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

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Mahumud, Rashidul Alam, Alamgir, Nadia Ishrat, Hossain, Md Tarek, Baruwa, Elaine, Sultana, Marufa, Gow, Jeff, Alam, Khorshed, Ahmed, Syed Masud and Khan, Jahangir A M (2019) 'Women's Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment.'. Journal of clinical medicine, Vol 8, Issue 2, p. 132.

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Abstract

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.

Item Type: Article
Subjects: W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 85 Patients. Attitude and compliance
W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care
WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WQ Obstetrics > Pregnancy > WQ 200 General works
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.3390/jcm8020132
Depositing User: Stacy Murtagh
Date Deposited: 04 Feb 2019 11:15
Last Modified: 20 Jun 2019 11:52
URI: http://archive.lstmed.ac.uk/id/eprint/10065

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