Global Health Observatory (GHO)

Skilled birth attendance

Situation

Women in the richest 20% urban households in Africa and Asia are 1.5 times more likely to receive skilled birth attendance than women in the poorest 20% urban households. On average, coverage of skilled birth attendance in urban areas of Africa, Americas, Asia and Europe is 81%, 88%, 82% and 91%, respectively. However, socioeconomic inequalities in access to skilled birth attendance persist in all regions.


Trends

Of the three regions shown, urban women in Asia have seen the greatest increase in coverage of skilled birth attendance from 66% in 1990–1999 to 82% in 2000–2011. Furthermore, coverage for women in the poorest 20% urban households has increased from 43% to 63% during the same period. This has resulted in a decrease in inequalities in skilled birth attendance in Asia, as measured by the rate ratio comparing women in the richest 20% and poorest 20% urban households. However, there has only been a 2% increase in coverage of skilled birth attendance for women in the poorest 20% urban households in Africa between 1990–1999 and 2000–2011, and inequalities have remained as high between the two decades.

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