The presence of a skilled provider during childbirth and the immediate postpartum/newborn period is the single most critical intervention in saving the lives of women and newborns . The skilled provider can assist in normal deliveries and also manage or stabilize and refer for complications; all of which are critical interventions in reducing maternal and newborn mortality. The proportion of women who delivered with the assistance of a skilled birth attendant is one of the proxy indicators in meeting the fifth MDG. In almost all countries where health professionals attend more than 80% of deliveries, Maternal Mortality Rate (MMR)is below 200 per 100,000 live births [11]. However, birth with skilled attendance was low in Southern Asia (40%) and SSA (47%), the two regions with the greatest number of maternal deaths.