Cultural Barriers To Maternal Health Care In Rural Bangladesh

Walton, Lori Maria; Schbley, Msw Bassima

doi:10.18785/ojhe.0901.03

Cited by 16 publications

(14 citation statements)

References 12 publications

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“…Beliefs (i.e. birth is a test of endurance or care‐seeking a sign of weakness) and cultural requirements of seclusion influence a woman not receiving adequate ANC and home delivery . None of the selected articles in this review explained the sociocultural and religious (Islam, Hinduism) aspects of the healthcare‐seeking behaviour, which might influence the use of maternal healthcare services among Bangladeshi adolescents.…”

Section: Discussionmentioning

confidence: 99%

Utilization of maternal health services among adolescent women in Bangladesh: A scoping review of the literature

Shahabuddin

Delvaux

Abouchadi

et al. 2015

Tropical Med Int Health

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Abstractobjective To understand the health-seeking behaviour of adolescent women in Bangladesh with respect to the use of maternal health services. results Twelve studies were included in this review. 11 used quantitative methods and one used a mixed-methods approach. All studies included married adolescent women only. Women with lower educational levels are less likely to seek skilled maternal health services than those with higher levels of education. Use of maternal health services is also less common among rural married adolescent women than women in urban areas. Being part of the richest bands of wealth, having had previous experiences of childbirth and higher women's autonomy positively influence the use of skilled maternal health services among married adolescent women in Bangladesh. Antenatal care is a key predictor of the use of skilled birth attendants for delivery and post-natal care.conclusion Maternal health-related programmes should be designed targeting rural and uneducated married adolescent women in Bangladesh. More qualitative investigations are required to broaden our understanding on maternal health-seeking behaviour of both married and unmarried adolescent women.keywords adolescent, pregnancy in adolescence, health-seeking behaviour or use of maternal health services, Bangladesh

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Section: Discussionmentioning

confidence: 99%

Utilization of maternal health services among adolescent women in Bangladesh: A scoping review of the literature

Shahabuddin

Delvaux

Abouchadi

et al. 2015

Tropical Med Int Health

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“…Studies in Cambodia, Bangladesh, Ethiopia, Togo, and Nepal are not representative of the East Africa region since a single country study. The study conducted sub-Saharan Africa include included 34 countries, cultural barriers towards utilization of maternal health services, and different infrastructure across the regions [31].…”

Section: Discussionmentioning

confidence: 99%

Pooled prevalence and determinants of skilled birth attendant delivery in East Africa countries: a multilevel analysis of Demographic and Health Surveys

Tessema

Tesema

2020

Ital J Pediatr

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Introduction Skilled health professional assisted delivery is an effective strategy to reduce maternal and newborn mortality. Skilled assistant delivery can prevent about 16–33% of maternal and newborn mortality. Despite the commitments of the government to assure home free delivery, majority of the births in Sub-Saharan Africa are attended by traditional birth attendants. As to our search of the literature, there is limited evidence on the prevalence and determinants of skilled delivery in East African countries. Therefore, this study aimed to estimate the pooled prevalence and determinants of skilled birth attendant delivery in East Africa Countries. Methods Pooled analysis was done based on Demographic and Health Surveys conducted in the 12 East African countries from 2008 to 2017. A total weighted sample of 141,483 women who gave birth during the study period was included in the study. The pooled prevalence of skilled birth attendance was estimated using STATA version 14. Intra-class Correlation Coefficient, Median Odds Ratio, Proportional Change in Variance, and deviance were used for model fitness and comparison. The multilevel multivariable logistic regression model was fitted to identify determinants of skilled birth attendance in the region. Adjusted Odds Ratio with its 95% Confidence Interval was used to declare significant determinants of skilled birth attendants. Results The pooled prevalence of skilled birth attendant in East African countries were 67.18% (95% CI:66.98, 67.38) with highest skilled birth attendant in Rwanda (90.68%) and the lowest skilled birth attendant in Tanzania (11.91%). In the Multilevel multivariable logistic regression model; age 15–24 (Adjusted Odds Ratio (AOR) = 1.14, 95%CI:1.09, 1.18), age 25–49(AOR = 1.16, 95%CI:1.10,1.23), primary women education (AOR = 1.57, 95%CI:1.51,1.63), secondary and above women education (AOR = 2.85, 95%CI:1.73,3.01), primary husband education (AOR = 1.11, 95%CI = 1.07,1.15), secondary and above husband education (AOR = 1.46, 95%CI = 1.40,1.53), middle wealth index (AOR = 1.43, 95%CI = 1.38,1.49),rich wealth index (AOR = 2.38, 95%CI = 2.28,2.48), had ANC visit (AOR = 1.68, 95%CI = 1.62,1.73),multiple gestation (AOR = 2.06, 95%CI = 1.90,2.25), parity 2–4(AOR = 0.65, 95%CI = 0.61,0.69), parity 5 + (AOR = 0.44, 95%CI = 0.41,0.47), accessing health care not big problem (AOR = 1.32, 95%CI = 1.28,1.36), residence (AOR = 0.43, 95%CI = 0.41,0.45) and being Burundi resident (AOR = 0.77, 95%CI = 0.70,0.85) were significantly associated with skilled assisted delivery. Conclusion Skilled birth attendance at birth in the East Africa countries was low. Maternal age, women and husband education, wealth index, antenatal care visit, multiple gestations, parity, accessing health care, residence, and living countries were major determinants of skilled attendant delivery. Strategies to increase the accessibility and availability of healthcare services, and financial support that targets mothers from poor households and rural residents to use health services will be beneficial. Health education targeting mothers and their partner with no education are vital to increasing their awareness about the importance of skilled birth attendance at birth.

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“…Based on those shreds of evidence, it can be asserted that ANC service inequality exists based on place of residence agreeing to the fact that 78% of people living in rural Bangladesh, while 70% doctors are stationed in urban areas [76]. In addition to unavailability of skilled provider, rural Bangladeshi women face various types of challenges to access maternal health services such as: poverty, long distance of health facility, waiting time at hospital, lack of female health staff, lack of skilled birth attendant, lack of education [77][78][79].…”

Section: Plos Onementioning

confidence: 99%

Status of the WHO recommended timing and frequency of antenatal care visits in Northern Bangladesh

Sarker

Rahman

et al. 2020

PLoS ONE

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Objective There is dearth of information on the timeliness of antenatal care (ANC) uptake. This study aimed to determine the timely ANC uptake by a medically trained provider (MTP) as per the World Health Organization (WHO) recommendations and the country guideline. Methods Cross-sectional survey was done with 2,731 women having livebirth outcome in last one year in Dinajpur, Nilphamari and Rajshahi districts, Bangladesh from August-November,2016. Results About 82%(2,232) women received at least one ANC from a MTP. Overall, 78%(2,142) women received 4 or more ANCs by any provider and 43%(1168) from a MTP. Only 14%(378) women received their first ANC at the 1st trimester by a MTP. As per 4 schedule visits by the WHO FANC model and the country guideline 8%(203) and 20%(543) women respectively received the first 2 timely ANC by a MTP; where only 1%(32) and 3%(72) received the first 3 visits timely and 0.6%(17) and 1%(29) received all the four timely visits. Factors significantly associated with the first two timely visits are: 10 or above years of schooling of women [adj. OR 2.13 (CI: 1.05, 4.30)] and their husbands [adj. OR 2.40 (CI: 1.31, 4.38)], women’s employment [adj. OR 2.32 (CI: 1.43, 3.76)], urban residential status [adj. OR 3.49 (CI: 2.46, 4.95)] and exposure to mass media [adj. OR 1.58 (CI: 1.07, 2.34)] at 95% confidence interval. According to the 2016 WHO ANC model, only 1.5%(40) women could comply with the first two ANC contacts timely by a MTP and no one could comply with all the timely 8 contacts. Conclusion Despite high coverage of ANC utilization, timely ANC visit is low as per both the WHO recommendations and the country guideline. For better understanding, further studies on the timeliness of ANC coverage are required to design feasible intervention for improving maternal and child health.

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Cultural Barriers To Maternal Health Care In Rural Bangladesh

Cited by 16 publications

References 12 publications

Utilization of maternal health services among adolescent women in Bangladesh: A scoping review of the literature

Utilization of maternal health services among adolescent women in Bangladesh: A scoping review of the literature

Pooled prevalence and determinants of skilled birth attendant delivery in East Africa countries: a multilevel analysis of Demographic and Health Surveys

Status of the WHO recommended timing and frequency of antenatal care visits in Northern Bangladesh

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