Maureen Mayhew|Peter M Hansen|David H. Peters|Anbrasi Edward|Lakhwinder Singh|Vikas Dwivedi|Ashraf Mashkoor|Gilbert Burnham
Determinants of Skilled Birth Attendant Utilization in Afghanistan: A Cross-Sectional Study
objectives sought identify characteristics associated use skilled birth attendants health services exist afghanistan methods conducted crosssectional study 33 provinces 2004 yielding data 617 health facilities 9917 women lived near facilities given birth past 2 years results 13 respondents used skilled birth attendants women wealthiest quintile vs poorest quintile higher odds use odds ratio 63 95 confidence interval ci 44 89 literacy strongly associated use 25 95 ci 20 32 living less 60 minutes facility 15 95 ci 11 20 residing near facility female midwife doctor 14 95 ci 11 18 women living near facilities charged user fees 08 95 ci 06 10 male community health workers 06 95 ci 05 09 lower odds use conclusions afghanistan rate use safe delivery care must improved financial barriers poor uneducated women reduced culturally acceptable alternatives must considered