1 Less than 20%
2 20 to 49%
3 50% to 74%
4 75% to 94%
5 95% or more
0 Less than 25
1 25 to 49
2 50 to 74
3 75 to 99
4 100 to 149
5 150 and over
6 No Data

Percent of Births Attended by Skilled Personnel

What does it mean ?

This indicator shows the percentage of births that take place in the presence of a skilled healthcare worker who is qualified to attend to births. The definition of a skilled birth attendant is an accredited health professional – such as a midwife, nurse or doctor – who has the necessary skills needed to manage normal pregnancy, childbirth and the period after the birth, and who is able to identify, manage and refer women and newborns if complications occur.

Why does it matter ?

All women should have skilled care during pregnancy and childbirth because the provision of skilled care at every birth significantly reduces the risk of maternal and newborn mortality. This indicator can also give us information on the use of maternity services in a country, and can measure a health system's ability to provide good care during childbirth. Skilled attendance is a crucial factor in reducing maternal and newborn death.

How is it collected ?

A national survey was undertaken in each country from a representative sample of households where women and girls were asked how many babies they have given birth to and when their births occurred. Additional questions were asked about the circumstances at each birth and whether a doctor, midwife, nurse or other skilled person was present. The indicator concerns births that occurred in the three years before the survey.

World Health Organization, Global Health Observatory data repository, accessed in August 2016 http://apps.who.int/gho/data/node.main.REPWOMEN39?lang=en

A Mother Too Soon in 2015

For all too many girls around the world, pregnancy happens when they are themselves still children. However the repercussions of early motherhood can have a disastrous impact on a young woman's life. Women who give birth between the ages of 15-19 are twice as likely to die from pregnancy and birth related causes than women in their 20s, and for girls aged under 15 the risk is five times higher that women in their 20s.

Babies under one with adolescent mothers are 50% more likely to die than those with mothers in their 20s, and the younger the mother, the higher the risk.

Potential disadvantages are not just limited to health. When girls start having babies in their early teens, they miss out on school, which means they also miss opportunities to escape poverty.

As a result of unprotected sex, teenage girls are also at high risk of contracting sexually transmitted diseases including HIV. Young girls may feel unable to ask to use condoms – and in many cases they may be forced into sex. In both Malawi and Ghana around a third of girls reported that they were "not willing at all" during their first sexual experience.

Mothers under 16

In many countries girls are often married and bear their first child before the age of 16. This is particularly prevalent in Sub-Saharan Africa, but also in parts of Asia and Latin America. These very young pregnancies, which carry the greatest risks for both mother and baby, are concentrated in those countries where services are poorest.

No attribution