Factors Affecting the Selection of Institutional Delivery among Tribal Women in Bangladesh

  • A.N.M. Rezaul Karim International Islamic University Chittagong, Bangladesh

Abstract

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

References

Abebe, F., Berhane, Y.&Girma, B.(2012). Factors Associated with Home Delivery in Bahirdar, Ethiopia: A Case-control Study.BMC Res Notes, 5 (653), 1–6.

Agha, S. & Carton, T.W. (2011). Determinants of Institutional Delivery in Rural Jhang, Pakistan.Int. J. Equity Health, 10,31.

Alkema, L., Chou, D., Hogan, D., Zhang, S., Moller, A.B. &Gemmill, A.(2016). Global, Regional, and National Levels and Trends in Maternal Mortality Between 1990 and 2015, with Scenario-based Projections to 2030: A Systematic Analysis by the UN Maternal Mortality Estimation Inter-Agency Group.Lancet, 387 (10017), 462–74.

Amano, A.,Gebeyehu, A. &Birhanu, Z. (2012). Institutional Delivery Service Utilization in MunisaWoreda, Southeast Ethiopia: A Community-based Cross-sectional Study.BMC Pregnancy Childbirth, 12 (105),1–6.

Anyait, A., Mukanga, D., BwireOundo, G. &Nuwaha, F. (2012). Predictors for Health Facility Delivery in Busia District of Uganda: A Cross-sectional Study.BMC Pregnancy Childbirth,12(132), 1–9.

Bedford, J., Gandhi, M.,Admassu, M. &Girma, A.(2013). A Normal Delivery Takes Place at Home: A Qualitative Study of the Location of Childbirth in Rural Ethiopia.Matern Child Health J, 17,230–9.

Begum, M., Sarwar, K.B.,Akther, N.,Sabnom, R., Begum, A. &Chowdhury, K.A.(2013). Socio-demographic Determinants of Delivery Practice in Rural Women of Bangladesh.Delta Med Col J, 1(2), 42–45.

Feyissa, T.R., &Genemo, G.A.(2014). Determinants of Institutional Delivery Among Childbearing Age Women in Western Ethiopia: An Unmatched Case-control Study.PLoS One, 9 (5), 1–7.

Fikre, A., &Demissie, M.(2012). Prevalence of Institutional Delivery and Associated Factors in DodotaWoreda, Oromia Regional State, Ethiopia.Reprod Health, 9 (33), 1–6.

Fotso, J.C., Ezehm, A.C.&Essendi, H. (2009). Maternal health in resource-poor urban settings: How does women’s autonomy influence the utilization of obstetric care services?ReproductiveHealth, 6, 9.

Fronczak, N., Areefin, S.E., Moran, A.C., Caulfield, L.E.&Baqui, A.H. (2007). Delivery practices of traditional birth attendants in Dhaka slums, Bangladesh. Journal of Health Population and Nutrition, 25, 479–487.

Gabrysch, S.& Campbell, O.M. (2009). Still Too Far to Walk: A Literature Review of the Determinants of Delivery Service Use.BMC Pregnancy and Childbirth, 9 (1), 9–34. doi: 10.1186/1471-2393-9-34.

Gedefaw, A.,Muluken, A. &Tesfaye, S.(2014). Factors Associated with Institutional Delivery Service Utilization Among Mothers in Bahir Dar City Administration, Amhara Region: A Community-based Cross-sectional Study.Reproductive Health, 11,22

Islam, M., Chowdhury, R. &Akhter, H. (2006). Complications During Pregnancy, Delivery, and Postnatal Stages and Place of Delivery in Rural Bangladesh.Health Care for Women International, 27(9), 807–821.

Jinu, A.J., Sonali, S., Ganesh, K. S. &Sitanshu, S. (2014). Utilization of Maternal Health-care Services by Tribal Women in Kerala.J. Nat SciBiol Med, 5(1), 144–147.doi: 10.4103/0976-9668.127314.

John, K., Lewis, S. & Davey, G. (2013). Factors Influencing Place of Delivery for Women in Kenya: An Analysis of the Kenya Demographic and Health Survey, 2008/2009.BMC Pregnancy and Childbirth, 13,40. doi: 10.1186/1471-2393-13-40.

Kalule-Sabiti, I., Amoateng, A.Y. Ngake, M.(2015). The Effect of Socio-demographic Factors on the Utilization of Maternal Health Care Services in Uganda.Popul Health, 28(1), 515–525.

Kamal, S.M.M., Hassan, C.H. &Alam, G.M. (2013). Determinants of Institutional Delivery Among Women in Bangladesh.Asia-Pacific Journal of Public Health,20(10), 1–17.doi: 10.1177/1010539513486178.

Kamal, S.M.M. (2012). Safe Motherhood Practices Among Women of Urban Slums in Bangladesh. Health Care Women Int,33,719–738.

Karim, A.N.M.R , Kamal S.M.M , Islam

M.R. (2018) Antenatal Care Practices with Associated Factors among Tribal Women of Bangladesh. American Journal of Applied Mathematics and Statistics. 6(4): 149-157. doi: 10.12691/ajams-6-4-5

Karim, A.N.MR (2019) Assessing Barri-

ers for Delayed Antenatal Care Services among Tribal Women of Bangladesh” International Journal of Public Health Research, Universiti Kebangsaan Malaysia, 2019, 9( 2), 1100-1107

Kulmala, T. (2000). Maternal Health and Pregnancy Outcomes in Rural Malawi.” [Ph.D. dissertation], Medical School, University of Temper.Acta Electronica UniversitatisTemperenasis.

Mazalale, J.,Kambala, C., Brenner, S.,Chinkhumba, J.,Lohmann, J. &Mathanga, D.P (2015). Factors Associated with Delivery Outside a Health Facility: A Cross-sectional Study in Rural Malawi.Tropical Med. Int. Health,20(5), 617–26.

Mohsin, A. (1997). The Politics of Nationalism—The Case of Chittagong Hill Tracts Bangladesh. The University Press Limited, Dhaka, Bangladesh

Moran, A.C., Choudhury, N., Khan, N.U.Z., Karar, Z.A., Wahed, T., Rashid, S.F.&Alam M.A. (2009). Newborn care practices among slum dwellers in Dhaka, Bangladesh: A quantitative and qualitative exploratory study.BMC Pregnancy and Childbirth, 9, 54.

Moyer, C.A., Dako-Gyeke, P. &Adanu, R.M. (2013). Facility-based Delivery and Maternal and Early Neonatal Mortality in sub-Saharan Africa: A Regional Review of the Literature.African Journal of Reproductive Health, 17(3), 30–43.

National Institute of Population Research and Training (NIPORT), Mitra and Associates, and ICF International. (2016). Bangladesh Demographic and Health Survey (2014). Dhaka, Bangladesh, and Rockville, Maryland, USA: NIPORT, Mitra and Associates, and ICF International.

National Institute of Population Research and Training (NIPORT), International Centre for Diarrhoeal

Disease Research, Bangladesh (icddr,b), and MEASURE Evaluation. (2017). Bangladesh Maternal Mortality and Health Care Survey 2016: Preliminary Report. Dhaka, Bangladesh, and Chapel Hill, NC, USA: NIPORT,

icddr,b, and MEASURE Evaluation.

Ng’anjo, P.S., Kiserud, T.,Kvale, G., Byskov, J., Evjen-Olsen, B., Michelo, C.,Echoka, E. &Fylkesnes, K. (2014). Factors Associated with Health Facility Childbirth in Districts of Kenya, Tanzania and Zambia: A Population-based Survey.BMC Pregnancy Childbirth,14, 219. doi:10.1186/1471-2393-14-219.

Ono, M., Matsuyama, A.,Karama, M. & Honda, S. (2013). Association Between Social Support and Place of Delivery: A Cross-sectional Study in Kericho, Western Kenya.BMC Pregnancy Childbirth, 13(214), 1–9.

Rahman, S.A., Tara, K., Barbara, M.& Charles N. (2012). Healthcare-seeking Behaviour among the Tribal People of Bangladesh: Can the Current Health System Really Meet Their Needs?J Health PopulNutr, 30(3), 353–365.

Roni, M.A.H. (2014). Health Care Seeking Behavior During Delivery Time Among the Women of Slums in Dhaka.” A thesis submitted in partial fulfillment of the requirements for the degree of masters in population, reproductive health, gender and development, East West University, Dhaka.

Sarker, B.K., Rahman, M., Rahman, T., Hossain, J.,Reichenbach, L. &Mitra, D.K.(2016). Reasons for Preference of Home Delivery with Traditional Birth Attendants (TBAs) in Rural Bangladesh: A Qualitative Exploration.PLoS ONE, 11(1), 1–19. doi:10.1371/journal.pone.0146161.

Shrestha, S.K., Banu, B. &Khanom, K(2012). Changing Trends on the Place of Delivery: Why Do Nepali Women Give Birth at Home?Reproductive Health, 9(1), 25.

Tann, C. J., Kizza, M., Morison, L., Mabey, D., Muwanga, M. &Grosskurth, H(2007). Use of Antenatal Services and Delivery Care in Entebbe, Uganda: A Community Survey.BMC Pregnancy Childbirth, 7,23.

Tsawe, M., Moto, A., Netshivhera, T.,Ralesego, L., Nyathi, C. &Susuman, A.S.(2015). Factors Influencing the Use of Maternal Health Care Services and Childhood Immunization in Swaziland.Int. J. Equity Health, 14(1), 32.

United Nations Children’s Fund, World Health Organization, World Bank. United Nations—DESA Population Division. Levels and Trends in Child Mortality (2015). Geneva, Switzerland: World Health Organization. https://data.unicef.org/topic/maternal-health/antenatal-care/accessed on 03/04/2017

World Health Organization (2018). Maternal Mortality—Global Health Observatory (GHO). Available online at https://www.who.int/news-room/fact-sheets/detail/maternal-mortality

Wilunda, C., Quaglio, G.,Puoto, G.,Lochoro, P.,Dall’Oglio, G., Manenti, F.,Atzori,A., MiliganLochiam, R., Takahashi, R., Mukundwa, A &Oyerinde, K.(2014). A Qualitative Study on Barriers to Utilization of Institutional Delivery Services in Moroto and Napak Districts, Uganda: Implications for Programming.BMC Pregnancy Childbirth,14, 259. doi:10.1186/1471-2393-14-259.

Published
2019-09-30
How to Cite
Karim, A. R. (2019). Factors Affecting the Selection of Institutional Delivery among Tribal Women in Bangladesh. Journal of Cognitive Sciences and Human Development, 5(2), 104-115. https://doi.org/10.33736/jcshd.1923.2019