Women’s preferences for maternal healthcare services in Bangladesh: evidence from a discrete choice experiment

Mahumud, Rashidul Alam and Alamgir, Nadia Ishrat and Hossain, Md. Tarek and Baruwa, Elaine and Sultana, Marufa and Gow, Jeff and Alam, Khorshed and 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, 8 (2 - Article 132). pp. 1-22.

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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 lower 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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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Published version displayed in accordance with Creative Commons Attribution License 4.0.
Faculty / Department / School: Current - Faculty of Business, Education, Law and Arts - School of Commerce
Date Deposited: 04 Feb 2019 00:39
Last Modified: 12 Mar 2019 05:05
Uncontrolled Keywords: discrete choice experiment; maternal healthcare; demand for healthcare; healthcare services; Bangladesh
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
14 Economics > 1402 Applied Economics > 140208 Health Economics
14 Economics > 1403 Econometrics > 140302 Econometric and Statistical Methods
Socio-Economic Objective: B Economic Development > 91 Economic Framework > 9102 Microeconomics > 910299 Microeconomics not elsewhere classified
C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920401 Behaviour and Health
C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Women's Health
Identification Number or DOI: 10.3390/jcm8020132
URI: http://eprints.usq.edu.au/id/eprint/35630

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