Background High maternal mortality is still a significant public health challenge in many countries of the South-Asian region. The majority of maternal deaths occur due to pregnancy and delivery-related complications, which can mostly be prevented by safe facility delivery. Due to the paucity of existing evidence, our study aimed to examine the factors associated with place of delivery, including women’s preferences for such in three selected South-Asian countries. Methods We extracted data from the most recent demographic and health surveys (DHS) conducted in Bangladesh (2014), Nepal (2016), and Pakistan (2017–18) and analyzed to identify the association between the outcome variable and socio-demographic characteristics. A total of 16,429 women from Bangladesh (4278; mean age 24.57 years), Nepal (3962; mean age 26.35 years), and Pakistan (8189; mean age 29.57 years) were included in this study. Following descriptive analyses, bivariate and multivariate logistic regressions were conducted. Results Overall, the prevalence of facility-based delivery was 40%, 62%, and 69% in Bangladesh, Nepal, and Pakistan, respectively. Inequity in utilizing facility-based delivery was observed for women in the highest wealth quintile. Participants from Urban areas, educated, middle and upper household economic status, and with high antenatal care (ANC) visits were significantly associated with facility-based delivery in all three countries. Interestingly, watching TV was also found as a strong determinant for facility-based delivery in Bangladesh (aOR = 1.31, 95% CI:1.09–1.56, P = 0.003), Nepal (aOR = 1.42, 95% CI:1.20–1.67, P<0.001) and Pakistan (aOR = 1.17, 95% CI: 1.03–1.32, P = 0.013). Higher education of husband was a significant predictor for facility delivery in Bangladesh (aOR = 1.73, 95% CI:1.27–2.35, P = 0.001) and Pakistan (aOR = 1.19, 95% CI: 0.99–1.43, P = 0.065); husband’s occupation was also a significant factor in Bangladesh (aOR = 1.30, 95% CI:1.04–1.61, P = 0.020) and Nepal (aOR = 1.26, 95% CI:1.01–1.58, P = 0.041). Conclusion Our findings suggest that the educational status of both women and their husbands, household economic situation, and the number of ANC visits influenced the place of delivery. There is an urgent need to promote facility delivery by building more birthing facilities, training and deployment of skilled birth attendants in rural and hard-to-reach areas, ensuring compulsory female education for all women, encouraging more ANC visits, and providing financial incentives for facility deliveries. There is a need to promote facility delivery by encouraging health facility visits through utilizing social networks and continuing mass media campaigns. Ensuring adequate Government funding for free maternal and newborn health care and local community involvement is crucial for reducing maternal and neonatal mortality and achieving sustainable development goals in this region.

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Background Anaemia is a significant public health problem in most South-Asian countries, causing increased maternal and child mortality and morbidity. This study aimed to estimate the prevalence of and factors associated with anaemia in women of reproductive age in Bangladesh, Maldives, and Nepal. Methods We used the nationally-representative Demographic and Health Surveys Program data collected from women of reproductive age (15–49 years) in 2011 in Bangladesh (n = 5678), 2016 in Maldives (n = 6837), and 2016 in Nepal (n = 6419). Anaemia was categorized as mild (haemoglobin [Hb] of 10.0–10.9 g/dL for pregnant women and 11.0–11.9 g/dL for non-pregnant women), moderate (Hb of 7.0–9.9 g/dL for pregnant women and 8.0–10.9 g/dL for non-pregnant women), and severe (Hb <7.0 g/dL for pregnant women and <8.0 g/dL for non-pregnant women). Multinomial logistic regression analyses were used to identify factors associated with anaemia. Results The prevalence of anaemia was 41.8% in Bangladesh, 58.5% in Maldives, and 40.6% in Nepal. In Bangladesh, postpartum amenorrhoeic, non-educated, and pregnant women were more likely to have moderate/severe anaemia compared to women who were menopausal, had secondary education, and were not pregnant, respectively. In Maldives, residence in urban areas, underweight, having undergone female sterilization, current pregnancy, and menstruation in the last six weeks were associated with increased odds of moderate/severe anaemia. In Nepal, factors associated with increased odds of moderate/severe anaemia were having undergone female sterilization and current pregnancy. Conclusion Anaemia remains a significant public health issue among 15-49-year-old women in Bangladesh, Maldives, and Nepal, which requires urgent attention. Effective policies and programmes for the control and prevention of anaemia should take into account the unique factors associated with anaemia identified in each country. In all three countries, strategies for the prevention and control of anaemia should particularly focus on women who are pregnant, underweight, or have undergone sterilization.

Background: The prevalence of loneliness confirms its commonness among older adults which leads to further functional declination, of physical and mental health along with disability and the last result is to be death. Thus, this study was undertaken with a view to examining the potential risk factors for loneliness in aging population in Bangladesh which is responsible for its prevalence. Methods: Data gathered for this cross-sectional study from 517 older adults' older adults in Meherpur district, Bangladesh. The level of loneliness was assessed using short version (6-items) of De Jong Gierveld Loneliness Scale and the depression was measure with the help of 15-items geriatric depression scale (GDS). Chi-square test was run to find out the possible associated factors for loneliness and multivariate multinomial logistic regression model was performed to predict the significant risk factors. Results: The overall prevalence of loneliness found 54.3% whereas 41% felt 'sometimes' and 13.3% had feeling of 'always' loneliness. In bivariate model, except place of residence, all other selected characteristics were significantly associated with increasing of loneliness. In adjusted analysis, gender, marital status, living status, hearing-visual impairment, depression, concern about falling were found as the statistically significantly risk factors for causing of different degrees of loneliness. Conclusion: Study connotes the prevalence of loneliness among aged people of Bangladesh and their associated risk factors. Results of this study would be assistive to reduce the prevalence of loneliness and helpful for geriatric policy implications.

Malnutrition is a major health problem in developing countries and it affects childhood growth. Data from the 2014 Bangladesh Demographic and Health Survey were used in this study to explore the rural-urban disparities of malnutrition in children aged 0-59 months. Findings revealed that the prevalence of stunting, underweight and wasting were respectively as 39.6%, 35.7% and 16.7% for the rural children and 32.4%, 27.9% and 13.0% for the urban children. Both moderate and severe malnutrition were significantly higher in rural than urban community, and rural children ran about 1.3 times higher risk of becoming malnourished than their urban counterparts. The height and weight of children, mother's BMI, parents' education and family wealth index were found to be the significant factors associated with differentials at rural-urban malnutrition. Appropriate socioeconomic development, antenatal care in pregnancy and poverty reduction programs with a special emphasis on rural community would reduce the overall rural-urban inequality.