Factors Affecting the Selection of Institutional Delivery among Tribal Women in Bangladesh

A. Karim
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Abstract

Background: Safe maternity is a global issue with the ongoing discussion of ways to reduce mortality. This problem is prevalent among women from low-income countries such as Bangladesh. Hence, this study evaluated the factors affecting delivery practices among tribal women in Bangladesh Chittagong Hill Tracts (CHT). Method: This is an analysis of cross-sectional research.  To achieve the sample size of 556 married women, a convenient sampling technique was used. In a semi-structured questionnaire, data were collected. Associations were tested using Chi-square ( ) tests, and multivariate regression analysis was applied to elicit results from the data. Result: Result from the present study shows that most deliveries (66%) occur at home. Of this quantity, 50% of births were facilitated by untrained traditional midwives, 12% by trained conventional birth caregivers, and 4% by relatives and neighbors. Wealth index, place of dwelling, women’s educational level, age at first childbirth, range to health care, and profession of the husband have all significantly contributed to the approach to delivery. Conclusion: This study concludes that institutional delivery (34%) is poor among tribal women of Bangladesh. Factors limiting the adoption of institutional delivery by these tribal women should be managed adequately via awareness campaigns and improving the socio-economic status of the tribal people of CHT. Keywords: Delivery care; Institutional delivery; Choice of the birthplace; Skilled birth attendant (SBA); Traditional birth attendants (TBA); Trained birth attendants (TTBA); Home delivery
影响孟加拉国部落妇女机构分娩选择的因素
背景:安全孕产是一个全球性问题,目前正在讨论降低死亡率的方法。这个问题在孟加拉国等低收入国家的妇女中很普遍。因此,本研究评估了影响孟加拉国吉大港山区(CHT)部落妇女分娩实践的因素。方法:采用横断面分析法。为了达到556名已婚妇女的样本量,采用了方便的抽样技术。在半结构化问卷中收集数据。使用卡方检验检验相关性,并应用多变量回归分析从数据中得出结果。结果:本研究结果显示,大多数分娩(66%)发生在家中。其中,50%的分娩由未经培训的传统助产士接生,12%由训练有素的传统助产人员接生,4%由亲戚和邻居接生。财富指数、居住地、妇女受教育程度、初产年龄、保健范围和丈夫的职业都对分娩方式有重大影响。结论:本研究得出结论,孟加拉国部落妇女的机构服务(34%)很差。应通过提高认识运动和改善CHT部落人民的社会经济地位,适当管理限制这些部落妇女采用机构接生的因素。关键词:分娩护理;机构交付;出生地的选择;熟练助产士(SBA);传统助产士;训练有素的助产士;送货上门
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