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Drivers and deterrents of facility delivery in sub-Saharan Africa: a systematic review

Overview of attention for article published in Reproductive Health, August 2013
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Title
Drivers and deterrents of facility delivery in sub-Saharan Africa: a systematic review
Published in
Reproductive Health, August 2013
DOI 10.1186/1742-4755-10-40
Pubmed ID
Authors

Cheryl A Moyer, Aesha Mustafa

Abstract

While the most important factors associated with facility-based delivery (FBD) have been explored within individual countries in Africa, no systematic review has explored the factors associated with FBD across sub-Saharan Africa. A systematic search of the peer-reviewed literature was conducted to identify articles published in English from 1/1995-12/2011 that reported on original research conducted entirely or in part in sub-Saharan Africa and included a primary outcome variable of FBD, delivery location, or skilled birth attendance (SBA). Out of 1,168 citations identified, 65 met inclusion criteria. 62 of 65 were cross-sectional, and 58 of 65 relied upon household survey data. Fewer than two-thirds (43) included multivariate analyses. The factors associated with facility delivery were categorized as maternal, social, antenatal-related, facility-related, and macro-level factors. Maternal factors were the most commonly studied. This may be a result of the overwhelming reliance on household survey data - where maternal sociodemographic factors are likely to be well-represented and non-maternal factors may be less consistently and accurately represented. Multivariate analysis suggests that maternal education, parity / birth order, rural / urban residence, household wealth / socioeconomic status, distance to the nearest facility, and number of antenatal care visits were the factors most consistently associated with FBD. In conclusion, FBD is a complex issue that is influenced by characteristics of the pregnant woman herself, her immediate social circle, the community in which she lives, the facility that is closest to her, and context of the country in which she lives. Research to date has been dominated by analysis of cross-sectional household survey data. More research is needed that explores regional variability, examines longitudinal trends, and studies the impact of interventions to boost rates of facility delivery in sub-Saharan Africa.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 449 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
India 3 <1%
United Kingdom 2 <1%
Ethiopia 1 <1%
Israel 1 <1%
Turkey 1 <1%
Canada 1 <1%
Nigeria 1 <1%
Rwanda 1 <1%
Unknown 438 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 117 26%
Researcher 51 11%
Student > Ph. D. Student 41 9%
Student > Bachelor 36 8%
Lecturer 34 8%
Other 90 20%
Unknown 80 18%
Readers by discipline Count As %
Medicine and Dentistry 132 29%
Nursing and Health Professions 80 18%
Social Sciences 67 15%
Agricultural and Biological Sciences 16 4%
Business, Management and Accounting 9 2%
Other 48 11%
Unknown 97 22%

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 08 January 2014.
All research outputs
#19,005,188
of 21,357,544 outputs
Outputs from Reproductive Health
#1,242
of 1,324 outputs
Outputs of similar age
#263,676
of 304,356 outputs
Outputs of similar age from Reproductive Health
#61
of 61 outputs
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