Exploring Factors Associated with Women’s Willingness to Provide Digital Fingerprints in Accessing Healthcare Services: A Cross-Sectional Study in Urban Slums of Bangladesh

Sabuj Kanti Mistry, Fahmida Akter, Md. Belal Hossain, Md. Nazmul Huda, Nafis Md. Irfan, Uday Narayan Yadav, Daniel M. L. Storisteanu and Amit Arora
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Sabuj Kanti Mistry: BRAC James P Grant School of Public Health, BRAC University, Dhaka 1212, Bangladesh
Fahmida Akter: BRAC James P Grant School of Public Health, BRAC University, Dhaka 1212, Bangladesh
Md. Belal Hossain: BRAC James P Grant School of Public Health, BRAC University, Dhaka 1212, Bangladesh
Md. Nazmul Huda: School of Health Sciences, Western Sydney University, Campbeltown, NSW 2560, Australia
Nafis Md. Irfan: Institute of Nutrition and Food Science, University of Dhaka, Dhaka 1000, Bangladesh
Uday Narayan Yadav: National Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Canberra, ACT 0200, Australia
Daniel M. L. Storisteanu: Laboratory of Viral Zoonotics, University of Cambridge, Cambridge CB3 0ES, UK
Amit Arora: Translational Health Research Institute, Campbelltown Campus, Western Sydney University, Penrith, NSW 2751, Australia

IJERPH, 2021, vol. 19, issue 1, 1-12

Abstract: Digital fingerprints are increasingly used for patient care and treatment delivery, health system monitoring and evaluation, and maintaining data integrity during health research. Yet, no evidence exists about the use of fingerprinting technologies in maternal healthcare services in urban slum contexts, globally. The present study aimed to explore the recently delivered women’s willingness to give digital fingerprints to community health workers to access healthcare services in the urban slums of Bangladesh and identify the associated factors. Employing a two-stage cluster random sampling procedure, we chose 458 recently delivered women from eight randomly selected urban slums of Dhaka city, Bangladesh. Chi-square tests were performed for descriptive analyses, and binary logistic regression analyses were performed to explore the factors associated with willingness to provide fingerprints. Overall, 78% of the participants reported that they were willing to provide digital fingerprints if that eased access to healthcare services. After adjusting for potential confounders, the sex of the household head, family type, and household wealth status were significantly associated with the willingness to provide fingerprints to access healthcare services. The study highlighted the potentials of using fingerprints for making healthcare services accessible. Focus is needed for female-headed households, women from poor families, and engaging husbands and in-laws in mobile health programs.

Keywords: Bangladesh; digital fingerprints; access; health service use; slums; social disadvantage (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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