Home Today's Paper Most Popular Video Gallery Photo Gallery
Subscription Blog Signin Register
Logo
Monday, June 25, 2018 09:46:16 AM
Follow Us On: Facebook Twitter Twitter Twitter Twitter

Ensuring better antenatal and post natal care

By
16th-Apr-2017       
Comments
Share your thought
Post a comment »
Read all () »

Dr. A.M.M. Anisul Awwal, PhD :
Bangladesh has already been identified by all the global economic forums as one of the most rapidly growing economy of the world. Within a short span of 10 years of time, the country has shown tremendous economic growth, and thus, has become a lower middle income county.
Geographically the country is smaller in comparison to many neighboring countries like India and China. But the most significant issue is that the country harbors more than 160 million people in such a smaller reverie land which indicates that the country is the most densely populated country of the world. Here, we have not considered the city countries like Hong Kong and Singapore.
The development of Bangladesh has already become a wonder for many countries of the world and everyone is eager to know the secret strategy of such a quick economic growth and overall development. Starting from education sector to ICT to Health  - all the sectors and sub-sectors are developing keeping a close synchronization with each other so that no imbalance can occur to de-stabilize the sustainability of the developmental pace.         
If we consider the indices of health, nutrition and population, these (indices) will definitely depict appreciable improvement over the past few years. It is now not a wonder to us (but may be for many other countries) that in health sector, with the expansion of service delivery systems up to village levels, millions of valuable lives are being saved every year. Achievement of EPI program, vitamin A administration, ORS and other public health programs and policies brought a revolution in the country which has become a role model for many developing countries.  
There are so many issues (sectors and sub-sectors) that we can concentrate to write with the view to let others know our basic status on that particular issue. Here, in this article, I will try to show some of the important aspects of maternal health and care during pregnancy.
Appropriate care during pregnancy and childbirth are important both for mother and her baby. In the 2014 Bangladesh Demographic and Health Survey (BDHS), women who had given birth in the five years preceding the survey were asked a number of questions about maternal and child health care, and many of the issues are based on the findings of the survey.
Anti natal care (ANC) from a medically trained provider is important to monitor the status of pregnancy and identify the complications associated with it. To be most effective, there should be regular (at least 04 visits) ANC throughout pregnancy. Findings show that more than 70 percent of women with a birth in the three years preceding the survey received ANC at least once from any provider. Majority of the women received care from a medically trained provider, (doctor, nurse, midwife, family welfare visitor, community skilled birth attendant, medical assistant or sub-assistant community medical officer). Comparable data from 2004, 2007 and 2011 BDHS show that while ANC from any provider has increased by 25 percent over the past few years, ANC from a medically trained provider during the same period has increased by more than 10 percent.
The urban-rural differential in antenatal care coverage continues to be large: more than 80 percent of urban women receive antenatal care from a trained provider, compared with only about 55 percent of rural women. ANC from a medically trained provider increases with the mother's education level and wealth status. Coverage of ANC from a trained provider increases from about 30 percent for mothers with no education to about 90 percent for mothers who have completed secondary school.
Findings also show that significant percent of births in Bangladesh are delivered at a health facility. Delivery in NGO facilities are only 2 percent. Delivery in a health facility is considerably lower for women age 35 years or older compared to those who are younger. Facility delivery decreases sharply as birth order increases. On the other hand, the number of women's ANC visits, education level and wealth status have a positive relationship with health facility. The proportion of births delivered at health facilities has been increasing rapidly since 2004, from 12 percent in 2004, 17 percent in 2007, 29 percent in 2011 to more than 35 percent in 2014. Increase since the past four years is mostly due to a sharp increase in delivery at private facilities and a less significant increase in deliveries in public facilities.
More than 35 percent of births in Bangladesh are attended by medically trained personnel. However, more than half of births in Bangladesh are assisted by dais or untrained Traditional Birth Attendants (53 percent), and few percent of deliveries are assisted by relatives and friends. In 2011, 17 percent of births were delivered by caesarean section, which has increased to more than 20 percent. Caesarean section is very high among women in the highest wealth quintile and among women who completed secondary education.
Post natal care (PNC) is considered as one of the efficient indicators of health service delivery both for the mother and the baby. PNC is also a crucial component of safe motherhood and neonatal health. Postnatal check-ups provide an opportunity to assess and treat delivery complications, and to counsel mothers on how to care for themselves and their newborn infant. Even a couple of year ago, a large proportion of maternal and neonatal deaths occur during the first 24 hours of delivery. The trend has changed significantly. In addition, the first two days following delivery are critical for monitoring complications both for mothers and newborn. Data shows that about 30 percent of mothers in Bangladesh receive postnatal care from a medically trained provider within 42 days after delivery. The vast majority of these mothers receive postnatal care within the crucial first two days of delivery. Postnatal check-ups are slightly more common for children than mothers.
Maternal health service delivery has improved significantly over the past 10 years, and data show that ANC, natal care and PNC - the most vital aspects of saving lives of mother and the baby are still not up to the standard. However, to protect and save our mothers and babies, we need to invest more money, strategies, launch new ideas, policies and interventions. The health goal of the nation should be to have a healthy and well nourished mother and a child.
 (PID-Project Article)

Tariff
Add Rate

News Archive

Inside The New Nation

Sports »

Members of England's rugby league team celebrate a win over New Zealand by raising the Rugby League Football International Challenge Cup on Saturday in Denver. England won 36-18.


International »

First Russia air strikes hit southern Syria as govt assault looms


AFP, Beirut : Russia bombed rebel-held parts of southern Syria late Saturday for the first time since brokering a ceasefire there nearly a year ago, a monitor group said, as allied regime troops prepare a ground assault.Southern Syria is a strategic prize for local and global players involved in the country's ...

International »

Zimbabwe's President narrowly escapes assassination bid


The Washington Post :Zimbabwe's election campaign season took a worrying turn Saturday afternoon when a crude bombing at a speech delivered by President Emmerson Mnangagwa appeared to be an attempt on his life.Mnangagwa had just finished giving a speech in a stadium in Zimbabwe's second-largest city, Bulawayo, when the blast ...

City »

Newly -appointed Nepalese Ambassador Dr Chop Lal Bhusal called on Prime Minister Sheikh Hasina at her office yesterday.


Editorial »

Fatal accidents are increasing, make roads and highways safe for passengers


TERMING it as the deadliest day, the news media reported that at least 55 people were killed in separate road accidents in different districts across the country on Saturday. Bangladesh Jatri Kallyan Samity said it was the highest number of casualties in a single day in recent times. An 11-member ...

Entertainment »

Richi returns to country tomorrow


Entertainment Report :In last January, popular TV actress Richi Solaiman came to Bangladesh to pass times with her mother and brother by own way. After five months, she is returning to her motherland tomorrow. This time she is coming for several reasons including to celebrate Eid-ul-Azha with her mother, to ...

Editorial »

American people rose against inhumanity of Trump`s immigration policy : Trump remains un-American


US President Donald Trump took an U-turn and changed his own policy amid strong protest by American people.  There are huge criticism and outcry in America over the way undocumented parents and children have been kept forcibly apart. He said he changed his mind by seeing images of children who ...

International »

UN Chief appeals for end to fighting in south Syria


AFP, United Nations :UN Secretary-General Antonio Guterres on Friday called for an immediate end to a military escalation in southwest Syria and a return to ceasefire arrangements agreed by Russia, the United States and Jordan.US Ambassador Nikki Haley separately urged Russia to pressure its Syrian ally to uphold the truce. ...

Football »

Nigeria`s John Obi Mikel (left) and Iceland`s Gylfi Sigurdsson compete for the ball during the group D match between Nigeria and Iceland at the 2018 soccer World Cup at the Volgograd Arena in Volgograd, Russia on Friday.


Football »

Portugal's Ruben Dias talks to journalists during a news conference prior the training session of Portugal at the 2018 soccer World Cup in Kratovo, outskirts Moscow, Russia on Saturday.


City »

Prime Minister and Awami League President Sheikh Hasina inaugurating the newly constructed building of the party's central office by releasing balloons in the city's Bangabandhu Avenue on Saturday.


Entertainment »

Sunny Leone hospitalised


Bollywood star and reality show host Sunny Leone was hospitalised on Thursday. Leone was taken to Brijesh Hospital Kashipur in the Udham Singh Nagar district of Uttarakhand on Thursday after she complained of stomach ache. However, her state was declared satisfactory on Friday morning.The doctor attending her has given the ...

Editorial »

Trump disregards the American core human right values : He is against America`s greatness


The United States withdrew from the United Nations Human Rights Council on Tuesday, condemning the "hypocrisy" of its members and its alleged "unrelenting bias" against Israel vividly face-off US stance in favour of rights violation. National and international news outlets reported that the US ambassador to the UN, Nikki Haley, ...

Entertainment »

Kriti Sanon shares glimpses from her IIFA performance


Actress Kriti Sanon took to social media to share glimpses from her upcoming electrifying performance at the IIFA awards. Kriti Sanon who landed in Bangkok on Thursday morning for IIFA wasted no time as she took to rehearsals for her much-awaited performance. Sharing insights into her performances, Kriti Sanon posted ...

Entertainment »

A fan paints a wall with Nidhhi Agerwal’s graffiti art


An ardent fan of Nidhhi Agerwal took to Twitter to share a Graffiti art of the actress painted on a wall. The fan artist painted a wall with the actress’ image giving showcasing his love for Nidhhi. The artist spent a huge amount of time getting every detail right to ...

 
Items that you save may be read at any time on your computer, iPad, iPhone or Android devices.
 
Are you new to our website? Do you have already an account at our website?
Create An Account Log in here
Email this news to a friend or like someone
Email:
Write a comment to this news