0.62 to 0.71).

Cite This Study

Debela et al. (2026) studied this question.

synapsesocial.com/papers/6a895f87ca7ade938187e415 https://doi.org/10.1038/s41598-026-65494-5

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August 22, 2026Scientific ReportsOpen Access

Skilled birth delivery and its predictors in sub-Saharan Africans using a multilevel analysis and propensity score matching modelling

View Full Paper

Ask AI

Bookmark

Authors

DDDerese Eshetu DebelaMadda Walabu University DGDegefa GomoraMadda Walabu University GBGirma BeressaMadda Walabu University

Discussion

Member takes

Implication

Cross-sectional study reveals a 67.25% skilled birth delivery rate in sub-Saharan Africa, highlighting antenatal care and socioeconomic status as key drivers of healthcare utilization.

Key Points

To determine the pooled prevalence and identify socioeconomic and demographic predictors of skilled birth attendant utilization during childbirth across sub-Saharan Africa.
Analyzed Demographic and Health Survey data collected between 2016 and 2025 across 25 sub-Saharan African countries (weighted N = 266,077 women).
Fitted a multivariable multilevel mixed-effects logistic regression model and applied inverse probability weighting with directed acyclic graphs to assess causal predictors.
The pooled prevalence of skilled birth delivery was 67.25% (95% CI, 67.07% to 67.43%), ranging from 33.13% in Ethiopia to 95.88% in South Africa.
Antenatal care attendance was the strongest positive predictor, including ≥8 visits (AOR = 2.72, 95% CI, 2.08 to 2.47) and <8 visits (AOR = 1.62, 95% CI, 1.54 to 1.71).
Skilled delivery was significantly lower among rural residents (AOR = 0.72, 95% CI, 0.69 to 0.75), uneducated women (AOR = 0.85, 95% CI, 0.77 to 0.95), and the poorest wealth quintile (AOR = 0.66, 95% CI, 0.62 to 0.71).

Cite This Study

Debela et al. (2026) studied this question.

synapsesocial.com/papers/6a895f87ca7ade938187e415 https://doi.org/10.1038/s41598-026-65494-5

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