Skilled Birth Attendant Coverage
English: % of children aged 0-23 months whose births were attended by skilled health personnel
French: % d'enfants âgés de 0 à 23 mois dont les naissances ont été suivies par du personnel de santé qualifié
Czech: % dětí ve věku 0-23 měsíců, jejichž porodu asistoval kvalifikovaný zdravotní personál
What is its purpose?
Delivery with a skilled attendant reduces the risk of a woman or her child dying during delivery. The indicator therefore assesses the proportion of women whose last delivery was attended by skilled health personnel (doctor, nurse or midwife).
How to Collect and Analyse the Required Data
Collect the following data by conducting individual interviews with a representative sample of mothers of children aged 0-23.99 months:
RECOMMENDED SURVEY QUESTIONS (Q) AND POSSIBLE ANSWERS (A)
Q1: Who assisted with the delivery of your youngest child?
A1: (record all mentioned)
4) traditional birth attendant
5) community health worker
6) family member/ friend
8) no one
Calculate the indicator’s value by dividing the number of respondents who were assisted either by a doctor or a nurse or a midwife by the total number of respondents and multiplying the result by 100.
1) Skilled health personnel is an accredited health professional - such as a midwife, doctor, nurse or auxiliary nurse/ midwife - who has been educated and trained to proficiency in the skills needed to manage uncomplicated pregnancies, childbirth and the immediate postnatal period, and in the identification, management and referral of complications in women and newborns. Traditional birth attendants and community health workers, trained or not, are excluded from the category of skilled attendants for delivery.
2) This indicator relies on accurate age assessment. Since people often do not remember the exact dates of their children’s birth, the data collectors should never rely only on the information provided by caregivers and always verify the child’s age. This can be done by reviewing the child’s birth certificate or other documents; however, since many caregivers do not have such documents, it is essential that your data collectors are able to determine the child’s age by using local events calendars. Read FAO’s Guidelines (see below) to learn how to prepare local events calendars and how to train data collectors in their correct use.
3) Disaggregate the data by place of delivery (e.g. hospital, health clinic, home), type of skilled personnel (doctor, nurse, midwife), respondent’s location (rural/ urban), age and socio-economic characteristics (wealth quintile, level of education).
Access Additional Guidance
- WHO (2013) AMTSL - New WHO Recommendations Help to Focus Implementation (.pdf)
- FAO (2008) Guidelines for Estimating the Month and Year of Birth of Young Children (.pdf)