Abstract
While according to the United Nations birth registration is a human right, in sub-Saharan Africa (SSA) only half of new-born children currently have their birth registered. To gain insight into the reasons behind this low registration rate, we study the role of determinants at the household, sub-national regional and country level, using self-reported birth registration data on 358,842 children in 40 SSA countries. While most of the variation in reported birth registration is due to factors at the household level, context factors are found to play an important role as well. At the household level, poverty, low education, restricted autonomy of women, and belonging to a traditional religion are associated with lower odds of being registered. Lack of professional care during pregnancy, delivery, and early life also decrease the odds of being registered. Important factors at the context level are the average number of prenatal care visits in the local area, living in an urban area, the kind of birth registration legislation, decentralization of the registration system, fertility rates, and the number of conflicts. To improve registration, the complex dynamics of these factors at the household and context level have to be taken into account.
Publisher
Public Library of Science (PLoS)
Reference68 articles.
1. UN. The Sustainable Development Goals Report. New York: 2019.
2. UN. Sustainable Development Goal 16. 2020 [cited 2020 March 28]. Available from: https://sustainabledevelopment.un.org/sdg16.
3. Birth registration and access to health care: an assessment of Ghana’s campaign success;S Fagernäs;Bulletin of the World Health Organization,2013
4. Who and where are the uncounted children? Inequalities in birth certificate coverage among children under five years in 94 countries using nationally representative household surveys;A Bhatia;International journal for equity in health,2017
5. UNICEF. Birth Registration for Every Child by 2030: Are we on track? New York: 2019.
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