Poverty status and health equity: Evidence from rural Bangladesh

Karim, Farhana; Tripura, Abhilash; Gani, M.S.; Chowdhury, A Mushtaque R

doi:10.1016/j.puhe.2005.08.016

Cited by 25 publications

(19 citation statements)

References 7 publications

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“…11,12 Although absolute poverty has declined in all of southern Asia, including Bangladesh, the gap between the rich and poor within and between countries has widened in recent years. 13,14 Consequently, significant inequity between the rich and poor remains in access to health-care services and their utilization. 7,[14][15][16][17][18] Although Bangladesh is likely to achieve several Abstracts in ‫,عريب‬ 中文, Français, Pусский and Español at the end of each article.…”

Section: Introductionmentioning

confidence: 99%

“…7 Inequities and poverty systematically exacerbate the disadvantaged position of the poor with respect to health and health care utilization, 19,20 undermine population health, and seriously hinder equitable, sustainable development. 13,14 Therefore, reducing health inequities should be an integral part of the ongoing fight against poverty and ill health 21 and a core goal of contemporary development paradigms. 16 Unless the needs of the poorest segments of the population are effectively addressed, equity in health and overall socioeconomic development will be difficult to achieve.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Trends in sociodemographic and health-related indicators in Bangladesh, 1993–2007: will inequities persist?

Khan

Krämer

Aklimunnessa

et al. 2011

Bull. World Health Organ.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trends in sociodemographic and health-related indicators in Bangladesh, 1993–2007: will inequities persist?

Khan

Krämer

Aklimunnessa

et al. 2011

Bull. World Health Organ.

View full text Add to dashboard Cite

“…Considerable inequalities in the health sector are known as one of the major concerns in both developed and developing countries (3). No country in the world is immune to health inequality, but the main concern relates to the growing trend of inequalities among different socio-economic groups (4). Differences in health status of social groups are related to inequalities in working conditions, lifestyles, and socio-economic policies of each country.…”

Section: Introductionmentioning

confidence: 99%

Association of Health and Food Expenditures Inequality With Health Outcomes: A Case Study on Iranian Rural Households

Naghdi

Ghiasvand

Zadeh

et al. 2014

Iran Red Crescent Med J

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Background:Inequality in households’ and individuals' consumption expenditures is one of the most important aspects of health status difference among households and individuals.Objectives:We investigated the impact of some macro-economic factors specially inequality factors on the Iranian rural health status since 1986 through 2012.Patients and Methods:We conducted a longitudinal ecological and analytical study. The average sample size was 14602 households whom Iranian Statistics Center selected by a multi-stages clustering sampling approach. All required data has been collected from Iranian Statistics Centre and Deputy for Curial Affaires of Iranian Ministry of Health. We calculated the Gini coefficients for the rural food and health expenditures, then conducted a transloge autoregressive order one (AR1) to investigate the association between the Iranian rural households' key mortality rates and the food and health expenditure Gini coefficients, time trend, GDP per capita (PPP), and GDP per capita Gini coefficients.Results:The mean of Gini coefficients were 0.137 and 0.21 for the rural food expenditures inequality based on current and constant price, respectively. In addition, the mean of Gini coefficients were 0.26 and 0.31 for the rural health expenditures inequality based on current and constant price, respectively. The time trend, transloged form of Gini coefficients for health expenditures and GDP per capita Gini coefficients presented a significant negative correlation with transloged form of neonatal mortality rate. With regard to the transloged form of under five mortality we observed a significant negative correlation with time trend and transloged form of Gini coefficients for health expenditure and GDP per capita. Finally, there was a significant negative correlation between transloged forms of maternal mortality rate.Conclusions:Iranian policy makers should consider the rural health and food expenditures inequality and try to adopt more effective policies and plans to decrease it. In addition, they should improve the macro-economic factors to improve the rural households' health status.

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“…Therefore, reducing the disparity between different groups is an important component of the development of the country [15] as well as a key strategy to combat poverty and improve public health [25]. However, achieving equity in health and development may not be easy without adequate measures for the disadvantaged areas and groups of people [13]. …”

Section: Introductionmentioning

confidence: 99%

Levels, Trends and Disparities in Public-Health-Related Indicators among Reproductive-Age Women in Bangladesh by Urban-Rural and Richest-Poorest Groups, 1993-2011

2013

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Background And ObjectivesAlthough Bangladesh has already achieved noticeable progress in the field of development and health, disparities in public health indicators for several markers are still reported. To assess public health development in Bangladesh during the last two decades, firstly, we analysed levels, trends and disparities in public-health-related indicators by rural versus urban as well as by the richest versus poorest group of women who have ever been married. Secondly, using the most recent data set we performed multiple analyses to check whether urban-rural and richest-poorest disparities were still significant.MethodsThe analysis was based on six nationally representative data sets from the Bangladesh Demographic and Health Surveys (BDHS) conducted in 1993-94 (n=9,640), 1996-1997 (n=9,127), 1999-2000 (n=10,544), 2004 (n=11,440), 2007 (n=10,996) and 2011 (n=17,749). The outcome variables were six selected public-health-related indicators. We performed various types of analyses, including multiple logistic regressions.ResultsThe trend of all indicators except being overweight (1993-2011) displayed gradual improvements for both markers. However, the urban and richest groups revealed a better situation than their counterparts in both simple and multiple analyses. Disparities between richest-poorest groups were more pronounced than urban-rural disparities. For instance, the prevalence of delivery at any healthcare facility in 2011 was 20.4% in rural areas and 46.5% in urban areas, whereas it was 9.1% in the poorest group and 57.6% in the richest group.ConclusionThe public health sector in Bangladesh has achieved some successes over the last two decades. However, urban-rural and richest-poorest disparities are still considerable and therefore more public health strategies and efforts are clearly needed for the rural and poorest groups of women in order to reduce these gaps further.

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Poverty status and health equity: Evidence from rural Bangladesh

Cited by 25 publications

References 7 publications

Trends in sociodemographic and health-related indicators in Bangladesh, 1993–2007: will inequities persist?

Trends in sociodemographic and health-related indicators in Bangladesh, 1993–2007: will inequities persist?

Association of Health and Food Expenditures Inequality With Health Outcomes: A Case Study on Iranian Rural Households

Levels, Trends and Disparities in Public-Health-Related Indicators among Reproductive-Age Women in Bangladesh by Urban-Rural and Richest-Poorest Groups, 1993-2011

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