{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:55:54Z","timestamp":1791186954552,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Over the past decade, Bangladesh has made significant gains in maternal and child health, driven by investments in community\u2010based services, education, and targeted public health interventions. However, disparities in service access and a growing burden of non\u2010communicable diseases (NCDs) continue to undermine the promise of universal and equitable care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This perspective provides a policy\u2010oriented, interceptive synthesis of progress and persistent gaps in five critical domains\u2014maternal care, child nutrition, family planning, immunization, and hypertension\u2014by analyzing population\u2010level data from the Bangladesh Demographic and Health Surveys (BDHS) 2017\u20132018 and 2022. It aims to identify the systemic drivers of health inequity and offer evidence\u2010informed policy recommendations to bridge the divide between national averages and marginalized subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between 2017 and 2022, national gains in maternal care and stunting reduction were notable. However, these aggregate successes mask persistent disparities; access to skilled birth attendance and antenatal care remains heavily stratified by education and wealth, with gaps exceeding 40% in some cohorts. While immunization coverage has reached a stabilization phase, hypertension prevalence is rising, with control rates alarmingly low among rural, uneducated, and socioeconomically disadvantaged groups. This dual burden of stalled progress in traditional health domains and an increasing NCD burden highlights a critical misalignment between existing service delivery and the needs of an evolving population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bangladesh's health system must pivot from fragmented vertical programs toward an integrated, equity\u2010first model. Closing persistent gaps requires prioritizing NCD integration into primary healthcare, scaling digital registries to target \u201czero\u2010dose\u201d children, and institutionalizing equity monitoring. Without a bold, equity\u2010driven transformation, these disparities will jeopardize the sustainability of past gains and compromise the country's ability to achieve universal health coverage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73160","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T06:33:23Z","timestamp":1788158003000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bridging Equity Gaps in Maternal and NCD Services: Policy Priorities for Bangladesh's Evolving Health Landscape"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7548-2747","authenticated-orcid":false,"given":"Abdullaha Al","family":"Mamun","sequence":"first","affiliation":[{"name":"Chittagong Medical College Chattogram Chattogram Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62147-9"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60703-9"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62148-0"},{"key":"e_1_2_11_5_1","volume-title":"Mitra and Associates, ICF International. 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Nearly Half a Million Children in Bangladesh Miss Full Immunization Despite 81.6% Coverage: Gavi UNICEF and WHO Urge Immediate Action for Equity2025 https:\/\/www.gavi.org\/news\/media-room\/nearly-half-million-children-bangladesh-miss-full-immunization-despite-816-coverage."},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2024.101164"},{"key":"e_1_2_11_22_1","volume-title":"The Burden of Malnutrition at a Glance","author":"Global Nutrition Report"},{"key":"e_1_2_11_23_1","unstructured":"UNICEF South Asia. UNICEF Commends Bhutan for Vaccinating Almost All Children With Life\u2010Saving Vaccines in Historic Feat.2024."},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvacx.2019.100016"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/sexes1010005"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.53730\/ijhs.v6ns2.6440"},{"key":"e_1_2_11_27_1","unstructured":"World Health Organization (WHO). 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