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Impact of Recurrent Floods on the Utilization of Maternal and Newborn Healthcare in Bangladesh.
- Source :
- Maternal & Child Health Journal; Jun2020, Vol. 24 Issue 6, p748-758, 11p, 1 Diagram, 5 Charts, 1 Map
- Publication Year :
- 2020
-
Abstract
- Objective: Floods are one of the most common types of disasters in Bangladesh and lead to direct and indirect impacts on health. The aim of the study was to assess the impact of floods on Maternal and Newborn Healthcare (MNH) utilization in Bangladesh between the years 2011 and 2014. Methods: We used variables from the Bangladesh Demographic and Health Survey 2014 data and georeferenced data of floods between 2011 and 2014 from the Emergency Events Database. Multivariate logistic regression was used to determine whether the flood-affected exposures were significant in predicting differences in MNH utilization. Results: The odds for the received antenatal care by skilled providers, institutional deliveries, deliveries by c-section, and postnatal care of the babies were significantly lower (Unadjusted OR = 0.81, 0.88, 0.83, and 0.82 respectively; P < 0.05) in the flood-affected area than the non-affected area. Additionally, the odds of postnatal checkup of women was statistically significant (P < 0.001) and less likely to be received in flood-affected area (OR = 0.76). The odds of all indicators were significantly lower (OR < 1) for the women living in the twice and four times flooded areas compared to the once flooded areas. Conclusions for Practice: The study shows that floods can have a negative impact on MNH utilization. In addition, repeated floods have a worse impact on MNH utilization than incidental floods. Extra effort should be put on ensuring access to MNH of women in flood-affected areas. [ABSTRACT FROM AUTHOR]
- Subjects :
- CESAREAN section
COMPARATIVE studies
STATISTICAL correlation
GLOBAL Positioning System
INFANT health services
MEDICAL care use
MULTIVARIATE analysis
NATURAL disasters
POSTNATAL care
PRENATAL care
SURVEYS
BIBLIOGRAPHIC databases
MULTIPLE regression analysis
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 10927875
- Volume :
- 24
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Maternal & Child Health Journal
- Publication Type :
- Academic Journal
- Accession number :
- 143039301
- Full Text :
- https://doi.org/10.1007/s10995-020-02917-3