Maternal mortality in Bangladesh was 320 per 100,000 live births between the years of 1998 and 2000. Utilization of maternal health services remains low in the low-resource countries like Bangladesh. This study attempts to evaluate the levels, patterns, and trends of utilization of antenatal care (ANC) services in Bangladesh. This is a descriptive study based on national surveys of Bangladesh Demographic and Health Survey (BDHS) 2007, 2004, 1999-2000, 1996-1997, and 1993-1994. Bangladeshi women reported low utilization of ANC. Approximately 52% of women received antenatal care from medically trained providers in 2007. The median number of ANC visits was 3.1 in 2007. About 63% of women were not informed about the signs of pregnancy complications. The proportion of women who received ANC services and information on the signs of pregnancy complications as well as the median number of ANC visits showed an increase in 2007 compared with 2004.
Introduction: Immunization, as a process of fighting against the COVID-19, has gained important research appeal, but very limited endeavor has been paid for vaccine behavioral studies in underdeveloped and developing countries. This study explores the vaccine demand, hesitancy, and nationalism as well as vaccine acceptance and domestic vaccine preference among young adults in Bangladesh. Methodology: This quantitative study followed the snowball sampling technique and collected responses from 1,018 individuals from various social media platforms. The analysis covered both descriptive and inferential statistics including chi-square, F-statistic, and logistic regression. Results: The findings of the fully-adjusted regression model suggest that the individuals who had more vaccine demand were 3.29 times (95% confidence interval = 2.39-4.54; p < 0.001) higher to accept vaccine compared to those who had no vaccine demand. Conversely, vaccine hesitancy was negatively associated with vaccine acceptance. Here, the odds ratio was found 0.70 (95% confidence interval = 0.62-0.80; p < 0.001), which means that those who had higher vaccine hesitancy were about 30% less likely to accept vaccines than those who had no hesitancy. In addition, the persons who had vaccine nationalism were 1.75 times (95% confidence interval = 1.62-1.88; p < 0.001) more prone to prefer domestic vaccine. Conclusions: This study suggests that policymakers may take initiatives for making people aware and knowledgeable about the severity and vulnerability to specific health threats. In this concern, perception and efficacy-increasing programs may take part in increasing protection motivation behaviors like vaccine acceptance and (domestic) vaccine preference.
Background: Though some studies show the association between intimate partner violence and pregnancy complications in developed countries, the association remains understudied in less developed and low-income settings. This study examines the association of physical and sexual violence with pregnancy complications among women in Afghanistan. Methods: This study used the data from the 2015 Afghanistan Demographic and Health Survey (AfDHS). The analysis included 7229 women aged between 15 and 49 and used logistic regression to show the association of physical and sexual violence with pregnancy compilations. The analysis controlled for some potential variables and followed complex survey design factors such as strata, clusters, and survey weights. Results: Fully adjusted regression model shows that the women who experienced physical violence were 21% (adjusted odds ratio [OR]=1.21; confidence interval [CI]=0.98, 1.50; P<0.1) more likely to endure pregnancy complications compared to those who did not face the violence. Likewise, the women experiencing sexual violence were 89% (adjusted OR=1.89; CI=1.37, 2.62; P<0.01) higher to face pregnancy complications than those who did not face any of sexual violence. More specifically, physically and sexually violated women were highly prey to the complications that increased with the increment of the violence. Conclusion: This study adds that policymakers may formulate policies for ensuring 3C (caring couple counselling) by readdressing couple relationships, raising gender rights and awareness, providing reproductive health literacy, and increasing mental health awareness during pregnancy.
Background: In the age of extreme importance of schooling education, deschooled learning has received less importance. The purpose of this study is to explore deschooled learning and its effectiveness on preventive behaviors and mental health conditions of students in Bangladesh.Methods: This study was designed following the quantitative method, and 1,085 responses were collected from social media platforms, using the snowball sampling technique. Binary logistic regression was used to measure and infer the proposed association.Results: As per fully-adjusted regression models, the individuals who had more deschooled learning were 1.667 times (95% CI= 1.191, 2.332; P= 0.01) and 1.426 times (95% CI= 1.038, 1.958; P= 0.05) more likely to prevent contact from symptomatic and asymptomatic carriers, respectively. Moreover, the persons with higher deschooled learning were more likely to have better mental health conditions including less fear (B= -0.462; 95% CI= -0.955, 0.030; P= 0.1), lower anxiety (B= -0.482; 95% CI= -0.844, -0.119; P= 0.01), and more perceived vulnerability (B= 1.292; 95% CI= 0.497, 2.087; P= 0.01). Conclusion: This study adds that policymakers may formulate health plans and policies for initiating informal health literacy (IHL) that may help increase deschooled learning and informal knowledge among individuals especially during a pandemic situation (like COVID-19) and help them to be safe by adopting preventive behaviors and maintaining better mental health conditions in low-income settings like Bangladesh.
Background: In the age of extreme importance of schooling education, deschooled learning has received less importance. The purpose of this study is to explore deschooled learning and its effectiveness on preventive behaviors and mental health conditions of students in Bangladesh.Methods: This study was designed following the quantitative method, and 1,085 responses were collected from social media platforms, using the snowball sampling technique. Binary logistic regression was used to measure and infer the proposed association.Results: As per fully-adjusted regression models, the individuals who had more deschooled learning were 1.667 times (95% CI= 1.191, 2.332; P= 0.01) and 1.426 times (95% CI= 1.038, 1.958; P= 0.05) more likely to prevent contact from symptomatic and asymptomatic carriers, respectively. Moreover, the persons with higher deschooled learning were more likely to have better mental health conditions including less fear (B= -0.462; 95% CI= -0.955, 0.030; P= 0.1), lower anxiety (B= -0.482; 95% CI= -0.844, -0.119; P= 0.01), and more perceived vulnerability (B= 1.292; 95% CI= 0.497, 2.087; P= 0.01). Conclusion: This study adds that policymakers may formulate health plans and policies for initiating informal health literacy (IHL) that may help increase deschooled learning and informal knowledge among individuals especially during a pandemic situation (like COVID-19) and help them to be safe by adopting preventive behaviors and maintaining better mental health conditions in low-income settings like Bangladesh.
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