Determinants of utilization of antenatal and delivery care at the community level in rural Bangladesh

Pervin, Jesmin; Venkateswaran, Mahima; Nu, U Tin; Rahman, Monjur; O’Donnell, Brian; Friberg, Ingrid K.; Rahman, Anisur; Frøen, J Frederik

doi:10.1371/journal.pone.0257782

Cited by 32 publications

(46 citation statements)

References 41 publications

(46 reference statements)

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“…Women had given born one or more children had moreaccess problems than those who do not give birth. The nding of the study is in line with the study done in Bangladesh (22). The possible reason might be women who gave birth at health facilities may face unsatisfactory experiences which hinders them from accessing health care services (23).…”

Section: Discussionsupporting

confidence: 77%

Access to health care problem and associated factors among reproductive age women in Gambia: Using Gambia Demographic Health Survey 2019/20

Tsegaw

Mulat

Shitu

2022

Preprint

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Introduction: The risk of maternal death can be reduced through by ensuring that women have access to high-quality care before, during and after childbirth but access to health care problem is still a big public health issueObjective: To assess problems of accessing health care and its associated factors among reproductive age women in GambiaMethods: This study was based on a large community-based cross-sectional survey, conducted from 21 November 2019 to 30 March 2020 in Gambia.The survey employed a stratified two-stage cluster samplingtechnique to recruit study participants. Descriptive statistics and logistic regression models were used to summarize descriptive data and identify factors associated with problems of accessing health care respectively. A p-value of less than 0.05 and 95% confidence interval were used to determine statistical significance.Results: The magnitude of big problem in accessing health care among reproductive age women in Gambia was 45.5%% (95%CI: 44.6, 46.4. Age (AOR=1.48 (95%CI: 1.12,1.95), being from rural residence (AOR=1.28 (95%CI: 1.07,1.53), parity (AOR= 1.07 (95%CI: 1.03,1.12),middle (AOR=0.54(95%CI:0.46, 0.64) and rich wealth (AOR=0.30 (95%CI:0.25, 0.37),give birth at health institution( AOR=0.69 (95%CI: 0.58, 0.80), currently working (AOR=0.77 (95%CI:0.68, 0.86) and geographic region was significantly associated with problems of accessing health care.Conclusion: Problems of accessing health care was high in Gambia. Age, region, working status, parity, residence, wealth and place of delivery were the identified factors associated with problems of accessing health care. Policy makers and public health experts should consider those factors while designing maternal health care program. User friendly, culturally acceptable and affordable health care service program should be designed to increase health care access in Gambia.

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Section: Discussionsupporting

confidence: 77%

Access to health care problem and associated factors among reproductive age women in Gambia: Using Gambia Demographic Health Survey 2019/20

Tsegaw

Mulat

Shitu

2022

Preprint

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“…A retrospective study using data from the Health and Demographic Surveillance System (HDDS) in Matlab, Bangladesh, discovered that cesarean delivery increased with greater socioeconomic status, education, and utilization of antenatal care services [ 25 ]. Another study conducted in Bangladesh confirmed the significance of socio-demographic variables in the use of ANC and facility delivery [ 26 ].…”

Section: Discussionmentioning

confidence: 93%

Adopting Andersen’s behavior model to identify factors influencing maternal healthcare service utilization in Bangladesh

Kabir

2021

PLoS ONE

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Background Equitable maternal healthcare service access and it’s optimum utilization remains a challenge for many developing countries like Bangladesh, and different predisposing, enabling, and need-based factors affect the level of maternal healthcare use. The evidently poor maternal healthcare service utilization and disparities among groups in Bangladesh are concerning considering its effect on maternal health outcomes. The study aimed to identify the factors that influence maternal healthcare service (MHS) utilization in Bangladesh by adopting Andersen’s behavior model of health service use as the theoretical framework. Methods The 2017–18 Bangladesh Demographic Health Survey (2017–18 BDHS) data were used which is nationally representative. The survey study used two-stage stratified sampling to select study households, and data were collected through face-to-face interviews. The desirable, moderate, and undesirable maternal health service (MHS) package was developed based on antenatal, and delivery care services use during pregnancy and childbirth. Multinomial logistic regression and discriminant analysis were performed to analyze the factors that affect MHS use. Results Out of 5,011 ever-married women, only 31.2% of women utilized the desirable level of MHS. The likelihood of using the desirable level of MHS package, relative to the undesirable category, was 9.38 times (OR: 9.38, 95% CI: 4.30–20.44) higher for women with a higher level of education compared to illiterate women, and the same trend was noticed for husband’s education. The wealth index had the highest standardized function coefficients (Beta coefficient: 0.49) in discriminatory function. Women with the richest wealth index were more than 23 times (OR: 23.27, 95% CI: 12.69–42.68) likely to have utilized desirable MHS than their poorest counterparts. The likelihood of service uses also varied according to the child’s birth order, administrative regions, and area of residence (rural vs. urban). Conclusions Policies and interventions directed towards poverty reduction, universal education, and diminishing geographical disparities of healthcare access might influence the desirable use of maternal healthcare services in Bangladesh.

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“…Mothers are getting more antenatal care from private facilities in Bangladesh than ever. 13 Therefore, the business-oriented approaches of some private hospitals/clinics and physicians are indirectly provoking to increase C-section deliveries in Bangladesh. 14 , 15…”

Section: Prevalence and Associated Factors For C-sections In Bangladeshmentioning

confidence: 99%

Unnecessary Cesarean Section Delivery Causes Risk to Both Mother and Baby: A Commentary on Pregnancy Complications and Women’s Health

Nahar

Sohan

Hossain

et al. 2022

INQUIRY

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In Bangladesh, 3.6 million babies are born each year. But the country is now facing a quickly rising rate of cesarean section (C-section) utilization. Here about 50% of total deliveries are institutional. Among them, two-thirds are in private care facilities, where the rate of C-sections is very high (83%). The present C-section rate is 2.5 times higher than in the previous decades. In Bangladesh, many physicians from private facilities are recommending C-section regardless of the mother’s physical condition and the position of the fetus. Therefore, mothers are more likely to choose C-section delivery who receive antenatal care from a private facility. Moreover, several socio-economic and demographic factors might be responsible for these increased C-section deliveries. Also, many private hospitals prefer C-section delivery due to their profit-making tendency. The unnecessary C-section delivery causes risk to both mother and baby Also, the high prevalence of C-section in Bangladesh is putting women’s health at risk. Therefore, the government healthcare authorities should ensure proper utilization of C-section facilities and encourage people for normal births at any health facility. Also, they can develop a national guideline for the use of C-sections and normal delivery depending on the physical condition of the mother and fetus.

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Determinants of utilization of antenatal and delivery care at the community level in rural Bangladesh

Cited by 32 publications

References 41 publications

Access to health care problem and associated factors among reproductive age women in Gambia: Using Gambia Demographic Health Survey 2019/20

Access to health care problem and associated factors among reproductive age women in Gambia: Using Gambia Demographic Health Survey 2019/20

Adopting Andersen’s behavior model to identify factors influencing maternal healthcare service utilization in Bangladesh

Unnecessary Cesarean Section Delivery Causes Risk to Both Mother and Baby: A Commentary on Pregnancy Complications and Women’s Health

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