Free Content Determinants of skilled birth attendance in rural Cambodia

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Abstract:

Summary Objective 

To identify the determinants of skilled and unskilled birth attendance. Method 

Population-based survey in a rural area in Cambodia, of women aged 15–49 years who had delivered during the previous 3-month period. An analytical framework based on Andersen's behavioural model served to identify determinants according to delivery place (facility vs. non-facility), birth attendant at home births (skilled vs. unskilled), and change of birth attendant during delivery (changed vs. unchanged). We used logistic regression to analyse the data. Results 

Of 980 women included in the analyses, 19.8% had skilled attendants present during delivery. The determinants of facility delivery were different from those for having skilled attendants assisting in home births. In case of facility deliveries, previous contact with a skilled attendant through antenatal care was a significant determinant. In case of home births, the type of birth attendant (i.e. skilled or unskilled) at the preceding delivery was a significant determinant. Conclusion 

Community-based programmes need to reach primiparas, because once a woman has delivered with the aid of an unskilled attendant, she is five to seven times less likely to seek skilled help than a primipara.

Keywords: antenatal care; birth attendant; health seeking behaviour; maternal health; maternal mortality; skilled attendant

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1365-3156.2005.01547.x

Affiliations: 1: School of Health Sciences, Faculty of Medicine, Shinshu University, Nagano, Japan 2: University of Health Sciences, Phnom Penh, Cambodia 3: Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

Publication date: February 1, 2006

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