Trends in the utilisation of skilled birth attendance among pregnant women in Benin, from 2001 to 2017-2018, and projections to 2030

BACKGROUND: Skilled birth attendance during childbirth is known to promote better pregnancy outcomes as well as contribute to maternal and newborn survival. The study aimed to analyse the progress in the use of skilled birth attendance by pregnant women over the last two decades (2001 to 2017–2018) in Benin, and then to make projections to 2030. METHODS: A secondary analysis was made using Benin's Demographic and Health Survey (DHS) databases. The study population were i) women of 15–49 years of age who were successfully surveyed and usually resided in the households visited during DHS-II, DHS-III, DHS-IV and DHS-V, ii) and had had at least one live birth in the five years preceding each of these surveys. For each DHS, the corresponding proportion of births attended by skilled health personnel was determined. The study then generated the Annual Percent Change (APC) between each survey and globally, and projections were made to 2030. RESULTS: Nationally, the percentage of women who gave birth attended by skilled health personnel was 67.39% in 2001, 76.10% in 2006, 80.87% in 2011–2012, and 79.12% in 2017–2018; this represents an APC = 0.98% between 2001 and 2017–2018. If the historical rate of progression is maintained, it is expected that by 2030, 89.35% of pregnant women will be using skilled birth attendance services. CONCLUSION: Efforts are needed to understand the drivers of skilled birth attendance among pregnant women to adopt appropriate strategies.