| Title |
Social inequalities in the utilization of maternal care in Bangladesh: Have they widened or narrowed in recent years?
|
|---|---|
| Published in |
International Journal for Equity in Health, December 2014
|
| DOI | 10.1186/s12939-014-0120-4 |
| Pubmed ID | |
| Authors |
Mohammad Hajizadeh, Nazmul Alam, Arijit Nandi |
| Abstract |
BackgroundNotwithstanding the significant progress in reducing maternal mortality in recent years, social inequalities in the utilization of maternal care continue to be a challenge in Bangladesh. In this study, we aim to provide a comprehensive analysis of trends in social inequalities in utilization of antenatal care (ANC), facility based delivery (FBD), and skilled birth attendance (SBA) in Bangladesh between 1995 and 2010.MethodsData were extracted from the five latest rounds of Bangladesh Demographic Health Surveys (BDHS). The Theil index (T) and between-group variance (BGV) were used to calculate relative and absolute disparities in the utilization of three measures (ANC, FBD, and SBA) of maternal care across six administrative regions. The relative and slope indices of inequality (RII and SII, respectively) were also used to calculate wealth- and education-based inequality in the utilization of maternal care.ResultsThe results of the T-index suggest that relative inequality in SBA has declined by 0.2% per year. Nevertheless, the estimated BGV demonstrated that absolute inequalities in all three measures of maternal care have increased across administrative divisions. For all three measures of maternal care, the RII and SII indicated consistent socioeconomic inequalities favouring wealthier and more educated women. The adjusted RII suggested that wealth- and education-related inequalities for ANC declined by 9% and 6%, respectively, per year during the study period. The adjusted SII, however, showed that wealth- and education-related inequalities for FBD increased by 0.6% per year.ConclusionsAlthough socially disadvantaged mothers increased their utilization of care relative to mothers of higher socioeconomic status, the absolute gap in utilization of care between socioeconomic groups has increased over time. Our findings indicate that wealthier and more educated women, as well as those living in urban areas, are the major users of ANC, FBD and SBA in Bangladesh. Thus, priority focus should be given to implementing and evaluating interventions that benefit women who are poorer, less educated and live in rural areas. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 165 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Bangladesh | 3 | 2% |
| Belgium | 1 | <1% |
| Unknown | 161 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 29 | 18% |
| Researcher | 27 | 16% |
| Student > Ph. D. Student | 25 | 15% |
| Student > Doctoral Student | 11 | 7% |
| Student > Postgraduate | 11 | 7% |
| Other | 21 | 13% |
| Unknown | 41 | 25% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 29 | 18% |
| Medicine and Dentistry | 28 | 17% |
| Social Sciences | 24 | 15% |
| Economics, Econometrics and Finance | 14 | 8% |
| Agricultural and Biological Sciences | 4 | 2% |
| Other | 14 | 8% |
| Unknown | 52 | 32% |
Attention Score in Context
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#15,312,760
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