Rural-Urban Determinants of Receiving Skilled Birth Attendants among Women in Bangladesh: Evidence from National Survey 2017-18

Background. SBAs (skilled birth attendants) play a crucial role in reducing maternal mortality. The proportion of maternal healthcare in Bangladesh that receives quality care at birth has increased; the reasons for this are unknown. The purpose of this study is to see if there has been a change in t...

Full description

Saved in:
Bibliographic Details
Main Authors: Sohani Afroja, Abu Saleh Muhammad Nasim, Md. Salauddin Khan, Mohammad Alamgir Kabir
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Clinical Practice
Online Access:http://dx.doi.org/10.1155/2022/5426875
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832568146824790016
author Sohani Afroja
Abu Saleh Muhammad Nasim
Md. Salauddin Khan
Mohammad Alamgir Kabir
author_facet Sohani Afroja
Abu Saleh Muhammad Nasim
Md. Salauddin Khan
Mohammad Alamgir Kabir
author_sort Sohani Afroja
collection DOAJ
description Background. SBAs (skilled birth attendants) play a crucial role in reducing maternal mortality. The proportion of maternal healthcare in Bangladesh that receives quality care at birth has increased; the reasons for this are unknown. The purpose of this study is to see if there has been a change in the use of specific maternal healthcare indicators in urban and rural areas, as well as significant risk factors. Materials and Methods. The data set was extracted from a nationally representative survey based on a cross-sectional study, the Bangladesh Health and Demographic Survey (BDHS) 2017-18. The frequency distribution reveals the general state of SBAs. To identify the association, we performed the chi-square test. Finally, multiple logistic regression was used to analyse the factors associated with SBAs and determine the degree of SBAs disparity between urban and rural areas. Results. In Bangladesh, 53% of women received SBAs during childbirth, with urban and rural areas receiving 68.1 and 52.2 percent, respectively. Women with secondary (AOR: 1.79, CI: 1.05–3.08) and higher (AOR: 4.18, CI: 2.09–8.50) education were more likely to receive SBAs than women in urban areas who were illiterate. Husband’s education, women’s working status, wealth index, children’s birth order, and number of ANC visit are significant factors in receiving SBSs in both urban and rural areas. Higher educated husbands are 1.83 times (AOR = 1.83, CI: 1.04–3.25, p = 0.037) and 1.82 times (AOR = 1.82, CI: 1.29–2.59, p = 0.001) more likely to attend skilled births than uneducated husbands in both urban and rural areas. Respondents from the richest families are more likely to attend skilled births than those from the poorest families in both urban and rural areas. Conclusion. During delivery, significant risk factors are substantially related to SBAs. More attention must be given to rural and illiterate populations, who are less likely to obtain these services, to minimize maternal and neonatal mortality. Special programs could be developed to raise awareness and facilitate the poor in receiving the basic necessities of maternal care.
format Article
id doaj-art-5df6d1c4655c40e68760415630e236e8
institution Kabale University
issn 1742-1241
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series International Journal of Clinical Practice
spelling doaj-art-5df6d1c4655c40e68760415630e236e82025-02-03T00:59:37ZengWileyInternational Journal of Clinical Practice1742-12412022-01-01202210.1155/2022/5426875Rural-Urban Determinants of Receiving Skilled Birth Attendants among Women in Bangladesh: Evidence from National Survey 2017-18Sohani Afroja0Abu Saleh Muhammad Nasim1Md. Salauddin Khan2Mohammad Alamgir Kabir3Department of StatisticsStatistics DisciplineStatistics DisciplineDepartment of StatisticsBackground. SBAs (skilled birth attendants) play a crucial role in reducing maternal mortality. The proportion of maternal healthcare in Bangladesh that receives quality care at birth has increased; the reasons for this are unknown. The purpose of this study is to see if there has been a change in the use of specific maternal healthcare indicators in urban and rural areas, as well as significant risk factors. Materials and Methods. The data set was extracted from a nationally representative survey based on a cross-sectional study, the Bangladesh Health and Demographic Survey (BDHS) 2017-18. The frequency distribution reveals the general state of SBAs. To identify the association, we performed the chi-square test. Finally, multiple logistic regression was used to analyse the factors associated with SBAs and determine the degree of SBAs disparity between urban and rural areas. Results. In Bangladesh, 53% of women received SBAs during childbirth, with urban and rural areas receiving 68.1 and 52.2 percent, respectively. Women with secondary (AOR: 1.79, CI: 1.05–3.08) and higher (AOR: 4.18, CI: 2.09–8.50) education were more likely to receive SBAs than women in urban areas who were illiterate. Husband’s education, women’s working status, wealth index, children’s birth order, and number of ANC visit are significant factors in receiving SBSs in both urban and rural areas. Higher educated husbands are 1.83 times (AOR = 1.83, CI: 1.04–3.25, p = 0.037) and 1.82 times (AOR = 1.82, CI: 1.29–2.59, p = 0.001) more likely to attend skilled births than uneducated husbands in both urban and rural areas. Respondents from the richest families are more likely to attend skilled births than those from the poorest families in both urban and rural areas. Conclusion. During delivery, significant risk factors are substantially related to SBAs. More attention must be given to rural and illiterate populations, who are less likely to obtain these services, to minimize maternal and neonatal mortality. Special programs could be developed to raise awareness and facilitate the poor in receiving the basic necessities of maternal care.http://dx.doi.org/10.1155/2022/5426875
spellingShingle Sohani Afroja
Abu Saleh Muhammad Nasim
Md. Salauddin Khan
Mohammad Alamgir Kabir
Rural-Urban Determinants of Receiving Skilled Birth Attendants among Women in Bangladesh: Evidence from National Survey 2017-18
International Journal of Clinical Practice
title Rural-Urban Determinants of Receiving Skilled Birth Attendants among Women in Bangladesh: Evidence from National Survey 2017-18
title_full Rural-Urban Determinants of Receiving Skilled Birth Attendants among Women in Bangladesh: Evidence from National Survey 2017-18
title_fullStr Rural-Urban Determinants of Receiving Skilled Birth Attendants among Women in Bangladesh: Evidence from National Survey 2017-18
title_full_unstemmed Rural-Urban Determinants of Receiving Skilled Birth Attendants among Women in Bangladesh: Evidence from National Survey 2017-18
title_short Rural-Urban Determinants of Receiving Skilled Birth Attendants among Women in Bangladesh: Evidence from National Survey 2017-18
title_sort rural urban determinants of receiving skilled birth attendants among women in bangladesh evidence from national survey 2017 18
url http://dx.doi.org/10.1155/2022/5426875
work_keys_str_mv AT sohaniafroja ruralurbandeterminantsofreceivingskilledbirthattendantsamongwomeninbangladeshevidencefromnationalsurvey201718
AT abusalehmuhammadnasim ruralurbandeterminantsofreceivingskilledbirthattendantsamongwomeninbangladeshevidencefromnationalsurvey201718
AT mdsalauddinkhan ruralurbandeterminantsofreceivingskilledbirthattendantsamongwomeninbangladeshevidencefromnationalsurvey201718
AT mohammadalamgirkabir ruralurbandeterminantsofreceivingskilledbirthattendantsamongwomeninbangladeshevidencefromnationalsurvey201718