Academic literature on the topic 'Skilled birth attendant (SBA)'
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Journal articles on the topic "Skilled birth attendant (SBA)"
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Karim, Abu Naser MD Rezaul. "Skilled Birth Attendant and Its Determinants among the Tribal Women of Bangladesh." Current Women s Health Reviews 16, no. 2 (April 29, 2020): 127–36. http://dx.doi.org/10.2174/1573404816666200106125222.
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Background: The indigenous people are socially, linguistically, and scientifically diverse. A global trend leads us to the notion that primitive women are somewhat less privileged than non-tribal mothers around the world. This problem also sounds true in the context of Bangladesh. A competent birth attendant at birth is the most important intervention for pregnant women. However, the use of skilled birth attendants has been widely discriminated among tribal and non-tribal women. Objective: This study assesses SBA acceptance and utilization barriers during childbirth among Bangladesh tribal women. Method: A quantitative approach was employed, and the data were collected via questionnaires. Descriptive statistics, Chi-square ( ) χ 2 tests and Binary Logistic Regression were used to analyze the frequency, relationship, and to determine tribal women seeking the services of SBA during childbirth. Results: The results showed that the highest prevalence of delivery (66%) among tribal women occurred at home. 46% of the mothers gave birth to their children with the assistance of a skilled birth attendant, of which 12% of them were at home, and 34% were in the hospital. The remaining 54% of mothers gave birth to their babies with the assistance of a traditional midwife. Results also show that socio-economic conditions, education of women, distance from health care facilities, family planning, husbands’ occupation, and media exposure are the key determinants in pursuing SBA. Conclusion: The study revealed a low prevalence of utilizing skilled birth attendance among tribal women of Bangladesh. Hence, upgrading socio-economic conditions and boosting the education levels of tribal women, ensuring easy access to the media, and launching short-term training to train typical birth attendants are the key recommendations for seeking expert birth attendants.
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Singh, Mayank Kumar, and Krishan Chand Ramotra. "Skilled Birth Attendant (SBA) and Home Delivery in India: A Geographical Study." IOSR Journal of Humanities and Social Science 19, no. 12 (2014): 81–88. http://dx.doi.org/10.9790/0837-191248188.
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Radovich, Emma, Lenka Benova, Loveday Penn-Kekana, Kerry Wong, and Oona Maeve Renee Campbell. "‘Who assisted with the delivery of (NAME)?’ Issues in estimating skilled birth attendant coverage through population-based surveys and implications for improving global tracking." BMJ Global Health 4, no. 2 (April 2019): e001367. http://dx.doi.org/10.1136/bmjgh-2018-001367.
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The percentage of live births attended by a skilled birth attendant (SBA) is a key global indicator and proxy for monitoring progress in maternal and newborn health. Yet, the discrepancy between rising SBA coverage and non-commensurate declines in maternal and neonatal mortality in many low-income and middle-income countries has brought increasing attention to the challenge of what the indicator of SBA coverage actually measures, and whether the indicator can be improved. In response to the 2018 revised definition of SBA and the push for improved measurement of progress in maternal and newborn health, this paper examines the evidence on what women can tell us about who assisted them during childbirth and methodological issues in estimating SBA coverage via population-based surveys. We present analyses based on Demographic and Health Surveys and Multiple Indicator Cluster Surveys conducted since 2015 for 23 countries. Our findings show SBA coverage can be reasonably estimated from population-based surveys in settings of high coverage, though women have difficulty reporting specific cadres. We propose improvements in how skilled cadres are classified and documented, how linkages can be made to facility-based data to examine the enabling environment and further ways data can be disaggregated to understand the complexity of delivery care. We also reflect on the limitations of what SBA coverage reveals about the quality and circumstances of childbirth care. While improvements to the indicator are possible, we call for the use of multiple indicators to inform local efforts to improve the health of women and newborns.
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Hermawan, Asep, Yayi Suryo Prabandari, and Siswanto Agus Wilopo. "Determinan Persalinan oleh Tenaga Kesehatan di Indonesia." Berita Kedokteran Masyarakat 32, no. 7 (March 30, 2018): 231. http://dx.doi.org/10.22146/bkm.12320.
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Determinants of skilled birth attendance in IndonesiaPurposeThis study aimed to find the relationship between health worker ratio with skilled birth attendants (SBA). MethodsThis research was a cross-sectional study using data from Rifaskes 2011 (a nationwide survey of healthcare facilities), SP 2010 (population census), and Riskesdas 2013 (a nationwide survey based on community for basic health). The sample was total population of the district/city as many as 497 districts/cities. The unit of analysis of this study was the district/city in Indonesia. Statistical analysis used univariate analysis, bivariate analysis and generalized linear model (GLM).ResultsThere was no correlation between the ratio of health workers with SBA coverage. But, the GLM analyses showed positive correlation of midwives ratio in the population and SBA when regressed with physicians, nurses, accessibility to community health center (puskesmas) with OR 1.07 (95% CI: 1-1.14), status of region (remote, borderland or islands area) 1.07 (95% CI: 1.01-1.15), and administrative status (district/city) with OR 1.11 (95% CI: 1.03-1.19).ConclusionThe midwives ratio has a strong correlation with SBA after improving accessibility to primary health centers.
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Bhandari, Tulsi Ram, Shreejana Wagle, and Ganesh Dangal. "Practices and Women’s Perceptions of Childbirth in Western Nepal: A Qualitative Study." Journal of Nepal Health Research Council 18, no. 1 (April 20, 2020): 64–69. http://dx.doi.org/10.33314/jnhrc.v18i1.2413.
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Background: Despite continuous efforts to increase the utilization of institutional delivery care services nearly two-fifths women deliver their babies at home without the assistance of skilled birth attendants (SBA) in Nepal. The skilled care at birth can reduce the high maternal and neonatal mortality. This study explored childbirth practices and women’s perceptions of childbirth and its associated factors.Methods: An exploratory study was conducted in three purposively selected remote villages of Kapilvastu district, from March to May 2017. Face-to-face in-depth interviews were conducted with women who had an under-one year child. We performed a thematic analysis to draw the findings of the study. Results: Women sought institutional delivery care either for long labor-pain or obstructed-delivery. Despite various incentives, people still preferred home for normal deliveries. There was also practiced skilled birth attendant (SBA) assisted home delivery care. Some of the local health workers also advised pregnant-women for assisted home delivery care. People considered childbirth as a normal process. Due to cultural beliefs and norms, people were also reluctant to pursue institutional delivery care services. Financial constraints, poor access to services and expensive transportation services were other underlining causes of home delivery practices. Conclusions: Despite various incentives for institutional delivery care; the study did not spectacle an encouraging reaction. It pointed to the very basic and strong relationship between women’s position in the household and the society and education with childbirth practices. There were limits to how far financial incentives can overcome these obstacles. So, the improvement of the socio-economic conditions of the women would be the viable way-out of the problem.Keywords: Childbirth practices; home delivery; institutional delivery; women’s perception
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McKellar, Lois V., and Kevin Taylor. "Safe Arrivals: Responding to the Local Context in a Training Program for Birth Attendants in Cambodia." International Journal of Childbirth 4, no. 2 (2014): 77–85. http://dx.doi.org/10.1891/2156-5287.4.2.77.
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The World Health Organization (WHO) recommends that every woman should have a skilled birth attendant (SBA) attend her birth; however, until this ideal is met, traditional birth attendants (TBA) continue to provide care to women, particularly in rural areas of countries such as Cambodia. The lack of congruence between an ideal and reality has caused difficulty for policy makers and governments. In 2007, The 2h Project, an Australian-based, nongovernment organization in partnership with a local Cambodian organization, “Smile of World,” commenced the “Safe Arrivals” project, providing annual training for SBAs and TBAs in the rural provinces of Cambodia. Following implementation of this project, feedback was collected through a questionnaire undertaken by interviews with participants. This was part of a quality assurance process to further develop training in line with WHO recommendations and to consider the cultural context and respond to local knowledge. Over a 2-year period, 240 birth attendants were interviewed regarding their role and practice. Specifically, through the responses to the questionnaires, several cultural practices were identified that have informed training focus and resource development. More broadly, it was evident that TBAs remain a valuable resource for women, acknowledging their social and cultural role in childbirth.
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Karim, A. N. M. Rezaul. "Factors Affecting the Selection of Institutional Delivery among Tribal Women in Bangladesh." Journal of Cognitive Sciences and Human Development 5, no. 2 (September 30, 2019): 104–15. http://dx.doi.org/10.33736/jcshd.1923.2019.
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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
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Anik, Asibul Islam, Bishwajit Ghose, and Md Mosfequr Rahman. "Relationship between maternal healthcare utilisation and empowerment among women in Bangladesh: evidence from a nationally representative cross-sectional study." BMJ Open 11, no. 8 (August 2021): e049167. http://dx.doi.org/10.1136/bmjopen-2021-049167.
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ObjectiveTo examine the relationship between women’s empowerment and maternal healthcare utilisation in Bangladesh.DesignThis cross-sectional study uses data from the most recent nationally representative Bangladesh Demographic and Health Survey, 2017–2018.SettingBangladesh.ParticipantsMarried women aged 15–49 years who had a live birth within the 3 years preceding the survey (n=4767).Primary and secondary outcome measuresWomen’s empowerment was measured using the recently developed and validated survey-based Women’s emPowERment (SWPER) index. The index includes three domains: social independence, decision-making and attitude to violence. Outcomes included utilisation of at least one antenatal care from skilled providers (ANC1), at least four antenatal care visits (≥4 ANC), delivery assisted by a skilled birth attendant (SBA) and a postnatal visit within 2 days of delivery (PNC). Logistic regression analyses were used to assess the identified relationships.ResultsAmong participants, 83% received ANC1, 46.3% received ≥4 ANC, 51.9% reported SBA and 50.9% sought PNC. Women with high levels of social empowerment relative to those with low levels were more likely to use ANC1 (adjusted OR (AOR) 1.85; 95% CI 1.40 to 2.45), ≥4 ANC (AOR 1.55; 95% CI 1.27 to 1.90), SBA (AOR 2.12; 95% CI 1.71 to 2.62) and PNC (AOR 1.95; 95% CI 1.56 to 2.44). Compared with women with low levels of decision-making empowerment, women with high levels were more likely to use SBA (AOR 1.49; 95% CI 1.21 to 1.83) and PNC (AOR 1.47; 95% CI 1.19 to 1.81). Additionally, significant inequality was observed among women moving from low to high empowerment in all domains of the empowerment index.ConclusionsHigher empowerment levels were positively associated with maternal healthcare utilisation in Bangladesh. Our findings suggest the need to address women’s empowerment in policies aiming to expand health service utilisation.
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Saaka, Mahama, and Jones Akuamoah-Boateng. "Prevalence and Determinants of Rural-Urban Utilization of Skilled Delivery Services in Northern Ghana." Scientifica 2020 (May 11, 2020): 1–13. http://dx.doi.org/10.1155/2020/9373476.
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Background. There are wide differences in the uptake of skilled delivery services between urban and rural women in the northern region of Ghana. This study assessed the rural-urban differences in the prevalence of and factors associated with uptake of skilled delivery in the northern region of Ghana. Methods. The study population comprised postpartum women who had delivered within the last three months prior to the study. The dataset was analyzed using the chi-square test and multivariable logistic regression. Results. The odds of skilled birth attendance (SBA) adjusted for confounding variables in urban areas were higher compared with their rural counterparts (AOR = 1.59; CI: 1. 07–2.37; p=0.02). The determinants of skilled delivery were similar but of different levels and strength in rural and urban areas. The main drivers that explained the relatively high skilled delivery coverage in the urban areas were higher frequency of antenatal care (ANC) attendance, proximity (physical access) to health facility, and greater proportion of women attaining higher educational level of at least secondary school. Distance from health facility less than 4 km was the greatest independent contributor to the variance in skilled delivery in the urban areas, whereas frequency of ANC attendance was the greatest independent contributor in the rural areas. Conclusions. This study identified underlying determinants accounting for rural-urban differences in skilled delivery, and covariate effect was more dominant than coefficient effect. Therefore, urban-rural differences in SBA outcomes were primarily due to differences in the levels of critical determinants rather than the nature of the determinants themselves. Therefore, improving skilled delivery outcomes in this study population and other similar settings will not require different policy frameworks and interventions in dealing with rural-urban disparities in SBA outcomes. However, context-specific tailored approaches and strategies including targeting mechanisms have to be designed differently to reduce the rural-urban differences.
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Shahi, Prakash. "Female Community Health Volunteers’ (FCHVs) Involvement in Improving Maternal Health, Nepal." Journal of Karnali Academy of Health Sciences 2, no. 3 (December 10, 2019): 250–52. http://dx.doi.org/10.3126/jkahs.v2i3.26664.
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Improving maternal health was one of the eight millennium development goals (MDGs) in 2000 and later included in SDG as a major agenda in 2015 which was adopted by the international community. In Nepal, the first elected democratic government developed Health Policy in 1991 and revised in 2014 which has identified safe motherhood as a priority program and institutionalized safe motherhood as a primary health care. In order to effectively address maternal and neonatal morbidity and mortality, the Family Health Division, Department of Health Services (DoHS) developed National Safe Motherhood Long Term Plan 2002- 2017 (revised in 2006) which aimed to establish basic and comprehensive emergency obstetric care services in all districts. To complement this plan, the National Policy on SBA (2006) was developed with the aim of increasing the percentage of births assisted by a skilled birth attendant (as internationally defined) to 60 percent by 2015. Table 1 explains some historical shifts in maternal health policies and programs in Nepal.
Dissertations / Theses on the topic "Skilled birth attendant (SBA)"
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Kuforiji, Oluwatoyosi A. "Qualitative study exploring Maternity Ward Attendants' perceptions of occupational (work related) stress and the coping methods they adopted within maternity care settings (hospital) in Nigeria." Thesis, University of Bradford, 2017. http://hdl.handle.net/10454/15941.
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Background: Occupational stress is a global and complex phenomenon, and workers in developing countries can be affected by it (International Labour Organisation 2001). Staff within maternity settings have been identified as being at risk of suffering from stress, resulting in adverse health outcomes (Evenden and Sharpe, 2002). However, MWAs’ perceptions of stress have not been captured and are not reflected in the literature. Purpose: The aim of this study was to explore MWAs’ perceptions of occupational stress, possible cause(s), the impact and support available and the coping methods they adopted within maternity care settings (hospital) in Nigeria. Methodology: This study adopted a qualitative methodology. Husserl’s (1962) phenomenological approach was chosen as it enabled the researcher to collect rich, in-depth, descriptive accounts of the MWAs’ perceptions of the phenomenon under study through the use of semi-structured interviews. Findings: The major sources of stress for MWAs included work overload, long working hours, staff shortages, work exploitation and intensification and lack of support from senior staff. The stress levels MWAs experienced impacted on their health and well-being and resulted in related behavioural and physical reactions. Conclusion: This study confirmed that MWAs were exposed to similar stress factors experienced by other health workers and reported in the research literature. Additionally, it demonstrated the need for more qualitative studies to explore the perceptions of occupational stress among under-represented groups of healthcare workers. Importantly, this study created an opportunity to explore the experience of dedicated women facing challenging employment practices in hospital settings in Nigeria. Equally, it gave a voice to these unrecognised, almost invisible women, who were the MWAs that played a key role within the maternity services.
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Ukwu, Susan Adaku. "Association of Health Facility Delivery and Risk of Infant Mortality in Nigeria." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7439.
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Infant mortality (IM) incidence in health facility systems during or after infant delivery is
substantially high in Nigeria. In this quantitative, cross-sectional study, the effects of skill
birth attendants (SBAs), prenatal care, and providers of prenatal care on IM in health
facility delivery centers were examined. The Mosley and Chen theoretical framework
informed this study and was used to explain the relationship between SBAs, prenatal
care, and providers of prenatal care and IM. One hundred and sixty infant deaths were
examined among mothers who used an SBA versus those who did not, mothers who had
prenatal care versus those without, and mothers who received prenatal care from a health
facility versus traditional providers. The 2014 verbal and social autopsy secondary data
set was analyzed using binary logistic regression technique. There was no significant
difference in risk of IM between mothers who had SBA during infant delivery in health
facility compared to those without SBA during delivery. Mothers who received prenatal
care had a significant higher risk of infant death in a health facility compared to those that
did not receive prenatal care. Mothers who received prenatal care from traditional
providers did not have a statistically significant risk of IM compared to mothers who
received prenatal care from a health facility. The findings could have positive social
change implications by encouraging multilevel public health stakeholders to support and
promote the use of health surveillance in understanding the barriers and challenges of
health facility delivery practices, prenatal care, and use of SBA as it relates to IM to
facilitate policy change in maternal and infant care practices in Nigeria.
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Gessesse, Yoseph Woldegebreal. "A framework for utilisation of health services for skilled birth attendant and postnatal care in Ethiopia." Thesis, 2015. http://hdl.handle.net/10500/20674.
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Text in English, with Annexures in English and AmharicAnnexure 5 and Annexure 7 "Questionnaire for qualitative study" in English and Amharic
The Ministry of Health (MOH) and its partners are determined to prevent and manage preventable causes of morbidity and mortality in mothers, neonates and children. In the last decade, special emphasis has been given to increasing the number of health facilities that provide maternal and child health services (MNCH), huge production of skilled birth attendants (SBAs), and equipping the health facilities to improve the utilisation of quality services. This study investigated the community perspectives of health service utilisation and proposes a framework for improving the utilisation of the available SBA and postnatal care (PNC). PURPOSE The purpose of this study was to develop a framework for the utilisation of skilled care for delivery and postnatal care by women of childbearing age (15-45). METHODOLOGY The study used a Sequential explanatory Mixed Methods Approach to investigate the utilisation of SBA and PNC in a district in Ethiopia. The Delphi Technique helped to solicit input from maternal health care experts on the development of a Framework for utilisation of SBA and PNC. This study utilised the Anderson Health Utilisation Model. RESULTS In the study, 79.8% of the women who delivered within 12 months prior to this study received ANC from SBA. Baby care and PNC for the mother and baby received from SBA were at 248 (71.5%), 55 (15.8%), and 131 (38%) respectively. The study further found that women who can read and write and were educated are more likely to utilise SBA and receive quality health care services. The study showed that certain factors such as disrespecting service users, abusing service users’ lack of trust on the SBA by service users, religion and superstition contribute negatively to the use of SBAs. None of the predisposing, enabling and need factors predicted the use of SBA for PNC by the mothers. Nevertheless, through the focus group discussions (FGDs) and individual interviews (IDI), it was revealed that there was a widespread knowledge and perception gaps in the community related to the importance of postnatal period and PNC. Religious sanctification also have imperative role in hampering PNC service use by the mothers. The Health care workers (HCWs) also lacked the keenness and orientation to provide the service. Babies born from families with monthly income equal to 500 or above USD were more likely to use PNC within 45 days. There was a widespread misconception in the community that Babies do not need PNC before 45 days of birth except for vaccination purpose. CONCLUSION To examine their role in health service utilisation for SBA and PNC, researches can integrate social support and social network to the Andersen’s health-service utilisation model. A framework for utilisation of SBA and PNC is proposed. The researcher recommends developing an utilisation tool kit that specifies the detail operationalisation of the framework.
Health Studies
D. Litt. et Phil. (Health Studies)
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Gessesse, Yoseph Woldegebriel. "A framework for utilisation of health services for skilled birth attendant and postnatal care in Ethiopia." Thesis, 2015. http://hdl.handle.net/10500/23225.
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The Ministry of Health (MOH) and its partners are determined to prevent and manage preventable causes of morbidity and mortality in mothers, neonates and children. In the last decade, special emphasis has been given to increasing the number of health facilities that provide maternal and child health services (MNCH), huge production of skilled birth attendants (SBAs), and equipping the health facilities to improve the utilisation of quality services. This study investigated the community perspectives of health service utilisation and proposes a framework for improving the utilisation of the available SBA and postnatal care (PNC).The purpose of this study was to develop a framework for the utilisation of skilled care for delivery and postnatal care by women of childbearing age (15-45).
The study used a Sequential explanatory Mixed Methods Approach to investigate the utilisation of SBA and PNC in a district in Ethiopia. The Delphi Technique helped to solicit input from maternal health care experts on the development of a Framework for utilisation of SBA and PNC. This study utilised the Anderson Health Utilisation Model.
In the study, 79.8% and 248 (71.5%) of the women who delivered within 12 months prior to this study received ANC and skilled birth attendance respectively from SBA. Fifty five (15.8%) mothers and 131 (38%) babies received Postnatal care from SBA with
in 45 days after delivery. The study further found that women who can read and write and were educated are more likely to utilise SBA and receive quality health care services. The study showed that certain factors such as disrespecting service users, abusing service users’ lack of trust on the SBA by service users, religion and superstition contribute negatively to the use of SBAs.
None of the predisposing, enabling and need factors predicted the use of SBA for PNC by the mothers. Nevertheless, through the focus group discussions (FGDs) and individual interviews (IDI), it was revealed that there was a widespread knowledge and perception gaps in the community related to the importance of postnatal period and PNC. Religious sanctification also have imperative role in hampering PNC service use by the mothers. The Health care workers (HCWs) also lacked the keenness and orientation to provide the service. Babies born from families with monthly income equal to 500 or above USD were more likely to use PNC within 45 days. There was a widespread misconception in the community that Babies do not need PNC before 45 days of birth except for vaccination purpose.
To examine their role in health service utilisation for SBA and PNC, researches can integrate social support and social network to the Andersen’s health- ervice utilisation model. A framework for utilisation of SBA and PNC is proposed. The researcher recommends developing an utilisation tool kit that specifies the detail operationalisation of the framework.Health Studies
D. Litt. et Phil. (Health Studies)
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Shiferaw, Biruhtesfa Bekele. "Strategies to improve utilisation of skilled birth attendance services in North West Ethiopia." Thesis, 2017. http://hdl.handle.net/10500/22941.
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The purpose of this study was to determine factors influencing skilled delivery service utilisation in order to develop strategies to improve utilisation of skilled birth attendance service in North West Ethiopia. The objectives were to explore and describe the perceptions and experiences of the community regarding skilled utilisation of the birth attendance service; explore reasons for non-utilisation of skilled birth attendance service; asses the health system experience of provision of skilled birth attendance service; and formulate strategies to improve utilisation of skilled birth attendance service.
The study employed a qualitative, descriptive, and explorative research design to address the research questions formulated by the researcher. The study used focus group discussion guide to obtain information from pregnant women and women who gave birth recently. Furthermore, the study used an interview guide to gather information from health extension workers, midwives, health centre heads, district health office technical experts and heads. It also employed and inductive thematic analysis approach to analyse the qualitative data. The study further used the Atlas ti version 7 for the data analysis. The steps followed for the analysis were data immersion, coding, displaying, reduction, and interpretation.
Overall, nine themes emerged from the analysis of the data. Consequently, the researcher used the findings of the study to develop strategies to improve the utilisation of skilled birth attendance service.Health Studies
D. Litt. et Phil. (Health Studies)
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Kkonde, Anthony. "Factors that influence pregnant women's choice of delivery site in Mukono district, Uganda." Diss., 2010. http://hdl.handle.net/10500/3601.
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The purpose of this study was to analyse and describe the factors that influence the choice of site of delivery by pregnant women in Mukono district. By employing quantitative, non experimental research methods, 431 women were interviewed by using structured questionnaires. These women had either delivered at; home, TBA, private or public clinic and 72% had been delivered by skilled attendants. Choice of delivery site was influenced by the attitudes of health workers which were rather poor in public sites, proximity of site, attendance of antenatal clinic at a site, availability of supplies and drugs, plus level of care including emergency obstetric care.Health Studies
M. A. (Public Health)
Books on the topic "Skilled birth attendant (SBA)"
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Evaluation of the Community based Skilled Birth Attendant (CSBA) Programme-Bangladesh. Dhaka: Directorate General of Health Services, 2011.
Find full textBook chapters on the topic "Skilled birth attendant (SBA)"
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Davenport, Ann. "What is a Skilled Birth Attendant? Insights from South America." In Essential Midwifery Practice: Leadership, Expertise and Collaborative Working, 135–52. West Sussex, UK: John Wiley & Sons, Ltd., 2013. http://dx.doi.org/10.1002/9781118784990.ch8.
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Williams, David J. "Medical management of normal pregnancy." In Oxford Textbook of Medicine, 2085–92. Oxford University Press, 2010. http://dx.doi.org/10.1093/med/9780199204854.003.1403.
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Reducing the number of maternal deaths is one of the United Nation’s eight Millennium Development Goals, yet despite this initiative maternal deaths are increasing in some parts of Africa, usually from readily preventable causes that would not occur in the presence of a skilled birth attendant....
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Williams, David J. "Medical management of normal pregnancy." In Oxford Textbook of Medicine, edited by Catherine Nelson-Piercy, 2575–82. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198746690.003.0265.
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This chapter looks at the medical management of normal pregnancy, and how the global maternal mortality ratio fell by almost 50% between 1990 and 2015 and the reasons for this decline. In resource-poor nations, provision of basic antenatal facilities with community healthcare workers, improved transport, communications, and education are largely responsible. Yet despite this progress maternal deaths are still common, particularly in sub-Saharan Africa, usually from readily preventable causes that would not occur in the presence of a skilled birth attendant. In wealthy nations, new challenges to maternal health include obesity, older age, and a growing number of pregnancies in women with chronic diseases through in vitro fertilization. Pregnancy can be accurately diagnosed within a day of missing a menstrual bleed by identifying a rise in urinary human chorionic gonadotropin concentration.
Reports on the topic "Skilled birth attendant (SBA)"
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Taking maternal services to pregnant women: The community midwifery model. Population Council, 2005. http://dx.doi.org/10.31899/rh16.1011.
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Evidence from a number of studies globally has shown a reduction in maternal and perinatal mortality when women have a skilled attendant present at birth. In Kenya, a skilled attendant assists at only 42 percent of births. In Central Province, over 70 percent deliver with a skilled attendant compared to 28 percent in Western Province. Results from one district in Western Province where midwives were given the necessary equipment and support to assist women during birth at home, showed a significant increase in home births attended by skilled health workers between 2001 and 2003 and a similar decrease in utilization of traditional birth attendants. As noted in this brief, this an indication that skilled attendance in the community is possible and a good alternative for women who are unable to reach a health facility. Building on these results, a Community Midwifery Model was developed that focuses on empowering midwives living in the community to assist women during pregnancy, childbirth, and the postpartum period in their homes, manage minor complications, and facilitate referral when necessary and transfer to the hospital.
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Repositioning post partum care in Kenya. Population Council, 2005. http://dx.doi.org/10.31899/rh16.1013.
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In Kenya, although 45 percent of maternal deaths occur within the first 24 hours after childbirth and 65 percent of maternal deaths occur during the first week postpartum, health-care providers continue to advise on a first check-up six weeks after childbirth. The early postpartum period is also critical to newborn survival, with 50–70 percent of life-threatening newborn illnesses occurring in the first week. Yet most strategies to reduce maternal and perinatal morbidity and mortality have focused on pregnancy and birth. In addition to the heavy workload of providers who do not assess the mother post-delivery when she may bring her infant for immunization, lack of knowledge, poverty, cultural beliefs and practices perpetuate the problem. The only register that exists for mothers post-delivery is for family planning, thus perpetuating the lack of emphasis on the early postpartum period with no standardized register to record care given. To address this gap in service delivery, the Population Council defined the minimal services a mother and baby should receive from a skilled attendant after birth. As stated in this brief, the development of a standardized postpartum register is one step toward advocating for providing early postpartum care among health-service providers.