Socioeconomic inequalities in newborn care during facility and home deliveries: a cross sectional analysis of data from demographic surveillance sites in rural Bangladesh, India and Nepal
Abstract Background In Bangladesh, India and Nepal, neonatal outcomes of poor infants are considerably worse than those of better-off infants. Understanding how these inequalities vary by country and place of delivery (home or facility) will allow targeting of interventions to those who need them mo...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-08-01
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| Series: | International Journal for Equity in Health |
| Online Access: | http://link.springer.com/article/10.1186/s12939-018-0834-9 |
| _version_ | 1818923017599713280 |
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| author | Erik de Jonge Kishwar Azad Munir Hossen Abdul Kuddus Dharma S. Manandhar Ellen van de Poel Swati Sarbani Roy Naomi Saville Aman Sen Catherine Sikorski Prasanta Tripathy Anthony Costello Tanja A. J. Houweling |
| author_facet | Erik de Jonge Kishwar Azad Munir Hossen Abdul Kuddus Dharma S. Manandhar Ellen van de Poel Swati Sarbani Roy Naomi Saville Aman Sen Catherine Sikorski Prasanta Tripathy Anthony Costello Tanja A. J. Houweling |
| author_sort | Erik de Jonge |
| collection | DOAJ |
| description | Abstract Background In Bangladesh, India and Nepal, neonatal outcomes of poor infants are considerably worse than those of better-off infants. Understanding how these inequalities vary by country and place of delivery (home or facility) will allow targeting of interventions to those who need them most. We describe socio-economic inequalities in newborn care in rural areas of Bangladesh, Nepal and India for all deliveries and by place of delivery. Methods We used data from surveillance sites in Bangladesh, India and from Makwanpur and Dhanusha districts in Nepal, covering periods from 2001 to 2011. We used literacy (ability to read a short text) as indicator of socioeconomic status. We developed a composite score of nine newborn care practices (score range 0–9 indicating infants received no newborn care to all nine newborn care practices). We modeled the effect of literacy and place of delivery on the newborn care score and on individual practices. Results In all study sites (60,078 deliveries in total), use of facility delivery was higher among literate mothers. In all sites, inequalities in newborn care were observed: the difference in new born care between literate and illiterate ranged 0.35–0.80. The effect of literacy on the newborn care score reduced after adjusting for place of delivery (range score difference literate-illiterate: 0.21–0.43). Conclusion Socioeconomic inequalities in facility care greatly contribute to inequalities in newborn care. Improving newborn care during home deliveries and improving access to facility care are a priority for addressing inequalities in newborn care and newborn mortality. |
| first_indexed | 2024-12-20T02:02:45Z |
| format | Article |
| id | doaj.art-ac47bbf9cb6d4e83ab5757a4da13214e |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-12-20T02:02:45Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-ac47bbf9cb6d4e83ab5757a4da13214e2022-12-21T19:57:17ZengBMCInternational Journal for Equity in Health1475-92762018-08-011711910.1186/s12939-018-0834-9Socioeconomic inequalities in newborn care during facility and home deliveries: a cross sectional analysis of data from demographic surveillance sites in rural Bangladesh, India and NepalErik de Jonge0Kishwar Azad1Munir Hossen2Abdul Kuddus3Dharma S. Manandhar4Ellen van de Poel5Swati Sarbani Roy6Naomi Saville7Aman Sen8Catherine Sikorski9Prasanta Tripathy10Anthony Costello11Tanja A. J. Houweling12Department of Public Health, Erasmus University Medical CenterPerinatal Care Project, Diabetic Association of BangladeshPerinatal Care Project, Diabetic Association of BangladeshPerinatal Care Project, Diabetic Association of BangladeshMother Infant Research Activities (MIRA)Institute of Health Policy and Management, Erasmus University RotterdamEkjutInstitute for Global Health, University College LondonMother Infant Research Activities (MIRA)Institute for Global Health, University College LondonEkjutInstitute for Global Health, University College LondonDepartment of Public Health, Erasmus University Medical CenterAbstract Background In Bangladesh, India and Nepal, neonatal outcomes of poor infants are considerably worse than those of better-off infants. Understanding how these inequalities vary by country and place of delivery (home or facility) will allow targeting of interventions to those who need them most. We describe socio-economic inequalities in newborn care in rural areas of Bangladesh, Nepal and India for all deliveries and by place of delivery. Methods We used data from surveillance sites in Bangladesh, India and from Makwanpur and Dhanusha districts in Nepal, covering periods from 2001 to 2011. We used literacy (ability to read a short text) as indicator of socioeconomic status. We developed a composite score of nine newborn care practices (score range 0–9 indicating infants received no newborn care to all nine newborn care practices). We modeled the effect of literacy and place of delivery on the newborn care score and on individual practices. Results In all study sites (60,078 deliveries in total), use of facility delivery was higher among literate mothers. In all sites, inequalities in newborn care were observed: the difference in new born care between literate and illiterate ranged 0.35–0.80. The effect of literacy on the newborn care score reduced after adjusting for place of delivery (range score difference literate-illiterate: 0.21–0.43). Conclusion Socioeconomic inequalities in facility care greatly contribute to inequalities in newborn care. Improving newborn care during home deliveries and improving access to facility care are a priority for addressing inequalities in newborn care and newborn mortality.http://link.springer.com/article/10.1186/s12939-018-0834-9 |
| spellingShingle | Erik de Jonge Kishwar Azad Munir Hossen Abdul Kuddus Dharma S. Manandhar Ellen van de Poel Swati Sarbani Roy Naomi Saville Aman Sen Catherine Sikorski Prasanta Tripathy Anthony Costello Tanja A. J. Houweling Socioeconomic inequalities in newborn care during facility and home deliveries: a cross sectional analysis of data from demographic surveillance sites in rural Bangladesh, India and Nepal International Journal for Equity in Health |
| title | Socioeconomic inequalities in newborn care during facility and home deliveries: a cross sectional analysis of data from demographic surveillance sites in rural Bangladesh, India and Nepal |
| title_full | Socioeconomic inequalities in newborn care during facility and home deliveries: a cross sectional analysis of data from demographic surveillance sites in rural Bangladesh, India and Nepal |
| title_fullStr | Socioeconomic inequalities in newborn care during facility and home deliveries: a cross sectional analysis of data from demographic surveillance sites in rural Bangladesh, India and Nepal |
| title_full_unstemmed | Socioeconomic inequalities in newborn care during facility and home deliveries: a cross sectional analysis of data from demographic surveillance sites in rural Bangladesh, India and Nepal |
| title_short | Socioeconomic inequalities in newborn care during facility and home deliveries: a cross sectional analysis of data from demographic surveillance sites in rural Bangladesh, India and Nepal |
| title_sort | socioeconomic inequalities in newborn care during facility and home deliveries a cross sectional analysis of data from demographic surveillance sites in rural bangladesh india and nepal |
| url | http://link.springer.com/article/10.1186/s12939-018-0834-9 |
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