HyperLink
Field Detail
Theme Health
Code PH-MH-1.3
MDG code MDG-5.2
Sub-theme Maternal Health
Name Proportion of births attended by skilled health personnel (MDG 5.2)
Definition The percentage of deliveries attended by health personnel (doctors, nurses) trained in providing life saving obstetric care, including giving the necessary supervision, care and advice to women during pregnancy, labour and the post-partum period; conducting deliveries on their own; and caring for newborns. Traditional birth attendants, even if they receive a short training course, are not included.
Calculation/Formula "The number of women aged 15-49 with a live birth attended by a skilled health personnel (doctors, nurses or midwives) during delivery / Number of women aged 15-49 with a live birth in the same period x 100"
Unit of Measure %
Range (eg Age) Pregnant women 15-49 years
Assumptions A skilled birth attendant is an accredited health professional – such as a midwife, doctor or nurse – who has been educated and trained to proficiency in the skills needed to manage normal (uncomplicated) pregnancies, childbirth and the immediate postnatal period, and in the identification, management and referral of complications in women and newborns. Traditional birth attendants, trained or not, are excluded from the category of skilled attendant at delivery.
Limitations Concerns have been expressed that the presence of a skilled attendant may not adequately capture women’s access to good quality care, particularly when complications arise, and information on the supplies and equipment a skilled attendant may or may not have is lacking. In addition, standardization of the definition of skilled health personnel is sometimes difficult because of differences in training of health personnel in different countries. Although efforts have been made to standardize the definitions of doctors, nurses, midwives and auxiliary midwives used in most household surveys, it is probable that many skilled attendants’ ability to provide appropriate care in an emergency depends on the environment in which they work.
Purpose/Rationale Since the indicator Maternal Mortality Ratio cannot measure short-term trends, it would not capture changes over the time period covered by the MDGs i.e. 1990 to 2015, there is a need to use a proxy indicator. The proportion of births attended by skilled health personnel has been selected to monitor progress towards the MDGs
Policy Linkages National Reproductive Health Policies and Strategies, MOH Corporate/ Strategic Plans
Preferred Data Sources Health Information Management System
Alternative_Data Sources DHS
Census - HIES - DHS tag DHS
Primary Data Collection System National Administrative Database - Health Information Management Systems (HIS)
Frequency of Data Collection Annual
Other agencies countries_ must report to: CHIPS
SPC Responsibility - Data Management SDP
SPC Programme PHD
Numerator The number of women aged 15-49 with a live birth attended by a skilled health personnel (doctors, nurses or midwives) during delivery
Denominator Number of women aged 15-49 with a live birth in the same period
Factor x 100
Unit %
Other Metadata Link http://mdgs.un.org/unsd/mdg/Metadata.aspx