Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jul 29:2022:1359572.
doi: 10.1155/2022/1359572. eCollection 2022.

Determinants and Trends of Health Facility Delivery in Bangladesh: A Hierarchical Modeling Approach

Samia Kabir  1 , Md Rifat Hasan  1 , Md Ismail Hossain  1 , Sharmin Suraiya  2 , Fiza Binta Islam  1 , Md Iqbal Hossain Nayan  2 , Iqramul Haq  3 , Md Sanwar Hossain  1
Affiliations

Determinants and Trends of Health Facility Delivery in Bangladesh: A Hierarchical Modeling Approach

Samia Kabir et al. Biomed Res Int. .

Abstract

Background: Most maternal deaths occur during childbirth and after childbirth. This study was aimed at determining the trends of health facilities during delivery in Bangladesh, as well as their influencing factors.

Methods: This study used secondary data from three Bangladesh Multiple Indicator Cluster Surveys (MICSs) in 2006, 2012-13, and 2019. The study's target sample was those women who gave birth in the last two years of the survey. A two-level logistic regression was applied to determine the effects on health facility delivery separately in these two survey points (MICSs 2012-13 and 2019).

Results: The results show that the delivery of health facilities has increased by almost 37.4% in Bangladesh, from 16% in 2006 to 53.4% in 2019. The results of two-level logistic regression show that the total variation in health facility delivery across the community has decreased over recent years. After adding community variables, various individual-level factors such as women with secondary education (OR = 0.55 in 2012-13 vs. OR =0.60 in 2019), women from middle wealth status (OR = 0.49 in 2012-13 vs. OR = 0.65 in 2019), religion, and child ever born showed a strong relationship with health facility delivery in both survey years. At the community level, residents showed significant association only in the 2012-13 survey and indicated a 43% (OR = 1.43 for 2012-13) greater availability of health facilities in urban residences than in rural residences. Using media showed a highly significant connection with health facility delivery in both years as well as an increasing trend over the years in Bangladesh (OR = 1.19 in 2012-13 vs. OR = 1.38 in 2019). However, division, prenatal care, and skilled services all contribute greatly to increasing the delivery of health facilities in Bangladesh.

Conclusions: The results of this study suggest that policymakers need to pay attention to individual and community-level factors, especially women's education, poverty reduction, and adequate prenatal care provided by well-trained caregivers.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Study population and sample selection procedure for this study.
Figure 2
Figure 2
Trend of using health facilities during the delivery period in Bangladesh.
Figure 3
Figure 3
Geographical trends of health facility delivery in Bangladesh.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. UNICEF. Maternal mortality - UNICEF DATA. UNICEF DATA [Internet] 2017 [cited 29 Jul 2021]. Available: https://data.unicef.org/topic/maternal-health/maternal-mortality/
    1. Frempong-Ainguah F., Bailey C. E., Hill A. G. Women’s health status in urban Ghana: dimensions and differentials using short form 36. Health and Quality of Life Outcomes . 2018;16(1, article 894):p. 74. doi: 10.1186/s12955-018-0894-y. - DOI - PMC - PubMed
    1. Anwar S., Nasrullah M., Hosen M. J. COVID-19 and Bangladesh: challenges and how to address them. Frontiers in Public Health . 2020;8, article 154 doi: 10.3389/fpubh.2020.00154. - DOI - PMC - PubMed
    1. Joarder T., Chaudhury T. Z., Mannan I. Universal health coverage in Bangladesh: activities, challenges, and suggestions. Advances in Public Health. . 2019;2019, article 4954095:1–12. doi: 10.1155/2019/4954095. - DOI - PMC - PubMed
    1. Al-Zaman M. S. Healthcare crisis in Bangladesh during the COVID-19 pandemic. The American Journal of Tropical Medicine and Hygiene. . 2020;103(4):1357–1359. doi: 10.4269/ajtmh.20-0826. - DOI - PMC - PubMed

LinkOut - more resources