Abstract

Bangladesh, one of the affected countries with refugee, faces the challenge to provide health care especially maternal care to the host communities. This paper presents maternal care related thoughts and practices in the host communities in Ukhia of Cox’s Bazar. We collected data using mixed method approach including a cross-sectional survey and semi-structure interviews. Using a probability sample, we selected mothers with infants (n=588) living in the host communities of Ukhia sub-district. We also conducted forty-two in-depth semi-structured interviews among the currently pregnant women who had also previously given births (n =21); and recently delivered women (n = 21). The survey found one quarter of the recently delivered women received at least four antenatal care visits and 28 percent women received at least one postnatal care visit. Seventy four percent of deliveries took place at home and 71 percent of the deliveries were assisted by untrained traditional birth attendants. The women mostly relied on their mother in law for information and support. Residents of the host community mainly use cheap, easily accessible informal sectors for seeking care. Cultural beliefs and practices also involved in this behavior, including home delivery without skilled assistance. There is demand of developing behavior change messages to change local resident’s attitude towards antenatal and postnatal care visits and encourage skilled attendance at delivery. Programs in the host communities should also consider interventions to improve social support for key influential persons in the community, particularly mother in law who serve as advisor and decision maker.

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