Assessment of Social, Economic and Medical Determinant of Safe Motherhood in Dhaka City: A Cross-Sectional Study
American Journal of Life Sciences
Volume 1, Issue 3, June 2013, Pages: 93-97
Received: May 7, 2013; Published: Jun. 10, 2013
Views 2718      Downloads 150
Authors
Sharmin Ara, Department of Applied Nutrition and Food Technology, Islamic University, Kushtia-7003, Bangladesh
M. Mominul Islam, Department of Applied Nutrition and Food Technology, Islamic University, Kushtia-7004, Bangladesh
M. Kamruzzaman, Department of Applied Nutrition and Food Technology, Islamic University, Kushtia-7005, Bangladesh
Md. Toufiq Elahi, Department of Applied Nutrition and Food Technology, Islamic University, Kushtia-7006, Bangladesh
Sk. ShahinurRahman, Department of Applied Nutrition and Food Technology, Islamic University, Kushtia-7007, Bangladesh
Md. SabirHossain, Dept. of Biochemistry and Molecular Biology, Jahangirnagar University, Savar, Dhaka, Bangladesh
Article Tools
PDF
Follow on us
Abstract
Maternal morbidity is high in developing country because of insufficient attention in pregnancy and lactating period. The objective of this study was to assess safe motherhood in Dhaka city of Bangladeshand to investigate the causes of maternal morbidity. A cross-sectional study with detailed questionnaire was used from January 2008 to December 2008 to collect primary data. A total of 410 respondents, including 245 pregnant women, 130 lactating and 45 delivery patients, were randomly selected from residential area and healthcare centers. Marital and conceptual age, living standards, safe drinking water, environmental hygiene, and sanitation, education, family income per month, money spent on food purpose per month food availability, food intake, vaccination and medicine intake, use of contraceptive, food taboos and misconception, infectious diseases, poor socio-economic condition, present of skilled birth attendant, nutritional education were used as important issue for the assessment of safe motherhood.The study showed that 4.4% of pregnant women did not have any concept about safe motherhood. 8.54% of pregnant women did not take any vaccination during pregnancy and7.68% did not regular medical checkup. It was found that 9.36% were severely anemic during pregnancy, 3.84% during lactation and 6.00% were in delivery cases.UTI, APH, vomiting and high BPwere found in most of the pregnant women in respect of other respondents.Strategies need to upgrade health care systems especially availability of emergency obstetric care is required. The results, therefore suggest that both socio-economic status, availability of medicine and health care facilities and role of husbands in safe motherhood are critical for saving lives of woman.
Keywords
Safe Motherhood, Maternal Morbidity, Pregnancy, Vaccination, Anemia
To cite this article
Sharmin Ara, M. Mominul Islam, M. Kamruzzaman, Md. Toufiq Elahi, Sk. ShahinurRahman, Md. SabirHossain, Assessment of Social, Economic and Medical Determinant of Safe Motherhood in Dhaka City: A Cross-Sectional Study, American Journal of Life Sciences. Vol. 1, No. 3, 2013, pp. 93-97. doi: 10.11648/j.ajls.20130103.13
References
[1]
Rosenfield A. and Maine D. (1985). "Maternal mortality—a neglected tragedy: where is the M in MCH?" Lancet,2(8446):83-5. PMID: 2861534.
[2]
Make Every Mother and Child Count,The World Health Report 2005. Geneva: WHO, 2005. Available at www.who.int/whr/2005/whr2005_en.pdf‎.
[3]
Pradhan EK, West KP, Katz J, Christian P, Khatry SK, Leclerq SC, Dali SM and Shrestha SR (2002)."Risk of death following pregnancy in rural Nepal."Bulletin of the World Health Organization80(11):887–891.
[4]
AbouZahr C. (2003). "Safe motherhood: a brief history of the global movement 1947-2002." Br Med Bull 67: 13-25.PMID: 14711751.
[5]
USAID(2001). Family Planning Prevents Abortion. Washington, DC: USAID Center for Population, Health and Nutrition; November 2001. Available at: www.usaid.gov.
[6]
Family Health International (FHI) (1995). The importance of family planning in reducing maternal mortality. (April 1995). Available at: www.fhi.org/en/fp/fpother/fctsht/fctsht11.html.
[7]
Setty-Venugopal, V. and Upadhyay, U. (2002). "Birth spacing: three to five saves lives." Population Reports L.Availableat: www.jhuccp.org/pr/l13edsum.shtml.
[8]
Rosland S. Gibson(1990). "Principle of nutritional assessments".1st edition: Oxford University Press, pp. 4-12, 178-181.
[9]
Derrick B Jelliffe(1989). "Community Nutritional Assessment". Oxford University Press, Direct Assessment of Nutritional Status,pp.13-30.
[10]
Bangladesh Ministry of Health and Family Welfare, Government of Bangladesh, (May 2002), Programme Implementation Plan (PIP), Part-II, Dhaka
[11]
UNICEF (1999). Situation Assessment of the Women and Children in Bangladesh. Bangladesh: Government of Bangladesh and UNICEF.
[12]
United Nations General Assembly (2000). United NationsMillennium Declaration, United Nations, New York, NY, USA, 2000, A/RES/55/2.
[13]
Starrs AM. (2006). "Safe motherhood initiative: 20 years and counting." Lancet 368(9542): 1130-2. PMID: 17011924.
[14]
National Institute of Population Research and Training (NIPORT), Mitra and Associates, and ORC Macro 2001. Bangladesh Demographic and Health Survey 1999-2000.
[15]
Mitra, S. N., A. Al-Sabir, A. R. Cross, and K. Jamil (1997). "Bangladesh Demographic and Health Survey 1996-1997." Dhaka and Calverton, Maryland: National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International, Inc.
[16]
National Institute of Population Research and Training (NIPORT) and Bangladesh Ministry of Health and Family Welfare (May 2000), Bangladesh Demographic and Health Survey 1996-97: Special Analysis. Dhaka.
[17]
Ahmed V. H. et al. (1995). "Baseline Survey for Assessment of Emergency Obstetric Care services in Bangladesh." Bangladesh Institute for Promotion of Essential and Reproductive Health Technologies (BIRPERHT), Dhaka.
[18]
Barkat, et al. (1998). Reproductive Health in Rural Bangladesh: Policy and Programatic Implications. International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDRB), Dhaka.
[19]
World Bank (2001). World Development Report 2000/2001: Attacking Poverty. Oxford: Oxford University Press for the World Bank.
[20]
UNFPA (2002).Maternal Mortality Statistics by Region and by Country. UNFPA Website, `accessed 15/08/2002.http://www.unfpa.org/rh/mothers/statsbycountry.htm
[21]
Goodburn E.A.,Gazi R., and Chowdhury M. (1995). "Beliefs and practices regarding delivery and postpartum maternal morbidity in rural Bangladesh." Studies in Family Planning 26(1): 22-32. PMID: 7785065.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186