Abstract
Background and aim: Low use of maternal healthcare services is one of the reasons why maternal mortality is still considerably high in India. In India, the eight socioeconomically backward states of Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Orissa, Rajasthan, Uttarakhand and Uttar Pradesh, referred to as the Empowered Action Group (EAG) states, lag behind in the demographic transition and low utilization of maternal health care. Non-skilled birth attendants are likely to deliver low quality maternity care compared with skilled birth attendant. This study aimed to explore the risk of lacked skilled birth attendant during childbirth by different socioeconomic backgrounds among EAG states India.
Methodology/finding: Using information from the third round of District Level Household Survey (2007–08). The outcome variables included in the analyses is non skilled birth attendant. We have used bivariate and multivariate. Majority 90 percent women were assisted by non skilled birth attendant during delivery at home. Findings indicate that there is considerable amount of variation in use of NSBA by educational attainment, household wealth, religion, number of ANC visit, visit health facility for ANC checkup during first trimester and place of residence.
Conclusion: Delivery assisted by non skilled birth attendant was associated with women education, husband education, religion, caste, income strata and place of residence. Therefore this study recommended that effective governmental and non-governmental interventions are needed to address such inequalities in health care system and important policy level interventions to address the unmet need of maternity services among women in EAG states, India.