“Can community level interventions have an impact on equity and utilization of maternal health care” – Evidence from rural Bangladesh

Quayyum, Zahidul; Khan, Mohammad Nasir Uddin; Quayyum, Tasmeen; Nasreen, Hashima E; Chowdhury, Morseda; Ensor, Tim

doi:10.1186/1475-9276-12-22

International Journal for Equity in Health

Table 4 Concentration index for maternal health indicator over time

From: “Can community level interventions have an impact on equity and utilization of maternal health care” – Evidence from rural Bangladesh

			Three years exposure to intervention				Comparison
			Rich poor ratio*	CI	95% confidence interval		Rich poor ratio*	CI	95% confidence interval
ANC	Any ANC	2008	1.6	0.098	0.076	0.120	1.5	0.103	0.079	0.127
		2010	1.4	0.017	0.007	0.027	1	0.05	0.026	0.074
		Changes		−0.081	−0.126	−0.036		−0.053	−0.110	0.004
	ANC by medically trained provider**	2008	2.6	0.184	0.149	0.219	2.1	0.173	0.142	0.204
		2010	3.6	0.223	0.176	0.270	1.3	0.119	0.080	0.158
		Changes		0.039	−0.049	0.127		−0.054	−0.142	0.034
	ANC by trained provider***	2008	1.7	0.107	0.083	0.131	1.7	0.128	0.103	0.153
		2010	1.4	0.019	0.009	0.029	1.3	0.1	0.067	0.133
		Changes		−0.088	−0.135	−0.041		−0.028	−0.089	0.033
	4+ ANC	2008	4.8	0.307	0.244	0.370	3.4	0.254	0.191	0.317
		2010	1.5	0.039	0.015	0.063	1.9	0.169	0.100	0.238
		Changes		−0.268	−0.368	−0.168		−0.085	−0.209	0.039
Home delivery	by untrained attendant	2008	0.5	−0.072	−0.094	−0.050	0.6	−0.072	−0.103	−0.041
		2010	0.9	−0.065	−0.106	−0.024	0.4	−0.113	−0.160	−0.066
		Changes		0.007	−0.069	0.083		−0.041	−0.117	0.035
	by trained attendant	2008	1.2	0.056	−0.001	0.113	0.7	−0.073	−0.132	−0.014
		2010	0.9	−0.038	−0.079	0.003	0.4	−0.095	−0.154	−0.036
		Changes		−0.094	−0.19	0.002		−0.022	−0.118	0.074
Normal delivery	in public facility	2008	2.4	0.173	0.044	0.302	2.2	0.236	0.114	0.358
		2010	2.1	0.054	−0.062	0.170	2.3	0.204	0.069	0.339
		Changes		−0.119	−0.351	0.113		−0.032	−0.291	0.227
	in private facility	2008	6	0.384	0.221	0.547	1.7	0.114	−0.08	0.308
		2010	5.5	0.272	0.062	0.482	0.6	0.331	0.015	0.647
		Changes		−0.112	−0.473	0.249		0.217	−0.296	0.73
C-section	in public facility	2008	8	0.369	0.169	0.569	-	0.587	0.415	0.759
		2010	1.9	0.141	−0.065	0.347	-	0.358	0.142	0.574
		Changes		−0.228	−0.620	0.160		−0.23	−0.756	0.298
	in private facility	2008	5.5	0.365	0.216	0.514	1.3	0.501	0.397	0.605
		2010	17	0.513	0.397	0.629	9.7	0.508	0.4	0.616
		Changes		0.148	−0.122	0.418		0.007	−0.234	0.248
PNC	PNC within 48 h	2008	4.3	0.369	0.169	0.569	3.2	0.587	0.415	0.759
		2010	1.7	0.141	−0.065	0.347	3.3	0.358	0.142	0.574
		Changes		−0.228	−0.436	−0.02		−0.229	−0.463	0.005

* Population rich poor ratio in 2008 and 2010 (0.94, 1.02) for intervention area and (0.91, 1.24) comparison area.
**Medically trained provider for ANC services includes: Doctor, Nurse, FWV, and SACMO.
***Trained provider for ANC services includes: Doctor, Nurse, FWV, SACMO, and BRAC SK.

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ISSN: 1475-9276

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