Inequality in the Utilization of Maternal Care and the Impact of a Macroeconomic Policy: Evidence from Bangladesh
AbstractIn this paper we focus on the inequalities in utilization of maternal care and the associations between a macroeconomic policy and the use of maternal health care services in Bangladesh. We use four waves of a repeated cross-section dataset: the Bangladesh Demographic and Health Survey 1997, 2000, 2004 and 2007. We specify the utilization of maternal health care services as a set of three binary variables representing utilization of antenatal care, skilled attendance at birth and giving birth in a health facility. Although the use of maternal care services increased over time, less than one-quarter of mothers used a skilled attendant or gave birth in a health facility in the most recent period. We find that the circumstance factors of respondents, for example, their religion, location, education and household asset had significant associations with their choice of utilization. We observe that horizontal inequity in utilization decreased over time; yet, inequalities in the utilization of maternal care remained large in the most recent period. In addition to these issues, we assess the impacts of the Rights-Based Comprehensive Maternal Care Policy which was implemented in 2001, in response to the Millennium Development Goals in the health sector. We measure the impacts of the policy using the simple difference-in-differences method and inequality indices based difference-in-weighted-differences method. Both approaches find that the policy was effective in promoting utilization of maternal health care services in rural Bangladesh. We find that, in a developing country like Bangladesh, a well-designed health policy that is focused on key circumstance factors of the target group that they cannot control for can increase the use of health care greatly.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by HEDG, c/o Department of Economics, University of York in its series Health, Econometrics and Data Group (HEDG) Working Papers with number 10/08.
Date of creation: Jun 2010
Date of revision:
Contact details of provider:
Postal: HEDG/HERC, Department of Economics and Related Studies, University of York, York, YO10 5DD, United Kingdom
Phone: (0)1904 323776
Fax: (0)1904 323759
Web page: http://www.york.ac.uk/economics/postgrad/herc/hedg/
More information through EDIRC
Difference-in-differences; Prenatal care; Horizontal inequity; Difference-in-weighteddifferences;
This paper has been announced in the following NEP Reports:
You can help add them by filling out this form.
reading list or among the top items on IDEAS.Access and download statisticsgeneral information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Jane Rawlings).
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 references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.