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At the health centre, a room was allocated for maternity services where equipment for delivery and mama kits were provided as incentives to boost delivery under skilled care.
Institutional delivery under skilled care is 57%, maternal mortality ratio is 438/100,000 live births, and neonatal mortality rate is 27/1000 live births.
However, similar to antenatal care utilization, births to women of higher parity were significantly less likely to have been delivered at a health facility or under skilled care compared with births to women of lower parity.
In particular, births to women from communities exposed to the voucher programme since 2006 were twice as likely to be delivered at a health facility or under skilled care compared with those to women from comparison sites.
Nonetheless, a significantly higher proportion of births to poor women from communities exposed to the programme since 2006 were delivered at a health facility or under skilled care (P < 0.01 in each case) compared with births to poor women from comparison sites (Table 6).
The fourth major finding of the paper is that, compared with the comparison sites, a significantly higher proportion of births to poor women from communities exposed to the voucher programme since 2006 were delivered at a health facility, under skilled care and more mothers received postnatal care services.
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Compared to facilities located in regions under occupation, skilled care during childbirth was significantly more likely to be available in the facilities of regions with high and low concentration of displaced populations, AOR: 1.8 (95 % CI: [1.1 3.0]) and AOR: 4.9 (95 % CI: [3.0 8.2]) respectively.
In many developing countries, the poorest sections are also excluded from the mainstream society which ultimately lead to under-utilisation of skilled care during delivery [ 31].
Rather, low- risk pregnancies should be identified during ANC and be allowed to take place at home under supervised and skilled care linked to a functioning referral system.
The CCTs are intended to support women a) to present to the intervention facilities for delivery in time; and b) to remain under skilled maternal care observation at these facilities for the initial 48-hour post-partum period.
In many rural and under-resourced areas, particularly at the district health system level, there is a dearth of skilled care providers practicing within the public health system.
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