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Prevalence of Maternal Postpartum Depression, Health-Seeking Behavior and Out of Pocket Payment for Physical Illness and Cost Coping Mechanism of the Poor Families in Bangladesh: A Rural Community-Based Study

Author

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  • Sheikh Jamal Hossain

    (Maternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh)

  • Bharati Rani Roy

    (Maternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh)

  • Aniqa Tasnim Hossain

    (Maternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh)

  • Fardina Mehrin

    (Maternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh)

  • SM Mulk Uddin Tipu

    (Maternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh)

  • Fahmida Tofail

    (Maternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh)

  • Shams El Arifeen

    (Maternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh)

  • Thach Tran

    (Global and Women’s Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia)

  • Jane Fisher

    (Global and Women’s Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia)

  • Jena Hamadani

    (Maternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh)

Abstract

The burden of depression is high globally. Maternal depression affects the mother, the child, and other family members. We aimed to measure the prevalence of maternal postpartum depressive (PPD) symptoms having a child aged 6–16 months, health-seeking behavior for general illness of all family members, out of pocket (OOP) payments for health care and cost coping mechanisms. We conducted a cross sectional study with 591 poor families in rural Bangladesh. The survey was conducted between August and October, 2017. Information was collected on maternal depressive symptoms using the Self Reporting Questionnaire (SRQ-20), health-seeking behavior, and related costs using a structured, pretested questionnaire. The prevalence of depressive symptoms was 51.7%. Multiple logistic regression analysis showed that PPD symptoms were independently associated with maternal age ( p = 0.044), family food insecurity ( p < 0.001) and violence against women ( p < 0.001). Most (60%) ill persons sought health care from informal health providers. Out of pocket (OOP) expenditure was significantly higher ( p = 0.03) in the families of depressed mothers, who had to take loan or sell their valuables to cope with expenditures ( p < 0.001). Our results suggest that postpartum depressive symptoms are prevalent in the poor rural mothers. Community-based interventions including prevention of violence and income generation activities for these economically disadvantaged mothers should be designed to address risk factors. Health financing options should also be explored for the mothers with depressive symptoms

Suggested Citation

  • Sheikh Jamal Hossain & Bharati Rani Roy & Aniqa Tasnim Hossain & Fardina Mehrin & SM Mulk Uddin Tipu & Fahmida Tofail & Shams El Arifeen & Thach Tran & Jane Fisher & Jena Hamadani, 2020. "Prevalence of Maternal Postpartum Depression, Health-Seeking Behavior and Out of Pocket Payment for Physical Illness and Cost Coping Mechanism of the Poor Families in Bangladesh: A Rural Community-Bas," IJERPH, MDPI, vol. 17(13), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4727-:d:378812
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    References listed on IDEAS

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    1. Ahmed, Syed Masud & Adams, Alayne M. & Chowdhury, Mushtaque & Bhuiya, Abbas, 2000. "Gender, socioeconomic development and health-seeking behaviour in Bangladesh," Social Science & Medicine, Elsevier, vol. 51(3), pages 361-371, August.
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    3. Izutsu, Takashi & Tsutsumi, Atsuro & Islam, Akramul Md. & Kato, Seika & Wakai, Susumu & Kurita, Hiroshi, 2006. "Mental health, quality of life, and nutritional status of adolescents in Dhaka, Bangladesh: Comparison between an urban slum and a non-slum area," Social Science & Medicine, Elsevier, vol. 63(6), pages 1477-1488, September.
    4. Suman Kanungo & Kalyan Bhowmik & Tanmay Mahapatra & Sanchita Mahapatra & Uchhal K Bhadra & Kamalesh Sarkar, 2015. "Perceived Morbidity, Healthcare-Seeking Behavior and Their Determinants in a Poor-Resource Setting: Observation from India," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-21, May.
    5. McIntyre, Diane & Thiede, Michael & Dahlgren, Göran & Whitehead, Margaret, 2006. "What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts?," Social Science & Medicine, Elsevier, vol. 62(4), pages 858-865, February.
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    1. Shamaila Mohsin & Ahmed Waqas & Najia Atif & Muhamamd Waqas Rabbani & Shahzad Ali Khan & Samina Bilal & Maria Sharif & Amina Bibi & Siham Sikander, 2021. "Accuracy of Community Informant Led Detection of Maternal Depression in Rural Pakistan," IJERPH, MDPI, vol. 18(3), pages 1-16, January.

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