Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh

Bijoy Krishna Banik

doi:doi:10.11648/j.ajhr.20150302.13

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Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh

Bijoy Krishna Banik

Published in American Journal of Health Research (Volume 3, Issue 2)

Received: 19 January 2015 Accepted: 2 February 2015 Published: 3 March 2015

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Abstract

Poor women, in both rural and urban areas in the northern region of Bangladesh, suffer from high maternal mortality rates, and compared to other regions, this group also has a low proportion of up-taking ante natal care (ANC) and of births assisted by skilled attendants. This endeavour therefore took an attempt to critically examine the availability of and accessibility to maternal health care (MHC) services, provided by government and non-government organisations (NGOs) in the northern part of Bangladesh, with the specific objective of finding out how far poor women had the availability of and accessibility to MHC services. The study used both primary and secondary data to meet its objectives. Triangulation of methods (questionnaire interviews of service users and providers, and observations) were employed to collect primary data. A large number (160) of mothers who were pregnant or delivered at least one baby during the last ten years and the heads of relevant health centres were interviewed. An assortment of articles, reports, theses and books were consulted in complementing and substantiating the arguments in this study. The main findings of the study suggest that there has been an increase in the availability of and accessibility to MHC services. However, the increment varies across regions and social groups. Lastly, it concludes that rural, poor and less educated mothers have less availability of and access to MHC services compared to urban, non-poor and better educated women.

Published in	American Journal of Health Research (Volume 3, Issue 2)
DOI	10.11648/j.ajhr.20150302.13
Page(s)	63-75
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Availability, Accessibility, Maternal Healthcare Services, Poor Women, Rajshahi, Bangladesh

References

[1]	Ahmad, A (2003) Provision of Primary Health Care in Bangladesh: An Institutional Analysis; Lund, Sweden: Lund University, Department of Economics, Working Papers, No. 2003:18 (August).
[2]	Ahmed, S. M., Adams, A. M., Chowdhury, M., & Bhuiya, A. (2000). Gender, socioeconomic development and health seeking behaviour in Bangladesh. Social Science & Medicine, 15, 361-371.
[3]	Ahmed, S M (2002) Healthcare provision from static centres and the issue of self-financing: Experiences of selected NGOs; Dhaka, Bangladesh: BRAC Research Report on Health (February).
[4]	Ahmed, S. M., Adams, A. M., Chowdhury, M., & Bhuiya, A. (2003). Changing health-seeking behaviour in Matlab, Bangladesh: do development interventions matter? Health Policy and Planning, 18(3), 306-315.
[5]	Ahmed, S. M., & Hossain, A. (2007). knowledge and practice of unqualified and semi-qualified allopathic providers in rural Bangladesh: Implications for the HRH problem. Health Policy, 84, 332-343.
[6]	Ahmed, S. M., Hossain, A., & Chowdhury, M. R. (2009). Informal sector providers in Bangladesh: how equipped are they to provide rational health care? Health Policy and Planning, 24, 467-478.
[7]	Ahmed, S. M., Hossain, A., Chowdhury, A. M. R., & Bhuiya, A. U. (2011). The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution. Human Resources for Health, 9(3), 1-7.
[8]	Ahmed, S. M & Islam, Q. S. (2012). Availability and Rational Use of Drugs in Primary Healthcare Facilities Following the National Drug Policy of 1982: Is Bangladesh on Right Track? Journal of Health, Population, and Nutrition, 30(1), 99–108
[9]	Akter, S., Upal, M., & Hani, U. (2008). Service quality perception and satisfaction: A study over sub-urban public hospitals in Bangladesh. Journal of Service Research, Special Issue, 125-146.
[10]	Alkire, S., & Santos, M. E. (2010). Multidimesional Poverty Index. OPHI Research Brief.
[11]	Aminuzamman, S. M. (2007). Migration of skilled nurses from Bangladesh: an exploratory study. Brighton, UK: University of Sussex Development Research Center on Migration, Globalization and Poverty.
[12]	Anwar, I., Kalim, N., & Koblinsky, M. (2009). Quality of obstetric care in public-sector facilities and constraints to implementing emergency obstetric care services: evidence from high-and low-performing districts of Bangladesh. Journal of Health, Population, and Nutrition, 27(2), 139-155.
[13]	Banik, B. K. (2003). Effectiveness of Health System: A Comparison between Bangladesh and Sri Lanka Social Science Journal, 8, 251-266.
[14]	Banik, B. (2010). Inclusion or Exclusion of the Urban Poor?: The case of the UPHCP, Rajshahi, Bangladesh. Saarbrucken, Germany: Lambert Academic Publishing.
[15]	Barkat, A., Rahman, M., Bose, M. L., & Akhter, S. (1997). Modelling the first two delays of the “three-delays model” for emergency obstetric care in Bangladesh: a choice model approach. J Health Popul Dev Count, 1(1), 57-67.
[16]	Barkat, A., Ara, R., Majid, M., Mohiyuddin, G., Uddin, T., Sabina, N., . . . Hoque, S. (2006). Baseline Study on Increasing Access to Maternal Health Services for Poor Women in Rural Bangladesh. Dhaka: Human Development Research Centre (HDRC).
[17]	bdnews24. (February 7, 2012). Recruiting 39000 physician-nurse in three years, bdnews24.com.
[18]	Begum, S. (1997). Health Dimension of Poverty in Rural Bangladesh: Some Evidence. Dhaka: Bangladesh Institute of Development Studies.
[19]	BHW. (2007). The State of Health in Bangladesh 2007 Health Workforce in Bangladesh: Who Constitutes the Healthcare system? Dhaka: Bangladesh Health Watch (BHW), BRAC Univesity.
[20]	BIDS. (2003). Micro Impacts of Macroeconomic and Adjustment Policies in Bangladesh(MIMAP) Technical Paper no 8 Retrieved 5th November, 2009, from www.mdgbangla.org/mdg_issues/.../poverty_data_bids.htm
[21]	Bilu, H. R. (2010). Naogaon hospital upgraded, services downgraded, The Daily Star, March 16.
[22]	Cockcroft, A., Milne, D., & Anderson, N. (2004). Bangladesh Health and Population Sector Program 1998-2003: A Summary of the final Report of the third Service Delivery Survey 2003. Dhaka: Ministry of Health and Family Planning, People's Republic of Bangladesh, The CIET, Canada.
[23]	Coppe, P., Pisani, L. and Keita, A. (1992). Perceived Morbidity and Health Behaviour in a Dogon Community. Social Science & Medicine, 34 (11), 1227-1235
[24]	Daily-Star. (February 1, 2010). Jubo League men go on rampage over recruitment, The Daily Star.
[25]	Daily-Star. (February 13, 2011). For better managed hospitals, The Daily Star.
[26]	Daily-Star. (October 13, 2011). Jamalpur hospital runs without ultra-sonogram machines, The Daily Star. Daily-Star. (March 1, 2012). Safe motherhood left in the lurch, The Daily Star.
[27]	Daily-Star. (June 8, 2012). Healthcare in remote areas not addressed, The Daily Star.
[28]	Darr, A., Atkin, K., Johnson, M., & Archibong, U. (2008). The recruitment of South Asian people into the nursing profession: A knowledge review. Journal of Research in Nursing, 13(2), 151.
[29]	Desmet, M., Bashir, I., Rahman, H., Sayeeduzzaman, M., and Chowdhury, Q. (1999). Can We Provide a more Appropriate Health Care in Bangladesh. In N. Islam (Ed). Sociology Health Women and Environment (pp. 99-100). Dhaka. Bangladesh Sociological Association
[30]	Dewan, F. (n.d). Meeting the Need for Emergency Obstetric Care in Bangladesh, from http://www.esdproj.org/site/DocServer/MAT6_Farhana_Dewan.pdf?docID=1033
[31]	El-saharty, S., & Ahsan, K. Z. (2011). Bangladesh Human Resources for health: Bridging the gap. Paper presented at the Health Systems Reform in Asia, Hongkong.
[32]	Germov, J. (2002). Imagining Health problems as Social Issues. In J. Germov (Ed.), Second Opinion: An Introduction to Health Sociology (2nd ed., pp. 3-27). Victoria: Oxford University Press.
[33]	GoB. (1998) The Fifth Five-Year Plan 1997-2002. Dhaka. The Planning Commission, the Government of Bangladesh (GoB).
[34]	GUS. (2008). Effect of Vacancies in MC-RH Service Delivery System. Dhaka: Gano Unnayan Sangstha (GUS).
[35]	Hadley, M. B., Blum, L. S., Mujaddid, S., Parveen, S., Nuremowla, S., Haque, M. E., & Ullah, M. (2007). Why Bangladeshi nurses avoid "nursing": Social and structural factors on hospital wards in Bangladesh. Social Science & Medicine, 64(6), 1166-1177.
[36]	Hongoro, C., & McPake, B. (2004). How to bridge the gap in human resources for health. Lancet, 364, 1451-1456.
[37]	Hossain, S., Alec, M., Jahanara, K., Yousuf, H., Jasim, U., Humayun, K., Nowsher, U., and Nirod, C. S (2003) Operations research on ESP delivery -- Addressing missed opportunities for service provisions in primary healthcare clinics; Dhaka, Bangladesh: International Centre for Diarrhoeal Disease Research, Bangladesh (ICCDR,B), Working Paper, No. 159.
[38]	Hossain, A., D. H. Luong., Shahaduz, Z and Tran, T M O (2005) Primary Healthcare in Later Life--Improving Services in Bangladesh and Vietnam (PHILL): Post-intervention Report on Qualitative Data; Dhaka, Bangladesh: BRAC Research Report on Health (November).
[39]	Hossain, J., & Ross, S. R. (2006). The effect of addressing demand for as well as supply of emergency obstetric care in Dinajpur, Bangladesh. International Journal of Gynecology & Obstetrics, 92, 320-328.
[40]	Hossain, A. H. M. K. (2010). Utilization of Antenatal Care Services in Bangladesh: An Analysis of Levels, Patterns, and Trends From 1993 to 2007. Asia Pacific Journal of Public Health, 22(4), 395-406.
[41]	Huque, Z. A., Leppard, M., Mavalankar, D., Akhter, H. H., & Chowdhury, T. (1999). Safe motherhood programmes in Bangladesh. In M. Berer & T. K. S. Ravindran (Eds.), Safe Motherhood Initiatives: Critical Issues (pp. 53-61). Oxford, UK: Blackwell Science for Reproductive Health Matters.
[42]	IDRF. (2007). Identify the Barriers of Keeping the FWVs/SACMOs in Their Work Situation/Station. Dhaka: Integrated Development and Research Foundation (IDRF) and National Institute of Population Research and Training (NIPORT).
[43]	Islam, A., & Tahir, M. Z. (2002). Health sector reform in South Asia: new challenges and constraints. Health Policy, 60, 151-169.
[44]	Islam, M., Hossain, M., Islam, M., & Haque, Y. (2005). Improvement of coverage and utilization of EmOC services in southwestern Bangladesh. International Journal of Gynecology and Obstetrics, 91(3), 298-305.
[45]	Khanum, P., Quaiyum, M., Islam, A., & Shameem, A. (2000) Complications of Pregnancy and Childbirth: Knowledge and Practices of Women in Rural Bangladesh. Vol. ICDDR,B Working Paper No.131. Dhaka: ICDDRB.
[46]	Kleinmann, A. (1980). Patients and Healers in the Context of Culture. Berkley. University of California Press
[47]	Koehlmoos, T. P., Islam, Z., Anwar, S., Hossain, S. A. S., Gazi, R., Streatfield, P. K., & Bhuiya, A. U. (2011). Health Transcends Poverty: The Bangladesh Experience. In D. Balabanova, M. McKee & A. Mills (Eds.), 'Good health at low cost' 25 years on. What makes a successful health system? (pp. 47-81). London: London School of Hygiene & Tropical Medicine.
[48]	Leslie, J., & Gupta, G. R. (1989). Utilization of formal services for maternal nutrition and health care in the Third World: International Center for Research on Women Washington, DC.
[49]	Madden, M., Burke, C., & McCormack, C. (2011). Bangladesh 2010-2011 Retrieved February, 23, 2012, from http://www.uvm.edu/~kappatau/2011/GlobalLeadership/_Bangladesh.pdf
[50]	Marshall, A. A., & McKeon, J. K. (1996). Reaching the "Unreachables": Educating and Motivating Women Living in Poverty. In E. B. Ray (Ed.), Communication and Disenfranchisement: Social Health Issues and Implications (pp. 137-158). New Jersey: Lawrence Erlbaum Associates, Publishers.
[51]	Matsuno, A. (2009). Nurse Migration: The Asian Perspective. ILO/EU Asian Programme on the Governance of Labour Migration Technical Note Retrieved February, 22, 2012, from www.pstalker.com/.../Technical%20Note%20-...
[52]	McPake, B., & Koblinsky, M. (2009). Improving Maternal Survival in South Asia-What Can We Learn from Case Studies? Journal of Health, Population and Nutrition, 27(2), 93-107.
[53]	Minca, M. (2011). Midwifery in Bangladesh: In-depth country analysis. Background document prepared for the State of the World’s Midwifery Report 2011.
[54]	MOHFW. (2000). Health Bulletin 1998-99. Dhaka: Ministry of Health and Family Welfare, Government of the People's Republic of Bangladesh.
[55]	MOHFW. (2010). Health Bulletin 2010. Dhaka: Management Information System (MIS), Director General of Health Services (DGHS). Ministry of Health and Family Welfare (MOHFW), Dhaka, Bangladesh
[56]	MOHFW. (2011). HRD Data Sheet-2011. Dhaka: Human Resources Development Unit, Ministry of Health and Family Welfare (MOHFW), Government of the People's Republic of Bangladesh.
[57]	Mridha, M. K., Anwar, I., & Koblinsky, M. (2009). Public-sector maternal health programmes and services for rural Bangladesh. Journal of health, population, and nutrition, 27(2), 124-138.
[58]	NIPORT. (2001). Bangladesh Demographic and Health Survey 1999-2000 Retrieved 5th November, 2009, from http://www.mdgbangla.org/mdg_issues/improve_maternal_hlt/improve_maternal_hlt_data.htm
[59]	NIPORT, Associates, M. A., & International, M. (2009). Bangladesh Demographic and Health Survey, 2007. Dhaka, Bangladesh and Calverton, Maryland, USA: National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International.
[60]	NIPORT, Associates, M. A., & International, M. (2005). Bangladesh Demographic and Health Survey, 2004. Dhaka, Bangladesh and Calverton, Maryland, USA: National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International.
[61]	NIPORT, Associates, M. A., & International, M. (2012). Bangladesh Demographic and Health Survey, 2011: Preliminay Report. Dhaka, Bangladesh and Calverton, Maryland, USA: National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International.
[62]	Nursing-Promotion-in-Bangladesh. (n.d). Carrer Planning-Nursing Pespective Retrieved 11th October, 2011, from www.npib-bd.com
[63]	Osman, F. A. (2004). Policy Making in Bangladesh: A Study of the Health Policy Process. Dhaka: A.H. Development Publishing House.
[64]	Osman, F. A. (2008). Health Policy, Programmes and System in Bangladesh: Achievements and Challenges. South Asian Survey, 15(2), 263-288.
[65]	Osmani, S. R. (2010). Realising the Right to Development in Bangladesh: Progress and Challenges. The Bangladesh Development Studies, XXXIII(1&2), 25-90.
[66]	Pearson, M. (1999) ‘Bangladesh: Health Briefing Paper’, London. DFID Health System Resource Centre .in http://www.healthsystemsrc.org/publications/country-health/Bangladesh.pdf. accessed. April, 3. 2006.
[67]	Rahman, M., Ashaduzzaman, A. S. M., & Rahman, M. (2005). Poor People's Access to Health Services in Bangladesh: Focusing on the Issues of Inequality. Paper presented at the Network of Asia-Pacific Schools and Institutes of Public Administration and Governance Annual Conference, Beijing.
[68]	Rahman, A. P. M. S. (2007). Situation Analysis of Union Health and Family Welfare Center (UHFWC). Dhaka: National Institute of Population Research and Training (NIPORT)
[69]	Wahed, T., Moran, A. C., & Iqbal, M. (2010). The perspectives of clients and unqualified allopathic practitioners on the management of delivery care in urban slums, Dhaka, Bangladesh-a mixed method study. BMC Pregnancy and Childbirth, 10(1), 50.
[70]	Zaman, S. (2004). Poverty and violence, frustration and inventiveness: hospital ward life in Bangladesh. Social Science & Medicine, 59(10), 2025-2036.
[71]	Zaman, S. (2009). Ladies Without Lamps: Nurses in Bangladesh. Qualitative Health Research, 19(3), 366-374.
[72]	Zannat, M. (2011). Graft halts technician recruitment, The Daily Star, September 15.

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Bijoy Krishna Banik. (2015). Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh. American Journal of Health Research, 3(2), 63-75. https://doi.org/10.11648/j.ajhr.20150302.13

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Bijoy Krishna Banik. Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh. Am. J. Health Res. 2015, 3(2), 63-75. doi: 10.11648/j.ajhr.20150302.13

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Bijoy Krishna Banik. Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh. Am J Health Res. 2015;3(2):63-75. doi: 10.11648/j.ajhr.20150302.13

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@article{10.11648/j.ajhr.20150302.13,
  author = {Bijoy Krishna Banik},
  title = {Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh},
  journal = {American Journal of Health Research},
  volume = {3},
  number = {2},
  pages = {63-75},
  doi = {10.11648/j.ajhr.20150302.13},
  url = {https://doi.org/10.11648/j.ajhr.20150302.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150302.13},
  abstract = {Poor women, in both rural and urban areas in the northern region of Bangladesh, suffer from high maternal mortality rates, and compared to other regions, this group also has a low proportion of up-taking ante natal care (ANC) and of births assisted by skilled attendants. This endeavour therefore took an attempt to critically examine the availability of and accessibility to maternal health care (MHC) services, provided by government and non-government organisations (NGOs) in the northern part of Bangladesh, with the specific objective of finding out how far poor women had the availability of and accessibility to MHC services. The study used both primary and secondary data to meet its objectives. Triangulation of methods (questionnaire interviews of service users and providers, and observations) were employed to collect primary data. A large number (160) of mothers who were pregnant or delivered at least one baby during the last ten years and the heads of relevant health centres were interviewed. An assortment of articles, reports, theses and books were consulted in complementing and substantiating the arguments in this study. The main findings of the study suggest that there has been an increase in the availability of and accessibility to MHC services. However, the increment varies across regions and social groups. Lastly, it concludes that rural, poor and less educated mothers have less availability of and access to MHC services compared to urban, non-poor and better educated women.},
 year = {2015}
}

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TY  - JOUR
T1  - Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh
AU  - Bijoy Krishna Banik
Y1  - 2015/03/03
PY  - 2015
N1  - https://doi.org/10.11648/j.ajhr.20150302.13
DO  - 10.11648/j.ajhr.20150302.13
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 63
EP  - 75
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20150302.13
AB  - Poor women, in both rural and urban areas in the northern region of Bangladesh, suffer from high maternal mortality rates, and compared to other regions, this group also has a low proportion of up-taking ante natal care (ANC) and of births assisted by skilled attendants. This endeavour therefore took an attempt to critically examine the availability of and accessibility to maternal health care (MHC) services, provided by government and non-government organisations (NGOs) in the northern part of Bangladesh, with the specific objective of finding out how far poor women had the availability of and accessibility to MHC services. The study used both primary and secondary data to meet its objectives. Triangulation of methods (questionnaire interviews of service users and providers, and observations) were employed to collect primary data. A large number (160) of mothers who were pregnant or delivered at least one baby during the last ten years and the heads of relevant health centres were interviewed. An assortment of articles, reports, theses and books were consulted in complementing and substantiating the arguments in this study. The main findings of the study suggest that there has been an increase in the availability of and accessibility to MHC services. However, the increment varies across regions and social groups. Lastly, it concludes that rural, poor and less educated mothers have less availability of and access to MHC services compared to urban, non-poor and better educated women.
VL  - 3
IS  - 2
ER  -

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Bijoy Krishna Banik

Department of Sociology, the University of Rajshahi, Rajshahi, Bangladesh

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Bijoy Krishna Banik. (2015). Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh. American Journal of Health Research, 3(2), 63-75. https://doi.org/10.11648/j.ajhr.20150302.13

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ACS Style

Bijoy Krishna Banik. Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh. Am. J. Health Res. 2015, 3(2), 63-75. doi: 10.11648/j.ajhr.20150302.13

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Bijoy Krishna Banik. Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh. Am J Health Res. 2015;3(2):63-75. doi: 10.11648/j.ajhr.20150302.13

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@article{10.11648/j.ajhr.20150302.13,
  author = {Bijoy Krishna Banik},
  title = {Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh},
  journal = {American Journal of Health Research},
  volume = {3},
  number = {2},
  pages = {63-75},
  doi = {10.11648/j.ajhr.20150302.13},
  url = {https://doi.org/10.11648/j.ajhr.20150302.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150302.13},
  abstract = {Poor women, in both rural and urban areas in the northern region of Bangladesh, suffer from high maternal mortality rates, and compared to other regions, this group also has a low proportion of up-taking ante natal care (ANC) and of births assisted by skilled attendants. This endeavour therefore took an attempt to critically examine the availability of and accessibility to maternal health care (MHC) services, provided by government and non-government organisations (NGOs) in the northern part of Bangladesh, with the specific objective of finding out how far poor women had the availability of and accessibility to MHC services. The study used both primary and secondary data to meet its objectives. Triangulation of methods (questionnaire interviews of service users and providers, and observations) were employed to collect primary data. A large number (160) of mothers who were pregnant or delivered at least one baby during the last ten years and the heads of relevant health centres were interviewed. An assortment of articles, reports, theses and books were consulted in complementing and substantiating the arguments in this study. The main findings of the study suggest that there has been an increase in the availability of and accessibility to MHC services. However, the increment varies across regions and social groups. Lastly, it concludes that rural, poor and less educated mothers have less availability of and access to MHC services compared to urban, non-poor and better educated women.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Availability of and Accessibility to Maternal Healthcare Services in the Northern Bangladesh
AU  - Bijoy Krishna Banik
Y1  - 2015/03/03
PY  - 2015
N1  - https://doi.org/10.11648/j.ajhr.20150302.13
DO  - 10.11648/j.ajhr.20150302.13
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 63
EP  - 75
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20150302.13
AB  - Poor women, in both rural and urban areas in the northern region of Bangladesh, suffer from high maternal mortality rates, and compared to other regions, this group also has a low proportion of up-taking ante natal care (ANC) and of births assisted by skilled attendants. This endeavour therefore took an attempt to critically examine the availability of and accessibility to maternal health care (MHC) services, provided by government and non-government organisations (NGOs) in the northern part of Bangladesh, with the specific objective of finding out how far poor women had the availability of and accessibility to MHC services. The study used both primary and secondary data to meet its objectives. Triangulation of methods (questionnaire interviews of service users and providers, and observations) were employed to collect primary data. A large number (160) of mothers who were pregnant or delivered at least one baby during the last ten years and the heads of relevant health centres were interviewed. An assortment of articles, reports, theses and books were consulted in complementing and substantiating the arguments in this study. The main findings of the study suggest that there has been an increase in the availability of and accessibility to MHC services. However, the increment varies across regions and social groups. Lastly, it concludes that rural, poor and less educated mothers have less availability of and access to MHC services compared to urban, non-poor and better educated women.
VL  - 3
IS  - 2
ER  -

Copy | Download