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Open AccessArticle

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

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Health Economics and Policy Research, Centre for Health, Informatics and Economic Research, University of Southern Queensland, Toowoomba, QLD 4350, Australia
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Health Economics and Financing Research, Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh
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BRAC James P Grant School of Public Health, BRAC University and Centre of Excellence for Universal Health Coverage, Dhaka 1212, Bangladesh
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Maternal and Child Health Division, icddr,b, Dhaka 1212, Bangladesh
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Abt Associates Inc., International Health Division, 6130 Executive Boulevard, Rockville, MD 20852, USA
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Nutrition and Clinical Services Division, icddr,b, Dhaka 1212, Bangladesh
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Deakin Health Economics, School of Health and Social Development, Deakin University, Burwood, Melbourne, VIC 3125, Australia
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School of Accounting, Economics and Finance, University of KwaZulu-Natal, Durban 4000, South Africa
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Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(2), 132; https://doi.org/10.3390/jcm8020132
Received: 22 November 2018 / Revised: 15 January 2019 / Accepted: 20 January 2019 / Published: 23 January 2019
(This article belongs to the Section Epidemiology & Public Health)
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. View Full-Text
Keywords: discrete choice experiment; maternal healthcare; demand for healthcare; healthcare services; Bangladesh discrete choice experiment; maternal healthcare; demand for healthcare; healthcare services; Bangladesh
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MDPI and ACS Style

Mahumud, R.A.; Alamgir, N.I.; Hossain, M.T.; Baruwa, E.; Sultana, M.; Gow, J.; Alam, K.; Ahmed, S.M.; Khan, J.A.M. Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment. J. Clin. Med. 2019, 8, 132. https://doi.org/10.3390/jcm8020132

AMA Style

Mahumud RA, Alamgir NI, Hossain MT, Baruwa E, Sultana M, Gow J, Alam K, Ahmed SM, Khan JAM. Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment. Journal of Clinical Medicine. 2019; 8(2):132. https://doi.org/10.3390/jcm8020132

Chicago/Turabian Style

Mahumud, Rashidul A.; Alamgir, Nadia I.; Hossain, Md. T.; Baruwa, Elaine; Sultana, Marufa; Gow, Jeff; Alam, Khorshed; Ahmed, Syed M.; Khan, Jahangir A.M. 2019. "Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment" J. Clin. Med. 8, no. 2: 132. https://doi.org/10.3390/jcm8020132

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