Inequalities in women's utilization of postnatal care services in Bangladesh from 2004 to 2017.

Aziz, S; Basit, A; Sultana, S; Homer, CSE; Vogel, JP

Inequalities in women's utilization of postnatal care services in Bangladesh from 2004 to 2017.

Aziz, S Basit, A Sultana, S Homer, CSE Vogel, JP

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Publisher:: Nature Publishing Group
Publication Type:: Journal Article
Citation:: Scientific Reports, 2022, 12, (1), pp. 1-11
Issue Date:: 2022-02-17

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Field	Value	Language
dc.contributor.author	Aziz, S
dc.contributor.author	Basit, A
dc.contributor.author	Sultana, S
dc.contributor.author	Homer, CSE
dc.contributor.author	Vogel, JP
dc.date.accessioned	2022-11-14T04:27:08Z
dc.date.available	2022-02-02
dc.date.available	2022-11-14T04:27:08Z
dc.date.issued	2022-02-17
dc.identifier.citation	Scientific Reports, 2022, 12, (1), pp. 1-11
dc.identifier.issn	2045-2322
dc.identifier.issn	2045-2322
dc.identifier.uri	http://hdl.handle.net/10453/163445
dc.description.abstract	Postnatal care (PNC) is an essential component of maternity care. Appropriate and timely care immediately after childbirth can save lives and help to prevent or treat comorbidities resulting from pregnancy and childbirth. Despite its importance, PNC coverage is still low in Bangladesh. The aim of this study was to analyse the trends, inequalities, and factors associated with PNC for mothers in Bangladesh. Data from the last five Bangladesh Demographic and Health Surveys (BDHS) were used. Descriptive statistics were used to report PNC outcome rates and trends across six inequality indicators. Modified Poisson regression analyses were used to identify factors associated with PNC use in the most recent BDHS. A total of 21,240 women were included for the analysis. The rate of PNC by 'medically trained provider' within 2 days of birth increased between 2004 and 2017, from 16 to 52%. There were wide inequalities across socio-demographic factors. The regression analyses found women giving birth at home, women from the poorest wealth quintile and women receiving no antenatal care (ANC) were least likely to receive PNC. The findings emphasize the need to improve public health programs supporting women who have the least access to PNC. The identified inequalities can inform policy formulation to ensure more equitable provision of PNC to women in Bangladesh.
dc.format	Electronic
dc.language	eng
dc.publisher	Nature Publishing Group
dc.relation.ispartof	Scientific Reports
dc.relation.isbasedon	10.1038/s41598-022-06672-z
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Bangladesh
dc.subject.mesh	Female
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Healthcare Disparities
dc.subject.mesh	Home Childbirth
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	Postnatal Care
dc.subject.mesh	Poverty
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Bangladesh
dc.subject.mesh	Female
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Healthcare Disparities
dc.subject.mesh	Home Childbirth
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	Postnatal Care
dc.subject.mesh	Poverty
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Humans
dc.subject.mesh	Postnatal Care
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Home Childbirth
dc.subject.mesh	Poverty
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Bangladesh
dc.subject.mesh	Female
dc.subject.mesh	Healthcare Disparities
dc.title	Inequalities in women's utilization of postnatal care services in Bangladesh from 2004 to 2017.
dc.type	Journal Article
utslib.citation.volume	12
utslib.location.activity	England
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-14T04:27:04Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	12
utslib.citation.issue	1

Abstract:

Postnatal care (PNC) is an essential component of maternity care. Appropriate and timely care immediately after childbirth can save lives and help to prevent or treat comorbidities resulting from pregnancy and childbirth. Despite its importance, PNC coverage is still low in Bangladesh. The aim of this study was to analyse the trends, inequalities, and factors associated with PNC for mothers in Bangladesh. Data from the last five Bangladesh Demographic and Health Surveys (BDHS) were used. Descriptive statistics were used to report PNC outcome rates and trends across six inequality indicators. Modified Poisson regression analyses were used to identify factors associated with PNC use in the most recent BDHS. A total of 21,240 women were included for the analysis. The rate of PNC by 'medically trained provider' within 2 days of birth increased between 2004 and 2017, from 16 to 52%. There were wide inequalities across socio-demographic factors. The regression analyses found women giving birth at home, women from the poorest wealth quintile and women receiving no antenatal care (ANC) were least likely to receive PNC. The findings emphasize the need to improve public health programs supporting women who have the least access to PNC. The identified inequalities can inform policy formulation to ensure more equitable provision of PNC to women in Bangladesh.

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http://hdl.handle.net/10453/163445