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Open Access 01-12-2023 | Research

The effects of spousal migration on perinatal healthcare utilization

Authors: Angubeen Gul Khan, Heidi West, Abdur Razzaque, Randall Kuhn

Published in: BMC Pregnancy and Childbirth | Issue 1/2023

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Abstract

Over the last three decades, out-migration has become a stable source of income for more than 12 million Bangladeshis. Of those migrants, 90% are men. Due to patriarchal cultural norms in Bangladeshi society, the migration of a male spouse may have significant consequences for the social well-being and health of left-behind women. In this study, we examine the impact of external (out of country) and internal (rural to urban) spousal migration on the perinatal healthcare utilization of left-behind women. We used data from the 2012 Matlab Health and Socioeconomic Survey (MHSS2) to examine use of antenatal care, presence of a medically qualified attendant at birth, and delivery at a healthcare facility for live births that occurred between 2007 and 2014 for currently married women aged 15-45 (N = 1,458 births among 1,180 women). Adjusted regression models indicated that for births occurring to women with a migrant spouse, odds of receiving antenatal care were significantly higher (OR: 4.1 for births to women with a domestic urban migrant spouse and 4.6 for births to women with an international migrant spouse, p < 0.01). Spousal migration was not linked to having a medically qualified attendant at birth or delivery at a clinic or hospital. Results suggest that spousal migration may be beneficial for receiving health care during a pregnancy, but not for the type of attendant or place of delivery at birth.
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Literature
1.
go back to reference Koblinsky M, Anwar I, Mridha MK, Chowdhury ME, Botlero R. Reducing maternal mortality and improving maternal health: Bangladesh and MDG 5. J Health Popul Nutr. 2008;26(3):280.PubMedPubMedCentral Koblinsky M, Anwar I, Mridha MK, Chowdhury ME, Botlero R. Reducing maternal mortality and improving maternal health: Bangladesh and MDG 5. J Health Popul Nutr. 2008;26(3):280.PubMedPubMedCentral
2.
go back to reference Haider MR, Rahman MM, Moinuddin M, Rahman AE, Ahmed S, Khan MM. Impact of maternal and neonatal health initiatives on inequity in maternal health care utilization in Bangladesh. PLoS ONE. 2017;12(7): e0181408.PubMedPubMedCentralCrossRef Haider MR, Rahman MM, Moinuddin M, Rahman AE, Ahmed S, Khan MM. Impact of maternal and neonatal health initiatives on inequity in maternal health care utilization in Bangladesh. PLoS ONE. 2017;12(7): e0181408.PubMedPubMedCentralCrossRef
3.
go back to reference Joarder T, Chaudhury TZ, Mannan I. Universal health coverage in Bangladesh: activities, challenges, and suggestions. La Torre G, editor. Adv Public Health. 2019;(2019):4954095. Joarder T, Chaudhury TZ, Mannan I. Universal health coverage in Bangladesh: activities, challenges, and suggestions. La Torre G, editor. Adv Public Health. 2019;(2019):4954095.
4.
go back to reference Molla AA, Chi C. Who pays for healthcare in Bangladesh? An analysis of progressivity in health systems financing. Int J Equity Health. 2017;16(1):1–10.CrossRef Molla AA, Chi C. Who pays for healthcare in Bangladesh? An analysis of progressivity in health systems financing. Int J Equity Health. 2017;16(1):1–10.CrossRef
7.
go back to reference Kuhn RS. A longitudinal analysis of health and mortality in a migrant-sending region of Bangladesh. In: Migration and Health in Asia. Routledge; 2006:177–208. Kuhn RS. A longitudinal analysis of health and mortality in a migrant-sending region of Bangladesh. In: Migration and Health in Asia. Routledge; 2006:177–208.
8.
go back to reference Kuhn R. The effects of fathers’ and siblings’ migration on children’s pace of schooling in rural Bangladesh. Asian Popul Stud. 2006;2(1):69–92.CrossRef Kuhn R. The effects of fathers’ and siblings’ migration on children’s pace of schooling in rural Bangladesh. Asian Popul Stud. 2006;2(1):69–92.CrossRef
11.
go back to reference Davies AA, Basten A, Frattini C. Migration: a social determinant of the health of migrants. Eurohealth. 2009;16(1):10–2. Davies AA, Basten A, Frattini C. Migration: a social determinant of the health of migrants. Eurohealth. 2009;16(1):10–2.
12.
go back to reference Edelblute HB, Clark S, Mann L, McKenney KM, Bischof JJ, Kistler C. Promotoras across the border: A pilot study addressing depression in Mexican women impacted by migration. J Immigr Minor Health. 2014;16:492–500.PubMedPubMedCentralCrossRef Edelblute HB, Clark S, Mann L, McKenney KM, Bischof JJ, Kistler C. Promotoras across the border: A pilot study addressing depression in Mexican women impacted by migration. J Immigr Minor Health. 2014;16:492–500.PubMedPubMedCentralCrossRef
13.
go back to reference Jin Y, Qin Q, Zhan S, Yu X, Liang L, Huang F. Depressive symptoms were prevalent among left-behind women in Ma’anshan, China. J Nerv Ment Dis. 2016;204(3):226–32.PubMedCrossRef Jin Y, Qin Q, Zhan S, Yu X, Liang L, Huang F. Depressive symptoms were prevalent among left-behind women in Ma’anshan, China. J Nerv Ment Dis. 2016;204(3):226–32.PubMedCrossRef
14.
go back to reference Siriwardhana C, Wickramage K, Siribaddana S, et al. Common mental disorders among adult members of ‘left-behind’international migrant worker families in Sri Lanka. BMC Public Health. 2015;15(1):299.PubMedPubMedCentralCrossRef Siriwardhana C, Wickramage K, Siribaddana S, et al. Common mental disorders among adult members of ‘left-behind’international migrant worker families in Sri Lanka. BMC Public Health. 2015;15(1):299.PubMedPubMedCentralCrossRef
15.
go back to reference Sultana A. Visiting husbands: Issues and challenges of women left behind. Pak J Womens Stud= Alam-e-Niswan= Alam-i Nisvan. 2014;21(1):57. Sultana A. Visiting husbands: Issues and challenges of women left behind. Pak J Womens Stud= Alam-e-Niswan= Alam-i Nisvan. 2014;21(1):57.
16.
go back to reference Yi J, Zhong B, Yao S. Health-related quality of life and influencing factors among rural left-behind wives in Liuyang. China BMC Womens Health. 2014;14:1–6. Yi J, Zhong B, Yao S. Health-related quality of life and influencing factors among rural left-behind wives in Liuyang. China BMC Womens Health. 2014;14:1–6.
17.
go back to reference Singh R. Impact of male out-migration on women left behind: A study of two villages in Uttar Pradesh. Remittances Rev. 2018;3(1):75–92.CrossRef Singh R. Impact of male out-migration on women left behind: A study of two villages in Uttar Pradesh. Remittances Rev. 2018;3(1):75–92.CrossRef
18.
go back to reference Hendrickson ZM, Lohani S, Thapaliya Shrestha B, Underwood CR. Talking about reproduction with a migrating spouse: Women’s experiences in Dhading. Nepal Health Care Women Int. 2018;39(11):1234–58.PubMedCrossRef Hendrickson ZM, Lohani S, Thapaliya Shrestha B, Underwood CR. Talking about reproduction with a migrating spouse: Women’s experiences in Dhading. Nepal Health Care Women Int. 2018;39(11):1234–58.PubMedCrossRef
19.
go back to reference West HS, Robbins ME, Moucheraud C, Razzaque A, Kuhn R. Effects of spousal migration on access to healthcare for women left behind: A cross-sectional follow-up study. PLoS ONE. 2021;16(12): e0260219.PubMedPubMedCentralCrossRef West HS, Robbins ME, Moucheraud C, Razzaque A, Kuhn R. Effects of spousal migration on access to healthcare for women left behind: A cross-sectional follow-up study. PLoS ONE. 2021;16(12): e0260219.PubMedPubMedCentralCrossRef
20.
go back to reference Atake EH. The impacts of migration on maternal and child health services utilisation in Sub-Saharan Africa: evidence from Togo. Public Health. 2018;162:16–24.PubMedCrossRef Atake EH. The impacts of migration on maternal and child health services utilisation in Sub-Saharan Africa: evidence from Togo. Public Health. 2018;162:16–24.PubMedCrossRef
21.
go back to reference Amuedo-Dorantes C, Pozo S. Migration, remittances, and male and female employment patterns. Am Econ Rev. 2006;96(2):222–6.CrossRef Amuedo-Dorantes C, Pozo S. Migration, remittances, and male and female employment patterns. Am Econ Rev. 2006;96(2):222–6.CrossRef
22.
go back to reference Khan MI, Valatheeswaran C. International migration, remittances and labour force participation of left-behind family members: A study of Kerala. Margin. 2016;10(1):86–118.CrossRef Khan MI, Valatheeswaran C. International migration, remittances and labour force participation of left-behind family members: A study of Kerala. Margin. 2016;10(1):86–118.CrossRef
23.
go back to reference Lokshin M, Glinskaya E. The effect of male migration on employment patterns of women in Nepal. World Bank Econ Rev. 2009;23(3):481–507.CrossRef Lokshin M, Glinskaya E. The effect of male migration on employment patterns of women in Nepal. World Bank Econ Rev. 2009;23(3):481–507.CrossRef
24.
go back to reference Ali I, Jaleel CA, Maheshwari N, Rahman H. Migration and Maternal Health Care Services Utilisation in Uttar Pradesh. India Soc Sci Spectrum. 2019;4(3):136–46. Ali I, Jaleel CA, Maheshwari N, Rahman H. Migration and Maternal Health Care Services Utilisation in Uttar Pradesh. India Soc Sci Spectrum. 2019;4(3):136–46.
25.
26.
go back to reference West H. Migration, gender, and families: The effects of spousal migration on women’s empowerment (Presentation). Population Association of America Annual Research Meeting. Atlanta, GA. Presented at: Population Association of America; 2022; Atlanta, GA. West H. Migration, gender, and families: The effects of spousal migration on women’s empowerment (Presentation). Population Association of America Annual Research Meeting. Atlanta, GA. Presented at: Population Association of America; 2022; Atlanta, GA.
27.
go back to reference Agadjanian V, Hayford SR. Men’s migration, women’s autonomy, and union dissolution in rural Mozambique. J Fam Issues. 2018;39(5):1236–57.PubMedCrossRef Agadjanian V, Hayford SR. Men’s migration, women’s autonomy, and union dissolution in rural Mozambique. J Fam Issues. 2018;39(5):1236–57.PubMedCrossRef
28.
go back to reference Brink JH. The effect of emigration of husbands of husbands on the status of their wives: An Egyptian case. Int J Middle East Stud. 1991;23(2):201–11.CrossRef Brink JH. The effect of emigration of husbands of husbands on the status of their wives: An Egyptian case. Int J Middle East Stud. 1991;23(2):201–11.CrossRef
29.
go back to reference Desai S, Banerji M. Negotiated identities: male migration and left-behind wives in India. J Popul Res. 2008;25(3):337–55.CrossRef Desai S, Banerji M. Negotiated identities: male migration and left-behind wives in India. J Popul Res. 2008;25(3):337–55.CrossRef
30.
go back to reference Sarker BK, Rahman M, Rahman T, Hossain J, Reichenbach L, Mitra DK. Reasons for preference of home delivery with traditional birth attendants (TBAs) in rural Bangladesh: a qualitative exploration. PLoS ONE. 2016;11(1): e0146161.PubMedPubMedCentralCrossRef Sarker BK, Rahman M, Rahman T, Hossain J, Reichenbach L, Mitra DK. Reasons for preference of home delivery with traditional birth attendants (TBAs) in rural Bangladesh: a qualitative exploration. PLoS ONE. 2016;11(1): e0146161.PubMedPubMedCentralCrossRef
31.
go back to reference Yabiku ST, Agadjanian V, Sevoyan A. Husbands’ labour migration and wives’ autonomy, Mozambique 2000–2006. Popul Stud. 2010;64(3):293–306.CrossRef Yabiku ST, Agadjanian V, Sevoyan A. Husbands’ labour migration and wives’ autonomy, Mozambique 2000–2006. Popul Stud. 2010;64(3):293–306.CrossRef
32.
go back to reference Kumar A. Does Male Out-Migration and Household Structure Matter in Maternal Health Services Utilization in India? Int J Sci Res. 2014;3(8):626–33. Kumar A. Does Male Out-Migration and Household Structure Matter in Maternal Health Services Utilization in India? Int J Sci Res. 2014;3(8):626–33.
33.
go back to reference Nabieva J, Souares A. Factors influencing decision to seek health care: a qualitative study among labour-migrants’ wives in northern Tajikistan. BMC Pregnancy Childbirth. 2019;19(1):1–10.CrossRef Nabieva J, Souares A. Factors influencing decision to seek health care: a qualitative study among labour-migrants’ wives in northern Tajikistan. BMC Pregnancy Childbirth. 2019;19(1):1–10.CrossRef
37.
go back to reference Gupta MD. Life course perspectives on women’s autonomy and health outcomes. Am Anthropol. 1995;97(3):481–91.CrossRef Gupta MD. Life course perspectives on women’s autonomy and health outcomes. Am Anthropol. 1995;97(3):481–91.CrossRef
38.
go back to reference Hannaford DR. Marriage Without Borders: Transnational Spouses in Neoliberal Senegal. University of Pennsylvania/University of Pennsylvania Press; 2017. Hannaford DR. Marriage Without Borders: Transnational Spouses in Neoliberal Senegal. University of Pennsylvania/University of Pennsylvania Press; 2017.
40.
41.
go back to reference Barham T, Champion B, Foster AD, et al. Thirty-five years later: Long-term effects of the Matlab maternal and child health/family planning program on older women’s well-being. Proc Natl Acad Sci. 2021;118(28): e2101160118.PubMedPubMedCentralCrossRef Barham T, Champion B, Foster AD, et al. Thirty-five years later: Long-term effects of the Matlab maternal and child health/family planning program on older women’s well-being. Proc Natl Acad Sci. 2021;118(28): e2101160118.PubMedPubMedCentralCrossRef
42.
go back to reference Fauveau V, editor. Matlab, Women, Children, and Health. Bangladesh: International Centre for Diarrhoeal Disease Research; 1994. Fauveau V, editor. Matlab, Women, Children, and Health. Bangladesh: International Centre for Diarrhoeal Disease Research; 1994.
43.
go back to reference Stinson WS, Phillips JF, Rahman M, Chakraborty J. The demographic impact of the contraceptive distribution project in Matlab, Bangladesh. Stud Fam Plann. 1982;13(5):141–8.PubMedCrossRef Stinson WS, Phillips JF, Rahman M, Chakraborty J. The demographic impact of the contraceptive distribution project in Matlab, Bangladesh. Stud Fam Plann. 1982;13(5):141–8.PubMedCrossRef
44.
go back to reference Khatun M, Akter P, Yunus S, et al. Challenges to implement evidence-based midwifery care in Bangladesh. An interview study with medical doctors mentoring health care providers. Sex Reprod Healthcare. 2022;31:100692.CrossRef Khatun M, Akter P, Yunus S, et al. Challenges to implement evidence-based midwifery care in Bangladesh. An interview study with medical doctors mentoring health care providers. Sex Reprod Healthcare. 2022;31:100692.CrossRef
45.
go back to reference Kikkawa A, Otsuka K. The changing landscape of international migration: evidence from rural households in Bangladesh, 2000–2014. Oxf Dev Stud. 2020;48(3):222–39.CrossRef Kikkawa A, Otsuka K. The changing landscape of international migration: evidence from rural households in Bangladesh, 2000–2014. Oxf Dev Stud. 2020;48(3):222–39.CrossRef
46.
go back to reference Gartaula HN, Visser L, Niehof A. Socio-cultural dispositions and wellbeing of the women left behind: A case of migrant households in Nepal. Soc Indic Res. 2012;108(3):401–20.PubMedCrossRef Gartaula HN, Visser L, Niehof A. Socio-cultural dispositions and wellbeing of the women left behind: A case of migrant households in Nepal. Soc Indic Res. 2012;108(3):401–20.PubMedCrossRef
47.
go back to reference McKenzie S, Menjívar C. The meanings of migration, remittances and gifts: Views of Honduran women who stay. Global Netw. 2011;11(1):63–81.CrossRef McKenzie S, Menjívar C. The meanings of migration, remittances and gifts: Views of Honduran women who stay. Global Netw. 2011;11(1):63–81.CrossRef
49.
go back to reference Green SH, Wang C, Ballakrishnen SS, Brueckner H, Bearman P. Patterned remittances enhance women's health-related autonomy. SSM-Popul Health. 2019;9:100370. Green SH, Wang C, Ballakrishnen SS, Brueckner H, Bearman P. Patterned remittances enhance women's health-related autonomy. SSM-Popul Health. 2019;9:100370.
50.
go back to reference Fernandez-Sanchez H, Salma J, Marquez-Vargas PM, Salami B. Left-behind women in the context of international migration: A scoping review. J Transcult Nurs. 2020;31(6):606–16.PubMedCrossRef Fernandez-Sanchez H, Salma J, Marquez-Vargas PM, Salami B. Left-behind women in the context of international migration: A scoping review. J Transcult Nurs. 2020;31(6):606–16.PubMedCrossRef
51.
go back to reference Ikuomola AD. An exploration of life experiences of left behind wives in Edo State, Nigeria. J Comp Res Anthropol Sociol. 2015;6(01):289–307. Ikuomola AD. An exploration of life experiences of left behind wives in Edo State, Nigeria. J Comp Res Anthropol Sociol. 2015;6(01):289–307.
52.
go back to reference Lenoël A. The, “three ages” of left-behind Moroccan wives: Status, decision-making power, and access to resources. Popul Space Place. 2017;23(8): e2077.CrossRef Lenoël A. The, “three ages” of left-behind Moroccan wives: Status, decision-making power, and access to resources. Popul Space Place. 2017;23(8): e2077.CrossRef
53.
go back to reference McGuire S. Martin K. Fractured migrant families: Paradoxes of hope and devastation. Family and Community Health. Published online; 2007. p. 178–88. McGuire S. Martin K. Fractured migrant families: Paradoxes of hope and devastation. Family and Community Health. Published online; 2007. p. 178–88.
54.
go back to reference Caballero M, Leyva-Flores R, Ochoa-Marín SC, Zarco Á, Guerrero C. Las mujeres que se quedan: migración e implicación en los procesos de búsqueda de atención de servicios de salud. Salud pública de México. 2008;50(3):241–50.PubMedCrossRef Caballero M, Leyva-Flores R, Ochoa-Marín SC, Zarco Á, Guerrero C. Las mujeres que se quedan: migración e implicación en los procesos de búsqueda de atención de servicios de salud. Salud pública de México. 2008;50(3):241–50.PubMedCrossRef
55.
go back to reference Sekhar TV. Male emigration and changes in the family: impact on female sex roles. Indian J Soc Work. 1996;57:277–94. Sekhar TV. Male emigration and changes in the family: impact on female sex roles. Indian J Soc Work. 1996;57:277–94.
56.
go back to reference Perkins JE, Rahman AE, Siddique AB, Haider MR, Banik G, Tahsina T, et al. Opting for home birth in rural Bangladesh: An assessment of the current status and reasons. Birth. 2019;46(2):362–70.PubMedCrossRef Perkins JE, Rahman AE, Siddique AB, Haider MR, Banik G, Tahsina T, et al. Opting for home birth in rural Bangladesh: An assessment of the current status and reasons. Birth. 2019;46(2):362–70.PubMedCrossRef
57.
go back to reference Tasnim S, Rahman A, Shahabuddin AK. Access to skilled care at home during pregnancy and childbirth: Dhaka Bangladesh. Int Q Community Health Educ. 2010;30(1):81–7.CrossRef Tasnim S, Rahman A, Shahabuddin AK. Access to skilled care at home during pregnancy and childbirth: Dhaka Bangladesh. Int Q Community Health Educ. 2010;30(1):81–7.CrossRef
58.
go back to reference Hlady WG, Fauveau VA, Khan SA, Chakraborty J, Yunus M. Utilization of medically-trained birth attendants in rural Bangladesh. Asia Pac J Public Health. 1992;6(1):18–24.PubMedCrossRef Hlady WG, Fauveau VA, Khan SA, Chakraborty J, Yunus M. Utilization of medically-trained birth attendants in rural Bangladesh. Asia Pac J Public Health. 1992;6(1):18–24.PubMedCrossRef
Metadata
Title
The effects of spousal migration on perinatal healthcare utilization
Authors
Angubeen Gul Khan
Heidi West
Abdur Razzaque
Randall Kuhn
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2023
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-023-05590-w

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