Trends and inequities in use of maternal health care services in Bangladesh, 1991-2011

Bibliografske podrobnosti
Main Authors:	Anwar, Iqbal, Y. Nababan, Herfina, Mostari, Shabnam, Rahman, Aminur, A. M. Khan, Jahangir
Drugi avtorji:	James P Grant School of Public Health, BRAC University
Format:	Article
Jezik:	English
Izdano:	© 2015 Public Library of Science 2016
Teme:	Bangladesh Health care access Health survey Maternal care Maternal welfare Medical service Prenatal care Social status Vaginal delivery
Online dostop:	http://hdl.handle.net/10361/7411 http://doi.org/10.1371/journal.pone.0120309

id	10361-7411
record_format	dspace
spelling	10361-74112018-03-27T05:19:01Z Trends and inequities in use of maternal health care services in Bangladesh, 1991-2011 Anwar, Iqbal Y. Nababan, Herfina Mostari, Shabnam Rahman, Aminur A. M. Khan, Jahangir James P Grant School of Public Health, BRAC University Bangladesh Health care access Health survey Maternal care Maternal welfare Medical service Prenatal care Social status Vaginal delivery This article was published in PLoS ONE [© 2015 Public Library of Science] and the definite version is available at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0120309 Background and Methods Monitoring use-inequity is important to measure progress in efforts to address healthinequities. Using data from six Bangladesh Demographic and Health Surveys (BDHS), we examine trends, inequities and socio-demographic determinants of use of maternal health care services in Bangladesh between 1991 and 2011. Findings Access to maternal health care services has improved in the last two decades. The adjusted yearly trend was 9.0% (8.6%-9.5%) for any antenatal care (ANC), 11.9%(11.1%-12.7%) for institutional delivery, and 18.9% (17.3%-20.5%) for C-section delivery which is above the WHO recommended rate of 5-15%. Use-inequity was significant for all three indicators but is reducing over time. Between 1991-1994 and 2007-2011 the rich:poor ratio reduced from 3.65 to 1.65 for ANC and from 15.80 to 6.77 for institutional delivery. Between 1995-1998 and 2007-2011, the concentration index reduced from 0.27 (0.25-0.29) to 0.15 (0.14-0.16) for ANC, and from 0.65 (0.60-0.71) to 0.39 (0.37-0.41) for institutional delivery during that period. For use of c-section, the rich:poor ratio reduced from 18.17 to 13.39 and the concentration index from 0.66 (0.57-0.75) to 0.47 (0.45-0.49). In terms of rich:poor differences, there was equity-gain for ANC but not for facility delivery or C-section delivery. All sociodemographic variables were significant predictors of use; of them, maternal education was the most powerful. In addition, the contribution of for-profit private sector is increasingly growing in maternal health. Conclusion Both access and equity are improving in maternal health. We recommend strengthening ongoing health and non-health interventions for the poor. Use-inequity should be monitored using multiple indicators which are incorporated into routine health information systems. Rising C-section rate is alarming and indication of C-sections should be monitored both in private and public sector facilities. Published 2016-12-28T09:52:42Z 2016-12-28T09:52:42Z 2015 Article Anwar, I., Nababan, H. Y., Mostari, S., Rahman, A., & Khan, J. A. M. (2015). Trends and inequities in use of maternal health care services in bangladesh, 1991-2011. PLoS ONE, 10(3) doi:10.1371/journal.pone.0120309 19326203 http://hdl.handle.net/10361/7411 http://doi.org/10.1371/journal.pone.0120309 en http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0120309 © 2015 Public Library of Science
institution	Brac University
collection	Institutional Repository
language	English
topic	Bangladesh Health care access Health survey Maternal care Maternal welfare Medical service Prenatal care Social status Vaginal delivery
spellingShingle	Bangladesh Health care access Health survey Maternal care Maternal welfare Medical service Prenatal care Social status Vaginal delivery Anwar, Iqbal Y. Nababan, Herfina Mostari, Shabnam Rahman, Aminur A. M. Khan, Jahangir Trends and inequities in use of maternal health care services in Bangladesh, 1991-2011
description	This article was published in PLoS ONE [© 2015 Public Library of Science] and the definite version is available at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0120309
author2	James P Grant School of Public Health, BRAC University
author_facet	James P Grant School of Public Health, BRAC University Anwar, Iqbal Y. Nababan, Herfina Mostari, Shabnam Rahman, Aminur A. M. Khan, Jahangir
format	Article
author	Anwar, Iqbal Y. Nababan, Herfina Mostari, Shabnam Rahman, Aminur A. M. Khan, Jahangir
author_sort	Anwar, Iqbal
title	Trends and inequities in use of maternal health care services in Bangladesh, 1991-2011
title_short	Trends and inequities in use of maternal health care services in Bangladesh, 1991-2011
title_full	Trends and inequities in use of maternal health care services in Bangladesh, 1991-2011
title_fullStr	Trends and inequities in use of maternal health care services in Bangladesh, 1991-2011
title_full_unstemmed	Trends and inequities in use of maternal health care services in Bangladesh, 1991-2011
title_sort	trends and inequities in use of maternal health care services in bangladesh, 1991-2011
publisher	© 2015 Public Library of Science
publishDate	2016
url	http://hdl.handle.net/10361/7411 http://doi.org/10.1371/journal.pone.0120309
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Trends and inequities in use of maternal health care services in Bangladesh, 1991-2011

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