Thesis Chapters by Rahim Azami
Background: Afghanistan had the highest maternal mortality ratio in the world back in 2002, 1,600... more Background: Afghanistan had the highest maternal mortality ratio in the world back in 2002, 1,600 per 100,000 live births. This dropped to 327 by year 2010. Still, in the north-eastern Badakhshan province of Afghanistan, the maternal mortality remained as high as 2,200 by 2006 and there is no reliable figure after that. However, it is still assumed to be very high. Multiple studies, on the other hand, confirm the direct association of institutional deliveries with decreased maternal mortality ratio. However, by 2015 the institutional delivery rate in the country remains only 43%, and even two time lower, only 22%, in Badakhshan.
Objective: This study primarily aimed to explore the determinants and factors affecting institutional delivery in Badakhshan.
Methods: This study used mixed, both qualitative and quantitative, method. The quantitative method used secondary analysis of a community-based cross-sectional survey, Health and Nutrition Survey 2015. For the qualitative study, focus group discussions were used to collect data at community level from women’s of reproductive age who were married and had at least one child. 16 FGDs across different districts of Badakhshan was conducted by a group of well-trained female interviewers.
Results: From a total of 355 mothers who were interviewed for HNS 2015 in Badakhshan, only 55 had a delivery in health facility, 15.5%. The secondary analysis of the HNS datasets shows that ANC visits, PNC visits, mother’s age at marriage, school attendance, previous stillbirth or miscarriage, use of any contraceptive method, exposure to media, and parity are the significant predictors of institutional delivery in Badakhshan. The FGDs also identified economic constraints, transport problems and inaccessibility of health facilities, cultural and traditional practices, and successive births and load of housework as important predictors for utilizing maternal care services.
Papers by Rahim Azami
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Thesis Chapters by Rahim Azami
Objective: This study primarily aimed to explore the determinants and factors affecting institutional delivery in Badakhshan.
Methods: This study used mixed, both qualitative and quantitative, method. The quantitative method used secondary analysis of a community-based cross-sectional survey, Health and Nutrition Survey 2015. For the qualitative study, focus group discussions were used to collect data at community level from women’s of reproductive age who were married and had at least one child. 16 FGDs across different districts of Badakhshan was conducted by a group of well-trained female interviewers.
Results: From a total of 355 mothers who were interviewed for HNS 2015 in Badakhshan, only 55 had a delivery in health facility, 15.5%. The secondary analysis of the HNS datasets shows that ANC visits, PNC visits, mother’s age at marriage, school attendance, previous stillbirth or miscarriage, use of any contraceptive method, exposure to media, and parity are the significant predictors of institutional delivery in Badakhshan. The FGDs also identified economic constraints, transport problems and inaccessibility of health facilities, cultural and traditional practices, and successive births and load of housework as important predictors for utilizing maternal care services.
Papers by Rahim Azami
Objective: This study primarily aimed to explore the determinants and factors affecting institutional delivery in Badakhshan.
Methods: This study used mixed, both qualitative and quantitative, method. The quantitative method used secondary analysis of a community-based cross-sectional survey, Health and Nutrition Survey 2015. For the qualitative study, focus group discussions were used to collect data at community level from women’s of reproductive age who were married and had at least one child. 16 FGDs across different districts of Badakhshan was conducted by a group of well-trained female interviewers.
Results: From a total of 355 mothers who were interviewed for HNS 2015 in Badakhshan, only 55 had a delivery in health facility, 15.5%. The secondary analysis of the HNS datasets shows that ANC visits, PNC visits, mother’s age at marriage, school attendance, previous stillbirth or miscarriage, use of any contraceptive method, exposure to media, and parity are the significant predictors of institutional delivery in Badakhshan. The FGDs also identified economic constraints, transport problems and inaccessibility of health facilities, cultural and traditional practices, and successive births and load of housework as important predictors for utilizing maternal care services.