உடல்நலம் மற்றும் பராமரிப்பில் பன்முகத்தன்மை மற்றும் சமத்துவம் திறந்த அணுகல்

சுருக்கம்

Inequalities in Access to Essential Maternal Health Services in Bangladesh: A National and Sub-national Level Assessment

Sabera Sultana1*, Shamima Akter2 , Md. Mizanur Rahman

In the context of high maternal mortality rate, access to perinatal health care is a priority issue for women’s health and development in Bangladesh. This paper tried to quantify skilled birth attendance (SBA), post-natal care for mothers (PMC) and new-born (PNC) based on socio-economic determinants. We used Bangladesh Demographic and Health Survey, 2014 data. Subjects of this study are ever married women, aged 15-49 years, who had at least one birth in last three years preceding the survey date, and were considered. Final analytical sample size was 7886. We performed multilevel analysis with regression-based inequality models including slope index (SII), relative index (RII) and concentration index (CI). National coverage of ANC, SBA, PMC, and PNC were 25% (95% CI=23.9 to 26.4, p<0.05), 42% (95% CI=40.4 to 43.3, p<0.05), 35% (95% CI=34 to 36.7, p<0.05), and 34% (95% CI=32.8 to 35.5, p<0.05) respectively. SII values showed the wealthiest mothers received all the four services, 51.5 (95% CI=46 to 57.2, p<0.05) to 61.4 (95% CI=56.3 to 66.4, p<0.05) percentage point more than their poorest counterpart and higher educated mothers received four basic MHSs, 46.4 (95% CI=39.3 to 53.5, p<0.05) to 58.5 (95% CI=53.2 to 63.7, p<0.05) percentage points higher than mothers with no education. Programs, targeting socially marginalized women, can drastically enhance the utilization of essential MHSs.