Inequalities in Utilization of Maternal Reproductive Health Care Services in Urban Bangladesh

A Population-Based Study

Datos Bibliográficos

ID4181973
AutoresNuruzzaman Khan (0000-0002-4550-4363, Jatiya Kabi Kazi Nazrul Islam University), Md Nuruzzaman Khan, Pushpendra Kumar (0000-0001-7424-8605, International Institute for Population Sciences), Mijanur Rahman, Md Mijanur Rahman (0000-0001-6879-2049, Comilla University), Nazrul Islam Mondal (0000-0001-5230-8187), Md Nazrul Islam Mondal (0000-0001-7550-7226, University of Rajshahi), M M Islam (0000-0003-1330-863X, La Trobe University, autor de correspondencia)
Año2020
Volumen10
Número1
Fecha de publicación2020-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSAGE Open (JOURNAL)
Identificadores de la revistaISSN: 2158-2440 • E-ISSN: 2158-2440
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/2158244020914394
OpenAlexW3013257045
IdiomaEN
Citas recibidas5
Referencias citadas29

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, employment, birth order, and age of pregnancy were significant determinants of inequalities. There was a gradient in the utilization of services when examined across wealth status. Those with unfavorable social determinants of health reported low levels of utilization. Alongside providing tailored health care services to urban poor women, efforts should be made to reduce inequalities in social determinants of health

Economic growth · Economics · Environmental health · Health care · Inequality · Population · Pregnancy · Reproductive health · Social inequality · Sociology · Demography · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine