Does gender inequality matter for access to and utilization of maternal healthcare services in Bangladesh?

There is a high prevalence of gender gap in Bangladesh which might affect women's likelihood to receive maternal healthcare services. In this backdrop, we aim to investigate how gender inequality measured by intrahousehold bargaining power (or autonomy) of women and their attitudes towards inti...

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Autores principales:	Firoz Ahmed, Fahmida Akter Oni, Sk Sharafat Hossen
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ccaa69f5937444aab3ce2047dc30de80
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spelling	oai:doaj.org-article:ccaa69f5937444aab3ce2047dc30de802021-12-02T20:06:15ZDoes gender inequality matter for access to and utilization of maternal healthcare services in Bangladesh?1932-620310.1371/journal.pone.0257388https://doaj.org/article/ccaa69f5937444aab3ce2047dc30de802021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257388https://doaj.org/toc/1932-6203There is a high prevalence of gender gap in Bangladesh which might affect women's likelihood to receive maternal healthcare services. In this backdrop, we aim to investigate how gender inequality measured by intrahousehold bargaining power (or autonomy) of women and their attitudes towards intimate partner violence (IPV) affects accessing and utilizing maternal health care services. We used Bangladesh Demographic and Health Survey (BDHS) data of 2014 covering 5460 women who gave birth at least one child in the last three years preceding the survey. We performed logistic regression to estimate the effect of women's autonomy and their attitude towards IPV on access to and utilization of maternal healthcare services. Besides, we employed different channels to understand the heterogeneous effect of gender inequality on access to maternal healthcare services. We observed that women having autonomy positively influenced attaining five required antenatal care (ANC) services (AOR: 1.17; 95% CI: 0.98-1.41) and women's negative attitudes towards IPV were positively associated with five ANC services (AOR: 1.42; 95% CI: 1.02-1.97), sufficient ANC visits (COR: 1.55; CI: 1.19-2.01), skilled birth attendant (SBA) (AOR: 1.43; 95% CI: 1.05-1.94) and postnatal care (PNC) services (AOR: 1.44; 95% CI: 1.12-1.84). Besides, rural residency, religion, household wealth, education of both women and husband were found to have some of the important channels which were making stronger effect of gender inequality on access to maternal healthcare services. The findings of our study indicate a significant association between access to maternal healthcare services and women's autonomy as well as attitude towards IPV in Bangladesh. We, therefore, recommend to protect women from violence at home and mprove their intrahousehold bargaining power to increase their access to and utilization of required maternal healthcare services.Firoz AhmedFahmida Akter OniSk Sharafat HossenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257388 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Firoz Ahmed Fahmida Akter Oni Sk Sharafat Hossen Does gender inequality matter for access to and utilization of maternal healthcare services in Bangladesh?
description	There is a high prevalence of gender gap in Bangladesh which might affect women's likelihood to receive maternal healthcare services. In this backdrop, we aim to investigate how gender inequality measured by intrahousehold bargaining power (or autonomy) of women and their attitudes towards intimate partner violence (IPV) affects accessing and utilizing maternal health care services. We used Bangladesh Demographic and Health Survey (BDHS) data of 2014 covering 5460 women who gave birth at least one child in the last three years preceding the survey. We performed logistic regression to estimate the effect of women's autonomy and their attitude towards IPV on access to and utilization of maternal healthcare services. Besides, we employed different channels to understand the heterogeneous effect of gender inequality on access to maternal healthcare services. We observed that women having autonomy positively influenced attaining five required antenatal care (ANC) services (AOR: 1.17; 95% CI: 0.98-1.41) and women's negative attitudes towards IPV were positively associated with five ANC services (AOR: 1.42; 95% CI: 1.02-1.97), sufficient ANC visits (COR: 1.55; CI: 1.19-2.01), skilled birth attendant (SBA) (AOR: 1.43; 95% CI: 1.05-1.94) and postnatal care (PNC) services (AOR: 1.44; 95% CI: 1.12-1.84). Besides, rural residency, religion, household wealth, education of both women and husband were found to have some of the important channels which were making stronger effect of gender inequality on access to maternal healthcare services. The findings of our study indicate a significant association between access to maternal healthcare services and women's autonomy as well as attitude towards IPV in Bangladesh. We, therefore, recommend to protect women from violence at home and mprove their intrahousehold bargaining power to increase their access to and utilization of required maternal healthcare services.
format	article
author	Firoz Ahmed Fahmida Akter Oni Sk Sharafat Hossen
author_facet	Firoz Ahmed Fahmida Akter Oni Sk Sharafat Hossen
author_sort	Firoz Ahmed
title	Does gender inequality matter for access to and utilization of maternal healthcare services in Bangladesh?
title_short	Does gender inequality matter for access to and utilization of maternal healthcare services in Bangladesh?
title_full	Does gender inequality matter for access to and utilization of maternal healthcare services in Bangladesh?
title_fullStr	Does gender inequality matter for access to and utilization of maternal healthcare services in Bangladesh?
title_full_unstemmed	Does gender inequality matter for access to and utilization of maternal healthcare services in Bangladesh?
title_sort	does gender inequality matter for access to and utilization of maternal healthcare services in bangladesh?
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ccaa69f5937444aab3ce2047dc30de80
work_keys_str_mv	AT firozahmed doesgenderinequalitymatterforaccesstoandutilizationofmaternalhealthcareservicesinbangladesh AT fahmidaakteroni doesgenderinequalitymatterforaccesstoandutilizationofmaternalhealthcareservicesinbangladesh AT sksharafathossen doesgenderinequalitymatterforaccesstoandutilizationofmaternalhealthcareservicesinbangladesh
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Does gender inequality matter for access to and utilization of maternal healthcare services in Bangladesh?

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