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Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment

Despite substantial improvements in several maternal health indicators, childbearing and birthing remain a dangerous experience for many women in Bangladesh. This study assessed the relative importance of maternal healthcare service characteristics to Bangladeshi women when choosing a health facilit...

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Autores principales: Mahumud, Rashidul Alam, Alamgir, Nadia Ishrat, Hossain, Md. Tarek, Baruwa, Elaine, Sultana, Marufa, Gow, Jeff, Alam, Khorshed, Ahmed, Syed Masud, Khan, Jahangir A.M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406443/
https://www.ncbi.nlm.nih.gov/pubmed/30678044
http://dx.doi.org/10.3390/jcm8020132
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author Mahumud, Rashidul Alam
Alamgir, Nadia Ishrat
Hossain, Md. Tarek
Baruwa, Elaine
Sultana, Marufa
Gow, Jeff
Alam, Khorshed
Ahmed, Syed Masud
Khan, Jahangir A.M.
author_facet Mahumud, Rashidul Alam
Alamgir, Nadia Ishrat
Hossain, Md. Tarek
Baruwa, Elaine
Sultana, Marufa
Gow, Jeff
Alam, Khorshed
Ahmed, Syed Masud
Khan, Jahangir A.M.
author_sort Mahumud, Rashidul Alam
collection PubMed
description Despite substantial improvements in several maternal health indicators, childbearing and birthing remain a dangerous experience for many women in Bangladesh. This study assessed the relative importance of maternal healthcare service characteristics to Bangladeshi women when choosing a health facility to deliver their babies. The study used a mixed-methods approach. Qualitative methods (expert interviews, focus group discussions) were initially employed to identify and develop the characteristics which most influence a women’s decision making when selecting a maternal health service facility. A discrete choice experiment (DCE) was then constructed to elicit women’s preferences. Women were shown choice scenarios representing hypothetical health facilities with nine attributes outlined. The women were then asked to rank the attributes they considered most important in the delivery of their future babies. A Hierarchical Bayes method was used to measure mean utility parameters. A total of 601 women completed the DCE survey. The model demonstrated significant predictive strength for actual facility choice for maternal health services. The most important attributes were the following: consistent access to a female doctor, the availability of branded drugs, respectful provider attitudes, a continuum of maternal healthcare including the availability of a C-section delivery and lesser waiting times. Attended maternal healthcare utilisation rates are low despite the access to primary healthcare facilities. Further implementation of quality improvements in maternal healthcare facilities should be prioritised.
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spelling pubmed-64064432019-03-22 Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment Mahumud, Rashidul Alam Alamgir, Nadia Ishrat Hossain, Md. Tarek Baruwa, Elaine Sultana, Marufa Gow, Jeff Alam, Khorshed Ahmed, Syed Masud Khan, Jahangir A.M. J Clin Med Article Despite substantial improvements in several maternal health indicators, childbearing and birthing remain a dangerous experience for many women in Bangladesh. This study assessed the relative importance of maternal healthcare service characteristics to Bangladeshi women when choosing a health facility to deliver their babies. The study used a mixed-methods approach. Qualitative methods (expert interviews, focus group discussions) were initially employed to identify and develop the characteristics which most influence a women’s decision making when selecting a maternal health service facility. A discrete choice experiment (DCE) was then constructed to elicit women’s preferences. Women were shown choice scenarios representing hypothetical health facilities with nine attributes outlined. The women were then asked to rank the attributes they considered most important in the delivery of their future babies. A Hierarchical Bayes method was used to measure mean utility parameters. A total of 601 women completed the DCE survey. The model demonstrated significant predictive strength for actual facility choice for maternal health services. The most important attributes were the following: consistent access to a female doctor, the availability of branded drugs, respectful provider attitudes, a continuum of maternal healthcare including the availability of a C-section delivery and lesser waiting times. Attended maternal healthcare utilisation rates are low despite the access to primary healthcare facilities. Further implementation of quality improvements in maternal healthcare facilities should be prioritised. MDPI 2019-01-23 /pmc/articles/PMC6406443/ /pubmed/30678044 http://dx.doi.org/10.3390/jcm8020132 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mahumud, Rashidul Alam
Alamgir, Nadia Ishrat
Hossain, Md. Tarek
Baruwa, Elaine
Sultana, Marufa
Gow, Jeff
Alam, Khorshed
Ahmed, Syed Masud
Khan, Jahangir A.M.
Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment
title Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment
title_full Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment
title_fullStr Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment
title_full_unstemmed Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment
title_short Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment
title_sort women’s preferences for maternal healthcare services in bangladesh: evidence from a discrete choice experiment
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406443/
https://www.ncbi.nlm.nih.gov/pubmed/30678044
http://dx.doi.org/10.3390/jcm8020132
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