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Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Research Article

Skilled Birth Attendant and Its Determinants among the Tribal Women of Bangladesh

Author(s): Abu Naser MD. Rezaul Karim*

Volume 16, Issue 2, 2020

Page: [127 - 136] Pages: 10

DOI: 10.2174/1573404816666200106125222

open access plus

Abstract

Background: The indigenous people are socially, linguistically, and scientifically diverse. A global trend leads us to the notion that primitive women are somewhat less privileged than non-tribal mothers around the world. This problem also sounds true in the context of Bangladesh. A competent birth attendant at birth is the most important intervention for pregnant women. However, the use of skilled birth attendants has been widely discriminated among tribal and non-tribal women.

Objective: This study assesses SBA acceptance and utilization barriers during childbirth among Bangladesh tribal women.

Methods: A quantitative approach was employed, and the data were collected via questionnaires. Descriptive statistics, Chi-square (χ2) tests and Binary Logistic Regression were used to analyze the frequency, relationship, and to determine tribal women seeking the services of SBA during childbirth.

Results: The results showed that the highest prevalence of delivery (66%) among tribal women occurred at home. 46% of the mothers gave birth to their children with the assistance of a skilled birth attendant, of which 12% of them were at home, and 34% were in the hospital. The remaining 54% of mothers gave birth to their babies with the assistance of a traditional midwife. Results also show that socio-economic conditions, education of women, distance from health care facilities, family planning, husbands’ occupation, and media exposure are the key determinants in pursuing SBA.

Conclusion: The study revealed a low prevalence of utilizing skilled birth attendance among tribal women of Bangladesh. Hence, upgrading socio-economic conditions and boosting the education levels of tribal women, ensuring easy access to the media, and launching short-term training to train typical birth attendants are the key recommendations for seeking expert birth attendants.

Keywords: Skilled birth attendant, traditional (conventional/untrained) birth attendants, trained traditional birth attendants, home delivery, tribal women, institutional delivery.

Graphical Abstract
[1]
Gyimah SO, Takyi BK, Addai I. Challenges to the reproductive-health needs of African women: on religion and maternal health utilization in Ghana. Soc Sci Med 2006; 62(12): 2930-44.
[http://dx.doi.org/10.1016/j.socscimed.2005.11.034] [PMID: 16406206]
[2]
WHO. Maternal mortality 2016.http://www.who.int/mediacare/ factsheets/fs34
[3]
Kifle D, Azale T, Gelaw YA, Melsew YA. Maternal health care service seeking behaviors and associated factors among women in rural Haramaya District, Eastern Ethiopia: a triangulated community-based cross-sectional study. Reprod Health 2017; 14(1): 6.
[http://dx.doi.org/10.1186/s12978-016-0270-5] [PMID: 28086926]
[4]
Alkema L, Chou D, Hogan D, et al. United Nations Maternal Mortality Estimation Inter-Agency Group collaborators and technical advisory group. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet 2016; 387(10017): 462-74.
[http://dx.doi.org/10.1016/S0140-6736(15)00838-7] [PMID: 26584737]
[5]
United Nations Children’s Fund, World Health Organization, World Bank. United Nations-DESA Population Division 2015.https://data.unicef.org/topic/maternal-health/antenatal-care/
[6]
National Institute of Population Research and Training (NIPORT). Mitra and Associates, and ICF International 2016.https://dhsprogram.com/pubs/pdf/FR311/FR311.pdf
[7]
World Health Organization. The World Health Report 2004: Making pregnancy safer: The critical role of the skilled attendant: A joint statement by WHO ICM and FIGO Geneva. Switzerland: World Health Organization 2004.
[8]
Sarker BK, Rahman M, Rahman T, Hossain J, Reichenbach L, Mitra DK. Reasons for preference of home delivery with traditional birth attendants (TBAs) in Rural Bangladesh: A qualitative exploration. PLoS One 2016; 11(1): e0146161
[http://dx.doi.org/10.1371/journal.pone.0146161] [PMID: 26731276]
[9]
Rahman SA, Kielmann T, McPake B, Normand C. Healthcare-seeking behaviour among the tribal people of Bangladesh: Can the current health system really meet their needs? J Health Popul Nutr 2012; 30(3): 353-65.
[http://dx.doi.org/10.3329/jhpn.v30i3.12299] [PMID: 23082637]
[10]
Begum M, Sarwar KB, Akther N, Sabnom R, Begum A, Chowdhury KA. Sociodemographic determinants of delivery practice in rural women of Bangladesh. Delta Med Col J 2013; 1(2): 42-5.
[http://dx.doi.org/10.3329/dmcj.v1i2.15917]
[11]
Markwick A, Ansari Z, Sullivan M, Parsons L, McNeil J. Inequalities in the social determinants of health of Aboriginal and Torres Strait Islander People: a cross-sectional population-based study in the Australian state of Victoria. Int J Equity Health 2014; 13: 91.
[http://dx.doi.org/10.1186/s12939-014-0091-5] [PMID: 25326177]
[12]
World Health Organization. Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health. Geneva: World Health Organization 2008. [PubMed] [Google Scholar]
[13]
Navaneetham K, Dharmalingam A. Utilization of maternal health care services in Southern India. Soc Sci Med 2002; 55(10): 1849-69.
[http://dx.doi.org/10.1016/S0277-9536(01)00313-6] [PMID: 12383469]
[14]
Hajizadeh M, Alam N, Nandi A. Social inequalities in the utilization of maternal care in Bangladesh: Have they widened or narrowed in recent years? Int J Equity Health 2014; 13: 120.
[http://dx.doi.org/10.1186/s12939-014-0120-4] [PMID: 25492512]
[15]
Barakat A, Halim S, Poddar A, et al. Socioeconomic baseline survey of Chittagong hill tracts Human Development Research Center Dhaka 2009.
[16]
Islam RM. Utilization of maternal health care services among indigenous women in Bangladesh: A study on the Mru tribe. Women Health 2017; 57(1): 108-18.
[http://dx.doi.org/10.1080/03630242.2016.1153020] [PMID: 26881330]
[17]
Mohsin A. The Politics of Nationalism - The Case of Chittagong Hill Tracts Bangladesh. The University Press Limited: Dhaka, Bangladesh 1997.
[18]
Chakraborty N, Islam MA, Chowdhury RI, Bari W, Akhter HH. Determinants of the use of maternal health services in rural Bangladesh. Health Promot Int 2003; 18(4): 327-37.
[http://dx.doi.org/10.1093/heapro/dag414] [PMID: 14695364]
[19]
Paul BK, Rumsey DJ. Utilization of health facilities and trained birth attendants for childbirth in rural Bangladesh: an empirical study. Soc Sci Med 2002; 54(12): 1755-65.
[http://dx.doi.org/10.1016/S0277-9536(01)00148-4] [PMID: 12113433]
[20]
Babalola S, Fatusi A. Determinants of use of maternal health services in Nigeria--looking beyond individual and household factors. BMC Pregnancy Childbirth 2009; 9(43): 43.
[http://dx.doi.org/10.1186/1471-2393-9-43] [PMID: 19754941]
[21]
Celik Y, Hotchkiss DR. The socio-economic determinants of maternal health care utilization in Turkey. Soc Sci Med 2000; 50(12): 1797-806.
[http://dx.doi.org/10.1016/S0277-9536(99)00418-9] [PMID: 10798333]
[22]
Mrisho M, Schellenberg JA, Mushi AK, et al. Factors affecting home delivery in rural Tanzania. Trop Med Int Health 2007; 12(7): 862-72.
[http://dx.doi.org/10.1111/j.1365-3156.2007.01855.x] [PMID: 17596254]
[23]
Karim ANMR, Kamal SMM, Islam MR. Antenatal Care Practices with Associated Factors among Tribal Women of Bangladesh. Am J Appl Math Stat 2018; 6(4): 149-57.
[http://dx.doi.org/10.12691/ajams-6-4-5]
[24]
Van Malderen C, Ogali I, Khasakhala A, et al. Decomposing Kenyan socio-economic inequalities in skilled birth attendance and measles immunization. Int J Equity Health 2013; 12: 3.
[http://dx.doi.org/10.1186/1475-9276-12-3] [PMID: 23294938]
[25]
Baral YR, Lyons K, Skinner J, van Teijlingen ER. Determinants of skilled birth attendants for delivery in Nepal. Kathmandu Univ Med J (KUMJ) 2010; 8(31): 325-. [KUMJ].
[PMID: 22610739]
[26]
Anwar I, Sami M, Akhtar N, et al. Inequity in maternal health-care services: evidence from home-based skilled-birth-attendant programmes in Bangladesh. Bull World Health Organ 2008; 86(4): 252-9.
[http://dx.doi.org/10.2471/BLT.07.042754] [PMID: 18438513]
[27]
Matsumura M, Gubhaju B. Women’s status, household structure and the Utilization of maternal health services in Nepal. Asia Pac Popul J 2001; 16: 23-44.
[http://dx.doi.org/10.18356/e8a4c9ed-en]
[28]
Karim ANM. Assessing Barriers for Delayed Antenatal Care Services among Tribal Women of Bangladesh. Int J Public Health Res 2019; 9(2): 1100-7.
[29]
Jungari S, Paswan B. What he knows about her and how it affects her? Husband’s knowledge of pregnancy complications and maternal health care utilization among tribal population in Maharashtra, India. BMC Pregnancy Childbirth 2019; 19(1): 70.
[http://dx.doi.org/10.1186/s12884-019-2214-x] [PMID: 30760234]
[30]
Mills S, Williams JE, Adjuik M, Hodgson A. Use of health professionals for delivery following the availability of free obstetric care in northern Ghana. Matern Child Health J 2008; 12(4): 509-18.
[http://dx.doi.org/10.1007/s10995-007-0288-y] [PMID: 17955355]

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