Assessing the Quality and Coverage of Maternal Postnatal Care in Bangladesh: A Comparative Analysis of Quality Postnatal Care among Home and Facility Births

Sabrina Sharmin Priyanka (), Dibbya Pravas Dasgupta, Abu Yousuf Md Abdullah, Nazia Binte Ali, Hafeza Khatun and Sk Masum Billah
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Sabrina Sharmin Priyanka: Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1000, Bangladesh
Dibbya Pravas Dasgupta: Centre for Health Services and Policy Research, School of Population and Public Health, The University of British Columbia, Vancouver, BC V6T 1Z4, Canada
Abu Yousuf Md Abdullah: School of Planning, University of Waterloo, Waterloo, ON N2L 3G1, Canada
Nazia Binte Ali: Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1000, Bangladesh
Hafeza Khatun: Binary Data Lab, Dhaka 1208, Bangladesh
Sk Masum Billah: Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1000, Bangladesh

IJERPH, 2024, vol. 21, issue 3, 1-15

Abstract: Background: Bangladesh has achieved remarkable progress in reducing maternal mortality, yet postpartum deaths remain a significant issue. Emphasis on quality postnatal care (qPNC) is crucial, as increased coverage alone has not sufficiently reduced maternal morbidity and mortality. Methods: This study included data from the Bangladesh Maternal Mortality Survey of 32,106 mothers who delivered within three years prior to the survey. Descriptive statistics were used to report coverage and components of postnatal care stratified by covariates. Log-linear regression models were used to assess the determinants of quality postnatal care among facility and home births. Results: From 2010 to 2016, postnatal care coverage within 48 h of delivery by a qualified provider rose from 23% to 47%. Of the births, 94% were facility births that received timely PNC, contrasted with only 6% for home births. Despite the increased coverage, quality of care remained as low as 1% for home births and 13% for facility births. Key factors affecting qPNC utilization included socio-demographic factors, pregnancy complications, type of birth attendant, delivery method, and financial readiness. Conclusion: Importantly, deliveries assisted by skilled birth attendants correlated with higher quality postnatal care. This study reveals a significant gap between the coverage and quality of postnatal care in rural Bangladesh, especially for home births. It underscores the need for targeted interventions to enhance qPNC.

Keywords: quality postnatal care; home births; facility births; postnatal care components; maternal postpartum deaths; Bangladesh maternal mortality survey (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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