Bangladesh : Inequalities in Utilization of Maternal Health Care Services, Evidence from MATLAB
This study investigates the equity implications of introducing a facility-based maternity care strategy in rural Bangladesh. The study took place in Matlab subdistrict in Chandpur District, where the Centre for Population and Health Research (ICDDR...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2004/10/5363602/bangladesh-inequalities-utilization-maternal-health-care-services-evidence-matlab http://hdl.handle.net/10986/13672 |
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okr-10986-136722021-04-23T14:03:09Z Bangladesh : Inequalities in Utilization of Maternal Health Care Services, Evidence from MATLAB Anwar, A.T.M. Iqbal Killewo, Japhet Chowdhury, Mahbub-E-Elahi K. Dasgupta, Sushil Kanta AGED ANTENATAL CARE ANTENATAL VISITS BIRTHS CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILDBIRTH CLINICS COMMUNITY HEALTH DEATHS DELIVERY CARE DIARRHEAL DISEASE DIARRHEAL DISEASES ECONOMIC STATUS EMERGENCY OBSTETRIC CARE ESSENTIAL DRUGS EXPENDITURES FORCEPS HEALTH CARE HEALTH CARE SERVICES HEALTH FACILITIES HEALTH POLICY HEALTH RESEARCH HEALTH SERVICES HOSPITALS HUMAN DEVELOPMENT INCOME INTERVENTION LIVE BIRTHS MANAGERS MATERNAL AND CHILD HEALTH MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNITY CARE MIGRATION MORTALITY MORTALITY RATES MOTHERS NUTRITION OBSTETRICAL CARE PARAMEDICS PATIENTS PERINATAL DEATH PERINATAL MORTALITY PHYSICIANS POSTNATAL CARE PREGNANCY PREGNANT WOMEN PRIVATE SECTOR PROBABILITY PUBLIC HEALTH PUBLIC SECTOR QUALITY OF CARE REPRODUCTIVE HEALTH SCREENING SERVICE DELIVERY TRADITIONAL BIRTH ATTENDANTS URBAN AREAS WORKERS This study investigates the equity implications of introducing a facility-based maternity care strategy in rural Bangladesh. The study took place in Matlab subdistrict in Chandpur District, where the Centre for Population and Health Research (ICDDR,B) had initiated a home-based maternity care program during 1987. During 1996-2001 the home-based strategy was replaced by a facility-based strategy that featured gradual upgrading of four ICDDR,B subcentres to provide basic emergency obstetrical care (EOC). During the 1997-2001 study period 19 percent of births took place in ICDDR,B facilities, 4 percent occurred in other facilities (public & private), and 2.6 percent births were attended by ICDDR,B midwives at home. The remaining deliveries took place at home without trained attendants. The study examines: 1) the extent to which poorer women in the community used the EOC services introduced and 2) the factors determining the use of those services. It does so by analyzing monitoring and service data from the ICDDR,B's maternity care program. The principal findings are that: (i) Women from poorer households used ICDDR, B delivery facilities significantly less than their better-off counterparts: the ratio between the best-off and worst-off 20 percent of the population was nearly 3:1. (ii) While overall facility utilization increased during the study period, the economic disparities in use persisted. (iii) Factors other than economic status associated with use of maternity care were area of residence, number of antenatal visits, birth order, maternal education and age, and year of delivery. 2013-05-30T14:18:56Z 2013-05-30T14:18:56Z 2004-10 http://documents.worldbank.org/curated/en/2004/10/5363602/bangladesh-inequalities-utilization-maternal-health-care-services-evidence-matlab http://hdl.handle.net/10986/13672 English en_US HNP discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research South Asia Bangladesh |
| repository_type |
Digital Repository |
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Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
AGED ANTENATAL CARE ANTENATAL VISITS BIRTHS CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILDBIRTH CLINICS COMMUNITY HEALTH DEATHS DELIVERY CARE DIARRHEAL DISEASE DIARRHEAL DISEASES ECONOMIC STATUS EMERGENCY OBSTETRIC CARE ESSENTIAL DRUGS EXPENDITURES FORCEPS HEALTH CARE HEALTH CARE SERVICES HEALTH FACILITIES HEALTH POLICY HEALTH RESEARCH HEALTH SERVICES HOSPITALS HUMAN DEVELOPMENT INCOME INTERVENTION LIVE BIRTHS MANAGERS MATERNAL AND CHILD HEALTH MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNITY CARE MIGRATION MORTALITY MORTALITY RATES MOTHERS NUTRITION OBSTETRICAL CARE PARAMEDICS PATIENTS PERINATAL DEATH PERINATAL MORTALITY PHYSICIANS POSTNATAL CARE PREGNANCY PREGNANT WOMEN PRIVATE SECTOR PROBABILITY PUBLIC HEALTH PUBLIC SECTOR QUALITY OF CARE REPRODUCTIVE HEALTH SCREENING SERVICE DELIVERY TRADITIONAL BIRTH ATTENDANTS URBAN AREAS WORKERS |
| spellingShingle |
AGED ANTENATAL CARE ANTENATAL VISITS BIRTHS CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILDBIRTH CLINICS COMMUNITY HEALTH DEATHS DELIVERY CARE DIARRHEAL DISEASE DIARRHEAL DISEASES ECONOMIC STATUS EMERGENCY OBSTETRIC CARE ESSENTIAL DRUGS EXPENDITURES FORCEPS HEALTH CARE HEALTH CARE SERVICES HEALTH FACILITIES HEALTH POLICY HEALTH RESEARCH HEALTH SERVICES HOSPITALS HUMAN DEVELOPMENT INCOME INTERVENTION LIVE BIRTHS MANAGERS MATERNAL AND CHILD HEALTH MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNITY CARE MIGRATION MORTALITY MORTALITY RATES MOTHERS NUTRITION OBSTETRICAL CARE PARAMEDICS PATIENTS PERINATAL DEATH PERINATAL MORTALITY PHYSICIANS POSTNATAL CARE PREGNANCY PREGNANT WOMEN PRIVATE SECTOR PROBABILITY PUBLIC HEALTH PUBLIC SECTOR QUALITY OF CARE REPRODUCTIVE HEALTH SCREENING SERVICE DELIVERY TRADITIONAL BIRTH ATTENDANTS URBAN AREAS WORKERS Anwar, A.T.M. Iqbal Killewo, Japhet Chowdhury, Mahbub-E-Elahi K. Dasgupta, Sushil Kanta Bangladesh : Inequalities in Utilization of Maternal Health Care Services, Evidence from MATLAB |
| geographic_facet |
South Asia Bangladesh |
| relation |
HNP discussion paper; |
| description |
This study investigates the equity
implications of introducing a facility-based maternity care
strategy in rural Bangladesh. The study took place in Matlab
subdistrict in Chandpur District, where the Centre for
Population and Health Research (ICDDR,B) had initiated a
home-based maternity care program during 1987. During
1996-2001 the home-based strategy was replaced by a
facility-based strategy that featured gradual upgrading of
four ICDDR,B subcentres to provide basic emergency
obstetrical care (EOC). During the 1997-2001 study period 19
percent of births took place in ICDDR,B facilities, 4
percent occurred in other facilities (public & private),
and 2.6 percent births were attended by ICDDR,B midwives at
home. The remaining deliveries took place at home without
trained attendants. The study examines: 1) the extent to
which poorer women in the community used the EOC services
introduced and 2) the factors determining the use of those
services. It does so by analyzing monitoring and service
data from the ICDDR,B's maternity care program. The
principal findings are that: (i) Women from poorer
households used ICDDR, B delivery facilities significantly
less than their better-off counterparts: the ratio between
the best-off and worst-off 20 percent of the population was
nearly 3:1. (ii) While overall facility utilization
increased during the study period, the economic disparities
in use persisted. (iii) Factors other than economic status
associated with use of maternity care were area of
residence, number of antenatal visits, birth order, maternal
education and age, and year of delivery. |
| format |
Publications & Research :: Working Paper |
| author |
Anwar, A.T.M. Iqbal Killewo, Japhet Chowdhury, Mahbub-E-Elahi K. Dasgupta, Sushil Kanta |
| author_facet |
Anwar, A.T.M. Iqbal Killewo, Japhet Chowdhury, Mahbub-E-Elahi K. Dasgupta, Sushil Kanta |
| author_sort |
Anwar, A.T.M. Iqbal |
| title |
Bangladesh : Inequalities in Utilization of Maternal Health Care Services, Evidence from MATLAB |
| title_short |
Bangladesh : Inequalities in Utilization of Maternal Health Care Services, Evidence from MATLAB |
| title_full |
Bangladesh : Inequalities in Utilization of Maternal Health Care Services, Evidence from MATLAB |
| title_fullStr |
Bangladesh : Inequalities in Utilization of Maternal Health Care Services, Evidence from MATLAB |
| title_full_unstemmed |
Bangladesh : Inequalities in Utilization of Maternal Health Care Services, Evidence from MATLAB |
| title_sort |
bangladesh : inequalities in utilization of maternal health care services, evidence from matlab |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2004/10/5363602/bangladesh-inequalities-utilization-maternal-health-care-services-evidence-matlab http://hdl.handle.net/10986/13672 |
| _version_ |
1764424178277023744 |