Sujan Karki. Utilization of skilled birth attendants during childbirth in Nepal : an evaluation based on the 2001 and 2006 Nepal demographic and health surveys. Master's Degree(Population and Reproductive Health Research ). Mahidol University. : Mahidol University, 2008.
Utilization of skilled birth attendants during childbirth in Nepal : an evaluation based on the 2001 and 2006 Nepal demographic and health surveys
Abstract:
The purpose of this study was to assess the factors influencing the utilization
of skilled birth attendants (SBAs) during childbirth. Furthermore, this study assessed
changes in the rate of utilization of SBAs over a five year period from 2001 to 2006
and also evaluated the impact of mass media on utilization.
This observational evaluation study is based on a pooled cross-sectional design
and uses data from the 2001 and 2006 Nepal Demographic and Health Surveys. The
utilization of SBAs in 2006 was still significant (OR 1.29, p<0.01) when compared to
data from 2001, even after controlling for the socio-demographic and program
variables. The odds of using SBAs was 1.3 times higher in women who had
heard/seen reproductive health messages from both radio and television than their
counterparts. Womens level of education and occupation also had a significant effect
on utilization.
Although the findings show that utilization of SBAs during childbirth in Nepal
had significantly changed in the five-year period examined, this proportion of
utilization of SBAs (20.6%) is far below the millennium development goal target of
40 percent for 2005. Different community based programs need to reach poor,
illiterate, farming and rural women.