title: Inequality of the use of skilled birth assistance among rural women in Bangladesh: facts and factors.
abstract: This study examines the inequality of the use of skilled delivery assistance by the rural women of Bangladesh using the 2007 Bangladesh Demographic and Health Survey data. Simple cross-tabulation and univariate and multivariate statistical analyses were employed in the study. Overall, 56.1% of the women received at least one antenatal care visit, whereas only 13.2% births were assisted by skilled personnel. Findings revealed apparent inequality in using skilled delivery assistance by socioeconomic strata. Birth order, women's education, religion, wealth index, region and antenatal care are important determinants of seeking skilled assistance. To ensure safe motherhood initiative, government should pay special attention to reduce inequality in seeking skilled delivery assistance. A strong focus on community-based and regional interventions is important in order to increase the utilization of safe maternal health care services in rural Bangladesh.
authors.affiliation: Visiting Research Fellow, University of Malaya, Kuala Lumpur, Malaysia Department of Mathematics, Islamic University, Kushtia, Bangladesh kamaliubd@yahoo.com.
authors.forename: S M Mostafa
authors.initials: SM
authors.lastname: Kamal
authors.affiliation: Unit for the Enhancement of Academic Performance, University of Malaya, Kuala Lumpur, Malaysia.
authors.forename: Che Hashim
authors.initials: CH
authors.lastname: Hassan
authors.affiliation: Department of Applied Statistics, Faculty of Economics and Administration, University of Malaya, Kuala Lumpur, Malaysia Department of Statistics Jahangirnagar University, Dhaka, Bangladesh.
authors.forename: M A
authors.initials: MA
authors.lastname: Kabir
mesh_terms: D000293:Adolescent; D000328:Adult; D001459:Bangladesh; D005260:Female; D006306:Health Surveys; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D008427:Maternal Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D011295:Prenatal Care / Q000706:statistics & numerical data; D012111:Residence Characteristics; D012424:Rural Population / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Bangladesh; antenatal care; logistic regression; rural areas; skilled delivery assistance