IDEAS home Printed from https://ideas.repec.org/a/sae/sagope/v10y2020i1p2158244020914394.html
   My bibliography  Save this article

Inequalities in Utilization of Maternal Reproductive Health Care Services in Urban Bangladesh: A Population-Based Study

Author

Listed:
  • Md. Nuruzzaman Khan
  • Pushpendra Kumar
  • Md. Mijanur Rahman
  • Md. Nazrul Islam Mondal
  • M. Mofizul Islam

Abstract

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.

Suggested Citation

  • Md. Nuruzzaman Khan & Pushpendra Kumar & Md. Mijanur Rahman & Md. Nazrul Islam Mondal & M. Mofizul Islam, 2020. "Inequalities in Utilization of Maternal Reproductive Health Care Services in Urban Bangladesh: A Population-Based Study," SAGE Open, , vol. 10(1), pages 21582440209, March.
    • Handle: RePEc:sae:sagope:v:10:y:2020:i:1:p:2158244020914394
    DOI: 10.1177/2158244020914394
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/2158244020914394
    Download Restriction: no
    File URL: https://libkey.io/10.1177/2158244020914394?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. World Bank, 2007. "Bangladesh - Dhaka : Improving Living Conditions for the Urban Poor," World Bank Publications - Reports 7686, The World Bank Group.
    2. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications - Books, The World Bank Group, number 6896.
    3. Srinivas Goli & Riddhi Doshi & Arokiasamy Perianayagam, 2013. "Pathways of Economic Inequalities in Maternal and Child Health in Urban India: A Decomposition Analysis," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-8, March.
    4. United Nations, 2016. "The Sustainable Development Goals 2016," Working Papers id:11456, eSocialSciences.
    5. Zoë Matthews & Amos Channon & Sarah Neal & David Osrin & Nyovani Madise & William Stones, 2010. "Examining the “Urban Advantage” in Maternal Health Care in Developing Countries," PLOS Medicine, Public Library of Science, vol. 7(9), pages 1-7, September.
    6. Pulok, Mohammad Habibullah & Sabah, Md Nasim-Us Sabah & Uddin, Jalal & Enemark, Ulrika, 2015. "Progress in utilization of antenatal and delivery care services in Bangladesh: Where does the equity gap lie?," MPRA Paper 63496, University Library of Munich, Germany.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Md Ruhul Kabir, 2021. "Adopting Andersen’s behavior model to identify factors influencing maternal healthcare service utilization in Bangladesh," PLOS ONE, Public Library of Science, vol. 16(11), pages 1-18, November.
    2. Md Nuruzzaman Khan & Melissa L Harris & Deborah Loxton, 2020. "Assessing the effect of pregnancy intention at conception on the continuum of care in maternal healthcare services use in Bangladesh: Evidence from a nationally representative cross-sectional survey," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-20, November.
    3. Aneela Sultana & Mahwish Zeeshan & Sohima Anzak, 2022. "A Phenomenological Analysis of Rural Women’s Childbirth Preferences," SAGE Open, , vol. 12(1), pages 21582440221, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Randive, Bharat & San Sebastian, Miguel & De Costa, Ayesha & Lindholm, Lars, 2014. "Inequalities in institutional delivery uptake and maternal mortality reduction in the context of cash incentive program, Janani Suraksha Yojana: Results from nine states in India," Social Science & Medicine, Elsevier, vol. 123(C), pages 1-6.
    2. Sylvia Szabo & Rituparna Hajra & Angela Baschieri & Zoe Matthews, 2016. "Inequalities in Human Well-Being in the Urban Ganges Brahmaputra Meghna Delta," Sustainability, MDPI, vol. 8(7), pages 1-14, June.
    3. Mohammad Habibullah Pulok & Kees Gool & Mohammad Hajizadeh & Sara Allin & Jane Hall, 2020. "Measuring horizontal inequity in healthcare utilisation: a review of methodological developments and debates," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(2), pages 171-180, March.
    4. Robson, Matthew & O’Donnell, Owen & Van Ourti, Tom, 2024. "Aversion to health inequality — Pure, income-related and income-caused," Journal of Health Economics, Elsevier, vol. 94(C).
    5. Nora Lustig & Florencia Amábile & Marisa Bucheli & George Gray Molina & Sean Higgins & Miguel Jaramillo & Wilson Jiménez Pozo & Veronica Paz Arauco & Claudiney Pereira & Carola Pessino & Máximo Rossi , 2014. "El impacto del sistema tributario y del gasto social sobre la desigualdad y la pobreza en Argentina, Bolivia, Brasil, México, Perú y Uruguay: Un panorama general," Commitment to Equity (CEQ) Working Paper Series 1313S, Tulane University, Department of Economics.
    6. Andrew J. Mirelman & Miqdad Asaria & Bryony Dawkins & Susan Griffin & Richard Cookson & Peter Berman, 2020. "Fairer Decisions, Better Health for All: Health Equity and Cost-Effectiveness Analysis," World Scientific Book Chapters, in: Paul Revill & Marc Suhrcke & Rodrigo Moreno-Serra & Mark Sculpher (ed.), Global Health Economics Shaping Health Policy in Low- and Middle-Income Countries, chapter 4, pages 99-132, World Scientific Publishing Co. Pte. Ltd..
    7. Claudia Hanson & Sanni Kujala & Peter Waiswa & Tanya Marchant & Joanna Schellenberg, 2017. "Community-based approaches for neonatal survival: Meta-analyses of randomized trial data," WIDER Working Paper Series wp-2017-137, World Institute for Development Economic Research (UNU-WIDER).
    8. Ahmed Shoukry Rashad, 2014. "The Catastrophic Economic Consequences of Illness and their Effect on Poverty Estimates in Egypt, Jordan, and Palestine," Working Papers 842, Economic Research Forum, revised Oct 2014.
    9. Eugenia Ganea & Valentina Bodrug-Lungu, 2018. "Addressing Inequality in Vocational/ Technical Education by Eliminating Gender Bias," Revista romaneasca pentru educatie multidimensionala - Journal for Multidimensional Education, Editura Lumen, Department of Economics, vol. 10(4), pages 136-155, December.
    10. Gallopín, Gilberto, 2018. "Back to the future," Energy Policy, Elsevier, vol. 123(C), pages 318-324.
    11. Kapoor, Mudit & le Blanc, David, 2008. "Measuring risk on investment in informal (illegal) housing: Theory and evidence from Pune, India," Regional Science and Urban Economics, Elsevier, vol. 38(4), pages 311-329, July.
    12. OGUNNOWO, Fatai Abiodun & Prof. F. A. OKWO & JULIUS, Deborah Nwanne, 2023. "Availability and Utilization of Security Facilities in Federal Tertiary Institutions of Enugu State, Nigeria," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 7(5), pages 931-941, May.
    13. Kinyondo, Abel Alfred & Ntegwa, Magashi Joseph & Masawe, Cresencia Apolinary, 2022. "Socioeconomic Inequality in Maternal Healthcare Services: The Case of Tanzania," African Journal of Economic Review, African Journal of Economic Review, vol. 10(1), January.
    14. Rahman, Md Mizanur & Jung, Jenny & Islam, Md Rashedul & Rahman, Md Mahfuzur & Nakamura, Ryota & Akter, Shamima & Sato, Motohiro, 2022. "Global, regional, and national progress in financial risk protection towards universal health coverage, 2000–2030," Social Science & Medicine, Elsevier, vol. 312(C).
    15. Paul L. G. Vlek & Asia Khamzina & Hossein Azadi & Anik Bhaduri & Luna Bharati & Ademola Braimoh & Christopher Martius & Terry Sunderland & Fatemeh Taheri, 2017. "Trade-Offs in Multi-Purpose Land Use under Land Degradation," Sustainability, MDPI, vol. 9(12), pages 1-19, November.
    16. Ben Jann, 2008. "A Stata implementation of the Blinder-Oaxaca decomposition," ETH Zurich Sociology Working Papers 5, ETH Zurich, Chair of Sociology, revised 14 May 2008.
    17. Wirapong Chansanam & Chunqiu Li, 2022. "Scientometrics of Poverty Research for Sustainability Development: Trend Analysis of the 1964–2022 Data through Scopus," Sustainability, MDPI, vol. 14(9), pages 1-19, April.
    18. -, 2021. "The 2020 census round: challenges of the 2030 Agenda for Sustainable Development, the Sustainable Development Goals and the Montevideo Consensus on Population and Development," Población y Desarrollo 46727, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    19. Shannon L. Sibbald & Nicole Haggerty, 2019. "Integrating Business and Medical Pedagogy to Accomplish the Sustainable Development Goals," Journal of Education for Sustainable Development, , vol. 13(1), pages 92-101, March.
    20. Hai Zhong, 2010. "The impact of missing data in the estimation of concentration index: a potential source of bias," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(3), pages 255-266, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:sagope:v:10:y:2020:i:1:p:2158244020914394. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.