|Evaluating Predictors for Safe Motherhood Among Tribal Women of Bangladesh Chittagong Hill Tracts [CHT]|
|Abu Naser Md. Rezaul Karim|
|Department of Computer Science & Engineering, International Islamic University Chittagong, Bangladesh|
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Keywords : Safe Motherhood, Prenatal Care, Skilled Birth Attendant, Place of Delivery, Postpartum Care, Tribal Women
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Objectives : Bangladesh is a country known for its flora and fauna in South Asia. Despite embracing safe motherhood and adhering to the advice of the International Community, with remarkable progress towards achieving the maternal mortality MDG 5 goal; its development contrasts with the tribal people who reside in the country's remote hilly regions. This study is therefore intended to identify the predictors that affect secure maternity practices among tribal women of CHT, Bangladesh.
Materials and Methods: This study adopts a cross-sectional approach. The study was performed with live births of five hundred and fifty-six married tribal females aged 15 to 49 years from three districts of CHT, when the age of children was not more than one year. Semi-structured questionnaires were used to interview the subjects. Statistical analysis was carried with SPSS (version 20) to estimate odds ratios and strength of the relationship between variables at p<0.10.
Results : The Study reveals safe maternity practices are not the standard in CHT. Only 12.7% met the standard of maternity services in CHT. At the time of pregnancy, more than 2/3 of females did not receive prenatal cares. Only 34% of the women gave birth to the baby at a hospital; 66% births at home and over 50% were assisted by untrained traditional midwives.
Conclusion: This study concludes that socioeconomic, demographic, cultural & behavioral factors affected maternal health care services (MHCS) adoption by women of CHT. Improving the economic conditions by introducing ‘eco-friendly’ industries can help to enhance the uptake of safe motherhood practices.
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