Title:
Factors influencing utilization of institutional delivery among pregnant women in Myanmar
Authors:
Syn, Saw Thandar
Year:
2016
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Institutional delivery, Facility delivery, Home delivery, Health service utilization, Health seeking behavior, The Three Delay model, Maternal Health.
Abstract:
Background: In Myanmar, about a million women are pregnant every year. Health service utilization for delivery has increased among pregnant women. However, the majority still delivers their child at home. Objective: This study explores the factors influencing the utilization of institutional delivery of pregnant women in Myanmar, related to individual factors, sociocultural and socioeconomic factors, accessibility and health system-related factors. Methodology: The research entailed an exploratory literature review. The Three Delay model was applied to explore the factors influencing the maternal health service utilization for delivery among pregnant women. Findings: The study found that all three delays contributed to underutilization of institutional delivery. Limited knowledge about the pregnancy and the advantage of institutional delivery in women, constraints regarding their empowerment, sociocultural factors such as beliefs and practices related to delivery, husband involvement, the community’s influence, inaccessibility to health services and poor infrastructure of the health system contributed to low utilization of facility delivery. Conclusions and Recommendations: The study highlights that many factors result in delays to utilize institutional delivery in Myanmar. Maternal health information should be provided, both for pregnant women and communities, to change attitudes and increase support for pregnant women to choose for facility delivery. Programs should be initiated and implemented to overcome the accessibility barriers such as out-of-pocket expenditures and travel costs. A comprehensive health system strengthening strategy for delivery services should be developed and implemented to reduce the third delay, and improve the quality of services provided for pregnant women.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Health
Country:
Myanmar (Burma)
Region:
Southeast Asia
Training:
Master of Public Health/International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2016 Syn
Document type:
Thesis/dissertation
File:
bnvIUKgEye_20170504171447721.pdf