Does healthcare voucher provision improve utilisation in the continuum of maternal care for poor pregnant women? Experience from Bangladesh
| العنوان: | Does healthcare voucher provision improve utilisation in the continuum of maternal care for poor pregnant women? Experience from Bangladesh |
|---|---|
| المؤلفون: | Saseendran Pallikadavath, Asiful Haidar Chowdhury, Mohammad Nahid Mia, Shahidul Hoque, William Stones, Syed Manzoor Ahmed Hanifi, Shehrin Shaila Mahmood, Mohammad Iqbal, Abbas Bhuiya, Mark Amos |
| المصدر: | Mahmood, S S, Lyons-Amos, M, Hoque, S, Mia, M N, Chowdhury, A H, Hanifi, S M A, Iqbal, M, Stones, R W, Pallikadavath, S & Bhuiya, A 2019, ' Does healthcare voucher provision improve utilisation in the continuum of maternal care for poor pregnant women? Experience from Bangladesh ', Global Health Action, vol. 12, 1701324 . https://doi.org/10.1080/16549716.2019.1701324 Global Health Action Global Health Action, Vol 12, Iss 1 (2019) |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Postnatal Care, Financing, Government, maternal health, poor pregnant women, 0302 clinical medicine, Pregnancy, Health care, Childbirth, Maternal health, 030212 general & internal medicine, Continuum of care, Bangladesh, maternal health voucher scheme, lcsh:Public aspects of medicine, 030503 health policy & services, Health Policy, Prenatal Care, 3. Good health, Voucher, MRC, MR/N006267/1, Female, Original Article, 0305 other medical science, Adult, Child health, 03 medical and health sciences, antenatal care, Environmental health, atenatal care, Health Sciences, medicine, Humans, postnatal care, Maternal Health Services, Poverty, Motivation, business.industry, Public Health, Environmental and Occupational Health, RCUK, lcsh:RA1-1270, Patient Acceptance of Health Care, medicine.disease, continuum of care, Cross-Sectional Studies, Pregnant Women, business, cluster analysis |
| الوصف: | Background: Improving maternal health is a major development goal, with ambitious targets set for high-mortality countries like Bangladesh. Following a steep decline in the maternal-mortality ratio over the past decade in Bangladesh, progress has plateaued at 196/100,000 live births. A voucher scheme was initiated in 2007 to reduce financial, geographical and institutional barriers to access for the poorest. The current paper reports the effect of vouchers on the use of continuum of maternal care.Methods: Cross-sectional surveys were carried out in the Chattogram and Sylhet divisions of Bangladesh in 2017 among 2400 women with children aged 0-23 months. Using Cluster analysis groups were formed based on utilization of antenatal care, facility delivery and postnatal care. Clusters were regressed on voucher receipt to identify the underlying relationship between voucher receipt and utilisation of care while controlling for possible confounders.Results: Four clusters with varying levels of utilization were identified. A significantly higher proportion of voucher-recipients belonged to the high-utilisation cluster compared to non-voucher recipients (43.5% vs. 15.4%). For the poor voucher-recipients, the probability of belonging to the high-utilisation cluster was higher compared to poor non-voucher recipients (33.3% vs. 6.8%) and the probability of being in the low-utilisation cluster was lower than poor non-voucher recipients (13.3% vs. 55.4%).Discussion and conclusion: The voucher programme enhanced uptake of the complete continuum of maternal care and the benefits extended to the most vulnerable women. However, a lack of continued transition through the continuum of maternal care was identified. This insight can assist in designing effective interventions to prevent intermittent or interrupted care-seeking. Programs that improve access to quality 38 healthcare in pregnancy, childbirth and the postnatal period can have wide-ranging benefits. A coherent continuum-based approach to understanding maternal care-seeking behaviour is thus expected to have a greater impact on maternal, newborn and child health outcomes. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::785d95b317601a3b6bede39df4d348ac https://researchportal.port.ac.uk/portal/en/publications/does-healthcare-voucher-provision-improve-utilisation-in-the-continuum-of-maternal-care-for-poor-pregnant-women-experience-from-bangladesh(1683217c-2086-4ed7-8890-f20eeed1d464).html |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....785d95b317601a3b6bede39df4d348ac |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |