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Trends and drivers of skilled birth attendant use in Nigeria (1990–2013): policy implications for child and maternal health

Overview of attention for article published in International Journal of Women's Health, November 2017
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Mentioned by

twitter
1 tweeter

Citations

dimensions_citation
6 Dimensions

Readers on

mendeley
84 Mendeley
Title
Trends and drivers of skilled birth attendant use in Nigeria (1990–2013): policy implications for child and maternal health
Published in
International Journal of Women's Health, November 2017
DOI 10.2147/ijwh.s137848
Pubmed ID
Authors

Adeniyi F Fagbamigbe, Elizabeth O Hurricane-Ike, Oyindamola B Yusuf, Erhabor S Idemudia

Abstract

While Nigeria accounts for only 2% of the world population, it regrettably shares 14% of global maternal death burden. Whether its reported increase in antenatal care utilization is accompanied by increased use of skilled birth attendants (SBAs) is not known. This study assessed trends in utilization of SBAs in Nigeria between 1990 and 2013 and identified its determinants. Data from four consecutive Nigerian Demographic and Health Survey reports between 1990 and 2013 were pooled. We used basic descriptive statistics, test of association, and logistic regression to assess the prevalence, relative change, and determinants of SBA use at 5% significance level. Sample weights were applied, and adjustment was made for survey design and sampling errors. Nearly half (46.7%) of the respondents were aged 25-34 years, while half (50.3%) of the respondents had no formal education. The prevalence of SBA use increased only marginally across the years and characteristics studied, from 32.4% in 1990 to 38.5% in 2013, an insignificant 6% increase. Educated women used SBA more than women with no education (92.4% vs 13.1%), and their odds ratio of using SBA were thrice that of uneducated women (odds ratio =3.09, 95% confidence interval =2.17-4.38). Women involved in decisions regarding their use of health facility were 12% more likely to use SBAs than others who do not. Educational attainment, religion, tribe, rural/urban residence, and zone of residence were significant to the use of SBA. The use of SBA was very low throughout the study period, barely at one third usage with insignificant changes over the studied period. Women empowerment, including decision-making power and residence, were the strongest determinants of SBA use. To overturn poor child and maternal health outcomes in Nigeria through SBA use, efforts should be targeted at educating girls, sexual and reproductive health education, and accessible and improved health care facility services.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 84 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 84 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 18%
Researcher 11 13%
Student > Bachelor 10 12%
Student > Ph. D. Student 5 6%
Student > Postgraduate 5 6%
Other 17 20%
Unknown 21 25%
Readers by discipline Count As %
Nursing and Health Professions 18 21%
Medicine and Dentistry 17 20%
Social Sciences 8 10%
Engineering 2 2%
Economics, Econometrics and Finance 2 2%
Other 10 12%
Unknown 27 32%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 November 2017.
All research outputs
#7,790,711
of 12,417,442 outputs
Outputs from International Journal of Women's Health
#307
of 489 outputs
Outputs of similar age
#201,867
of 361,739 outputs
Outputs of similar age from International Journal of Women's Health
#4
of 10 outputs
Altmetric has tracked 12,417,442 research outputs across all sources so far. This one is in the 23rd percentile – i.e., 23% of other outputs scored the same or lower than it.
So far Altmetric has tracked 489 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.1. This one is in the 26th percentile – i.e., 26% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 361,739 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 34th percentile – i.e., 34% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 10 others from the same source and published within six weeks on either side of this one. This one has scored higher than 6 of them.