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American Journal of Public Health Research. 2013, 1(8), 226-230
DOI: 10.12691/ajphr-1-8-6
Open AccessArticle

Socio-demographic Factors Associated with Home Delivery Assisted by Untrained Traditional Birth Attendant in Rural Bangladesh

Md. Atiqul Hoque Chowdhury1, , Md. Mehedi Hasan2, Sayem Ahmed2, Charls Darwin3, Mohammad Sazzad Hasan4 and Md. Rabiul Haque5

1Department of Public Health, University of South Asia, Dhaka, Bangladesh

2International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh

3Faculty of Business Studies, Bangladesh University of Professionals, Dhaka, Bangladesh

4Department of management studies, Jagannath University, Dhaka, Bangladesh

5Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh

Pub. Date: December 08, 2013

Cite this paper:
Md. Atiqul Hoque Chowdhury, Md. Mehedi Hasan, Sayem Ahmed, Charls Darwin, Mohammad Sazzad Hasan and Md. Rabiul Haque. Socio-demographic Factors Associated with Home Delivery Assisted by Untrained Traditional Birth Attendant in Rural Bangladesh. American Journal of Public Health Research. 2013; 1(8):226-230. doi: 10.12691/ajphr-1-8-6


Delivery assisted by skilled birth attendant is recommended as a means to reduce maternal mortality. However untrained traditional birth attendant (UTBA) assisted home is very high in developing countries. The objective of this study is to assess socio-demographic determinants of UTBA assisted home delivery in rural Bangladesh. Data used in this study was obtained from women questionnaire of the 2011 Bangladesh Demographic and Health Survey (BDHS). Mothers residing in rural Bangladesh, who gave valid information on both delivery place and assistance during delivery, were included in this study (n = 4983). Binary logistic regression model was used to explore factors influencing home delivery assisted by untrained traditional birth attendant. Most of the mothers (79%) reported to have delivered at home and of these home deliveries, 76% were assisted by untrained traditional birth attendant. In multivariate regression model, it is found that the odds of UTBA assisted home delivery decreased with mother’s education, husband’s education, higher wealth index, number of Antenatal Care (ANC) visits and media exposure. To reduce maternal mortality in rural areas of Bangladesh, program managers and policy makers should consider these factors in designing programs and implementing interventions.

untrained traditional birth attendants home delivery Bangladesh

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[1]  WHO, UNICEF, UNFPA and The World Bank, Trends in Maternal Mortality: 1990 to 2010, Geneva: WHO, 2010.
[2]  Ronsmans, C. and Graham, W.J., “Maternal mortality: who, when, where, and why”, Lancet, 368(9542), p:1189-1200, 2006.
[3]  Harvey, S.A., Ayabaca, P., Bucagu, M., Djibrina, S., Edson, W.N., Gbangbade, S., McCaw-Binns, A. and Burkhalter, B.R., “Skilled birth attendant competence: an initial assessment in four countries, and implications for the Safe Motherhood movement”, International journal of gynaecology and obstetrics, 87(2), p:203-210, 2004.
[4]  Koblinsky, M.A., Campbell, O. and Heichelheim, J., “Organizing delivery care: what works for safe motherhood?” Bulletin of the World Health Organization, 77(5), p:399-406, 1999.
[5]  Kwast, B.E., “Reduction of maternal and perinatal mortality in rural and peri-urban settings: what works? European journal of obstetrics, gynecology, and reproductive biology, 69(1), p:47-53, 1996.
[6]  De Brouwere, V., Tonglet, R. and Van Lerberghe, W., “Strategies for reducing maternal mortality in developing countries: what can we learn from the history of the industrialized West?”, Tropical medicine & international health, 3(10), p:771-782, 1998.
[7]  Koblinsky, M., Matthews, Z., Hussein, J., Mavalankar, D., Mridha, M.K., Anwar, I., Achadi, E., Adjei, S., Padmanabhan, P. and Marchal, B., “Going to scale with professional skilled care”, Lancet, 368(9544), p:1377-1386, 2006.
[8]  Montagu, D., Yamey, G., Visconti, A., Harding, A., and Yoong, J., “Where do poor women in developing countries give birth? A multi-country analysis of demographic and health survey data”, PloS one, 6(2), 2011.
[9]  Campbell, O.M. and Graham, W.J., “Strategies for reducing maternal mortality: getting on with what works”. Lancet, 368(9543), p:1284-1299, 2006.
[10]  Stephenson, R., Baschieri, A., Clements, S., Hennink, M. and Madise, N., “Contextual influences on the use of health facilities for childbirth in Africa, American journal of public health, 96(1), p:84-93, 2006.
[11]  Gabrysch, S. and Campbell, O.M., “Still too far to walk: literature review of the determinants of delivery service use”, BMC pregnancy and childbirth, 9(34), 2009.
[12]  Faye, A., Niane, M. and Ba, I., “Home birth in women who have given birth at least once in a health facility: contributory factors in a developing country”, Acta obstetricia et gynecologica Scandinavica, 90(11), p:1239-1243, 2011.
[13]  Paul, B.K. and Rumsey, D.J., “Utilization of health facilities and trained birth attendants for childbirth in rural Bangladesh: an empirical study”, Soc Sci Med, 54(12), p:1755-1765, 2002.
[14]  National Institute of Population Research and Training (NIPORT), Mitra and Associates and Macro International, Bangladesh Demographic and Health Survey 2011, Dhaka, Bangladesh and Calverton, Maryland, USA, 2013.
[15]  Titaley, C.R., Dibley, M.J. and Roberts, C.L., “Factors associated with underutilization of antenatal care services in Indonesia: results of Indonesia Demographic and Health Survey 2002/2003 and 2007”, BMC public health, 10(485), 2010.
[16]  Shea, O.R. and Kiersten, J., DHS Comparative Report No. 6, The DHS Wealth Index, Calverton, Maryland, USA: Measure DHSORC Macro, 2004.
[17]  Bell, J., Curtis, S.L. and Alayón, S., Trends in delivery care in six countries. DHS Analytical Studies No 7, Calverton, Maryland, USA: DHSORC Macro, 2003.
[18]  Mekonnen, Y. and Mekonnen, A., “Factors influencing the use of maternal healthcare services in Ethiopia”,Journal of health, population and nutrition, 21(4), p:374-382, 2003.
[19]  Tann, C.J., Kizza, M., Morison, L., Mabey, D., Muwanga, M., Grosskurth, H. and Elliott, A.M., “Use of antenatal services and delivery care in Entebbe, Uganda: a community survey”, BMC pregnancy and childbirth, 7(23), 2007.
[20]  Kruk, M.E., Prescott, M.R. and Galea, S., “Equity of skilled birth attendant utilization in developing countries: financing and policy determinants”. American journal of public health, 98(1), p:142-147, 2008.
[21]  Amooti-Kaguna, B. and Nuwaha, F., “Factors influencing choice of delivery sites in Rakai district of Uganda”, Soc Sci Med, 50(2), p:203-213, 2000.
[22]  Navaneetham, K. and Dharmalingam, A., “Utilization of maternal health care services in Southern India”, Soc Sci Med, 55(10), p:1849-1869, 2002.
[23]  Vanneste, A.M., Ronsmans, C., Chakraborty, J. and De Francisco, A., “Prenatal screening in rural Bangladesh: from prediction to care”, Health policy and planning, 15(1), p:1-10, 2000.
[24]  Pervin, J., Moran, A., Rahman, M., Razzaque, A., Sibley, L., Streatfield, P.K., Reichenbach, L.J., Koblinsky, M., Hruschka, D. and Rahman, A., “Association of antenatal care with facility delivery and perinatal survival - a population-based study in Bangladesh”, BMC pregnancy and childbirth, 12(111), 2012.