Effects of women’s autonomy on maternal healthcare utilization in Bangladesh: Evidence from a national survey

Haider, Mohammad Rifat; Qureshi, Zaina P.; Khan, M. Mahmud

doi:10.1016/j.srhc.2017.09.002

Cited by 48 publications

(40 citation statements)

References 17 publications

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“…Other studies from Bangladesh have suggested that men play an important role in care seeking for maternal and newborn health services. 41 Interestingly, certain reasons were not raised among our respondents that have been highlighted in other studies from other regions. 39,40 Programs should include husbands and family members in activities promoting women's empowerment, so that their preferences regarding place of birth are respected and realized.…”

Section: Discussionmentioning

confidence: 77%

“…39,40 Programs should include husbands and family members in activities promoting women's empowerment, so that their preferences regarding place of birth are respected and realized. 41 Interestingly, certain reasons were not raised among our respondents that have been highlighted in other studies from other regions. For example, our respondents did not mention the sudden onset and rapid progression of labor as a reason for home birth, which has been identified both in Asian and African contexts.…”

Section: F I G U R Ementioning

confidence: 77%

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Opting for home birth in rural Bangladesh: An assessment of the current status and reasons

Perkins

Rahman

Siddique

et al. 2018

Birth

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Background: In Bangladesh, over half of women give birth at home, generally without the support of a skilled birth attendant. In this article, we examined the decisionmaking around birthplace and explored the reported reasons of preferring home birth over facility birth in a rural district of Bangladesh. Methods: A cross-sectional household survey with 1367 women was conducted in Brahmanbaria district. Choice of birthplace and actual place of birth were the main outcomes of interest. Associations between the outcomes of interest and background characteristics were analyzed through binary logistic regression. Effects of the covariates and confounders were adjusted through multiple logistic regression. Results: Sixty-four percent of women planned to give birth at home, and 62% gave birth at home. Planning to give birth at home was significantly associated with eventually giving birth at home (AOR [CI]: 4.93 [3.79-6.43]). Multiparous women and women from larger households were significantly more likely to give birth at home, whereas more educated and wealthier women and those attending antenatal care were significantly less likely to give birth at home. The main reported reasons for home birth were perceived lack of importance of facility birth, financial reasons, fear of cesarean section, and not being permitted by a husband of other family member to seek facility birth. Conclusions: Home is the preferred birthplace and main actual place of birth in rural Bangladesh. The maternal health program of Bangladesh should look critically at the preferences of women and reasons for those preferences for further promotion of skilled attendance at birth in rural settings.

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Section: Discussionmentioning

confidence: 77%

Section: F I G U R Ementioning

confidence: 77%

Opting for home birth in rural Bangladesh: An assessment of the current status and reasons

Perkins

Rahman

Siddique

et al. 2018

Birth

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“…The findings revealed that indices of women household decision making, measured by decision on health, decision on household's purchase and decision on visit to family and relatives, were consistently significant and protective against maternal mortality. Previous studies mostly focused on association of women household decision making and the use of maternal health care services [9][10][11]15,16,[29][30][31][32]. Best to the knowledge of this study, no prior empirical study on the association of women household decision making and maternal mortality, particularly in Nigeria, exists.…”

Section: Discussionmentioning

confidence: 99%

“…Women household decision making power is measured by the ability of women to take and participate in three major household's decision dimensions -decision on own health, decision on major household purchases and decision on visits to family and relatives [8][9][10][11] 1 . The ability of women to take and participate in any or all of these decisions making dimensions has been empirically revealed to improve maternal health care service utilization [10,[12][13][14][15][16]. However, the direct effect of women household decision making in reducing maternal mortality has not been given attention in literature.…”

Section: Mmrmentioning

confidence: 99%

Women Household Decision Making Power and Maternal Mortality

Yakubu¹,

Nor²,

Law³

et al. 2019

Preprint

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High maternal mortality in the developing countries, particularly in Nigeria, poses serious challenge to achieving the maternal mortality target of the Sustainable Development Goals (SDGs) in the countries. Hence, there is need for multifaceted approach to curtailing the scourge. Women being the victims of maternal mortality, this study finds the effect of their household decision making power in reducing maternal mortality. The study used data from the 2013 Nigeria Health and Demographic Survey (NDHS) and logistic regression model to explore the relationship between women household decision making power and maternal mortality in Nigeria. The finding shows that women who decide and participate in household decision on own health, major purchases and visit to family and relatives were 35% (OR = 0.65, 95% CI: 0.52, 0.83), 27% (OR = 0.73, 95% CI: 0.57, 0.92), and 37% (OR = 0.63, 95% CI: 0.50, 0.80) less likely to experience maternal mortality, respectively, compared to those whose husbands alone decide. Women household decision making power is therefore instrumental to reducing maternal mortality. It is thus important for policy makers, particularly in Nigeria, to pay more attention to social and cultural factors that surround women household decision making ability for speedy reduction in maternal deaths.

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“…Our survey confirmed that none of the patients had a voice in their own obstetrical care. In a survey of 8753 women in Bangladesh, the risk factors for not accessing maternal healthcare included no formal education, of Islamic faith, from poorest wealth quintile, living in rural areas and with low autonomy[23]. Another survey documenting trends and inequities of maternal care in Bangladesh identified maternal education as the most powerful indicator of healthcare access[24].…”

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confidence: 99%

Maternal Health Care in Cox’s Bazar, Bangladesh: A Survey of Midwifery Experience at Hope Foundation and a Review of the Literature

Mahmood¹,

Bergbower²,

Mahmood³

et al. 2019

OJOG

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Background: The Ministry of Health and Family Welfare of the Government of Bangladesh developed a midwifery education strategy in 2011 and starting in 2013, BRAC University developed a three-year Diploma in Midwifery. A survey was developed to understand the challenges of the newly graduated midwives and to identify resource and educational needs. The survey feedback will help develop and strengthen curriculum for primary and postgraduate midwifery training. Methods: A 30-question survey was given to midwives at the Hope Hospital in Cox's Bazar and at the birth centers in the surrounding rural communities. Questions explored the midwives' clinical experience, patient problems in the prenatal, intrapartum, and postnatal period, and asked about what education; training and clinical resources were needed. Results: Thirty-two midwives answered the surveys. The midwives' average time from graduation from the midwifery diploma program was sixteen months. All the respondents felt comfortable managing most maternal issues but felt further training was important. They also identified the lack of many clinical resources including blood products, medicines, vaccines, and ultrasound. They identified significant maternal health issues among their patients including adolescent pregnancy, malnutrition, anemia, sexual violence, pregnancy-induced hypertension, hemorrhage, low birth weight infants, prolonged and obstructed labors. Conclusion: Training and increasing the number of midwives are crucial strategies for reducing maternal and neonatal mortality. There is a significant need for long-term placement and commitment of midwives to rural areas in Bangladesh. Health systems and organizations employing midwives must be accountable for the continuing education,

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Effects of women’s autonomy on maternal healthcare utilization in Bangladesh: Evidence from a national survey

Cited by 48 publications

References 17 publications

Opting for home birth in rural Bangladesh: An assessment of the current status and reasons

Opting for home birth in rural Bangladesh: An assessment of the current status and reasons

Women Household Decision Making Power and Maternal Mortality

Maternal Health Care in Cox’s Bazar, Bangladesh: A Survey of Midwifery Experience at Hope Foundation and a Review of the Literature

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