Responses were dichotomized as a) women who had skilled attendance at birth from a doctor, nurse, or midwife), and b) those who had no skilled attendance at birth.
There was a general reduction in the prevalence of women who had less than four ANC visits during their last pregnancy, and those who had no skilled attendance at birth within the different socioeconomic groups.
Although observed ENC coverage was not reported separately for different delivery types, 90% of births took place outside of an institution and had no skilled birth attendance, thus reported rates can be seen as proxies for home non-SBA deliveries.
* Fisher's exact test None of the expected barriers: health facilities being far (p = 1.0), having no skilled female worker (p = 0.12), no money (p = 0.89), women and family member not being aware (p = 1.00), no postnatal care at local level (p = 0.40), no time due to need to work at home (p = 1.00) and no transportation (p = 0.74) were statistically associated with postnatal care uptake.
Moreover, internationalized firms are more likely to state that they currently have no need for skilled workers or that they find it cheaper to recruit from the external labor market.
This is consistent with Card and Lewis (2005) who found that Mexican immigrants have no impact on low-skilled workers who are high school dropouts, as well as Peri and Sparber (2008) who argue that due to task specialization, low-skill natives and immigrants are not competing for the same jobs.
Our findings also suggest that, despite the need to have all women give birth under skilled care, public health strategies and policies need to take into consideration women who have no access to facility-based skilled delivery services in rural areas, and the consequences of denying them the very basic delivery services and benefits from a trained TBA.
The most skilled entrepreneurs will have no problems pivoting and trying something else though.
Only 25% of women who had no education used skilled ANC attendants compared with 45.5% of those with primary education, 85.6% of those with highschool education and 90% of those who had higher than secondary level education.
