原创力文档the perspectives of clients and unqualified allopathic practitioners on the management of delivery care in urban slums, dhaka, bangladesh - a mixed method study客户的观点和不合格的对抗疗法从业者分娩护理管理在城市贫民窟,达卡,孟加拉国-混合方法研究.pdfVIP
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the perspectives of clients and unqualified allopathic practitioners on the management of delivery care in urban slums, dhaka, bangladesh - a mixed method study客户的观点和不合格的对抗疗法从业者分娩护理管理在城市贫民窟,达卡,孟加拉国-混合方法研究
Wahed et al. BMC Pregnancy and Childbirth 2010, 10:50
/1471-2393/10/50
RESEARCH ARTICLE Open Access
The perspectives of clients and unqualified
allopathic practitioners on the management
of delivery care in urban slums, Dhaka,
Bangladesh - a mixed method study
Tasnuva Wahed 1*†, Allisyn C Moran1,2†, Mohammad Iqbal3
Abstract
Background: BRAC is implementing a program to improve maternal and newborn health among the urban poor in
the slums of Bangladesh (Mansohi), funded by the Bill Melinda Gates Foundation. Formative research has
demonstrated that unqualified allopathic practitioners (UAPs) are commonly assisting home-delivery. The objective of
this study was to explore the role of unqualified allopathic practitioners during home delivery in urban slums of Dhaka.
Methods: This cross-sectional study was conducted between September 2008 and June 2009 in Kamrangirchar
slum in Dhaka, Bangladesh, using both qualitative and quantitative research methods. Through a door-to-door
household survey, quantitative data were collected from 463 women with a home birth and/or trial of labor at
home. We also conducted seven in-depth interviews with the UAPs to explore their practices.
Results: About one-third (32%) of the 463 women interviewed sought delivery care from a UAP. We did not find
an association between socio-demographic characteristics and care-seeking from a UAP, except for education of
women. Compared to women with three or more pregnancies, the highest odds ratio was found in the primi-
gravidity group [odds ratio (OR): 3.46; 95% confidence interval (CI): 1.65-7.25)], followed by women with two
pregnancies (OR: 2.54; 95% CI: 1.36-4.77) to use a UAP. Of women who reported at least one delivery-related
complication, 45.2% received care from the UAPs. Of 149 cases where the UAP was involved with delivery care,
133 (89
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