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Determinants of skilled birth attendant utilization in Afghanistan: A cross-sectional study

Author

Listed:
  • Mayhew, M.
  • Hansen, P.M.
  • Peters, D.H.
  • Edward, A.
  • Singh, L.P.
  • Dwivedi, V.
  • Mashkoor, A.
  • Burnham, G.

Abstract

Objectives. We sought to identify characteristics associated with use of skilled birth attendants where health services exist in Afghanistan. Methods. We conducted a cross-sectional study in all 33 provinces in 2004, yielding data from 617 health facilities and 9917 women who lived near the facilities and had given birth in the past 2 years. Results. Only 13% of respondents had used skilled birth attendants. Women from the wealthiest quintile (vs the poorest quintile) had higher odds of use (odds ratio [OR] = 6.3; 95% confidence interval [CI] = 4.4, 8.9). Literacy was strongly associated with use (OR = 2.5; 95% CI = 2.0, 3.2), as was living less than 60 minutes from the facility (OR = 1.5; 95% CI = 1.1, 2.0) and residing near a facility with a female midwife or doctor (OR = 1.4; 95% CI = 1.1, 1.8). Women living near facilities that charged user fees (OR = 0.8; 95% CI = 0.6, 1.0) and that had male community health workers (OR = 0.6; 95% CI = 0.5, 0.9) had lower odds of use. Conclusions. In Afghanistan, the rate of use of safe delivery care must be improved. The financial barriers of poor and uneducated women should be reduced and culturally acceptable alternatives must be considered.

Suggested Citation

  • Mayhew, M. & Hansen, P.M. & Peters, D.H. & Edward, A. & Singh, L.P. & Dwivedi, V. & Mashkoor, A. & Burnham, G., 2008. "Determinants of skilled birth attendant utilization in Afghanistan: A cross-sectional study," American Journal of Public Health, American Public Health Association, vol. 98(10), pages 1849-1856.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.123471_9
    DOI: 10.2105/AJPH.2007.123471
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    Cited by:

    1. Sarwat Mumtaz & Jinwook Bahk & Young-Ho Khang, 2019. "Current status and determinants of maternal healthcare utilization in Afghanistan: Analysis from Afghanistan Demographic and Health Survey 2015," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-14, June.
    2. Evan D Peet & Edward N Okeke, 2019. "Utilization and quality: How the quality of care influences demand for obstetric care in Nigeria," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-18, February.
    3. Hirose, Atsumi & Borchert, Matthias & Niksear, Homa & Alkozai, Ahmad Shah & Cox, Jonathan & Gardiner, Julian & Osmani, Khadija Ruina & Filippi, Véronique, 2011. "Difficulties leaving home: A cross-sectional study of delays in seeking emergency obstetric care in Herat, Afghanistan," Social Science & Medicine, Elsevier, vol. 73(7), pages 1003-1013.
    4. Ramos, Amaya Alexandra, 2022. "Interventions and participatory clinical research for the enhancement of health systems interfacing with displaced Afghan women," SocArXiv hysbu, Center for Open Science.
    5. Simon Batchelor & Linda Waldman & Gerry Bloom & Sabrina Rasheed & Nigel Scott & Tanvir Ahmed & Nazib Uz Zaman Khan & Tamanna Sharmin, 2015. "Understanding Health Information Seeking from an Actor-Centric Perspective," IJERPH, MDPI, vol. 12(7), pages 1-22, July.
    6. Qudratullah Ahmadi & Homayoon Danesh & Vasil Makharashvili & Kathryn Mishkin & Lovemore Mupfukura & Hillary Teed & Maggie Huff-Rousselle, 2016. "SWOT analysis of program design and implementation: a case study on the reduction of maternal mortality in Afghanistan," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(3), pages 247-259, July.
    7. Teketo Kassaw Tegegne & Catherine Chojenta & Deborah Loxton & Roger Smith & Kelemu Tilahun Kibret, 2018. "The impact of geographic access on institutional delivery care use in low and middle-income countries: Systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-16, August.

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