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Investigating the role of health care at birth on inequalities in neonatal survival: evidence from Bangladesh.
- Source :
- International Journal for Equity in Health; 2013, Vol. 12 Issue 1, p17-25, 9p, 1 Diagram, 5 Charts, 3 Graphs
- Publication Year :
- 2013
-
Abstract
- Introduction: In countries such as Bangladesh many women may only seek skilled care at birth when complications become evident. This often results in higher neonatal mortality for women who give birth in institutions than for those that give birth at home. However, we hypothesise that this apparent excess mortality is concentrated among less advantaged women. The aim of this paper is to examine the association between place of birth and neonatal mortality in Bangladesh, and how this varies by socio-economic status. Methodology: The study is based on pooled data from four Bangladesh Demographic and Household Surveys, and uses descriptive analysis and binomial multivariate logistic regression. It uses regression models stratified for place of delivery to examine the impact of socio-economic status and place of residence on neonatal mortality. Results: Poor women from rural areas and those with no education who gave birth in institutions had much worse outcomes than those who gave birth at home. There is no difference for more wealthy women. There is a much stronger socio-economic gradient in neonatal mortality for women who gave birth in institutions than those who delivered at home. Conclusion: In Bangladesh babies from lower socio-economic groups and particularly those in rural areas have very poor outcomes if born in a facility. This suggests poorer, rural and less educated women are failing to obtain the timely access to quality maternal health care services needed to improve newborn outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL care
INFANT mortality
CHILDBIRTH at home
CONFIDENCE intervals
STATISTICAL correlation
EPIDEMIOLOGY
HEALTH facilities
HEALTH services accessibility
MATERNAL health services
EVALUATION of medical care
METROPOLITAN areas
POPULATION geography
POVERTY
QUESTIONNAIRES
RESEARCH funding
RURAL conditions
LOGISTIC regression analysis
DATA analysis
SOCIOECONOMIC factors
EDUCATIONAL attainment
HEALTH equity
DESCRIPTIVE statistics
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 14759276
- Volume :
- 12
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal for Equity in Health
- Publication Type :
- Academic Journal
- Accession number :
- 86887608
- Full Text :
- https://doi.org/10.1186/1475-9276-12-17