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

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  • 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
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    References listed on IDEAS

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    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, December.
    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.
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    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.

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