ArticlePloS one2020
Barriers to accessing maternal health care services in the Chittagong Hill Tracts, Bangladesh: A qualitative descriptive study of Indigenous women's experiences.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Socioeconomic inequalities in access to maternal healthcare in South-Asian countries: A systematic review.PloS one · 2025Pooled it
- Cultural Practices of Mothers and Babies during the Postnatal Period: A Qualitative Study in Rural Bangladesh.International journal of environmental research and public health · 2024Article
- Underrepresentation of Indigenous mental health professionals in Bangladesh.BJPsych international · 2024Review
- Decision-making process in seeking antenatal care: A cohort study in a poor urban and a typical rural area in Bangladesh.Journal of global health · 2024Article
- Clustering of home delivery in Bangladesh and its predictors: Evidence from the linked household and health facility level survey data.PLOS global public health · 2024Article
- Parental perceptions, attitudes, and beliefs regarding vaccination of children aged 0-5 years: A qualitative study of hill-tribe communities, Thailand.Human vaccines & immunotherapeutics · 2023Article
- Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 6. Management of pregnancy complications at Community Birthing Centers (Casas Maternas Rurales).International journal for equity in health · 2023Article
- Uptake of antepartum care services in a matrilineal-matrilocal society: a study of Garo indigenous women in Bangladesh.BMC pregnancy and childbirth · 2023Article
- Exploring barriers to accessing healthcare services for older indigenous people in the Chittagong Hill Tract, Bangladesh.AIMS public health · 2023Article
- Disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in Bangladesh: Evidence from Demographic and Health Survey 2017-18.PLOS global public health · 2023Article
- Racism and access to maternal health care among garo indigenous women in Bangladesh: A qualitative descriptive study.PloS one · 2023Article
- Article
- Spatial inequalities in skilled birth attendance in India: a spatial-regional model approach.BMC public health · 2022Article
- Respectful Maternity Care in South Asia: What Does the Evidence Say? Experiences of Care and Neglect, Associated Vulnerabilities and Social Complexities.International journal of women's health · 2022Review
- Risk factors associated with self-medication among the indigenous communities of Chittagong Hill Tracts, Bangladesh.PloS one · 2022Article
- Access barriers to maternal healthcare services in selected hard-to-reach areas of Zambia: a mixed methods design.The Pan African medical journal · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncreased maternal health care (MHC) service utilisation in Bangladesh over the past decades has contributed to improvements in maternal health outcomes nationally, yet there is little understanding of Indigenous women's experiences of accessing MHC services in Bangladesh.
methodsFace-to-face semi-structured qualitative interviews with 21 Indigenous women (aged 15-49 years) within 36 months of delivery from three ethnic groups (Chakma, Marma and Tripura) were conducted between September 2017 and February 2018 in Khagrachhari district. Purposive sampling was used to recruit women representative of the population distribution in terms of age, ethnic community and service use experience. All interviews were conducted in Bangla language and audio-recorded with consent. Interviews were transcribed directly into English before being coded. Data were analysed thematically using a qualitative descriptive approach aided by NVivo12 software.
resultsOf the 21 women interviewed, 14 had accessed at least one MHC service during their last pregnancy or childbirth and were categorised as the User group. The remaining seven participants were categorised as 'Non-users' as they had not access antenatal care, facility delivery or postnatal care services. Women reported that they wanted culturally relevant, respectful, home-based and affordable care, and generally perceived formal MHC services as being only for complications and emergencies. Barriers to accessing MHC services included low levels of understanding about the importance of MHC services, concerns about service costs, limited transport and fears of intrusive practices. Experiences within health services that deterred women from accessing future MHC services included demands for unofficial payments and abusive treatment by public facility staff.
conclusionImproving access to MHC services for the CHT Indigenous women requires improved understandings of cultural values, priorities and concerns. Multifaceted reform is needed at individual, community and health systems levels to offer culturally appropriate health education and flexible service delivery options.
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