Introduction: Maternal healthcare is a critical component of public health systems worldwide, aiming to safeguard the health and well-being of mothers and infants during pregnancy, childbirth, and the postpartum period. Aim of the study: The aim of this study is to conduct a comparative analysis of maternity care services between a selected model district hospital and a non-model district hospital in Bangladesh. Methods: A cross sectional study was conducted over a period of 12 months starting from January to December 2020 at two district hospitals of Rangpur Division named Kurigram District Hospital (250 bedded Model hospital) and Lalmonirhat district hospital (100 bedded Non -Model hospital) among the mothers who had institutional delivery during the study period. Result: In the model district hospital majority 93.3% of mothers received an explanation of possible events that might occur during childbirth, compared to only 10.0% in the non-model district hospital. In the model district hospital, 86.7% of mothers received regular monitoring and were informed time to time, compared to only 6.7% in the non-model district hospital. In the model district hospital, 80.0% of mothers received information about their general physical condition at discharge, compared to only 13.3% in the non-model district hospital. This difference is highly significant (p-value = 0.00), with an odds ratio of 26 respectively. Conclusion: In conclusion, the comparative analysis of maternity care services between model and non-model district hospitals in Bangladesh offers valuable insights into the complexities of maternal healthcare delivery in LMICs.
Published in | American Journal of Health Research (Volume 12, Issue 3) |
DOI | 10.11648/j.ajhr.20241203.11 |
Page(s) | 44-51 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Maternity Care, Childbirth Experiences, Continuity of Care, Healthcare Disparities, Birth Companionship
[1] | World Health Organization. Maternal mortality measurement: guidance to improve national reporting. World Health Organization; 2022 Jun 30. Available from: |
[2] | Kabir R, Khan HT, Kabir M, Rahman MT. Population ageing in Bangladesh and its implication on health care. European Scientific Journal. 2013; 9(33): 34-47. Available from: |
[3] |
Shahen MA, Islam MR, Ahmed R. Challenges for health care services in Bangladesh: an overview. IOSR Journal of Nursing and Health Science. 2020 May 1; 9: 13-24. Available from:
https://www.iosrjournals.org/iosr-jnhs/papers/vol9-issue1/Series-1/C0901011324.pdf |
[4] | Rahman SA, Kielmann T, McPake B, Normand C. Healthcare-seeking behaviour among the tribal people of Bangladesh: Can the current health system really meet their needs?. J Health Popul Nutr. 2012; 30(3): 353-365. |
[5] | Ahmed SM, Adams AM, Chowdhury M, Bhuiya A. Gender, socioeconomic development and health-seeking behaviour in Bangladesh. Soc Sci Med. 2000; 51(3): 361-371. |
[6] | Ahmed SM, Begum HA, Afsana K. Maternal, neonatal and child health programmes in Bangladesh. 2007. Available from: |
[7] | World Health Organization. State of inequality: reproductive maternal newborn and child health: interactive visualization of health data. World Health Organization; 2015 May 26. Available from: |
[8] | Andaleeb SS, Siddiqui N, Khandakar S. Patient satisfaction with health services in Bangladesh. Health Policy Plan. 2007; 22(4): 263-273. |
[9] | Hossain N, Osman FA. Politics and governance in the social sectors in Bangladesh, 1991-2006. Research and Evaluation Division, BRAC; 2007 Nov. Available from: |
[10] | Andaleeb SS. Service quality in public and private hospitals in urban Bangladesh: a comparative study. Health Policy. 2000; 53(1): 25-37. |
[11] |
World Health Organization. WHO Recommendations: Intrapartum Care for a Positive Childbirth Experience. Geneva, Switzerland: World Health Organization, 2018. Available from:
http://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/ |
[12] |
Sudhinaraset, M., Treleaven, E., Melo, J., Singh, K. and Diamond-Smith, N., Women‘s status and experiences of mistreatment during childbirth in Uttar Pradesh: a mixed methods study using cultural health capital theory. BMC pregnancy and childbirth, 2016. 16(1), pp. 1-12. Available from:
https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-1124-4 |
[13] | Ayoubi S, Pazandeh F, Simbar M, Moridi M, Zare E, Potrata B. A questionnaire to assess women's perception of respectful maternity care (WP-RMC): Development and psychometric properties. Midwifery. 2020; 80: 102573. |
[14] | World Health Organization, 2014. WHO recommendations on postnatal care of the mother and newborn. World Health Organization. Available from: |
[15] | Singh, P. K., Rai, R. K., Alagarajan, M., Singh, L., & Chauhan, R. K. Determinants of maternity care services utilization among married adolescents in rural India. PloS One, 2018, 13(2), e0192056. |
[16] | Tunçalp, Ö., Were, W., MacLennan, C., Oladapo, O., Gülmezoglu, A., Bahl, R., & Daelmans, B. Quality of care for pregnant women and newborns-the WHO vision. BJOG: An International Journal of Obstetrics & Gynaecology, 2016, 123(13), 199-200. |
[17] |
Kruk ME, Gage AD, Arsenault C, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018 Nov; 6(11): e1196-e1252. Available from:
https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(18)30386-3/fulltext |
[18] | Bohren MA, Hofmeyr GJ, Sakala C, Fukuzawa RK, Cuthbert A. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2017; 7(7): CD003766. Published 2017 Jul 6. |
[19] |
Warren, C. E., Njue, R., & Ndwiga, C. Manifestations and drivers of mistreatment of women during childbirth in Kenya: implications for measurement and developing interventions. BMC Pregnancy and Childbirth, 2019, 19(1), 1-15. Available from:
https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-017-1288-6 |
[20] | McLachlan HL, Forster DA, Davey MA, et al. Effects of continuity of care by a primary midwife (caseload midwifery) on caesarean section rates in women of low obstetric risk: the COSMOS randomised controlled trial. BJOG. 2012; 119(12): 1483-1492. |
APA Style
Moni, M. K., Noor, I. N., Tripty, N. N., Sarmin, T., Joty, A. T., et al. (2024). Exploring Maternity Care Variations: Model vs. Non-Model Hospital in Bangladesh. American Journal of Health Research, 12(3), 44-51. https://doi.org/10.11648/j.ajhr.20241203.11
ACS Style
Moni, M. K.; Noor, I. N.; Tripty, N. N.; Sarmin, T.; Joty, A. T., et al. Exploring Maternity Care Variations: Model vs. Non-Model Hospital in Bangladesh. Am. J. Health Res. 2024, 12(3), 44-51. doi: 10.11648/j.ajhr.20241203.11
AMA Style
Moni MK, Noor IN, Tripty NN, Sarmin T, Joty AT, et al. Exploring Maternity Care Variations: Model vs. Non-Model Hospital in Bangladesh. Am J Health Res. 2024;12(3):44-51. doi: 10.11648/j.ajhr.20241203.11
@article{10.11648/j.ajhr.20241203.11, author = {Mahfuja Khatun Moni and Irfan Nowrose Noor and Nabila Nusrat Tripty and Tanjina Sarmin and Afroza Tasnim Joty and Sadia Haque Suchona and Deb Dulal Dey Parag and Tarim Mahmood}, title = {Exploring Maternity Care Variations: Model vs. Non-Model Hospital in Bangladesh }, journal = {American Journal of Health Research}, volume = {12}, number = {3}, pages = {44-51}, doi = {10.11648/j.ajhr.20241203.11}, url = {https://doi.org/10.11648/j.ajhr.20241203.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20241203.11}, abstract = {Introduction: Maternal healthcare is a critical component of public health systems worldwide, aiming to safeguard the health and well-being of mothers and infants during pregnancy, childbirth, and the postpartum period. Aim of the study: The aim of this study is to conduct a comparative analysis of maternity care services between a selected model district hospital and a non-model district hospital in Bangladesh. Methods: A cross sectional study was conducted over a period of 12 months starting from January to December 2020 at two district hospitals of Rangpur Division named Kurigram District Hospital (250 bedded Model hospital) and Lalmonirhat district hospital (100 bedded Non -Model hospital) among the mothers who had institutional delivery during the study period. Result: In the model district hospital majority 93.3% of mothers received an explanation of possible events that might occur during childbirth, compared to only 10.0% in the non-model district hospital. In the model district hospital, 86.7% of mothers received regular monitoring and were informed time to time, compared to only 6.7% in the non-model district hospital. In the model district hospital, 80.0% of mothers received information about their general physical condition at discharge, compared to only 13.3% in the non-model district hospital. This difference is highly significant (p-value = 0.00), with an odds ratio of 26 respectively. Conclusion: In conclusion, the comparative analysis of maternity care services between model and non-model district hospitals in Bangladesh offers valuable insights into the complexities of maternal healthcare delivery in LMICs. }, year = {2024} }
TY - JOUR T1 - Exploring Maternity Care Variations: Model vs. Non-Model Hospital in Bangladesh AU - Mahfuja Khatun Moni AU - Irfan Nowrose Noor AU - Nabila Nusrat Tripty AU - Tanjina Sarmin AU - Afroza Tasnim Joty AU - Sadia Haque Suchona AU - Deb Dulal Dey Parag AU - Tarim Mahmood Y1 - 2024/06/29 PY - 2024 N1 - https://doi.org/10.11648/j.ajhr.20241203.11 DO - 10.11648/j.ajhr.20241203.11 T2 - American Journal of Health Research JF - American Journal of Health Research JO - American Journal of Health Research SP - 44 EP - 51 PB - Science Publishing Group SN - 2330-8796 UR - https://doi.org/10.11648/j.ajhr.20241203.11 AB - Introduction: Maternal healthcare is a critical component of public health systems worldwide, aiming to safeguard the health and well-being of mothers and infants during pregnancy, childbirth, and the postpartum period. Aim of the study: The aim of this study is to conduct a comparative analysis of maternity care services between a selected model district hospital and a non-model district hospital in Bangladesh. Methods: A cross sectional study was conducted over a period of 12 months starting from January to December 2020 at two district hospitals of Rangpur Division named Kurigram District Hospital (250 bedded Model hospital) and Lalmonirhat district hospital (100 bedded Non -Model hospital) among the mothers who had institutional delivery during the study period. Result: In the model district hospital majority 93.3% of mothers received an explanation of possible events that might occur during childbirth, compared to only 10.0% in the non-model district hospital. In the model district hospital, 86.7% of mothers received regular monitoring and were informed time to time, compared to only 6.7% in the non-model district hospital. In the model district hospital, 80.0% of mothers received information about their general physical condition at discharge, compared to only 13.3% in the non-model district hospital. This difference is highly significant (p-value = 0.00), with an odds ratio of 26 respectively. Conclusion: In conclusion, the comparative analysis of maternity care services between model and non-model district hospitals in Bangladesh offers valuable insights into the complexities of maternal healthcare delivery in LMICs. VL - 12 IS - 3 ER -