Academic literature on the topic 'Use of skilled birth attendants'
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Journal articles on the topic "Use of skilled birth attendants"
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DO, MAI. "UTILIZATION OF SKILLED BIRTH ATTENDANTS IN PUBLIC AND PRIVATE SECTORS IN VIETNAM." Journal of Biosocial Science 41, no. 3 (May 2009): 289–308. http://dx.doi.org/10.1017/s0021932009003320.
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SummaryThe private sector in health care in Vietnam has been increasingly competing with the government in primary health care services. However, little is known about the use of skilled birth attendance or about choice of public and private sectors among those who opt for skilled attendants. Using data from the Vietnam 2002 Demographic and Health Survey, this study examines factors related to women’s decision-making of whether to have a skilled birth attendant at a recent childbirth, and if they did, whether it was a public or private sector provider. The study indicates that the use of the private sector for delivery services was significant. Women’s household wealth, education, antenatal care and community’s wealth were positively related to skilled birth attendance, while ethnicity and order of childbirth were negatively related. Order of childbirth was positively associated with skilled birth attendance in the private sector. Among service environment factors, increased access to public sector health centres was associated with an increased likelihood of skilled birth attendance in general, but a lowered chance of that in the private sector. Further studies are needed to assess the current situation in the private sector, the demand for delivery services in the private sector, and its readiness to provide quality services.
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STANTON, CYNTHIA, ANN K. BLANC, TREVOR CROFT, and YOONJOUNG CHOI. "SKILLED CARE AT BIRTH IN THE DEVELOPING WORLD: PROGRESS TO DATE AND STRATEGIES FOR EXPANDING COVERAGE." Journal of Biosocial Science 39, no. 1 (March 8, 2006): 109–20. http://dx.doi.org/10.1017/s0021932006001271.
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Skilled attendance at delivery is one of the key indicators to reflect progress toward the Millennium Development Goal of improving maternal health. This paper assesses global progress in the use of skilled attendants at delivery and identifies factors that could assist in achieving Millennium Development Goals for maternal health. National data covering a substantial proportion of all developing country births were used for the estimation of trends and key differentials in skilled assistance at delivery. Between 1990 and 2000, the percentage of births with a skilled attendant increased from 45% to 54% in developing countries, primarily as a result of an increasing use of doctors. A substantial proportion of antenatal care users do not deliver with a skilled attendant. Delivery care use among antenatal care users is highly correlated with wealth. Women aged 35 and above, who are at greatest risk of maternal death, are the least likely to receive professional delivery care. Births in mid-level facilities appear to be a strategy that has been overlooked. More effective strategies are needed to promote skilled attendance at birth during antenatal care, particularly among poor women. Specific interventions are also needed to encourage older and high parity mothers to seek professional care at delivery.
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Baral, Y. R., K. Lyons, J. Skinner, and E. R. Van Teijlingen. "Determinants of skilled birth attendants for delivery in Nepal." Kathmandu University Medical Journal 8, no. 3 (June 4, 2012): 325–32. http://dx.doi.org/10.3126/kumj.v8i3.6223.
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This review is to explore the factors affecting the uptake of skilled birth attendants for delivery and the issues associated with women’s role and choices of maternal health care service for delivery in Nepal. Literature was reviewed across the globe and discussed in a Nepalese context. Delivery by Skilled Birth Attendance serves as an indicator of progress towards reducing maternal mortality worldwide, the fifth Millennium Development Goal. Nepal has committed to reducing its maternal mortality by 75% by 2015 through ensuring accessibility to the availability and utilisation of skilled care at every birth. The literature suggests that several socio-economic, cultural and religious factors play a significant role in the use of Skilled Birth Attendance for delivery in Nepal. Availability of transportation and distance to the health facility; poor infrastructure and lack of services; availability and accessibility of the services; cost and convenience; staff shortages and attitudes; gender inequality; status of women in society; women’s involvement in decision making; and women’s autonomy and place of residence are significant contributing factors for uptake of Skilled Birth Attendance for delivery in Nepal. The review found more quantitative research studies exploring the determinants of utilisation of the maternal health services during pregnancy in Nepal than qualitative studies. Findings of quantitative research show that different social demographic, economic, socio-cultural and religious factors are responsible for the utilisation of maternal health services but very few studies discussed how and why these factors are responsible for utilisation of skilled birth attendants in pregnancy. It is suggested that there is need for more qualitative research to explore the women’s role and choice regarding use of skilled birth attendants services and to find out how and why these factors are responsible for utilisation of skilled birth attendants for delivery. Qualitative research will help further exploration of the issues and contribute to improvement of maternal health services.DOI: http://dx.doi.org/10.3126/kumj.v8i3.6223 Kathmandu Univ Med J 2010;8(3):325-32
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Alemayehu, Mulunesh, and Wubegzier Mekonnen. "The Prevalence of Skilled Birth Attendant Utilization and Its Correlates in North West Ethiopia." BioMed Research International 2015 (2015): 1–8. http://dx.doi.org/10.1155/2015/436938.
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The low utilization of skilled birth attendants sustained high maternal mortality. The aim of this study was to assess its magnitude and correlates in Northwest Ethiopia. A study was conducted on 373 randomly selected women who gave birth in the 12 months preceding the survey. Correlates were identified using binary logistic regression. Skilled birth attendance was 18.8%. Inability to perform cultural practices in health facilities (65.5%), expecting smooth delivery (63.4%), and far distance (62%) were the main barriers. Women with urban residence (AOR = 5.46: 95% CI[2.21–13.49]), primary (AOR = 2.10: 95% CI[0.71–6.16]) and secondary-plus (AOR = 6.12:[1.39–26.92]) educational level, four-plus ANC visits (AOR = 17.33: 95% CI[4.22–71.29]), and proximity to health centers (AOR = 5.67: 95% CI[1.47–25.67]) had higher odds of using skilled birth attendants though women with no labor complications had lower odds (AOR = 0.02: 95% CI[0.01–0.05]). Skilled birth attendance use was low. Urban residence, primary-plus level of education, frequent ANC visits, living nearby the health centers, and a problem during labor were positively correlated with skilled birth attendance utilization. Stakeholders should enhance girls’ education beyond primary level and ANC services and shorten distances to health facilities.
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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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Tabong, Philip Teg-Nefaah, Joseph Maaminu Kyilleh, and William Wilberforce Amoah. "Reasons for the utilization of the services of traditional birth attendants during childbirth: A qualitative study in Northern Ghana." Women's Health 17 (January 2021): 174550652110024. http://dx.doi.org/10.1177/17455065211002483.
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Background: Skilled delivery reduces maternal and neonatal mortality. Ghana has put in place measures to reduce geographical and financial access to skilled delivery. Despite this, about 30% of deliveries still occur either at home or are conducted by traditional birth attendants. We, therefore, conducted this study to explore the reasons for the utilization of the services of traditional birth attendants despite the availability of health facilities. Method: Using a phenomenology study design, we selected 31 women who delivered at facilities of four traditional birth attendants in the Northern region of Ghana. Purposive sampling was used to recruit only women who were resident at a place with a health facility for an in-depth interview. The interviews were recorded and transcribed into Microsoft word document. The transcripts were imported into NVivo 12 for thematic analyses. Results: The study found that quality of care was the main driver for traditional birth attendant delivery services. Poor attitude of midwives, maltreatment, and fear of caesarean section were barriers to skilled delivery. Community norms dictate that womanhood is linked to vaginal delivery and women who deliver through caesarean section do not receive the same level of respect. Traditional birth attendants were believed to be more experienced and understand the psychosocial needs of women during childbirth, unlike younger midwives. Furthermore, the inability of women to procure all items required for delivery at biomedical facilities emerged as push factors for traditional birth attendant delivery services. Preference for squatting position during childbirth and social support provided to mothers by traditional birth attendants are also an essential consideration for the use of their services. Conclusion: The study concludes that health managers should go beyond reducing financial and geographical access to improving quality of care and the birth experience of women. These are necessary to complement the efforts at increasing the availability of health facilities and free delivery services.
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Dickson, Kwamena Sekyi, Kenneth Setorwu Adde, and Edward Kwabena Ameyaw. "Women empowerment and skilled birth attendance in sub-Saharan Africa: A multi-country analysis." PLOS ONE 16, no. 7 (July 7, 2021): e0254281. http://dx.doi.org/10.1371/journal.pone.0254281.
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Introduction In 2017, the highest global maternal deaths occurred in sub-Saharan Africa (SSA). The WHO advocates that maternal deaths can be mitigated with the assistance of skilled birth attendants (SBAs) at childbirth. Women empowerment is also acknowledged as an enabling factor to women’s functionality and healthcare utilisation including use of SBAs’ services. Consequently, this study investigated the association between women empowerment and skilled birth attendance in SSA. Materials and methods This study involved the analysis of secondary data from the Demographic and Health Surveys of 29 countries conducted between January 1, 2010, and December 3, 2018. For this study, only women who had given birth in the five years prior to the surveys were included, which is 166,022. At 95% confidence interval, Binary Logistic Regression analyses were conducted and findings were presented as adjusted odds ratios (aORs). Results The overall prevalence of skilled birth attendance was 63.0%, with the lowest prevalence in Tanzania (13.8%) and highest in Rwanda (91.2%). Women who were empowered with high level of knowledge (aOR = 1.60, 95% CI = 1.51, 1.71), high decision-making power (aOR = 1.19, 95% CI = 1.15, 1.23), and low acceptance of wife beating had higher likelihood of skill birth attendance after adjusting for socio-demographic characteristics. Women from rural areas had lesser likelihood (OR = 0.53, 95% CI = 0.51–0.55) of skilled birth attendance compared to women from urban areas. Working women had a lesser likelihood of skilled birth attendance (OR = 0.91, 95% CI = 0.88–0.94) as compared to those not working. Women with secondary (OR = 2.13, 95% CI = 2.03–2.22), or higher education (OR = 4.40, 95% CI = 3.81–5.07), and women in the richest wealth status (OR = 3.50, 95% CI = 3.29–3.73) had higher likelihood of skilled birth attendance. Conclusion These findings accentuate that going forward, successful skilled birth attendant interventions are the ones that can prioritise the empowerment of women.
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Doris, Kibiwott, Mwangi Anne, and Kang’ethe Simon. "Partograph use among skilled birth attendants in selected counties, Western Kenya." International Journal of Nursing and Midwifery 13, no. 3 (August 31, 2021): 19–25. http://dx.doi.org/10.5897/ijnm2021.0467.
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Esan, Oluwaseun. "The knowledge versus self-rated confidence of facility birth attendants with respect to maternal and newborn health skills: the experience of Nigerian primary healthcare facilities." Malawi Medical Journal 31, no. 3 (September 3, 2019): 212–20. http://dx.doi.org/10.4314/mmj.v31i3.8.
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BackgroundCompetent and skilled birth attendants are critical in the reduction of maternal and infant morbidity and mortality at delivery. This study aimed to determine the association between knowledge and self-rated confidence in facility birth attendants affiliated with maternal and neonatal health (MNH) interventions.MethodsA descriptive cross-sectional study was conducted in 24 primary healthcare facilities in Osun state, Nigeria among 128 consenting facility birth attendants who were selected via a multi-stage sampling technique. Each attendant received a semi-structured interviewer-administered questionnaire. The dependent variables included the respondent’s level of knowledge in MNH interventions and their self-rated confidence in MNH skills such as the provision of antenatal care service, normal labour, use of a partograph and the management of obstetric complications and post-partum haemorrhage. Bivariate analysis of factors associated with knowledge and self-rated confidence in MNH skills was performed with statistical significance set at p<0.05.ResultsOnly 48 (37.5%) of the respondents had good knowledge of all of the assessed interventions; worse performances were reported with regards to the respondent’s knowledge of normal labour and partograph use. However, 96 (75%) of respondents were confident in performing 75% of the skills assessed. Our analysis identified two factors that were significantly associated with a good knowledge of MNH skills: the cadre of the birth attendants (p<0.001) and training in life-saving skills (p=0.001). The knowledge of our respondents relating to most of the MNH interventions assessed was not significantly associated with their self-rated confidence in the required skills.ConclusionThe confidence of facility birth attendants in MNH skills was not knowledge-based and could frustrate national efforts to reduce maternal and perinatal deaths. We recommend effective and evidence-based training of all cadres of facility birth attendants to ensure that the skills being practiced clinically are based on adequate knowledge.
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Abebe, Haftom Temesgen, Mache Tsadik Adhana, Mengistu Welday Gebremichael, Kebede Embaye Gezae, and Assefa Ayalew Gebreslassie. "Magnitude, trends and determinants of skilled delivery from Kilite-Awlaelo Health Demographic Surveillance System, Northern Ethiopia, 2009- 2017." PLOS ONE 16, no. 9 (September 9, 2021): e0254146. http://dx.doi.org/10.1371/journal.pone.0254146.
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Background The fundamental approach to improve maternal and neonatal health is increasing skilled delivery rate. Women giving birth at health institutions can prevent maternal and neonatal deaths by getting skilled birth attendance. In Ethiopia, despite a significant decrease in maternal mortality over the past decade, still a significant number of women give birth at home. Moreover, evidence from population-based longitudinal studies on skilled delivery is limited. Therefore, this study aims to investigate the magnitude, trend, and determinants of skilled delivery in Kilite-Awlaelo Health Demographic Surveillance System (KA-HDSS), Northern Ethiopia. Method Population-based longitudinal study design was conducted by extracting data for nine consecutive years (2009–2017) from KA-HDSS database. In order to measure the trends of skilled delivery, KA-HDSS data sets were analyzed (2009–2017). Bivariate and multivariate analyses were performed using STATA version 16. A multivariable binary logistic regression model was fitted to assess determinants of skilled delivery and odds ratio with 95% CI was used to assess presence of associations at a 0.05 level of significance. Results The skilled delivery rate have continuously increased among reproductive age women from 15.12% (95% CI: 13.30% - 17.09%) in 2010 to 95.85% (95% CI: 94.58% - 96.895%) in 2017. The skilled delivery rate becomes high (> = 82) in the period of 2014–2017. Education, residence, marital status, occupation and antenatal care (ANC) visits were the most important determinants for skilled delivery among reproductive age women during the period of high skilled delivery rate (2014–2017). Women urban dwellers had about 28 times (AOR = 27.66; 95% CI: 3.86–196.97) higher odds to deliver by skilled birth attendants than rural dwellers. Unmarried women who gave birth were 2.18 (AOR: 2.18; 95% CI: 1.30–3.64) times more likely to have skilled delivery service compared to those married. Likewise, women with four or more ANC visits were 3.2 times more likely to undergo skilled delivery service than those having no ANC visits (AOR: 3.16; 95% CI: 2.33–4.28). Moreover, women having at least a secondary education were 2 times more likely to have skilled delivery service compared to those women with no formal education (AOR = 2.10, 95% CI: 1.18–3.74). Conclusion Regardless of the importance of health facility delivery, a significant number of women still deliver at home attended by unskilled birth attendants. There has been a substantial increase in use of health facilities for delivery among women in the reproductive age. The factors affecting skilled delivery among reproductive age women were educational level, residence, marital status, occupation and use of ANC service. Maternal health related interventions are needed to change women’s attitudes towards skilled delivery. Moreover, ANC coverage should be increased to improve skilled delivery service.
Dissertations / Theses on the topic "Use of skilled birth attendants"
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Vondo, Noloyiso. "Factors associated with low-use of skilled birth attendants in Zimbabwe." University of the Western Cape, 2019. http://hdl.handle.net/11394/6795.
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Magister Philosophiae - MPhilSkilled birth attendance at childbirth is vital for decreasing maternal and child mortality in Zimbabwe. Infant mortality and maternal mortality in Zimbabwe are quite high due to low- use of skilled birth attendance. Based on different study sources, home delivery with complications are high, with many socio-economic and demographic associated factors including lack or no use of skilled birth attendance at childbirth in Zimbabwe. Therefore, the study looked at "preventive" which refers to an action taken to reduce or eliminate the probability of specific undesirable events or dangers from happening in the future and the present time in Zimbabwe. The objective of the study was to highlight the significance of the crucial function within the health systems of saving both the lives of a mother and the child. Furthermore to determine the frequent use of maternal health care services (skilled birth attendant) and identify factors affecting them. The data that was used was nationally represented large scale secondary data ZDHS of Zimbabwe with sample population n = 9,171. It was a secondary data that included all the provinces of Zimbabwe, simple random sampling was used that had questionnaires of both man, women and household questionnaires, these questionnaires helped in examining the socio-economic factors and determinants that leads to low-use of skilled birth attendants at childbirth. The prosed statistics analysis that were used were univariate, bivariate and multivariate techniques. The statistical analysis showed that demographic variables such age, place of delivery and socio-economic factors such as level of education of a mother and wealth index (occupation of a parent) and region has a significant effect on the use of skilled birth attendant during birth. Women with higher level of education were found to have high use rate of maternal health care services (Skilled birth attendants), while women with primary and secondary education were found to have high use rate of less ( traditional birth attendant) or no use of skilled birth attendant. Therefore, the female age at birth, place of delivery, level of education and wealth index played a major role in decision making about the importance of having a skilled birth attendant when giving birth. The access to skilled birth attendance was found to be a significant factor in reducing maternal and child mortality in Zimbabwe. Furthermore women need to be educated about the importance of maternal health care services use and postnatal care and the department of health in Zimbabwe can implement mobile clinics for those who are residing far from health facilities.
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Kibe, Peter Mwangi. "Determinants of utilization of skilled birth attendants among women of reproductive age (15-49 years) in Kakamega County, Kenya; a cross sectional study." Thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-352652.
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Background Globally, about 800 women die daily from complications arising during labor or within 42 days of childbirth. These deaths can be prevented by ensuring that women give birth in a safe environment in the presence of Skilled Birth Attendants (SBAs). SBAs are efficient to manage pregnancy, child birth and postnatal complications or refer in very complicated cases. Only about half of the women use SBAs in Kakamega County, Kenya. The study aim was to describe the determinants of utilization of SBA in Kakamega County. Method A cross sectional design was used. Data was obtained from Multiple Indicator Cluster Survey (MICS) conducted in the year 2014. A sample of 295 women were selected through two-stage cluster sampling. Standardized questionnaire was used to collect data from women who had given birth two years prior to the survey. Univariate and multivariate analysis was used to analyze the data. Results There was an association for use of SBAs with lower parity Odds Ratio (OR) 3.11(95% CI,1.82-5.52), early Antenatal Care (ANC) attendance OR 0.49(95% CI,0.27-0.88), secondary education OR 1.89(95% CI, 1.16-3.05) and high wealth index OR 2.87(95% CI,1.76-4.69). There was no association with ANC visits OR 1.3 (95% CI, 0.80-2.24) and place of residence OR 1.50 (95% CI,0.93-2.41). Conclusion Being in higher quartile, exposure to secondary education and low parity were key influencers of SBA use while place of residence did not show any association. There is an association between use of SBA and timely ANC attendance but not with number of ANC visits.
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VIEIRA, Cláudia Susana de Lima. "International experiences to increase the use of skilled attendants in contexts where traditional bhirth attends are the primary provider of child birth care: a systematic review." Master's thesis, Instituto de Higiene e Medicina Tropical, 2011. http://hdl.handle.net/10362/51210.
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Objectivo: A presente revisão sistemática da literatura pretende identificar e compreender melhor, as intervenções implementadas em diversos países, e os respectivos resultados, para aumentar o uso de provedores qualificados, em contextos onde as parteiras tradicionais são os principais provedores de cuidado no parto.
Metodologia: Foram pesquisadas 87 bases de dados electrónicas para a obtenção de referências sobre parteiras tradicionais e obstetrícia. Foram também contactados peritos para a obtenção de mais referências neste tópico. Não foi feita qualquer distinção entre países de baixo, médio ou alto rendimento, ou ano ou estado da publicação. Foram utilizados métodos de revisão sistemática narrativa.
Resultados: A pesquisa electrónica resultou na obtenção de 16.814 referências em 26 das 87 bases de dados pesquisadas. Após a eliminação de duplicados e da aplicação dos critérios de elegibilidade a todas as referências, tanto as obtidas das bases de dados electrónicas, como as dos peritos, 19 referências foram incluídas para extracção sistemática de dados, e 91 foram inventariadas por tipo de intervenção em cada país. As referências obtidas reflectem as experiências de 38 países.
A maioria das intervenções descritas nas 19 referências às quais se fez extracção sistemática de dados foram: melhoria no acesso aos serviços através da eliminação de barreiras geográficas e/ou económicas (n= 10) e desenvolvimento e/ou implantação de recursos humanos (n= 6). Para além destas, 2 referências eram relativas a intervenções de sensibilização da comunidade, e 1 era sobre a adaptação cultural dos partos institucionais.
Conclusão: A maioria das referências às quais se fez extracção sistemática de dados relataram estudos que foram considerados de baixa qualidade, com uma variação considerável na qualidade de informação proporcionada. Uma vez que a maioria dos estudos não usou no seu desenho uma distribuição aleatória, foi difícil atribuir com confiança resultados positivos a uma intervenção específica. Contudo, os estudos mostraram resultados positivos para o aumento do uso de atendimento/provedores qualificados e melhorias nos resultados de mortalidade materna, com uma concomitante redução no uso de parteiras tradicionais. No entanto, muitos estudos apontaram uma persistência de desigualdades, e mais atenção precisa de ser dada aos custos de transporte e preferências culturais.
As referências analisadas nesta revisão sistemática da literatura apresentam um segmento de tempo/intervenção e local, e seria útil elaborar uma análise aprofundada dos países, para detectar o impacto destas intervenções na redução de mortes maternas.Objective: The current systematic review intends to identify and better understand the interventions implemented in different countries to increase the use of skilled attendants in contexts where traditional birth attendants are the primary provider of childbirth care, and to summarize the outcomes of the different interventions. Methods: Eighty-seven electronic databases were searched for references on traditional birth attendants and midwifery. Experts in the field were also contacted to request documents related to the topic. No distinction was made between low, middle and high-income countries or publication year or status. Standard narrative systematic review methods were used. Findings: The electronic searches yielded a total of 16,814 references from 26 of the 87 databases. After elimination of dupplicates and the application of the eligibility criteria to all references - from the electronic searches and the experts in the field - 19 references were included for systematic data extraction and 91 references for inventory of the type of intervention and country. These references were from a total of 38 countries. Of the 19 references from which data was systematically extracted, the majority of interventions described were: improvement of access to services by removing geographical and/or financial barriers (n= 10) and human resources development and/or deployment (n= 6). Following these, 2 references were about a community advocacy intervention and 1 reference was about cultural adaptation of institutional childbirths. Conclusion: The majority of the included references for systematic data extraction reported studies which were considered of low quality with considerable variation in the quality of reporting. Since most studies did not use random allocation in their design it was difficult to confidently attribute positive outcomes to an individual intervention itself. Nonetheless, the studies reviewed showed positive results for increased use of skilled attendance/attendants and improved maternal mortality outcomes, with a concomitant reduction in the use of traditional birth attendants. However many studies noted that inequities persist and more attention needs to be given to transport costs and cultural preferences. The references analysed in this systematic review present a snapshot of a time/intervention and place and it would be useful to produce in depth country profiles to see the impact of these interventions on maternal deaths reduction.
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Anastasi, Erin. "Losing women along the path to safe motherhood : why is there such a gap between women's use of antenatal care and skilled birth attendance? : a case study in modern Uganda." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.550373.
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Hirsi, Alasa Osman. "Factors influencing the choice of place of child delivery among women in Garissa district, Kenya." University of the Western Cape, 2011. http://hdl.handle.net/11394/5288.
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Magister Public Health - MPHAlthough the Kenyan government implemented safe motherhood programme two decades ago, available data indicate that prevalence of home delivery is still high among women in Garissa District. The aim of this thesis was to investigate the factors influencing the choice of place of childbirth. Methodology: A descriptive cross-sectional study was carried out among 224 women who delivered babies two years prior to December 2010. Using a statcalc program in Epi Info 3.3.2, with expected frequency of home delivery at 83% +5% and a 95% confidence level, the calculated sample size was 215. Furthermore, with a 95% response rate the adjusted minimum sample size was 226.There were two none-responses hence 224 women were interviewed. Stratified sampling was used. Data were collected using pre-tested structured questionnaires and analyzed using SPSS. Descriptive, bivariate and multivariate analysis was performed. A binary logistic regression analysis using the Enter method was performed to determine independent predictors for use or non-use of healthcare services for childbirth. The threshold for statistical significance was set at 0.05. Results: The result was presented in text and tables. The study found 67% (n=224) women delivered at home and 33% delivered in hospital. The study found low level of education, poverty, none-attendance of ANC, distance, cost of services, poor quality services, negative attitude towards midwives, experience of previous obstetric complications and decision-making to be significant predictors in home delivery at the bivariate level (p<0.05). The study did not find relationship between age, marital status, religion and place of childbirth (p>0.05). At multivariate level, the following variables were still found to be significant predictors of home delivery: no education OR=8.36 (95% CI; 4.12-17.17), no occupation OR=1.43(95% CI; 1.08–5.49) experience of obstetric complications OR=1.38 (95% CI; 1.15-2.12), none-attendance of antenatal clinic OR=1.11 (95% CI; 1.03–1.51), Rude midwives OR=5.60 (95% CI; 2.66-11.96). Conclusions: high prevalence of home delivery was noted due to lack of education, poverty and inaccessible maternity services hence the need to empower women in education and economy to enhance hospital delivery.
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Cunningham, Vivian Main. "Social determinants of utilization of skilled birth attendants in two states of India." Diss., Online access via UMI:, 2006.
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Baral, Yuba Raj. "Factors affecting the utilisation of skilled birth attendants for delivery in a western hill district of Nepal." Thesis, London Metropolitan University, 2014. http://repository.londonmet.ac.uk/721/.
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Nearly three hundred thousand maternal deaths occur worldwide every year. More than 99% of deaths occur in developing countries. The use of skilled birth attendants is low in those countries where maternal mortality rates are high and most of these deaths could be prevented if skilled birth attendant services were available. Only 36 percent of women use skilled birth attendants in Nepal. There are many reasons for non-use of skilled birth attendant services, such as inequalities, lack of access to services, role of gender and culture and lack of women’s autonomy in decision-making. The purpose of this study was to explore the views, experiences and perceptions of women influencing utilisation of skilled birth attendants in rural Nepal. Listening to the women’s voices and views were central to this study in order to understand why women use or does not use skilled birth attendants. Women’s individual characteristics, family, community and organisation factors are interconnected in regards to uptake of skilled birth attendants, as well as policy factors. A case-study approach using mixed methods was taken to explore the women’s experiences and perceptions in a hill district of western Nepal. Interviews were conducted with 24 ‘new mothers’ aged 18-49 years and five mothers-in-law, two husbands and a father-in-law. A survey was conducted of 100 qualified skilled birth attendants (doctors, nurses and midwives) to understand service providers view towards women’s use of skilled birth attendant in two hospitals (one private and one public hospital): 56 SBAs responded. The qualitative data were analysed using a thematic analysis approach and descriptive statistics were derived from the quantitative data. The study found that individual characteristic of women, the location and infrastructure of health facilities, cultural and gender factors, including women’s expectations and preferences about skilled care use, affected uptake of skilled birth attendant services. Socio-cultural and political contexts were found to be interconnected in health service utilisation. Socio-economic inequality based on caste and gender, access to qualitative services and women’s lack of autonomy are some of the factors that influence the uptake of care by skilled birth attendants. This study asserts that capturing women’s experiences and perceptions is essential in order to improve the uptake of skilled birth attendants. Understanding women's views and voices provided a clear picture of what women want and need during pregnancy and childbirth. The empirical evidence derived from this study about the poor standards of care received in hospital and the preference for locally based services could be used along with other evidence to review current policy and inform future plans. Development should be aimed at improving professional standards and access while making maternal health services in Nepal more women-centred.
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Aderinwale, Adetayo Seun. "Well-educated middle class women and their preference for traditional rather than skilled birth attendants in Lagos Nigeria a qualitative study." University of the Western Cape, 2021. http://hdl.handle.net/11394/8442.
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Master of Public Health - MPHBackground:Theoutcomeofpregnanciesinmanyinstancesislargelypredicatedon availabilityofSkilledBirthAttendants(SBAs).Despitethisphenomenon,illiteracyand financialdisadvantagehavebeenvariouslycitedastwinfactorspromotingtheinterest andpatronageofTraditionalBirthAttendants(TBAs)bywomenfolk.Itistherefore expected thatwomenhavingtertiarylevelofeducationandpossessing adequate economic resources would naturally prefer to use the SBAs.However,these http://etd.uwc.ac.za/ 9 observationshavenotsignificantlyreflected therealityin thechoiceofmaternal healthcareprovidersinNigeriaandthecityofLagosinparticular.Yet,accessto maternalservicesoftheSBAshasbeenwidelyacceptedasoneoftheleadingwaysof loweringmaternalmortality.Therefore,inordertoimprovethepatronageofSBAsand correspondinglylowermaternaldeathrates,itbecomesimperativetounderstandthe rationalebehindthepreferencefortheTBAs’usebywomenwhoarenotordinarily expectedtodosobyvirtueoftheirhighlevelofeducationandgoodfinancialcapacity. Aim:Theaim ofthisstudywastoexploreandunderstandtheexperiences,perception and beliefsystems influencing well-educated,middle income women and their reasoningfortheuseofTraditionalBirthAttendantsratherthanSkilledBirthAttendants fordeliveryservicesinLagos,Nigeria. Methodology:ThisisaqualitativestudyconductedinAlimoshoLocalGovernmentArea ofLagosinNigeria.Tenwomenwithtertiarylevelofeducationandbelongingtomiddle incomeeconomiccategorieswereenrolledasparticipants.Inaddition,itinvolved3 FocusGroupDiscussionscomprising7TraditionalBirthAttendantspergroup. Results:Behaviouraland attitudinalshortcomings by the SBAs;misconceptions regardingsurgicaldeliverybywomen;bureaucraticdelaysandbottlenecksexperienced attheSBAs’centres;thebeliefbythewomenthatpregnancyisasacredandspiritual eventwhichonlytheTBAshaveabilitytomanage;women’sconfidenceintheTBAsas havingbettercapacitytomanagecertaincoexistingmedicalconditionsinpregnancy; andmisinformationonmanagementmodalitiesforcertainconditionslikeinfertilityand fibroidallcombinetoinfluencepreferenceforutilizationofTBAsbywell-educated, middleincomewomeninthestudyarea.
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Sujan, Karki Panee Vong-Ek. "Utilization of skilled birth attendants during childbirth in Nepal : an evaluation based on the 2001 and 2006 Nepal demographic and health surveys /." Abstract, 2008. http://mulinet3.li.mahidol.ac.th/thesis/2551/cd419/5038601.pdf.
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Kpodotsi, Aseye. "Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29388.
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Equitable access to, and use of skilled birth attendance during delivery is vital for the achievement of the Sustainable Development Goals (SDGs) in reducing global maternal deaths to 70 deaths per 100, 000. Although several initiatives have been implemented to reduce maternal mortality in Ghana, inequities in the use of skilled birth attendance during delivery still exist among women of different socioeconomic groups. This study assessed the socioeconomic inequalities and the underlying factors related to the inequalities in the use of skilled birth attendants during delivery in Ghana. This study analysed data from the 2014 Ghana Demographic and Health Survey (GDHS) using a decomposable health concentration index. Concentration index (CI) and concentration curves were employed to measure the magnitude of socioeconomic inequality in the use of skilled birth attendants during child delivery. The concentration index was decomposed to identify the underlying factors causing the inequalities. Out of a total of the 1,305 women who gave birth in the year prior to the interview, 28% of the deliveries had no skilled birth attendants of which 60% lives in rural compared to 40% in urban. A concentration index of 0.147 showed a pro-rich utilization of skilled birth attendance during delivery. The decomposition analysis revealed that, wealth, education and location of residence were the major contributors to socioeconomic inequalities in the use of skilled birth attendants during child delivery among Ghanaian women. This study suggests that factors such as wealth, area of residence and education are worthy of increased attention in programmatic efforts, and policy interventions, because they are amenable to the reduction of observed inequality.
Books on the topic "Use of skilled birth attendants"
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Mhango, Chisale. Mobilizing the community against maternal death—the Malawi community champion model. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780198703327.003.0005.
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Chapter 5 discusses the challenge of reducing maternal mortality in Malawi, one of the least resourced countries in Africa, through a mixture of clinical measures, service organization, and mobilizing the community. It describes how African Union (AU) and WHO policies were important in shaping plans and how international partners helped support and resource Malawi’s plans, as well as how the community and community leaders have been central to the success in Malawi. It covers how traditional leaders–chiefs–have played a very big role in giving maternal health greater priority and in changing behaviours amongst men as well as women, along with their willingness to confront resistance to change, whether it came from the churches or from individuals. It also covers the use of non-medical personnel, for example, in providing injectable contraceptives to women or in banning traditional birth attendants from delivering babies.
Book chapters on the topic "Use of skilled birth attendants"
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Awali, Chipiliro, and Patrick Albert Chikumba. "Assessing Spatial Distribution of Maternal Health Related Resources in Health Facilities in Malawi: Case of Skilled Birth Attendants in Zomba District." In Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, 145–52. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-08368-1_17.
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Biswas, Raaj Kishore, Nurjahan Ananna, and Jahar Bhowmik. "Effect of Women’s Education on Skilled Birth Attendants in South and South East Asia: A Cross-Country Assessment on Sustainable Development Goal 3.1." In Statistics for Data Science and Policy Analysis, 253–64. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-1735-8_19.
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Merriel, Abi, Raymond Kanthiti, and David Lissauer. "Direct maternal deaths." In Oxford Textbook of Global Health of Women, Newborns, Children, and Adolescents, edited by Delan Devakumar, Jennifer Hall, Zeshan Qureshi, and Joy Lawn, 104–7. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198794684.003.0021.
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This chapter discusses direct causes of maternal death, which account for nearly three quarters of maternal deaths worldwide. These deaths occur disproportionately in low-resource settings and are largely due to obstetric complications. It is therefore possible to significantly reduce these deaths. We discuss the five most important causes: postpartum haemorrhage, abortion-related deaths, hypertensive disorders, sepsis, and obstructed labour. The three delays in deciding, reaching, and receiving adequate care are then used to consider the broad areas to address to reduce direct maternal deaths. Possible strategies which could be implemented to reduce preventable direct maternal deaths such as implementing women’s groups and skills training are discussed. Finally, we highlight some of the challenges surrounding reducing direct deaths, including difficulties in measurement and increasing skilled attendance at birth. To overcome these challenges and prevent direct maternal deaths, comprehensive strategies addressing both community and health systems issues need to be employed.
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Hariman, Keith, Antonio Ventriglio, and Dinesh Bhugra. "Use of telepsychiatry for the management of mental health problems in migrants." In Oxford Textbook of Migrant Psychiatry, edited by Dinesh Bhugra, Oyedeji Ayonrinde, Edgardo Juan Tolentino, Koravangattu Valsraj, and Antonio Ventriglio, 633–42. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198833741.003.0073.
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An estimated 3.3% of the global population lives outside their place of birth. This heterogenous group includes not only high-skilled labour and expats, but also refugees and asylum seekers. Research has shown that the prevalence of certain mental illnesses, such as post-traumatic stress disorder and depression, may be higher in migrants than in the general population. However, some migrants might not be able to receive the relevant mental health treatment owing to various social, cultural, and physical barriers. One possible solution is the use of telepsychiatry, defined as the delivery of psychiatric intervention from a distance. This includes real-time videoconferencing, pre-recorded videos, or even decision support systems. This technology has the ability to connect migrants with a clinician who understands their language and culture, thereby improving the patient satisfaction and outcome. The benefits of telepsychiatry, along with the challenges in its implementation, will be discussed in this chapter, as will potential problems related to ethics, regulation, and confidentiality.
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Bourke, Brian. "Connecting With Generation Z Through Social Media." In Preparing the Higher Education Space for Gen Z, 124–47. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-7763-8.ch007.
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When it comes to Generation Z's participation in higher education, few topics receive as much attention as their use of social media. However, much of the focus rests on marketing to Generation Z through social media. The connectedness of Generation Z is accompanied with assumptions about their technological abilities. Although they are generally comfortable with technology, their tech acumen is likely limited. Members of Generation Z are often labeled as “digital natives,” a term that suggests that because of the omnipresence of technology in their lives from birth, that they are naturally skilled and competent with many, if not all, forms of technology. The purpose of this chapter is to offer strategies for higher education professionals in connecting with members of Generation Z through social media.
Conference papers on the topic "Use of skilled birth attendants"
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Ishola, Foluso. "P4.41 Effect of hiv related stigma on utilisation of skilled birth attendants by hiv positive women in nigeria; a systematic review." In STI and HIV World Congress Abstracts, July 9–12 2017, Rio de Janeiro, Brazil. BMJ Publishing Group Ltd, 2017. http://dx.doi.org/10.1136/sextrans-2017-053264.538.
Full textReports on the topic "Use of skilled birth attendants"
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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.