Impact of maternal and neonatal health initiatives on inequity in maternal health care utilization in Bangladesh
| العنوان: | Impact of maternal and neonatal health initiatives on inequity in maternal health care utilization in Bangladesh |
|---|---|
| المؤلفون: | Ahmed Ehsanur Rahman, Md. Moinuddin, M. Mahmud Khan, Shakil Ahmed, Mohammad Rifat Haider, Mohammad Masudur Rahman |
| المصدر: | PLoS ONE PLoS ONE, Vol 12, Iss 7, p e0181408 (2017) |
| بيانات النشر: | Public Library of Science, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Postnatal Care, Genetics and Molecular Biology (all), Maternal Health, lcsh:Medicine, Pediatrics, Neonatal Care, Biochemistry, Geographical Locations, Labor and Delivery, 0302 clinical medicine, Pregnancy, Medicine and Health Sciences, Public and Occupational Health, 030212 general & internal medicine, Young adult, lcsh:Science, media_common, education.field_of_study, Bangladesh, Multidisciplinary, Obstetrics and Gynecology, Middle Aged, Socioeconomic Aspects of Health, Female, 0305 other medical science, Research Article, Adult, Asia, Inequality, Adolescent, media_common.quotation_subject, Population, MEDLINE, 03 medical and health sciences, Young Adult, Antenatal Care, Environmental health, medicine, Humans, Infant Health, Maternal Health Services, Infant, Socioeconomic Factors, Patient Acceptance of Health Care, Biochemistry, Genetics and Molecular Biology (all), Agricultural and Biological Sciences (all), education, Socioeconomic status, Government, 030505 public health, business.industry, lcsh:R, medicine.disease, Health Care, People and Places, Birth, Women's Health, lcsh:Q, Neonatology, business |
| الوصف: | Background Despite remarkable progress in maternal and child health, inequity persists in maternal care utilization in Bangladesh. Government of Bangladesh (GOB) with technical assistance from United Nation Population Fund (UNFPA), United Nation Children's Fund (UNICEF) and World Health Organization (WHO) started implementing Maternal and Neonatal Health Initiatives in selected districts of Bangladesh (MNHIB) in 2007 with an aim to reduce inequity in healthcare utilization. This study examines the effect of MNHIB on inequity in maternal care utilization. Method Two surveys were carried out in four districts in Bangladesh- baseline in 2008 and end-line in 2013. The baseline survey collected data from 13,206 women giving birth in the preceding year and in end-line 7,177 women were interviewed. Inequity in maternal healthcare utilization was calculated pre and post-MNHIB using rich-to-poor ratio and concentration index. Results Mean age of respondents were 23.9 and 24.6 years in 2008 and 2013 respectively. Utilization of pregnancy-related care increased for all socioeconomic strata between these two surveys. The concentration indices (CI) for various maternal health service utilization in 2013 were found to be lower than the indices in 2008. However, in comparison to contemporary BDHS data in nearby districts, MNHIB was successful in reducing inequity in receiving ANC from a trained provider (CI: 0.337 and 0.272), institutional delivery (CI: 0.435 in 2008 to 0.362 in 2013), and delivery by skilled personnel (CI: 0.396 and 0.370). Conclusions Overall use of maternal health care services increased in post-MNHIB year compared to pre-MNHIB year and inequity in maternal service utilization declined for three indicators out of six considered in the paper. The reductions in CI values for select maternal care indicators imply that the program has been successful not only in improving utilization of maternal health services but also in lowering inequality of service utilization across socioeconomic groups. Maternal health programs, if properly designed and implemented, can improve access, partially overcoming the negative effects of socioeconomic disparities. |
| اللغة: | English |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f4d13fdd998c8b572578b2d086ff3d4eTest http://hdl.handle.net/11577/3256619Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....f4d13fdd998c8b572578b2d086ff3d4e |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |