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.
Bawuah et al. (Thu,) studied this question.