Skilled birth attendance-lessons learnt
Article first published online: 4 SEP 2009
© 2009 The Authors Journal compilation © RCOG 2009 BJOG An International Journal of Obstetrics and Gynaecology
BJOG: An International Journal of Obstetrics & Gynaecology
Special Issue: International Reviews
Volume 116, Issue Supplement s1, pages 33–40, October 2009
How to Cite
Adegoke, A. and van den Broek, N. (2009), Skilled birth attendance-lessons learnt. BJOG: An International Journal of Obstetrics & Gynaecology, 116: 33–40. doi: 10.1111/j.1471-0528.2009.02336.x
- Issue published online: 4 SEP 2009
- Article first published online: 4 SEP 2009
- Accepted 13 July 2009.
- Skilled birth attendance;
- maternal mortality;
- developing countries
To reduce the horrific maternal mortality figures that we have globally especially in resource poor countries, there was a global commitment to reduce maternal mortality by three-quarters by 2015 using 1990 as a baseline. To measure the achievement of this goal, two indicators: maternal mortality ratio and proportion of births attended by skilled attendance were selected. To ensure skilled attendance at birth for all women, the international community set a target of 80% by 2005, 85% by 2010 and 90% coverage by 2015. However, in 2008 only 65.7% of all women were attended to by a skilled attendant during pregnancy, childbirth and immediately postpartum globally with some countries having less than 20% coverage. With the global human resource crisis, achieving this target is challenging but possible. This paper provides a narrative review of the literature on the skilled birth attendance strategy identifying key challenges and lessons learnt.