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. 2025 May 3;37:100590. doi: 10.1016/j.lansea.2025.100590

Table 2.

Utilisation rate, out-of-pocket payment (OOP, in Bangladeshi Taka [BDT]), and benefit incidence of delivery care at public facilities by wealth quintiles.

Characteristics Wealth quintile Number women utilising public facilities (1) Utilisation rate by wealth quintile (2) Median OOP expenditure in public facilities reported by participants (3) Median cost of service in private facilities reported by participants (4) Net subsidy at public facilities (5 = 4−3) Individual subsidy (6 = 5 × 2) Benefit incidence (%) (7 = 6/total individual subsidy x100)
Overall Poorest 200 0.22 5000 20,000 15,000 3348 24.49
Poorer 171 0.19 5000 20,000 15,000 2863 20.94
Middle 192 0.21 6000 20,000 14,000 3000 21.94
Richer 193 0.22 8000 20,000 12,000 2585 18.91
Richest 140 0.16 8000 20,000 12,000 1875 13.72
Level of care
 Primary Poorest 99 0.27 3000 20,000 17,000 4624 28.85
Poorer 73 0.20 3500 20,000 16,500 3309 20.65
Middle 66 0.18 4000 20,000 16,000 2901 18.10
Richer 77 0.21 5000 20,000 15,000 3173 19.80
Richest 49 0.13 5000 20,000 15,000 2019 12.60
 Secondary Poorest 77 0.22 7000 20,000 13,000 2852 23.93
Poorer 66 0.19 7000 20,000 13,000 2444 20.51
Middle 90 0.26 7000 20,000 13,000 3333 27.97
Richer 66 0.19 10,000 20,000 10,000 1880 15.78
Richest 52 0.15 10,500 20,000 9500 1407 11.81
 Tertiary Poorest 24 0.13 6000 20,000 14,000 1856 20.29
Poorer 32 0.18 10,000 20,000 10,000 1768 19.32
Middle 36 0.20 10,000 20,000 10,000 1989 21.74
Richer 50 0.28 15,000 20,000 5000 1381 15.10
Richest 39 0.22 10,000 20,000 10,000 2155 23.55
Residence
 Urban Poorest 84 0.25 5000 20,000 15,000 3772 31.66
Poorer 74 0.22 5000 20,000 15,000 3323 27.89
Middle 65 0.19 7000 20,000 13,000 2530 21.23
Richer 69 0.21 15,000 20,000 5000 1033 8.67
Richest 42 0.13 10,000 20,000 10,000 1257 10.55
 Rural Poorest 116 0.21 4500 20,000 15,500 3199 21.37
Poorer 97 0.17 5000 20,000 15,000 2589 17.29
Middle 127 0.23 5000 20,000 15,000 3390 22.64
Richer 124 0.22 5000 20,000 15,000 3310 22.10
Richest 98 0.17 5750 20,000 14,250 2485 16.60
Mode of delivery
 Vaginal delivery Poorest 151 0.26 3000 7000 4000 1050 35.85
Poorer 113 0.20 3500 7000 3500 688 23.47
Middle 127 0.22 4500 7000 2500 552 18.84
Richer 113 0.20 5000 7000 2000 393 13.41
Richest 71 0.12 5000 7000 2000 247 8.43
 Caesarean section Poorest 49 0.15 15,000 22,000 7000 1069 18.50
Poorer 58 0.18 16,250 22,000 5750 1039 17.98
Middle 65 0.20 15,000 22,000 7000 1417 24.53
Richer 80 0.25 19,000 22,000 3000 748 12.94
Richest 69 0.21 15,000 22,000 7000 1505 26.04
Educational attainment
 <10 years Poorest 173 0.28 5000 20,000 15,000 4185 29.66
Poorer 131 0.21 5000 20,000 15,000 3169 22.46
Middle 135 0.22 6000 20,000 14,000 3048 21.60
Richer 117 0.19 8000 20,000 12,000 2265 16.05
Richest 64 0.10 6000 20,000 14,000 1445 10.24
 ≥10 years Poorest 27 0.10 5000 21,000 16,000 1565 12.20
Poorer 40 0.14 5000 21,000 16,000 2319 18.07
Middle 57 0.21 7000 21,000 14,000 2891 22.53
Richer 76 0.28 10,000 21,000 11,000 3029 23.60
Richest 76 0.28 10,000 21,000 11,000 3029 23.60

Note: Opportunity gap may impact educational attainment. US$ 1 = 121 BDT (as of April 10, 2025).