Inequality of Opportunity in Accessing Maternal and Newborn Healthcare Services: Evidence from the Bangladesh Demographic and Health Survey

Abstract

Under-five mortality is known to be the result of a wide variety of inputs, among which the availability of maternal and child health services. However, their coverage and distribution, in low- and middle-income countries, continue to remain inadequate and characterized by significant inequalities. The main aim of this study is to investigate the causes of inequality in accessing the basic maternal and newborn healthcare services in Bangladesh. To this end, we use nationally representative cross-sectional data from the Bangladesh Demographic and Health Survey (BDHS), 2014. Our study builds on the Human Opportunity Index (HOI), developed at the World Bank (in World development report: Equity and development, World Bank, Washington, 2006), which measures the total contribution of individual socioeconomic and demographic circumstances to inequality of opportunity in accessing basic services. Our findings reveal that a mother’s education, wealth index and place of residence, are closely associated with access to basic maternal and newborn healthcare services.