BMC Public Health | |
Beliefs and practices during pregnancy and childbirth in urban slums of Dhaka, Bangladesh | |
Peter Kim Streatfield3  Sabina F Rashid1  Karar Zunaid Ahsan5  M Ashraful Alam4  Allisyn C Moran2  Nuzhat Choudhury3  | |
[1] James P. Grant School of Public Health, BRAC University, Dhaka, Bangladesh;Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, 1212, Bangladesh;Sydney School of Public Health, The University of Sydney, Sydney, Australia;South Asian Human Development Sector, World Bank, Dhaka, Bangladesh | |
关键词: Bangladesh; Urban-slum; Maternal care; Beliefs and practices; | |
Others : 1163078 DOI : 10.1186/1471-2458-12-791 |
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received in 2012-02-15, accepted in 2012-09-12, 发布年份 2012 | |
【 摘 要 】
Background
Worldwide urbanization has become a crucial issue in recent years. Bangladesh, one of the poorest and most densely-populated countries in the world, has been facing rapid urbanization. In urban areas, maternal indicators are generally worse in the slums than in the urban non-slum areas. The Manoshi program at BRAC, a non governmental organization, works to improve maternal, newborn, and child health in the urban slums of Bangladesh. This paper describes maternal related beliefs and practices in the urban slums of Dhaka and provides baseline information for the Manoshi program.
Methods
This is a descriptive study where data were collected using both quantitative and qualitative methods. The respondents for the quantitative methods, through a baseline survey using a probability sample, were mothers with infants (n = 672) living in the Manoshi program areas. Apart from this, as part of a formative research, thirty six in-depth semi-structured interviews were conducted during the same period from two of the above Manoshi program areas among currently pregnant women who had also previously given births (n = 18); and recently delivered women (n = 18).
Results
The baseline survey revealed that one quarter of the recently delivered women received at least four antenatal care visits and 24 percent women received at least one postnatal care visit. Eighty-five percent of deliveries took place at home and 58 percent of the deliveries were assisted by untrained traditional birth attendants. The women mostly relied on their landladies for information and support. Members of the slum community mainly used cheap, easily accessible and available informal sectors for seeking care. Cultural beliefs and practices also reinforced this behavior, including home delivery without skilled assistance.
Conclusions
Behavioral change messages are needed to increase the numbers of antenatal and postnatal care visits, improve birth preparedness, and encourage skilled attendance at delivery. Programs in the urban slum areas should also consider interventions to improve social support for key influential persons in the community, particularly landladies who serve as advisors and decision-makers.
【 授权许可】
2012 Choudhury et al.; licensee BioMed Central Ltd.
【 预 览 】
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20150413090752144.pdf | 181KB | download |
【 参考文献 】
- [1]United Nations: World Urbanization Prospects: The 2009 Revision. United Nations, New York; 2010.
- [2]NIPORT, MEASURE Evaluation, ICDDR,B, ACPR: 2006 Bangladesh Urban Health Survey. NIPORT, MEASURE Evaluation, ICDDR,B and ACPR, Dhaka, Bangladesh and Chapel Hill/USA; 2008.
- [3]Uzma A, Underwood P, Atkinson D, Thackrah R: Postpartum health in a Dhaka slum. Soc Sci Med 1999, 48:313-320.
- [4]NIPORT, ORC Macro, Johns Hopkins University, and ICDDR,B: Bangladesh Maternal Health Services and Maternal Mortality Survey 2001. NIPORT, ORC Macro, Johns Hopkins University, and ICDDR,B, Dhaka, Bangladesh and Calverton/Maryland, USA; 2003.
- [5]USAID, Australian Government Aid program, UNFPA, MEASURE Evaluation, ICDDR,B, and NIPORT: Bangladesh maternal mortality and health care survey 2010: Summary of key findings and implications. USAID, Australian Government Aid program, UNFPA, MEASURE Evaluation, ICDDR,B, and NIPORT, Dhaka, Bangladesh; 2011.
- [6]Ahmed SM, Hossain A, Khan MA, Mridha MK, Alam MA, Choudhury N, Sharmin T, Afsana K, Bhuiya A: Using formative research to develop MNCH programme in urban slums in Bangladesh: experiences from Manoshi BRAC. BMC Pub Health 2010, 10:663. BioMed Central Full Text
- [7]Khan MA, Ahmed SM: The “Birthing Hut” facilities of MANOSHI: A two-part paper, exploring the inception and post-inception phases of Urban Delivery Centres MANOSHI. Research and Evaluation Division, BRAC and ICDDR, B, Dhaka; 2009. [Working Paper No. 7] http://www.icddrb.org/publication.cfm?classificationID=62&pubID=10634 webcite
- [8]Ahsan KZ, Streatfield PK, Ahmed SM: Manoshi: Community health solutions in Bangladesh: Baseline survey in Dhaka urban slums 2007. ICDDR,B and BRAC, Dhaka: Bangladesh; 2008. [Scientific report no. 104]
- [9]Moran AC, Choudhury N, Zaman NU, Karar ZA, Wahed T, Rashid SF, Alam MA: Newborn care practices among slum dwellers in Dhaka Bangladesh: a quantitative and qualitative exploratory study. BMC Pregnancy Childbirth 2009, 9:54. BioMed Central Full Text
- [10]Keenan KF, Teijlingen E, Pitchforth E: The analysis of qualitative research data in family planning and reproductive health care. J Family Plan Reprod Health Care 2005, 31(1):40-43.
- [11]Morrison J, Osrin D, Shrestha B, Tumbahangphe KM, Tamang S, Shrestha D, Thapa S, Mesko N, Manandhar DS, Costello A: How did formative research inform the development of a women’s group intervention in rural Nepal? J Perinatol 2008, 28(Suppl):S14-S22.
- [12]Bernett S, Azad K, Barua S, Mridha M, Abrar M, Rego A, Khan A, Flatman D, Costello A: Maternal and newborn-care practices during pregnancy, childbirth, and the postnatal period: a comparison in three districts in Bangladesh. J Health Popul Nutr 2006, 24(4):394-402.
- [13]Goodburn EA, Gazi R, Chowdhury M: Beliefs and practices regarding delivery and postpartum maternal morbidity in rural Bangladesh. Studies in Family Planning, The Pop Council 1995, 26(1):22-32.
- [14]Maloney C, Aziz KMA, Sarkar PC: Beliefs and fertility in Bangladesh. International Centre for Diarrheal Disease Research, Bangladesh, Dhaka; 1981. [Monograph series 2]
- [15]Chakrabarty N, Islam MA, Chowdhury RI, Bari W: Utilization of postnatal care in Bangladesh: evidence from a longitudinal study. Health Soc Care Community 2002, 10(6):492-502.
- [16]Syed U, Asiruddin S, Helal MS, Mannan II, Murray J: Immediate and early postnatal care for mothers and newborns in rural Bangladesh. J Health Popul Nutr 2006, 24(4):508-518.
- [17]Bhutta ZA, Soofi S, Cousens S, Mohammad S, Memon ZA, Ali I, Feroze A, Raza F, Khan A, Wall S, Martines J: Improvement of perinatal and newborn care in rural Pakistan through community-based strategies: a cluster-randomised effectiveness trial. Lancet 2011.
- [18]Wade A, Osrin D, Shrestha BP, Sen A, Morrison J, Tumbahangphe KM, Manandhar DS, Costello AML: Behaviour change in perinatal care practices among rural women exposed to a women's group intervention in Nepal. BMC Pregnancy Childbirth 2006, 6:20. BioMed Central Full Text
- [19]Hill Z, Taiwah-Agyemang C, Manu A, Okyere E, Kirkwood BR: Keeping newborns warm: beliefs, practices and potential for behaviour change in rural Ghana. Trop Med and Intl Health 2010, 15(10):1118-1124.
- [20]Haines A, Sanders D, Lehmann U, Rowe AK, Lawn JE, Jan S, Walker DG, Bhutta Z: Achieving child survival goals: potential contribution of community health workers. Lancet 2007, 369:2121-2131.
- [21]National Institute of Population Research and Training (NIPORT), Mitra and Associates, Macro International.BDHS: Bangladesh Demographic and Health Survey 2007. 2009. [Dhaka]
- [22]Rashid SF, Kal D, Stolen Babies & ‘Blocked Uteruses: Poverty & Infertility Anxieties among Married Adolescent Women Living in a Slum in Dhaka, Bangladesh. Anthro & Med 2007, 14(2):153-166.
- [23]Choudhury N, Ahmed SM: Maternal care practices among the ultra poor households in rural Bangladesh: a qualitative exploratory study. BMC Pregnancy Childbirth 2011, 11:15. BioMed Central Full Text
- [24]Blanchet T: Women, pollution and marginality: meanings and rituals of birth in rural Bangladesh. University Press, Dhaka; 1984.