دورية أكاديمية
أعرض في EDS

Individual and community-level factors associated with skilled birth attendants during delivery in Bangladesh: A multilevel analysis of demographic and health surveys.

التفاصيل البيبلوغرافية
العنوان: Individual and community-level factors associated with skilled birth attendants during delivery in Bangladesh: A multilevel analysis of demographic and health surveys.
المؤلفون: Nahar MT; Statistics Discipline, Science Engineering & Technology School, Khulna University, Khulna, Bangladesh., Anik SMF; Statistics Discipline, Science Engineering & Technology School, Khulna University, Khulna, Bangladesh., Islam MA; Statistics Discipline, Science Engineering & Technology School, Khulna University, Khulna, Bangladesh., Islam SMS; Institute for Physical Activity and Nutrition, Deakin University, Melbourne, Victoria, Australia.
المصدر: PloS one [PLoS One] 2022 Jun 29; Vol. 17 (6), pp. e0267660. Date of Electronic Publication: 2022 Jun 29 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Maternal Health Services* , Midwifery*, Adolescent ; Bangladesh/epidemiology ; Child ; Cross-Sectional Studies ; Delivery, Obstetric ; Female ; Humans ; Infant, Newborn ; Maternal Mortality ; Multilevel Analysis ; Pregnancy ; Prenatal Care ; Socioeconomic Factors
مستخلص: Background: Skilled birth attendants (SBAs) play a crucial role in reducing infant and maternal mortality. Although the ratio of skilled assistance at birth has increased in Bangladesh, factors associated with SBA use are unknown. The main goal of our study was to reveal the individual- and community-level factors associated with SBA use during childbirth in Bangladesh. We also showed the prevalence and trend of SBA use and related independent variables in Bangladesh over the past decade.
Methods: This study utilized the Bangladesh Health and Demographic Survey (BDHS) 2017-2018, a cross-sectional study. We used binary logistic regression to examine the extent of variation in SBA use attributable to the individual- and community-level variables.
Results: Overall, 53.35% of women received assistance from SBAs during childbirth. The average annual rate of increase (AARI) in the number of SBA-assisted births over the past 10 years was 8.88%. Respondents who gave birth at or above 19 years had 1.40 times (AOR = 1.40; 95% CI: 1.21-1.62) greater odds of having skilled delivery assistance than respondents aged 18 years old or less. Women and their husband's education levels were significantly associated with using skilled assistance during delivery, with odds of 1.60 (AOR = 1.60; 95% CI: 1.45-2.01) and 1.41 (AOR = 1.41; 95% CI: 1.21-1.66), respectively compared to those with education up to primary level. Women from rich families and those receiving better antenatal care (ANC) visits were more likely to have professional delivery assistance. Community-level factors also showed significance towards having professional assistance while giving birth. Women from urban communities and those who utilized more than four ANC visits and had completed secondary or higher education showed a greater tendency to use an SBA during childbirth than their counterparts.
Conclusion: The use of SBAs during delivery was significantly associated with some individual- and community-level factors. To reduce maternal and child mortality, there is a need to focus on rural and uneducated people who are less likely to access these facilities. Special programs could increase awareness and help the poor community obtain the minimum facility in maternal care.
Competing Interests: The authors have declared that no competing interests exist.
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تواريخ الأحداث: Date Created: 20220629 Date Completed: 20220701 Latest Revision: 20220716
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9242462
DOI: 10.1371/journal.pone.0267660
PMID: 35767568
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0267660