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Socioeconomic inequalities in utilizing facility delivery in Bangladesh: A decomposition analysis using nationwide 2017–2018 demographic and health survey data

Author

Listed:
  • Md Ashfikur Rahman
  • Satyajit Kundu
  • Harun Or Rashid
  • Hasibul Hasan Shanto
  • Md Mahmudur Rahman
  • Bayezid Khan
  • Md Hasan Howlader
  • Md Akhtarul Islam

Abstract

Background: In many low- and middle-income countries (LMICs), including Bangladesh, socioeconomic inequalities in access to maternity care remain a substantial public health concern. Due to the paucity of research, we attempted to determine the factors affecting the facility delivery, quantify wealth-related inequality, and identify potential components that could explain the inequality. Methods: We used the latest Bangladesh Demographic and Health Survey (BDHS 2017–18) data in this study. We utilized logistic regression to investigate the associated factors of facility delivery. The concentration curves (CC), concentration index (CIX) and decomposition of CIX techniques were used to analyze the inequality in-facility delivery. Results: Women living in the urban areas, age at first birth after (18–24 years ≥25 years), being overweight/obese, having secondary and higher-level education of the women and their husband, seeking four or more ANC, coming from more affluent households, and women with high enlightenment were significant determinants of facility delivery. The concentration curve was below the line of equality, and the relative concentration index (CIX) was 0.205 (p

Suggested Citation

  • Md Ashfikur Rahman & Satyajit Kundu & Harun Or Rashid & Hasibul Hasan Shanto & Md Mahmudur Rahman & Bayezid Khan & Md Hasan Howlader & Md Akhtarul Islam, 2022. "Socioeconomic inequalities in utilizing facility delivery in Bangladesh: A decomposition analysis using nationwide 2017–2018 demographic and health survey data," PLOS ONE, Public Library of Science, vol. 17(11), pages 1-18, November.
    • Handle: RePEc:plo:pone00:0278093
    DOI: 10.1371/journal.pone.0278093
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    References listed on IDEAS

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    1. Ben Jann, 2016. "Estimating Lorenz and concentration curves," Stata Journal, StataCorp LLC, vol. 16(4), pages 837-866, December.
    2. Ben Jann, 2016. "Estimating Lorenz and concentration curves in Stata," University of Bern Social Sciences Working Papers 15, University of Bern, Department of Social Sciences, revised 27 Oct 2016.
    3. Owen O’Donnell & Stephen O’Neill & Tom Van Ourti & Brendan Walsh, 2016. "conindex: Estimation of concentration indices," Stata Journal, StataCorp LLC, vol. 16(1), pages 112-138, March.
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