Saswata Ghosh1, Md Zakaria Siddiqui2, Anamitra Barik3, Sunil Bhaumik4. 1. Institute of Development Studies Kolkata (IDSK), DD-27/D, Sector-1, Near City Centre, Salt Lake City, 700 064, Kolkata, India. ghosh.saswata@gmail.com. 2. Crawford School of Public Policy, Australian National University, Acton, ACT, Australia. zakaria.jnu@gmail.com. 3. Society for Health and Demographic Surveillance (SHDS), Suri, Birbhum, India. anomitro2010@gmail.com. 4. Society for Health and Demographic Surveillance (SHDS), Suri, Birbhum, India. sunilbhaumik.09@gmail.com.
Abstract
OBJECTIVE: This study examines the determinants of utilisation of skilled birth attendants (SBAs) amongst 2886 rural women in the state of West Bengal, India, using data from a survey of 2012-2013 conducted by the Birbhum Health and Demographic Surveillance System. METHOD: Multilevel logit regression models were estimated and qualitative investigations conducted to understand the determinants of utilisation of SBAs in rural West Bengal. RESULTS: Among women who delivered their last child during the 3 years preceding the survey, 69.1 % of deliveries were assisted by SBAs, while 30.9 % were home deliveries without any SBA assistance. Multivariate analysis revealed that apart from socio-demographic and economic factors (such as household affluence, women's education, birth order, uptake of comprehensive ANC check-ups, advice regarding danger signs of pregnancy and household's socio-religious affiliation), supply side factors, such as availability of skilled birth attendants in the village and all-weather roads, have significant effect on seeking skilled assistance. Our findings also show that unobserved factors at village level independently influence uptake of SBA-assisted delivery. CONCLUSIONS FOR PRACTICE: The present findings emphasise that both demand and supply side intervention strategies are essential prerequisites to enhance skilled birth attendance. Ample communication is observed at the individual level, but improving community level outreach and advocacy activities could generate further demand. SBAs can be better integrated by accommodating the socio-religious needs of local communities, such as providing female doctors and doctors with similar socio-religious backgrounds.
OBJECTIVE: This study examines the determinants of utilisation of skilled birth attendants (SBAs) amongst 2886 rural women in the state of West Bengal, India, using data from a survey of 2012-2013 conducted by the Birbhum Health and Demographic Surveillance System. METHOD: Multilevel logit regression models were estimated and qualitative investigations conducted to understand the determinants of utilisation of SBAs in rural West Bengal. RESULTS: Among women who delivered their last child during the 3 years preceding the survey, 69.1 % of deliveries were assisted by SBAs, while 30.9 % were home deliveries without any SBA assistance. Multivariate analysis revealed that apart from socio-demographic and economic factors (such as household affluence, women's education, birth order, uptake of comprehensive ANC check-ups, advice regarding danger signs of pregnancy and household's socio-religious affiliation), supply side factors, such as availability of skilled birth attendants in the village and all-weather roads, have significant effect on seeking skilled assistance. Our findings also show that unobserved factors at village level independently influence uptake of SBA-assisted delivery. CONCLUSIONS FOR PRACTICE: The present findings emphasise that both demand and supply side intervention strategies are essential prerequisites to enhance skilled birth attendance. Ample communication is observed at the individual level, but improving community level outreach and advocacy activities could generate further demand. SBAs can be better integrated by accommodating the socio-religious needs of local communities, such as providing female doctors and doctors with similar socio-religious backgrounds.
Authors: S A Harvey; P Ayabaca; M Bucagu; S Djibrina; W N Edson; S Gbangbade; A McCaw-Binns; B R Burkhalter Journal: Int J Gynaecol Obstet Date: 2004-11 Impact factor: 3.561
Authors: Gulam Muhammed Al Kibria; Swagata Ghosh; Shakir Hossen; Rifath Ara Alam Barsha; Atia Sharmeen; S M Iftekhar Uddin Journal: Matern Health Neonatol Perinatol Date: 2017-03-21