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ORIGINAL ARTICLE
Open Access

Mapping the Prevalence and Sociodemographic Characteristics of Women Who Deliver Alone: Evidence From Demographic and Health Surveys From 80 Countries

Nosakhare Orobaton, Anne Austin, Bolaji Fapohunda, Dele Abegunde and Kizzy Omo
Global Health: Science and Practice March 2016, 4(1):99-113; https://doi.org/10.9745/GHSP-D-15-00261
Nosakhare Orobaton
aJSI Research & Training Institute, Inc., United States Agency for International Development (USAID) | Targeted States High Impact Project (TSHIP), Washington, DC, USA
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Anne Austin
bJSI Research & Training Institute, Inc., USAID | TSHIP, Boston, MA, USA
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Bolaji Fapohunda
cJSI Research & Training Institute, Inc., USAID | TSHIP, Abuja, Nigeria
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Dele Abegunde
cJSI Research & Training Institute, Inc., USAID | TSHIP, Abuja, Nigeria
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Kizzy Omo
cJSI Research & Training Institute, Inc., USAID | TSHIP, Abuja, Nigeria
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    FIGURE 1.

    Prevalence of Women Giving Birth With No One Present Among the 80 Countries With Available DHS Data

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    TABLE 1 Estimated Number of Women Who Gave Birth With No One Present (NOP) and Percent Contribution of Each Country to the Total Number of Births With NOP, Selected Countries With DHS Data Between 2005 and 2015a
    Country & Survey YearPopulation of Women Aged 15–49General Fertility Rate/1,000 Women Aged 15–44bPercentage of Live Births With NOPEstimated Number of Women Giving Birth With NOPEstimated Percent Contribution to the Total Number of Births With NOP Among All Surveyed Countries
    Nigeria 201339,466,7680.19013.00%974,82944.22%
    India 2005279,621,4190.1010.50%141,2096.41%
    Niger 20123,423,5890.26914.50%133,5376.06%
    Tanzania 201110,465,7970.1886.70%131,8275.98%
    Ethiopia 201120,405,1770.1613.80%124,8395.66%
    Uganda 20117,234,1280.2176.80%106,7474.84%
    Kenya 20089,361,6360.1616.50%97,9704.44%
    Angola 20063,385,0340.1988.40%56,3002.55%
    Mali 20123,524,9850.2145.80%43,7521.98%
    DRC 201318,043,7280.2250.80%32,4791.47%
    Guinea 20122,518,9960.1767.10%31,4771.43%
    Rwanda 20102,650,8410.1517.30%29,2201.33%
    Cameroon 20114,993,4390.1803.10%27,8631.26%
    Nepal 20117,986,8220.0962.90%22,2351.01%
    Côte d'Ivoire 20115,293,9150.1742.40%22,1071.00%
    Ghana 20085,654,5180.1362.70%20,7630.94%
    Zambia 20133,274,6510.1843.10%18,6790.85%
    Malawi 20103,388,7910.2022.70%18,4820.84%
    Yemen 20136,040,8270.2061.40%17,4220.79%
    Bangladesh 201143,392,9260.0920.40%15,9690.72%
    Burundi 20102,068,1220.2033.60%15,1140.69%
    Senegal 20143,435,9610.1722.50%14,7750.67%
    Pakistan 201248,212,8040.1310.20%12,6320.57%
    Mozambique 20115,453,3520.2061.10%12,3570.56%
    Zimbabwe 20102,894,6450.1502.80%12,1580.55%
    Indonesia 201265,894,6560.0880.20%11,5970.53%
    Burkina Faso 20103,688,8660.2061.40%10,6390.48%
    Togo 20131,755,4250.1633.10%8,8700.40%
    Madagascar 20084,668,3840.1680.80%6,2740.28%
    Haiti 20122,576,0700.1171.90%5,7270.26%
    Benin 20112,144,2410.1751.10%4,1280.19%
    Egypt 201422,030,7930.1270.10%2,7980.13%
    Bolivia 20082,478,3350.1210.90%2,6990.12%
    Philippines 201324,814,9110.1010.10%2,5060.11%
    Peru 20128,124,0850.0860.30%2,0960.10%
    Swaziland 2006320,6320.1374.40%1,9330.09%
    Colombia 201012,024,5520.0740.20%1,7800.08%
    Honduras 20112,084,1880.1070.60%1,3380.06%
    Timor-Leste 2009242,0260.1753.00%1,2710.06%
    Congo 20111,084,8120.1820.50%9870.04%
    Gambia 2013486,6290.0851.90%7860.04%
    Namibia 2013583,3750.1250.90%6560.03%
    Lesotho 2009523,6540.1191.00%6230.03%
    Azerbaijan 20062,637,9850.0660.30%5220.02%
    Sierra Leone 20131,391,2630.1690.20%4700.02%
    Jordan 20121,722,9110.1120.20%3860.02%
    Liberia 2013928,6190.1680.20%3120.01%
    Tajikistan 20122,128,7420.1340.10%2850.01%
    Dominican Rep. 20132,629,8980.0890.10%2340.01%
    Comoros 2012181,2150.1420.90%2320.01%
    Gabon 2012376,3600.1440.40%2170.01%
    Kyrgyzstan 20131,487,2070.1250.10%1860.01%
    Moldova 20051,083,1660.0550.20%1190.01%
    Guyana 2009185,8750.0940.60%105<0.01%
    Albania 2008798,4420.0460.10%37<0.01%
    Armenia 2010849,5110.0610.00%0<0.01%
    Cambodia 20104,088,9030.1050.00%0<0.01%
    Sao Tome and Principe 200839,0780.1640.00%0<0.01%
    Ukraine 200712,201,7720.0390.00%0<0.01%
    Total2,204,554
    • ↵a We excluded the following 18 countries because they did not have DHS data since 2005: Botswana, Brazil, Central African Republic, Chad, Eritrea, Guatemala, Mauritania, Mexico, Morocco, Nicaragua, Paraguay, South Africa, Sri Lanka, Trinidad and Tobago, Turkey, Turkmenistan, Uzbekistan, and Vietnam. We also excluded Ecuador 1987, Sudan 1989, and Thailand 1987 both because they did not have recent DHS data and because census data were missing for these countries.

    • ↵b Number of live births in the 3 years preceding each survey year per woman aged 15–44.

    • Source of data: Population data from the US Census Bureau; general fertility rate and percentage of live births with NOP from STATcompiler.

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    TABLE 2 Percentage of Women Whose Most Recent Birtha Occurred With No One Present, Stratified by Residence, Wealth Quintile, and Maternal Age
    ResidenceHousehold Wealth IndexMaternal Age at Birth
    Country & Survey YearTotalUrbanRuralLowestSecondMiddleFourthHighest<2020–34≥35
    sub-Saharan Africa
    Angola 2006-078.43.513.715.513.05.83.90.65.89.217.3
    Benin 2011-121.10.91.32.61.31.00.50.20.71.21.3
    Botswana 19881.40.21.7NANANANANA0.01.62.5
    Burkina Faso 20101.40.51.51.82.01.21.20.30.31.41.8
    Burundi 20103.61.63.85.43.73.04.61.30.53.07.4
    Cameroon 20113.11.34.48.13.61.60.60.32.23.14.3
    Central African Republic 1994-951.81.42.11.52.72.71.40.70.21.94.2
    Chad 20044.02.94.33.66.64.02.73.02.14.55.2
    Comoros0.90.80.92.20.80.20.50.20.01.01.2
    Congo (Brazzaville) 2011-120.50.11.11.50.40.10.20.00.30.50.7
    Congo Democratic Republic 2013-140.80.51.01.40.91.00.40.30.30.81.4
    Côte d'Ivoire 2011-122.40.73.43.52.62.62.00.60.72.63.4
    Eritrea 20020.30.20.30.20.30.40.30.00.50.10.5
    Ethiopia 20113.81.64.23.44.83.83.92.92.83.66.0
    Gabon 20120.40.30.80.90.20.30.00.50.20.50.3
    Gambia 20131.91.91.91.92.12.81.70.90.42.02.7
    Ghana 20082.71.13.84.83.71.71.60.51.12.35.7
    Guinea 20127.11.99.011.56.59.15.80.53.86.215.8
    Kenya 2008-096.51.87.68.28.47.45.82.12.45.816.4
    Lesotho 20091.00.61.11.40.72.00.50.30.51.20.7
    Liberia 20130.20.00.40.60.10.10.00.10.10.20.3
    Madagascar 2008-090.80.20.81.70.60.40.50.10.20.72.0
    Malawi 20102.72.22.83.93.12.42.41.50.52.56.7
    Mali 2012-135.82.06.77.76.78.04.51.13.95.88.1
    Mauritania 2000-016.91.610.97.410.410.04.81.16.66.68.4
    Mozambique 20111.11.21.10.51.40.91.21.80.90.92.6
    Namibia 20130.90.21.52.30.80.40.50.00.00.91.6
    Niger 201214.53.616.216.417.718.112.67.38.815.019.1
    Nigeria13.06.416.725.717.410.55.11.69.112.817.8
    Rwanda 20137.35.27.69.88.97.75.53.12.06.313.7
    Sao Tome and Principe 2008-090.00.00.00.00.00.00.00.00.00.00.0
    Senegal 2012-135.11.57.011.36.72.92.10.22.44.78.7
    Sierra Leone 20130.20.10.20.30.20.10.20.00.00.20.2
    South Africa 19982.10.63.55.42.30.50.50.01.12.13.0
    Sudan 1989-904.32.15.5NANANANANA7.53.74.5
    Swaziland 2006-074.41.55.311.34.81.82.11.22.13.714.2
    Tanzania 20103.51.14.14.34.53.93.20.01.33.45.5
    Togo 2013-143.10.84.45.25.13.41.00.31.52.85.4
    Uganda 20116.81.07.78.88.79.05.21.11.46.514.2
    Zambia3.11.14.14.54.63.21.20.40.42.59.4
    Zimbabwe 2013-142.81.43.45.13.13.01.21.31.22.58.3
    North Africa/West Asia and Eastern Europe
    Albania 2008-090.10.20.00.30.00.00.00.00.90.00.0
    Armenia 20100.00.00.00.00.00.00.00.00.00.00.0
    Azerbaijan 20060.30.50.10.00.31.20.00.00.00.40.0
    Egypt 20140.10.00.10.10.30.00.00.00.20.10.2
    Jordan 20120.20.20.10.20.00.00.70.00.00.20.2
    Moldova 20050.20.20.20.40.60.00.00.00.00.20.0
    Morocco 2003-041.10.41.82.51.40.40.30.30.00.73.2
    Turkey 19980.70.31.42.10.70.00.40.00.00.63.3
    Ukraine 20070.00.00.00.00.00.00.00.00.00.00.0
    Yemen 19974.42.74.93.64.15.85.23.52.04.27.7
    Central Asia
    Kyrgyz Republic 20120.10.00.20.00.00.60.00.00.00.20.0
    Tajikistan 20120.10.10.10.50.00.10.00.00.00.10.8
    Turkmenistan 20000.20.20.10.30.00.00.00.60.00.20.0
    Uzbekistan 19960.40.00.60.80.01.00.00.00.00.41.9
    South and Southeast Asia
    Bangladesh 20110.40.20.50.70.90.40.10.00.20.60.0
    Cambodia 20100.00.00.00.00.00.00.10.00.00.00.0
    India 2005-060.50.30.61.10.50.40.10.10.20.51.4
    Indonesia 20120.20.10.40.80.20.10.00.00.40.20.4
    Nepal 20112.91.43.07.72.61.00.80.30.83.07.2
    Pakistan 2012-130.20.00.20.10.50.20.00.00.00.20.2
    Philippines 20130.10.00.20.40.00.00.00.00.00.10.1
    Sri Lanka 19870.20.00.3NANANANANA0.00.30.0
    Thailand 19871.00.21.1NANANANANA0.40.65.0
    Timor-Leste 2009-103.01.63.44.53.53.72.40.61.82.25.6
    Vietnam 20020.10.00.10.20.20.00.00.00.00.10.0
    Latin America and the Caribbean
    Bolivia 20080.90.41.52.00.90.70.00.10.60.91.5
    Brazil 19960.60.41.01.00.90.30.00.00.20.60.8
    Colombia 20100.20.10.40.60.20.00.00.00.00.30.2
    Dominican Republic 20130.10.10.00.10.10.20.00.00.00.10.0
    Ecuador 19872.20.63.8NANANANANA0.42.05.7
    El Salvador 19857.63.011.3NANANANANA4.57.813.5
    Guatemala 1998-991.20.02.03.61.30.30.00.01.01.02.7
    Guyana 20090.60.30.70.80.01.30.60.00.00.61.8
    Haiti 20121.91.42.12.32.01.51.42.30.81.54.2
    Honduras 2011-120.60.31.01.50.80.50.00.00.20.71.0
    Mexico 19872.60.85.6NANANANANA0.52.74.9
    Nicaragua 20011.10.51.72.61.20.40.30.10.31.03.8
    Paraguay 19900.50.20.80.41.50.00.60.00.00.60.5
    Peru 20120.30.20.71.00.30.00.20.00.00.30.8
    Trinidad and Tobago 19870.10.00.2NANANANANA0.00.10.0
    • ↵a Data were restricted to the most recent live birth in the 3 years preceding each survey.

    • View popup
    TABLE 3 Percentage of Women Whose Most Recent Birtha Occurred With No One Present, Stratified by Antenatal Care (ANC) Visits, Birth Order of the Index Child, and Maternal Educational Levels
    No. of ANC Visits for Recent BirthBirth Order of the Index ChildMother’s Highest Educational Level
    Country & Survey YearTotalNone1–3≥412–34–5≥6NonePrimarySecondary or higher
    sub-Saharan Africa
    Angola 2006-078.4NANANANANANANA13.37.90.0
    Benin 2011-121.14.22.00.20.90.91.41.51.50.40.1
    Botswana 19881.4NANANA0.31.71.81.94.00.40.0
    Burkina Faso 20101.44.31.60.50.01.41.71.81.60.30.1
    Burundi 20103.616.74.02.50.82.35.66.54.62.90.3
    Cameroon 20113.19.63.11.50.62.03.27.68.12.00.4
    Central African Republic 1994-951.83.71.31.20.21.72.42.92.41.21.0
    Chad 20044.05.12.82.70.93.74.16.33.85.51.4
    Comoros0.95.60.50.30.20.81.11.61.60.60.1
    Congo (Brazzaville) 2011-120.53.40.60.20.10.40.61.31.70.80.2
    Congo Democratic Republic 2013-140.82.00.60.80.20.41.31.31.21.10.4
    Côte d'Ivoire 2011-122.48.72.70.90.51.83.34.83.01.80.5
    Eritrea 20020.30.50.10.20.00.20.00.80.30.30.0
    Ethiopia 20113.84.52.63.42.13.53.16.04.23.31.3
    Gabon 20120.42.40.30.30.30.20.60.60.20.70.3
    Gambia 20131.923.92.71.40.61.61.64.12.11.51.9
    Ghana 20082.78.64.42.10.40.95.86.54.32.81.5
    Guinea 20127.120.55.64.92.74.99.512.18.72.41.1
    Kenya 2008-096.517.26.74.50.53.79.416.28.07.63.0
    Lesotho 20091.03.51.10.60.40.72.72.43.11.30.5
    Liberia 20130.21.00.60.10.00.10.40.40.20.30.0
    Madagascar 2008-090.83.60.60.30.00.60.62.11.00.90.2
    Malawi 20102.715.12.72.30.61.63.26.44.22.71.2
    Mali 2012-135.811.84.73.03.64.56.18.96.34.81.5
    Mauritania 2000-016.911.05.63.04.47.26.39.19.23.31.5
    Mozambique 20111.10.41.21.30.70.81.31.91.21.11.1
    Namibia 20130.95.92.10.50.10.81.82.44.01.90.3
    Niger 201214.515.015.013.76.411.216.719.115.710.13.6
    Nigeria13.021.517.16.84.39.914.622.621.79.72.6
    Rwanda 20137.336.48.73.71.06.210.115.311.76.72.9
    Sao Tome and Principe 2008-090.00.00.00.00.00.00.00.00.00.00.0
    Senegal 2012-135.123.65.82.71.43.27.59.56.33.50.8
    Sierra Leone 20130.20.00.40.10.00.10.20.30.20.00.0
    South Africa 19982.16.52.31.70.41.53.57.87.63.10.9
    Sudan 1989-904.3NANANA4.14.23.84.87.40.40.5
    Swaziland 2006-074.415.24.63.80.93.18.312.310.66.12.4
    Tanzania 20103.56.54.22.20.22.63.67.93.73.70.7
    Togo 2013-143.113.53.41.50.52.72.68.45.02.40.9
    Uganda 20116.814.18.64.31.23.37.413.712.57.22.2
    Zambia3.17.03.52.60.11.13.09.28.03.50.9
    Zimbabwe 2013-142.85.02.92.30.52.06.210.410.74.22.1
    North Africa/West Asia and Eastern Europe
    Albania 2008-090.14.10.00.00.20.00.00.06.10.00.0
    Armenia 20100.00.00.00.00.00.00.00.00.00.00.0
    Azerbaijan 20060.31.60.00.00.00.70.00.00.00.00.3
    Egypt 20140.10.70.10.00.00.10.20.20.20.10.1
    Jordan 20120.21.32.30.00.00.30.10.10.00.10.2
    Moldova 20050.20.00.00.20.00.40.00.00.00.00.2
    Morocco 2003-041.11.80.70.80.00.41.94.61.70.00.1
    Turkey 19980.71.80.80.00.10.50.74.01.50.70.0
    Ukraine 20070.00.00.00.00.00.00.00.00.00.00.0
    Yemen 19974.45.13.13.51.73.14.36.54.82.93.1
    Central Asia
    Kyrgyz Republic 20120.10.00.00.20.40.00.00.00.00.00.0
    Tajikistan 20120.10.30.30.00.10.10.40.02.50.00.1
    Turkmenistan 20000.217.00.00.00.20.20.00.00.00.00.2
    Uzbekistan 19960.42.00.00.30.00.00.01.90.00.00.4
    South and Southeast Asia
    Bangladesh 20110.40.60.50.20.00.41.90.00.70.60.3
    Cambodia 20100.00.00.00.00.00.00.00.00.00.00.0
    India 2005-060.51.10.50.20.10.50.91.50.90.30.1
    Indonesia 20120.22.41.30.10.20.10.91.41.30.50.1
    Nepal 20112.99.52.41.30.62.06.512.04.52.71.0
    Pakistan 2012-130.20.40.10.10.00.20.20.20.30.00.0
    Philippines 20130.10.40.20.10.00.10.00.41.40.40.0
    Sri Lanka 19870.2NANANA0.00.10.90.70.70.30.2
    Thailand 19871.0NANANA0.21.01.84.20.31.01.2
    Timor-Leste 2009-103.05.43.52.21.12.22.65.44.93.21.3
    Vietnam 20020.10.30.10.00.00.00.62.01.10.00.0
    Latin America and the Caribbean
    Bolivia 20080.92.91.40.50.20.71.32.23.31.20.2
    Brazil 19960.61.71.20.30.20.31.61.90.31.00.3
    Colombia 20100.21.10.80.10.00.20.41.11.00.50.1
    Dominican Republic 20130.13.20.00.10.00.10.40.51.00.00.1
    Ecuador 19872.2NANANA0.81.62.54.99.52.00.2
    El Salvador 19857.6NANANA2.95.69.816.117.44.80.0
    Guatemala 1998-991.22.73.20.40.30.71.22.92.31.00.0
    Guyana 20090.60.00.00.70.00.81.10.60.00.20.7
    Haiti 20121.92.72.11.70.52.13.32.93.61.71.1
    Honduras 2011-120.63.31.00.50.10.71.21.83.20.80.1
    Mexico 19872.6NANANA0.60.83.87.38.62.20.3
    Nicaragua 20011.13.01.50.60.00.41.64.33.50.60.2
    Paraguay 19900.52.70.20.40.00.11.41.20.00.70.0
    Peru 20120.32.10.00.30.00.20.91.70.51.00.1
    Trinidad and Tobago 19870.1NANANA0.00.00.50.00.00.20.0
    • ↵a Data were restricted to the most recent live birth in the 3 years preceding each survey.

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Global Health: Science and Practice: 4 (1)
Global Health: Science and Practice
Vol. 4, No. 1
March 21, 2016
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Mapping the Prevalence and Sociodemographic Characteristics of Women Who Deliver Alone: Evidence From Demographic and Health Surveys From 80 Countries
Nosakhare Orobaton, Anne Austin, Bolaji Fapohunda, Dele Abegunde, Kizzy Omo
Global Health: Science and Practice Mar 2016, 4 (1) 99-113; DOI: 10.9745/GHSP-D-15-00261

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Mapping the Prevalence and Sociodemographic Characteristics of Women Who Deliver Alone: Evidence From Demographic and Health Surveys From 80 Countries
Nosakhare Orobaton, Anne Austin, Bolaji Fapohunda, Dele Abegunde, Kizzy Omo
Global Health: Science and Practice Mar 2016, 4 (1) 99-113; DOI: 10.9745/GHSP-D-15-00261
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    • Gender
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    • Maternal, Newborn, and Child Health
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