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Divisional Variations in Safe Maternal Delivery Practices in Bangladesh: A Logistic Regression Analysis

並列摘要


The aim of this research is to determine the effectiveness of the existing safe-delivery facilities in six divisions of Bangladesh and also investigate the effects of so me selected factors in taking assistance from medically-trained persons, such as doctors, trained nurses or midwives, or family welfare visitors during delivery, with a view to reducing maternal morbidity and mortality in Bangladesh so that the country would be able to reach the Millennium Development Goals (MDGs) by 2015. Data for the study were drawn from the Bangladesh Demographic and Health Survey (BDHS), 2004. The study was executed separately for six administrative divisions for the five-year period preceding the survey, having an eligible woman with one or more child (ren). Well-known statistical tools, such as Pearson chi-square test and logistic regression model, were used for analyzing data. It is apparent from the study that the overall performance of respondents of six divisions towards safe delivery practices was very low. The divisional variations were also clearly evident in the study. Respondents' and their husbands' education, place of residence, electrification, husbands' occupational status, and respondents' exposures to mass media were significantly (p<0.001) associated with the delivery assistance taken from medically-trained persons. The probability of safe maternal delivery practice increased with the increase in education for both respondents and their husbands. Finally, the paper provides some additional suggestive policy measures that the planners and implementers may consider for quality development of the inconsistent factors.

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