INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2026 (SCI-Expanded, Scopus)
Objective This study was conducted to show the numerical data analysis of countries regarding the number of experienced health personnel attending births, the distribution of midwives/nurses in the world and health expenditures.Methods In this longitudinal study, the statistics published by the World Bank were used as a data source. Within the scope of the study, data on three different indicators were collected. The indicators used in the study were "Incidence of births attended by skilled health staff (% of total)," "Nurses and midwives (per 1000 people)," "Current health expenditure (% of GDP)." In the data collection process, after the data were downloaded to the personal computer with the World Bank API, the data were grouped according to the World Bank regions and the income status of the countries (Income) and the analyses were made based on these groupings. One of the researchers wrote a script using Python 3.8.18 to collect and analyze the research data.Results Globally, the number of qualified personnel decreased from 84.27% (relative to total births) of births attended by skilled person in 2010 to 80.21% (relative to total births) of births attended by skilled personnel in 2021. The data for South Asia and sub-Saharan Africa have been consistently below the global average between 2010 and 2020. The number of nurses and midwives for 1000 people worldwide was around 4.48 in 2010 and 5.62 in 2021. Data for Latin America, the Caribbean, South Asia and sub-Saharan Africa remained below the global average between 2010 and 2021. Health expenditures increased globally from 6.92% of GDP (according to each country's currency) in 2010 to 10.56% of GDP (according to each country's currency) in 2021. East Asia and the Pacific, sub-Saharan Africa, Middle East and North Africa, Latin America and the Caribbean remained below the global average.Conclusion This study highlights significant disparities in global health indicators related to skilled birth attendance, the density of nurses and midwives, and health expenditure. Moreover, regions such as South Asia, sub-Saharan Africa, and Latin America continue to fall below global averages in both skilled birth attendance and the number of nurses/midwives per capita. These results underscore the urgent need for targeted investment in maternal and newborn health services, especially in low-income regions. Strengthening the healthcare workforce and improving equitable access to skilled birth care are critical steps toward achieving global health equity and improving maternal and neonatal outcomes.