Economic consequences of maternal illness in rural Bangladesh

Health Econ. 2012 Jul;21(7):796-810. doi: 10.1002/hec.1749. Epub 2011 May 9.


We use panel data on household consumption combined with information taken from the medical records of women who gave birth in health facilities to explore the economic consequences of maternal ill health, in the context of a rural population in Bangladesh. The findings suggest that there is a large reduction in household resources associated with maternal illness, driven almost entirely by spending on health care. In spite of this loss of resources, we find that households are able to fully insure consumption against maternal ill health, although confidence intervals are unable to rule out a small effect. Households in our study area are shown to have good access to informal credit (whether it be from local money lenders or family relatives), and this appears critical in helping to smooth consumption in response to these health shocks, at least in the short term.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Bangladesh / epidemiology
  • Cost of Illness
  • Female
  • Financing, Personal / economics*
  • Health Care Costs / statistics & numerical data
  • Health Expenditures / statistics & numerical data
  • Health Status*
  • Humans
  • Maternal Welfare / economics*
  • Patient Acceptance of Health Care / statistics & numerical data
  • Pregnancy
  • Pregnancy Complications / economics*
  • Rural Health Services / economics*
  • Rural Population / statistics & numerical data
  • Socioeconomic Factors