Draft Statement on Skilled Attendant at Birth
13 February 2017
The Department of Reproductive Health and Research (RHR) invites comments on:
- the draft statement and
- the background paper related to the draft statement
Comments may be sent to email@example.com
The critical progress indicator, explicitly adopted by the Sustainable Development Goal (SDG) and the Global Strategy for Women's, Children's and Adolescents' Health, 2016-2030 agendas is the “percentage of births delivered by skilled attendant at birth” (SAB).
In 2004, WHO/FIGO/ICM issued a joint statement that defined clearly SAB and its core functions. Actual practice at country level, however, is challenged by a lack of clear guidelines, standardization of names and functions, and task shifting. In addition, many countries have found that there is a large gap between the defined standards and the skill set/competence of existing birth attendants who are able to correctly manage common obstetric and neonatal complications.
Improved, simple and operational definitions and a meta-data analysis of various cadres of birth attendants (skilled and not so skilled) in each low- and middle-income country are urgently needed to support improved measurement of coverage of SAB. WHO, UNFPA and UNICEF have set up a taskforce to harmonize the definition and measurement of maternal health indicators, with special focus on SAB and in consultation with FIGO, ICM, ICN, and IPA.