Socioeconomic inequality in maternal healthcare: An analysis of regional variation in Bangladesh

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  • Mohammad Habibullah Pulok, Centre for Health Economics Research and Evaluation (CHERE), UTS Business School, University of Technology, Sydney (UTS), PO Box 123, Broadway, NSW 2007, Australia; CMCRC Health Market Quality Research Program, GPO Box 970, Sydney, NSW 2001, Australia; The Canadian Centre for Health Economics (CCHE), the University of Toronto, 155 College Street, 4th Floor, Toronto, ON, Canada M5T 3M6. Electronic address:, Australia
  • Jalal Uddin, Department of Sociology, University of Alabama at Birmingham, Heritage Hall 460E, 1401 University Blvd., Birmingham, AL 35233, USA. Electronic address:, United States
  • Ulrika Enemark
  • Muhammad Zakir Hossin, Department of Public Health Sciences, Karolinska Institute, Tomtebodavägen 18B, Solna, 17165 Stockholm, Sweden. Electronic address:, Sweden

Socioeconomic inequality in the utilisation of maternal healthcare services is well-documented in Bangladesh. However, the spatial dimension of this inequality is largely unexplored in the literature. This study examined the regional variation of wealth-related inequality in the utilisation of maternal healthcare services using data from Bangladesh Demographic and Health Survey, 2014. The highest extent of pro-wealthy inequality was found in Chittagong and Sylhet for ANC services compared to Khulna and Rangpur where inequality was the lowest. Pro-wealthy inequality was the lowest in Rangpur while Dhaka and Barisal tended to have the greatest degree of inequality for delivery care services. Policy efforts aiming to tackle socioeconomic inequality in maternal healthcare should consider this spatial dimension of inequality in Bangladesh.

Original languageEnglish
JournalHealth & Place
Pages (from-to)205-214
Number of pages10
Publication statusPublished - 1 Jul 2018

    Research areas

  • antenatal care, Bangladesh, concentration index, delivery care, inequality

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