Where Women Give Birth Is Changing in Sub‐Saharan Africa: Evidence From 30 Countries Using DHS Data

Our study highlights significant disparities in changes in childbirth locations across SSA countries, driven primarily by education, wealth, and rural-urban residence. Although countries like Malawi and Zimbabwe demonstrate successful strategies for promoting facility-based deliveries, others like Chad and Burkina Faso face persistent barriers. Addressing these disparities requires targeted interventions, including expanding rural healthcare infrastructure and implementing pro-poor healthcare policies. Future research and program designs should prioritize longitudinal assessments of these determinants to tailor interventions for specific country contexts.

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Publication Details

Journal
Journal of Pregnancy
Published
2026-01-01
DOI
https://doi.org/10.1155/jp/2785076
Primary Topic
Global Maternal and Child Health
Type
article
Field-Weighted Citation Impact
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article

Where Women Give Birth Is Changing in Sub‐Saharan Africa: Evidence From 30 Countries Using DHS Data

Alex Bawuah, Michael Sarfo, Sanni Yaya, Godness Biney
Journal of Pregnancy
Global Maternal and Child Health
article

Where Women Give Birth Is Changing in Sub‐Saharan Africa: Evidence From 30 Countries Using DHS Data

Alex Bawuah, Michael Sarfo, Sanni Yaya, Godness Biney
article en

Abstract

Our study highlights significant disparities in changes in childbirth locations across SSA countries, driven primarily by education, wealth, and rural-urban residence. Although countries like Malawi and Zimbabwe demonstrate successful strategies for promoting facility-based deliveries, others like Chad and Burkina Faso face persistent barriers. Addressing these disparities requires targeted interventions, including expanding rural healthcare infrastructure and implementing pro-poor healthcare policies. Future research and program designs should prioritize longitudinal assessments of these determinants to tailor interventions for specific country contexts.

Journal of PregnancyVol. 2026(1)
University of Huddersfield (GB), University of Sussex (GB), The George Institute for Global Health (GB), University of Massachusetts Amherst (US), NIHR Imperial Biomedical Research Centre (GB)
No poverty
Openalex Percentile: Top 12%
Global Maternal and Child Health
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Where Women Give Birth Is Changing in Sub‐Saharan Africa: Evidence From 30 Countries Using DHS Data — Alex Bawuah, Michael Sarfo, et al. · Journal of Pregnancy (2026) | TGRS Research Map | TGRS