The Bangladesh Maternal Health Voucher Scheme: impact on completeness of antenatal care provision

This study aimed to assess completeness of antenatal care coverage following implementation of a voucher scheme for maternal health in Bangladesh. The investigation used interview data from a survey conducted in Bangladesh in 2017 of 2400 randomly selected women aged 15-49 with children aged 0-23 mo...

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Bibliographic Details
Published in:Journal of biosocial science 2022-03, Vol.54 (2), p.217-224
Main Authors: Mia, Mohammad Nahid, Mahmood, Shehrin Shaila, Iqbal, Mohammad, Bhuiya, Abbas, Pallikadavath, Saseendran, Stones, William
Format: Article
Language:English
Subjects:
Academic achievement
Adolescent
Adult
Bangladesh
Births
Blood pressure
Data collection
Demography
Female
Health facilities
Health services
Health status
Humans
Indexes
Infant
Infant, Newborn
Low income groups
Maternal & child health
Maternal characteristics
Maternal Health
Maternal Health Services
Membership
Middle Aged
Mortality
Mothers
Pregnancy
Prenatal Care
Principal components analysis
Regression analysis
Social Class
Sociodemographics
Socioeconomic factors
Socioeconomic status
Vouchers
Women
Womens health
Young Adult
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Summary:This study aimed to assess completeness of antenatal care coverage following implementation of a voucher scheme for maternal health in Bangladesh. The investigation used interview data from a survey conducted in Bangladesh in 2017 of 2400 randomly selected women aged 15-49 with children aged 0-23 months in four geographical areas where voucher scheme implementation was underway. Of these women, 1944 had attended at least one antenatal clinic visit so were included in the analysis. A 'completeness index' for antenatal visits was constructed as an outcome variable based on recall of thirteen elements of care. Bivariate analysis against independent variables of interest was carried out and multivariate linear regression models developed to examine the influence of voucher scheme participation on completeness of antenatal care adjusting for socio-demographic characteristics. Voucher scheme membership was associated with higher 'completeness index' scores, with a mean score of 185.2±101.0 for voucher recipients and 139.6 ± 93.3 for non-recipients (p
ISSN:0021-9320
1469-7599
DOI:10.1017/S0021932020000784