Socio-economic level and use of skilled health personnel during childbirth in Côte d'Ivoire
Keywords:
Maternal health, accessibility of health services, health personnel, socioeconomic factors, Côte d'IvoireAbstract
Skilled birth attendance is often the result of deeper causes reflecting socio-economic inequalities between populations. The aim of our study was to determine the influence of socio-economic level on the use of skilled attendants during childbirth in Côte d'Ivoire. We performed a multivariate analysis based on data from the MICS (Multiple Indicator Cluster Surveys) conducted among women aged 15-49, in 2016. Findings revealed that in 2016, 74% of births were attended by skilled personnel. Women from households with higher socio-economic status exhibited significantly higher probabilities of utilizing skilled health professionals during childbirth, compared to those from the poorest households. The odds ratios (ORa) for women with poor, middle, rich, and richest standards of living were 1.63 (95% CI=1.27-2.10), 2.21 (95% CI=1.61-3.02), 5.33 (95% CI=3.24-8.76), and 6.35 (95% CI=2.91-13.9), respectively. Additionally, after adjusting for the wealth index, factors associated with assisted delivery included age group, place of residence, antenatal consultations, and parity. To improve skilled birth attendance, addressing socio-economic challenges is essential. Health policies focusing on women's economic empowerment have the potential to reduce social inequalities related to the utilization of skilled attendants during childbirth.
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