Exploring Maternity Care Variations: Model vs. Non-Model Hospital in Bangladesh

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.