Socioeconomic correlates of Adequate Maternal Care in Bangladesh: Analysis of the Bangladesh Demographic and Health Survey 2017-18 (original) (raw)
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Multidisciplinary Science Journal
Maternal mortality and morbidity reduction constitute policy priorities, facilitated by prenatal care and World Health Organization (WHO)-endorsed antenatal care (ANC) utilization during pregnancy. Progress in Bangladesh is hindered as only 47% of expectant women participated in a minimum of four ANC sessions according to the latest maternal mortality survey. This study, utilizing 2018 Bangladesh Demographic and Health Survey (BDHS) data, undertakes an assessment of the socioeconomic determinants influencing the utilization or non-utilization of ANC services. Additionally, the study investigates socioeconomic factors significantly impacting the attainment of the WHO-recommended four or more ANC sessions. A Hurdle Negative Binomial Model is employed to ascertain ANC risk variables and their frequency, while the utilization characteristics of WHO ANC services are discerned through the Binary Logistic Regression Model. Noteworthy among the statistically significant determinants influen...
Pakistan Journal of Women's Studies: Alam-e-Niswan, 2020
This paper examines the combined effect of three socioeconomic deprivations: education, wealth, and health on the utilisation of maternal health care services (MHCSs) among Bangladeshi women using the data of Bangladesh Demographic and Health Survey 2014. Both bivariate and multivariate statistical analyses were employed in this study. Multivariable logistic regression analysis is used to examine the effect of the multidimensional socioeconomic deprivations on the use of MHCSs. Of the women who had given at least one live birth in the three years preceding the survey, 43% were non-deprived by any dimension; 31% were deprived in one, 20% in two and 6% in all three dimensions. The prevalence of receiving four or more antenatal care (ANC) services was 31%; 38% used facility-based delivery (FBD) and 42% sought skilled birth assistance (SBA). When education and wealth deprivations were combined, women were significantly (P<0.01) least likely to seek assistance from SBA (OR=0.18, 95% ...
Some Determinants to Reduce Maternal and Child Mortality in Bangladesh
2015
This paper is like to look out whether antenatal visit and place of delivery is influenced or not by several issues like wealth, education of women and husbands, occupation of women and husbands, working status of women in last 12 months. Insight into factors affecting prenatal care usage and place of delivery will help policy-makers redirect health-related strategies and policies in more equitable directions. We use the secondary data from Bangladesh Demographic and Health Survey 2011 on 18000 ever married women (12-49 age) following women questionnaire. Using the multiple regression analysis we find that wealth index, women's and their husbands education has significant effect on ante natal visit and place of delivery, but husbands occupation and women's working status in last 12 months has no significance rather some of it negatively affected. Besides, women occupation put marginal effect on place of delivery which is not come out in number of ante natal visits.
SAGE Open
This study examined inequalities in the utilization of maternal reproductive health care services in urban Bangladesh. Data of 6,617 urban women were extracted from most recent two rounds of Bangladesh Demographic and Health Survey, conducted in the years 2011 and 2014. Inequalities in the utilization of antenatal checkup, receiving care from a skilled birth attendant, delivery in health care facilities, and postnatal care were investigated through concentration index. Contributions of selected predictors to inequalities were estimated by using the regression-based decomposition method. Noticeable inequalities were observed. Concentration index for utilization of at least one antenatal care visit was 0.09, four or more antenatal visits was 0.17, care from skilled birth attendant was 0.16, delivery care in health care facilities was 0.17, and postnatal care within 2 days of delivery was 0.19. Exposure to mass media, educational status of women and their spouses, wealth status, employ...
Scientific Reports
We examined the association between socioeconomic status (SES) and continuum of care (CoC) completion rate in maternal, neonatal, and child health among mothers in Bangladesh. We used data from the Bangladesh Demographic Health Survey (BDHS) from 2017 to 2018. Our findings were based on the responses of 1527 married women who had at least one child aged 12 to 23 months at the time of the survey. As a measure of SES, we focused on the standard of living (hereinafter referred to as wealth). The CoC for maternal and child health (MNCH) services is the study's outcome variable. The CoC was calculated using seven MNCH interventions: four or more antenatal care (ANC) visits with a skilled practitioner, delivery by a skilled birth attendant, post-natal care for mothers (PNCM) within two days of giving birth, post-natal care for newborns (PNCM) within two days of birth, immunization, age-appropriate breastfeeding, and maternal current use of modern family planning (FP) methods. Only 18....
International Journal for Equity in Health, 2014
Background: Notwithstanding the significant progress in reducing maternal mortality in recent years, social inequalities in the utilization of maternal care continue to be a challenge in Bangladesh. In this study, we aim to provide a comprehensive analysis of trends in social inequalities in utilization of antenatal care (ANC), facility based delivery (FBD), and skilled birth attendance (SBA) in Bangladesh between 1995 and 2010. Methods: Data were extracted from the five latest rounds of Bangladesh Demographic Health Surveys (BDHS). The Theil index (T) and between-group variance (BGV) were used to calculate relative and absolute disparities in the utilization of three measures (ANC, FBD, and SBA) of maternal care across six administrative regions. The relative and slope indices of inequality (RII and SII, respectively) were also used to calculate wealth-and education-based inequality in the utilization of maternal care. Results: The results of the T-index suggest that relative inequality in SBA has declined by 0.2% per year. Nevertheless, the estimated BGV demonstrated that absolute inequalities in all three measures of maternal care have increased across administrative divisions. For all three measures of maternal care, the RII and SII indicated consistent socioeconomic inequalities favouring wealthier and more educated women. The adjusted RII suggested that wealth-and education-related inequalities for ANC declined by 9% and 6%, respectively, per year during the study period. The adjusted SII, however, showed that wealth-and education-related inequalities for FBD increased by 0.6% per year. Conclusions: Although socially disadvantaged mothers increased their utilization of care relative to mothers of higher socioeconomic status, the absolute gap in utilization of care between socioeconomic groups has increased over time. Our findings indicate that wealthier and more educated women, as well as those living in urban areas, are the major users of ANC, FBD and SBA in Bangladesh. Thus, priority focus should be given to implementing and evaluating interventions that benefit women who are poorer, less educated and live in rural areas.
Inequalities in Maternal Health Care Utilization in Rural Bangladesh
International Quarterly of Community Health Education, 2008
The article examines the inequalities in utilization of maternal health care in rural areas of Bangladesh. It also attempts to identify the expenditure pattern for these services. Findings suggest that large disparities in the maternal health care utilization exist between the poorest and the richest population in Bangladesh. Two in three women in the highest wealth group receive antenatal care from qualified doctors as opposed to one in five women in the lowest wealth group. Almost all the deliveries occur at home among the lowest wealth group, whereas 16% of deliveries occur at health facilities among the highest wealth group. Wealth is also associated with the seeking of care for delivery-related complications. The practice of seeking services during post-natal period is not common and it varies positively with economic condition. Family savings is found to be the dominant source of paying the maternal health care services among the women in the highest wealth group. Cost has bee...