原创力文档how many births in sub-saharan africa and south asia will not be attended by a skilled birth attendant between 2011 and 2015多少出生在撒哈拉以南非洲和南亚将不会出席了2011年和2015年之间熟练接生员.pdfVIP
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how many births in sub-saharan africa and south asia will not be attended by a skilled birth attendant between 2011 and 2015多少出生在撒哈拉以南非洲和南亚将不会出席了2011年和2015年之间熟练接生员
Crowe et al. BMC Pregnancy and Childbirth 2012, 12:4
/1471-2393/12/4
RESEARCH ARTICLE Open Access
How many births in sub-Saharan Africa and
South Asia will not be attended by a skilled birth
attendant between 2011 and 2015?
1* 1 2 1
Sonya Crowe , Martin Utley , Anthony Costello and Christina Pagel
Abstract
Background: The fifth Millennium Development Goal target for 90% of births in low and middle income countries
to have a skilled birth attendant (SBA) by 2015 will not be met. In response to this, policy has focused on
increasing SBA access. However, reducing maternal mortality also requires policies to prevent deaths among
women giving birth unattended. We aimed to generate estimates of the absolute number of non-SBA births
between 2011 and 2015 in South Asia and sub-Saharan Africa, given optimistic assumptions of future trends in SBA
attendance. These estimates could be used by decision makers to inform the extent to which reductions in
maternal mortality will depend on policies aimed specifically at those women giving birth unattended.
Methods: For each country within South Asia and sub-Saharan Africa we estimated recent trends in SBA
attendance and used these as the basis for three increasingly optimistic projections for future changes in SBA
attendance. For each country we obtained estimates for the current SBA attendance in rural and urban settings
and forecasts for the number of births and changes in rural/urban population over 2011-2015. Based on these, we
calculated estimates for the number of non-SBA births for 2011-2015 under a variety of scenarios.
Results: Conservative estimates are that there will be between 130 and 180 million non-SBA births in South Asia
and sub-Saharan Africa from 2011 to 2015 (90% of these
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