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    The impact of delivery assisted by the a trained birth attendant to the incidence of neonatal death: the Philippine case
    (2010-10) Aure, Madeliene Jane; Jimenez, Darrel John
    This study aims to understand the relationship between the incidence of neonatal deaths and child delivery assisted by a trained birth attendant (TBA) in the Philippine context with the use of the NDHS 2010 survey. It is intended to verify if neonatal deaths are indeed lessened if the mother opts to deliver with a TBA, all other things equal. As the World Health Organization and the Department of Health pointed out, TBAs are an essential part of child delivery because they have adequate scientific knowledge and training useful in evaluating both the child's and the mother's health during and after delivery, supposedly decreasing the possibility of neonatal and post-neonatal deaths. In line with this, our model included mothers' personal characteristics, current and past pregnancy-related variables, and household- and community-level characteristics to better capture the dynamics of neonatal deaths. In examining the data and variables involved, we used logistic and probabilistic regression models because of the binary nature of our dependent variable. After which, a bivariate probabilistic regression was used to see if the results from the logit model were skewed because of self-selection and endogeneity, also correcting them in the process. It was then found that choosing to deliver with a trained birth attendant is predetermined by the delicacy of a woman's pregnancy. This explains the positive relationship between TBA-assisted delivery and neonatal deaths as high-risk pregnancy are the ones aided by TBA. Policy-wise, this means that DOH must concentrate more on delivering maternal health programs early on the pregnancy and not just intervene during delivery if neonatal deaths are to be reduced in the Philippines.