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Effect of an integrated maternal and neonatal health intervention on maternal healthcare utilisation addressing inequity in Rural Bangladesh.
Ahmed, Anisuddin; Rahman, Fariya; Sayeed, Abu; Tanwi, Tania Sultana; Siddique, Abu Bakkar; Hossain, Aniqa Tasnim; Ether, Saraban Tahura; Akter, Ema; Tahsina, Tazeen; Rahman, Syed Moshfiqur; Arifeen, Shams El; Rahman, Ahmed Ehsanur.
Afiliación
  • Ahmed A; Department of Women's and Children's Health, Uppsala University, Uppsala, 75205, Sweden. anisuddin.ahmed@kbh.uu.se.
  • Rahman F; International Centre for Diarrheal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, 1212, Mohakhali, Dhaka, Bangladesh. anisuddin.ahmed@kbh.uu.se.
  • Sayeed A; International Centre for Diarrheal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, 1212, Mohakhali, Dhaka, Bangladesh.
  • Tanwi TS; International Centre for Diarrheal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, 1212, Mohakhali, Dhaka, Bangladesh.
  • Siddique AB; International Centre for Diarrheal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, 1212, Mohakhali, Dhaka, Bangladesh.
  • Hossain AT; International Centre for Diarrheal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, 1212, Mohakhali, Dhaka, Bangladesh.
  • Ether ST; International Centre for Diarrheal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, 1212, Mohakhali, Dhaka, Bangladesh.
  • Akter E; International Centre for Diarrheal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, 1212, Mohakhali, Dhaka, Bangladesh.
  • Tahsina T; International Centre for Diarrheal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, 1212, Mohakhali, Dhaka, Bangladesh.
  • Rahman SM; International Centre for Diarrheal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, 1212, Mohakhali, Dhaka, Bangladesh.
  • Arifeen SE; Department of Women's and Children's Health, Uppsala University, Uppsala, 75205, Sweden.
  • Rahman AE; International Centre for Diarrheal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, 1212, Mohakhali, Dhaka, Bangladesh.
Arch Public Health ; 81(1): 153, 2023 Aug 22.
Article en En | MEDLINE | ID: mdl-37608340
BACKGROUND: Although Bangladesh has made significant improvements in maternal, neonatal, and child health, the disparity between rich and poor remains a matter of concern. OBJECTIVE: The study aimed to increase coverage of skilled maternal healthcare services while minimising the inequity gap among mothers in different socioeconomic groups. METHODS: We implemented an integrated maternal and neonatal health (MNH) intervention between 2009 and 2012, in Shahjadpur sub-district of Sirajganj district, Bangladesh. The study was quasi-experimental in design for the evaluation. Socioeconomic status was derived from household assets using principal component analysis. Inequity in maternal healthcare utilisation was calculated using rich-poor ratio and concentration index to determine the changes in inequity between the baseline and the endline time period. RESULT: The baseline and endline surveys included 3,158 (mean age 23.5 years) and 3,540 (mean age 24.3 years) recently delivered mothers respectively. Reduction in the rich-poor ratio was observed in the utilisation of skilled 4+ antenatal care (ANC) (2.4:1 to 1.1:1) and related concentration index decreased from 0.220 to 0.013 (p < 0.001). The rich-poor ratio for skilled childbirth reduced from 1.7:1 to 1.0:1 and the related concentration index declined from 0.161 to -0.021 (p < 0.001). A similar reduction was also observed in the utilisation of skilled postnatal care (PNC); where the rich-poor gap decreased from 2.5:1 to 1.0:1 and the related concentration index declined from 0.197 to -0.004 (p < 0.001). CONCLUSION: The MNH intervention was successful in reducing inequity in receiving skilled 4+ ANC, delivery, and PNC in rural Bangladesh.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Aspecto: Equity_inequality Idioma: En Revista: Arch Public Health Año: 2023 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Aspecto: Equity_inequality Idioma: En Revista: Arch Public Health Año: 2023 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido