Determinants of Skilled Delivery Assistance in a Rural Population: Findings from an HDSS Site of Rural West Bengal, India
| Autor: | Saswata Ghosh, Sunil Kumar Bhaumik, Md. Zakaria Siddiqui, Anamitra Barik |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Rural Population Health Knowledge Attitudes Practice Multivariate analysis Adolescent Epidemiology education India Midwifery Logistic regression Health Services Accessibility Supply and demand Young Adult Pregnancy Residence Characteristics Humans Medicine Socioeconomics business.industry Public Health Environmental and Occupational Health Attendance Obstetrics and Gynecology Prenatal Care Delivery Obstetric Outreach Birth order Logistic Models Socioeconomic Factors Multivariate Analysis Pediatrics Perinatology and Child Health Female West bengal business Rural population Demography |
| Zdroj: | Maternal and Child Health Journal. 19:2470-2479 |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-015-1768-0 |
| Popis: | This study examines the determinants of utilisation of skilled birth attendants (SBAs) amongst 2886 rural women in the state of West Bengal, India, using data from a survey of 2012–2013 conducted by the Birbhum Health and Demographic Surveillance System. Multilevel logit regression models were estimated and qualitative investigations conducted to understand the determinants of utilisation of SBAs in rural West Bengal. Among women who delivered their last child during the 3 years preceding the survey, 69.1 % of deliveries were assisted by SBAs, while 30.9 % were home deliveries without any SBA assistance. Multivariate analysis revealed that apart from socio-demographic and economic factors (such as household affluence, women’s education, birth order, uptake of comprehensive ANC check-ups, advice regarding danger signs of pregnancy and household’s socio-religious affiliation), supply side factors, such as availability of skilled birth attendants in the village and all-weather roads, have significant effect on seeking skilled assistance. Our findings also show that unobserved factors at village level independently influence uptake of SBA-assisted delivery. The present findings emphasise that both demand and supply side intervention strategies are essential prerequisites to enhance skilled birth attendance. Ample communication is observed at the individual level, but improving community level outreach and advocacy activities could generate further demand. SBAs can be better integrated by accommodating the socio-religious needs of local communities, such as providing female doctors and doctors with similar socio-religious backgrounds. |
| Databáze: | OpenAIRE |
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