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Utilization of health facilities and trained birth attendants for childbirth in rural Bangladesh: an empirical study

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  • Paul, Bimal Kanti
  • Rumsey, Deborah J.

Abstract

The majority of births in rural Bangladesh are carried out in unhygienic conditions by relatives and traditional birth attendants (TBAs). This results in a high incidence of maternal and infant mortality that could be reduced if childbirth were to occur in health centers or under the supervision of trained TBAs (TTBAs). In this paper, we examined factors associated with utilization of modern health resources for childbirth in 39 villages of Bangladesh. We followed a retrospective survey research design to collect relevant information from couples who experienced childbirth during a two-year period from July 1, 1995 to June 1997. The data indicate that slightly over 11% of the deliveries were performed by trained personnel with the rest attended by TBAs. Multivariate analysis clearly shows that delivery complications was the most significant factor determining the use of modern health care resources for childbirth, followed by parental education, and pre-natal care. We conclude that quick response to delivery complications and improved access to hospitals and TTBAs can reduce the risk of infant and maternal mortality and morbidity in rural Bangladesh.

Suggested Citation

  • Paul, Bimal Kanti & Rumsey, Deborah J., 2002. "Utilization of health facilities and trained birth attendants for childbirth in rural Bangladesh: an empirical study," Social Science & Medicine, Elsevier, vol. 54(12), pages 1755-1765, June.
    • Handle: RePEc:eee:socmed:v:54:y:2002:i:12:p:1755-1765
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    Cited by:

    1. Gayen, Kaberi & Raeside, Robert, 2007. "Social networks, normative influence and health delivery in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 65(5), pages 900-914, September.
    2. Head, Sara K. & Yount, Kathryn M. & Sibley, Lynn M., 2011. "Delays in recognition of and Care-seeking response to prolonged labor in Bangladesh," Social Science & Medicine, Elsevier, vol. 72(7), pages 1157-1168, April.
    3. Fiifi Amoako Johnson & Sabu S Padmadas & Zoë Matthews, 2013. "Are Women Deciding against Home Births in Low and Middle Income Countries?," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-10, June.
    4. Parkhurst, Justin Oliver & Rahman, Syed Azizur, 2007. "Life saving or money wasting?: Perceptions of caesarean sections among users of services in rural Bangladesh," Health Policy, Elsevier, vol. 80(3), pages 392-401, March.
    5. Story, William T. & Burgard, Sarah A., 2012. "Couples’ reports of household decision-making and the utilization of maternal health services in Bangladesh," Social Science & Medicine, Elsevier, vol. 75(12), pages 2403-2411.
    6. Jahar Bhowmik & Raaj Kishore Biswas & Nurjahan Ananna, 2020. "Women’s education and coverage of skilled birth attendance: An assessment of Sustainable Development Goal 3.1 in the South and Southeast Asian Region," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-18, April.
    7. Güneş, Pınar Mine, 2015. "The role of maternal education in child health: Evidence from a compulsory schooling law," Economics of Education Review, Elsevier, vol. 47(C), pages 1-16.
    8. Henock Yebyo & Mussie Alemayehu & Alemayehu Kahsay, 2015. "Why Do Women Deliver at Home? Multilevel Modeling of Ethiopian National Demographic and Health Survey Data," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-14, April.
    9. Meera Chatterjee & Ruth Levine & Nirmala Murthy & Shreelata Rao-Seshadri, 2008. "Sparing Lives : Better Reproductive Health for Poor Women in South Asia, Summary for Policymakers," World Bank Publications - Reports 7848, The World Bank Group.
    10. Md. Sabuj Ali & Mst. Dilara Pervin & S. M. Abu Saeed, 2018. "Antenatal care taking behavior of Bangladeshi women," International Journal of Science and Business, IJSAB International, vol. 2(4), pages 547-557.
    11. Spangler, Sydney A. & Bloom, Shelah S., 2010. "Use of biomedical obstetric care in rural Tanzania: The role of social and material inequalities," Social Science & Medicine, Elsevier, vol. 71(4), pages 760-768, August.
    12. Finn McGuire & Noemi Kreif & Peter C. Smith, 2021. "The effect of distance on maternal institutional delivery choice: Evidence from Malawi," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2144-2167, September.
    13. Heaton, Tim B. & Forste, Renata & Hoffmann, John P. & Flake, Dallan, 2005. "Cross-national variation in family influences on child health," Social Science & Medicine, Elsevier, vol. 60(1), pages 97-108, January.
    14. Rishworth, Andrea & Dixon, Jenna & Luginaah, Isaac & Mkandawire, Paul & Tampah Prince, Caesar, 2016. "“I was on the way to the hospital but delivered in the bush”: Maternal health in Ghana's Upper West Region in the context of a traditional birth attendants' ban," Social Science & Medicine, Elsevier, vol. 148(C), pages 8-17.
    15. Edmonds, Joyce K. & Hruschka, Daniel & Bernard, H. Russell & Sibley, Lynn, 2012. "Women’s social networks and birth attendant decisions: Application of the Network-Episode Model," Social Science & Medicine, Elsevier, vol. 74(3), pages 452-459.

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