Rural Women's Access to Health Care in Bangladesh: Swimming Against the Tide?

Hossen, Md. Abul; Westhues, Anne

doi:10.1080/19371910903126747

Cited by 28 publications

(26 citation statements)

References 23 publications

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“…According to integrated management of childhood illness (IMCI) lessons, the caregivers should be taught to monitor any of the danger signs of pneumonia during their attempts to treat their kids keeping at home. In developing countries like Bangladesh, most of the people are deprived from access to basic health care which is a fundamental right [28]. Accessibility to medical care is often interrupted because of location, financial requirements, lack of technical support to patient population, social distance between client and provider, and preference for male child; this may explain the unusual gender ratio of 61% [28].…”

Section: Discussionmentioning

confidence: 99%

“…In developing countries like Bangladesh, most of the people are deprived from access to basic health care which is a fundamental right [28]. Accessibility to medical care is often interrupted because of location, financial requirements, lack of technical support to patient population, social distance between client and provider, and preference for male child; this may explain the unusual gender ratio of 61% [28]. So, initiatives to strengthen service delivery at existing small rural health facilities for treatment of childhood pneumonic children with appropriate referral system are important.…”

Section: Discussionmentioning

confidence: 99%

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Mothers’ Perception and Healthcare Seeking Behavior of Pneumonia Children in Rural Bangladesh

Ferdous

Farzana

Ahmed

et al. 2014

ISRN Family Medicine

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We describe mothers' perception about signs and symptoms, causes of the illness, and healthcare seeking behaviors related to pneumonia and express the major modifiable barriers to seeking timely treatment when their under-5 children had pneumonia in rural Bangladesh. Using focus group discussion, we understood mothers' perception and healthcare seeking behavior of childhood pneumonia. Although mothers described pneumonia as a serious life threatening disease in young children but most of the mothers (n = 24) could not diagnose whether their child had pneumonia or not. Environmental factors such as dust particles, spread from coughing mother, and drinking cold water or playing with water were perceived as the causes for pneumonia. Three common barriers noted were as follows: illness was not perceived as serious enough or distance from healthcare facility or lack of money at household for seeking treatment outside. Most of the rural mothers did not have knowledge about severity of childhood pneumonia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Mothers’ Perception and Healthcare Seeking Behavior of Pneumonia Children in Rural Bangladesh

Ferdous

Farzana

Ahmed

et al. 2014

ISRN Family Medicine

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“…Many studies already stated the condition especially in developing countries [21][22][23][24]. Getting permission to get healthcare, getting money for treatment and not wanting to go alone influence negatively on accessing health care in different settings [23,[25][26][27].…”

Section: Discussionmentioning

confidence: 99%

Empowerment and Problems in Health Care Access among Currently Married Women in Myanmar: A Secondary Data Analysis on MDHS 2015-16

Htun¹,

Hnin²,

Khaing³

2020

Preprint

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Background: Women’s health outcomes are influenced by the lack of access to health care and their inability to make decisions for themselves. This study was conducted to identify the association between women's empowerment and the problems in assessing health care among currently married women aged 15-49 years. Method: A secondary analysis by using Myanmar Demographic and Health Survey (MDHS) (2015-16) data, which included all 15 regions of Myanmar. In the study, (7,759) eligible currently married women aged 15-49 years were included. Result: Among eligible women, 52.43% (95% CI: 0.51-0.53) had problems in accessing health care. Women with medium and high empowerment scores were less likely to experience problems in accessing health care compared to women who got low score (aOR=0.85, 95%CI: 0.73-0.98) (aOR=0.55, 95% CI: 0.47-0.65) respectively. Women from rural area (aOR=1.41, 95% CI:1.15-1.72) and women living in Chin State, one of the least developed states, (aOR=1.84, 95% CI: 1.38-2.46) had faced more problems in accessing health care, on the other hand, the problems were seen to be reduced in the case of women aged over 35 years (aOR=0.66, 95% CI: 0.47- 0.94), and those who had an educated husband (aOR=0.76, 95% CI: 0.66-0.86), a husband with a white collar job (aOR=0.71, 95% CI: 0.56-0.89), and those living with an extended family (aOR=0.74, 95% CI: 0.66-0.84). Conclusion: The study showed when the women are more empowered, they might have less problems in accessing health care. These finding would contribute to the policy formulation in reducing health inequity issues in terms of increasing women's empowerment by enabling women getting equal right to education and jobs. Key words: women's empowerment, problems in accessing health care, Demographic and Health Surveys, Myanmar, knowledge, decision power, beating, labour force

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“…One crucial determinant of health seeking among rural population, particularly women, is the accessibility of medical care. Barriers to care are usually because of location, financial requirements, bureaucratic responses to the patient, ssocial distance between client and provider, and the sex of providers [20]. It is unknown whether there are any inequalities in terms of access to services, care seeking and health outcomes of acute catastrophic events where immediate primary care is needed for avoidance of preventable complications.…”

Section: Discussionmentioning

confidence: 99%

Access to primary health care for acute vascular events in rural low income settings: a mixed methods study

Ahmed

Chowdhury

Khan

et al. 2017

BMC Health Serv Res

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BackgroundCardiovascular diseases (CVDs) are the leading cause of global mortality. Among the CVDs, acute vascular events (AVE) mainly ischemic heart diseases and stroke are the largest contributors. To achieve 25% reduction in preventable deaths from CVDs by 2025, health systems need to be equipped with extended service coverage in order to provide person-centered care. The overall goal of this proposed study is to assess access to health care in-terms of service availability, care seeking patterns and barriers to access care after AVE in rural Bangladesh. We will consider myocardial infarction (MI) and stroke as acute vascular events.Methods/DesignWe will conduct a mixed methods study in rural Matlab, Bangladesh. This study will comprise of a) health facility survey, b) structured questionnaire interview and c) qualitative study. We will assess service availabilities by creating an inventory of public and private health facilities. Readiness of the facilities to deliver services for AVE will be assessed through a health facility survey using ‘service availability and readiness assessment’ (SARA) tools of the World Health Organization (WHO). We will interview survivors of AVE and caregivers (present and accompanied the person during the event) of person who died from AVE for exploring patterns of care seeking during an AVE. For exploring barriers to access care for AVE, we will conduct in-depth interview with survivors of AVE and caregivers of the person who died from AVE. We will also conduct key informant interviews with the service providers at primary health care (PHC) facilities and government high level officials at central health administration of Bangladesh.DiscussionThis study will provide a comprehensive picture of access to primary health care services during acute cardiovascular events as stroke & MI in rural context of Bangladesh. It will explore available service facilities in rural area for management, utilization of services and barriers to access care during an acute emergency. This study will help to generate hypothesis, develop programs and policies for better access to care for AVE in similar rural settings considering barriers of access and improving utilization.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-1987-8) contains supplementary material, which is available to authorized users.

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Rural Women's Access to Health Care in Bangladesh: Swimming Against the Tide?

Cited by 28 publications

References 23 publications

Mothers’ Perception and Healthcare Seeking Behavior of Pneumonia Children in Rural Bangladesh

Mothers’ Perception and Healthcare Seeking Behavior of Pneumonia Children in Rural Bangladesh

Empowerment and Problems in Health Care Access among Currently Married Women in Myanmar: A Secondary Data Analysis on MDHS 2015-16

Access to primary health care for acute vascular events in rural low income settings: a mixed methods study

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