Exploring Sociodemographic Factors Influencing Maternal Healthcare Access: A Cross-Sectional Analysis of Reproductive Women in Bangladesh


Authors : Farhana Hasan

Volume/Issue : Volume 8 - 2023, Issue 9 - September

Google Scholar : https://tinyurl.com/5uvsbe6y

Scribd : https://tinyurl.com/mr2fppbd

DOI : https://doi.org/10.5281/zenodo.10017762

Abstract : Maternal health care utilization is a critical determinant of maternal and neonatal health outcomes in low- and middle-income countries like Bangladesh. This study investigates the demographic and socioeconomic correlates associated with the utilization of antenatal care (ANC), facility-based childbirth (FBCB), skilled birth attendance (SBA), and postnatal care (PNC) services among reproductive women in Bangladesh. Using a cross- sectional study design, data were collected through structured interviews and questionnaires from a representative sample of BDHS- 2017-18.The study identified significant correlates associated with maternal health care utilization. Women residing in the Khulna, Rajshahi, and Rangpur divisions had significantly higher odds of utilizing ANC, FBCB, and SBA services compared to those in other divisions. Maternal education was positively associated with ANC, FBCB, and SBA utilization, with higher education levels leading to higher odds. Husband's education also played a role, with higher education levels correlating with increased odds of utilizing maternal health care services. Women who gave birth at an age younger than 20 years had lower odds of utilizing ANC, FBCB, and SBA services. Intake of vitamin A during pregnancy was associated with increased odds of utilizing maternal health care services. Women in wealthier households were more likely to utilize ANC, FBCB, and SBA services. This study provides valuable insights into the demographic and socioeconomic factors influencing maternal healthcare utilization in Bangladesh. Findings highlight the importance of tailored interventions to address disparities in maternal healthcare access and utilization, particularly among women with lower education levels, younger mothers, and those from economically disadvantaged backgrounds. These insights can inform policy and program development aimed at improving maternal and child health outcomes in Bangladesh.

Keywords : Maternal Health Care, ANC, FBCB, SBA, PNC, Bangladesh.

Maternal health care utilization is a critical determinant of maternal and neonatal health outcomes in low- and middle-income countries like Bangladesh. This study investigates the demographic and socioeconomic correlates associated with the utilization of antenatal care (ANC), facility-based childbirth (FBCB), skilled birth attendance (SBA), and postnatal care (PNC) services among reproductive women in Bangladesh. Using a cross- sectional study design, data were collected through structured interviews and questionnaires from a representative sample of BDHS- 2017-18.The study identified significant correlates associated with maternal health care utilization. Women residing in the Khulna, Rajshahi, and Rangpur divisions had significantly higher odds of utilizing ANC, FBCB, and SBA services compared to those in other divisions. Maternal education was positively associated with ANC, FBCB, and SBA utilization, with higher education levels leading to higher odds. Husband's education also played a role, with higher education levels correlating with increased odds of utilizing maternal health care services. Women who gave birth at an age younger than 20 years had lower odds of utilizing ANC, FBCB, and SBA services. Intake of vitamin A during pregnancy was associated with increased odds of utilizing maternal health care services. Women in wealthier households were more likely to utilize ANC, FBCB, and SBA services. This study provides valuable insights into the demographic and socioeconomic factors influencing maternal healthcare utilization in Bangladesh. Findings highlight the importance of tailored interventions to address disparities in maternal healthcare access and utilization, particularly among women with lower education levels, younger mothers, and those from economically disadvantaged backgrounds. These insights can inform policy and program development aimed at improving maternal and child health outcomes in Bangladesh.

Keywords : Maternal Health Care, ANC, FBCB, SBA, PNC, Bangladesh.

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