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Impact of Out-of-Pocket Expenditures on Families and Barriers to Use of Maternal and Child Health Services in Bangladesh
December, 2012

In Bangladesh, despite substantial gains in child and overall health, most mothers give birth outside health facilities, and many sick children do not receive appropriate medical care.

Abstract

The high burden of maternal and child ill health in Bangladesh is due primarily to inadequate access to and use of essential MNCH services. Bangladesh has made progress in improving MNCH outcomes but continued gains depend on further improving access and coverage. This is particularly the case for childbirth, where increased use of skilled birth attendance and facility-based delivery is critical. Inadequate use of essential MNCH services is linked to significant disparities in access and outcomes. Poor mothers and children usually do not make use of MOHFW services when they are sick, and they rely mostly on pharmacies and other private providers or often go without any care at all.

Content

  1. Background
  2. Project Components
  3. Analysis of Household Income and Expenditure Surveys
  4. Efficiency in Public Sector Healthcare Facilities
  5. Out-of-Pocket Costs of Patients at Ministry of Health and Family Welfare Facilities
  6. Impact of the Maternal Voucher Scheme on Costs and Access
  7. Estimation of Maternal and Child Health Treatment Expenditures
  8. Conclusions
  9. References

Additional Details

Pages
8