Socioeconomic correlates of Adequate Maternal Care in Bangladesh: Analysis of the Bangladesh Demographic and Health Survey 2017-18

Abstract

Introduction. In recent times, Bangladesh has made significant improvements in various health outcomes, but not so much in maternal death. The current flat trend in reducing maternal mortality in Bangladesh has been mainly due to the lower coverage of maternal health care. To improve the coverage, it is essential to find biosocial factors related to adequate maternal health care. Therefore, this study is aimed at finding out the socioeconomic correlates of adequate maternal health care in Bangladesh. Methods. The study used data from the Bangladeshi demographic and health survey 2017-18. The total unweighted sample of 4012 women who reported pregnancy before three years of the survey was analyzed. A composite binary indicator of adequate maternal care has been constructed using the variables—access to maternal care service, four antenatal care visits, at least one visit with qualified providers, and institutional delivery. A binary logistic regression model was employed to find out the socioeconomic correlate of adequate maternal care. Results. Only 24.4% percent of sample women received adequate maternal care. The result of the logistic regression model shows that urban, Khulna, Rajshahi, and Rangpur were associated with an increase in the odds of having adequate maternal care. High education and health care decisions taken by the partner or husband were also associated with an increased odd of adequate maternal care. Islam and lower wealth status were associated with a lower probability of adequate maternal care. Conclusions. Policymakers and health administration should pay attention to the variation in the utilization of maternal health care across residence, region, religion, education, and wealth status to ensure safe motherhood.

Machine learning prediction of nutritional status among pregnant women in Bangladesh: Evidence from Bangladesh demographic and health survey 2017–18

“…Household wealth status is a significant factor in determining maternal health care. As per the findings of this study, mothers with poor socioeconomic status face a greater risk of being underweight than those with high socioeconomic status, which is consistent with a previous study [50]. This research aligns with previous studies that have linked wealth index and working women to maternal underweight and overweight/obesity [51].…”

Inequalities in adequate maternal healthcare opportunities: evidence from Bangladesh Demographic and Health Survey 2017–2018

“…Personal, family or community characteristics that one cannot directly influence are acknowledged as circumstances 18. Studies have demonstrated that utilisation of maternal healthcare opportunities is affected by different factors such as wealth status, living area and educational levels 19–21. Mothers can have considerably limited influences on these distinctive grouping factors.…”

“…18 Studies have demonstrated that utilisation of maternal healthcare opportunities is affected by different factors such as wealth status, living area and educational levels. [19][20][21] Mothers can have considerably limited influences on these distinctive grouping factors. Therefore, in the context of this study, these stratified characteristics can be classified as circumstances.…”