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Effect of an integr...
Effect of an integrated maternal and neonatal health intervention on maternal healthcare utilisation addressing inequity in Rural Bangladesh
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- Ahmed, Anisuddin (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Int Ctr Diarrheal Dis Res, Dhaka 1212, Bangladesh.
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- Rahman, Fariya (författare)
- Int Ctr Diarrheal Dis Res, Dhaka 1212, Bangladesh.
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- Sayeed, Abu (författare)
- Int Ctr Diarrheal Dis Res, Dhaka 1212, Bangladesh.
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- Tanwi, Tania Sultana (författare)
- Int Ctr Diarrheal Dis Res, Dhaka 1212, Bangladesh.
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- Siddique, Abu Bakkar (författare)
- Int Ctr Diarrheal Dis Res, Dhaka 1212, Bangladesh.
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- Hossain, Aniqa Tasnim (författare)
- Int Ctr Diarrheal Dis Res, Dhaka 1212, Bangladesh.
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- Ether, Saraban Tahura (författare)
- Int Ctr Diarrheal Dis Res, Dhaka 1212, Bangladesh.
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- Akter, Ema (författare)
- Int Ctr Diarrheal Dis Res, Dhaka 1212, Bangladesh.
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- Tahsina, Tazeen (författare)
- Int Ctr Diarrheal Dis Res, Dhaka 1212, Bangladesh.
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- Moshfiqur Rahman, Syed (författare)
- Uppsala universitet,Internationell barnhälsa och nutrition
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- El Arifeen, Shams (författare)
- Int Ctr Diarrheal Dis Res, Dhaka 1212, Bangladesh.
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- Rahman, Ahmed Ehsanur (författare)
- Int Ctr Diarrheal Dis Res, Dhaka 1212, Bangladesh.
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(creator_code:org_t)
- Springer Nature, 2023
- 2023
- Engelska.
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Ingår i: Archives of Public Health. - : Springer Nature. - 0778-7367 .- 2049-3258. ; 81:1
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Maternal health
- Neonatal Health
- Skilled ANC visit
- 4+ANC check-up
- Skilled delivery
- Skilled PNC
- Skilled Healthcare Provider
- Bangladesh
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Ahmed, Anisuddin
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Rahman, Fariya
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Sayeed, Abu
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Tanwi, Tania Sul ...
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Siddique, Abu Ba ...
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Hossain, Aniqa T ...
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Ether, Saraban T ...
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Akter, Ema
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Tahsina, Tazeen
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Moshfiqur Rahman ...
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El Arifeen, Sham ...
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Rahman, Ahmed Eh ...
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Uppsala universitet