A multilevel assessment of the influence of education on women's uptake of institutional delivery services during childbirth in Bangladesh

Khan, Jahidur Rahman; Ara, Tasnim; Rahman, Md. Mahabubur; Hossain, Mohammed Anwar; Muurlink, Olav

doi:10.1016/j.midw.2022.103425

Cited by 2 publications

(3 citation statements)

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“…These highly educated women were more likely to be informed and knowledgeable about health-related issues. This finding is consistent with previous studies [20,[24][25][26][27]. Earlier research had also indicated that mothers with higher economic status were more inclined to choose hospital deliveries [28,29].…”

Section: Discussionsupporting

confidence: 92%

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Determinants of Institutional Delivery in Bangladesh: A Multilevel Analysis of a Nationwide Population-Based Survey

Ireen,

Soni,

Tareq

et al. 2023

AJPAS

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Background: A substantial number of mothers and infants lose their lives due to complications during childbirth. Institutional delivery can lower the number of fatalities. This study aims to explore the prevalence of institutional delivery and its multifaceted associated factors in Bangladesh. Methods: The data were extracted from Bangladesh Demographic and Health Survey (BDHS), conducted during the period of 2017-18. Following data preprocessing, a total of 4974 women were included in this study. This study attempts to identify and assess the variables (at the individual and community levels) having the significant impact on the institutional delivery by using a multilevel binary logistic regression model. Results: Approximately half of the Bangladeshi women's deliveries were done at the medical center. The study found that women aged 20 or older had a 1.53 times greater likelihood of using healthcare facilities during childbirth (OR 1.53, [1.31-1.78]) than those under 20. Women with higher levels of education were more than twice as likely to choose institutional delivery as those with no education, and the women whose husbands had higher education had the same likelihood. The likelihood of using an institutional delivery service was also boosted by women's higher socioeconomic status. Women with exposure to any form of media had a 36% (OR 1.36, [1.16-1.60] higher likelihood of accessing healthcare facilities during childbirth. Rural women had a 20% lower likelihood of receiving institutional delivery. The utilization of institutional delivery was positively correlated with religion, geographical region, child ever born, and antenatal care visits (ANC). This study discovered significant variations at the community level. Conclusion: In order to increase the prevalence of institutional delivery in Bangladesh, the study findings suggest that policymakers should focus on addressing socioeconomic and demographic factors, particularly on women's education, husbands' education, age at first delivery and frequency of ANC visits.

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Section: Discussionsupporting

confidence: 92%

“…A number of studies used fixed-effect models, such as binary logistic regression, conditional logistic regression, and multivariate statistical analyses, to determine the variables affecting institutional delivery [15][16][17][18][19][20]. The majority of the studies focused mostly on individual-level factors.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Institutional Delivery in Bangladesh: A Multilevel Analysis of a Nationwide Population-Based Survey

Ireen,

Soni,

Tareq

et al. 2023

AJPAS

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“…Consistent with earlier studies,18 19 44 45 this paper finds that maternal educational attainment is positively associated with seeking institutional childbirth care, both in urban and rural areas. Findings demonstrate that urban women have higher educational attainment than their rural counterparts.…”

Section: Discussionsupporting

confidence: 89%

Rural–urban differentials in the influences of individual and geospatial preparedness on institutional childbirth: a cross-sectional study in Bangladesh

Rahman

Ara²,

Aninda

et al. 2022

BMJ Open

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ObjectiveThis study aims to explore the rural–urban differentials in the influences of individual and geospatial preparedness on institutional childbirth in Bangladesh. A related aim of this paper is to derive estimates to measure geospatial preparedness for institutional births, through statistical modelling, when no data are available for measuring this areal indicator.Design, settings and participantsThe paper used data from a large-scale nationally representative Bangladesh Multiple Indicator Cluster Survey 2019. The analytical sample included 9203 currently married women of reproductive age who had a live birth in the 2 years preceding the survey.MethodsMixed effect logistic regression models were employed to explore the rural–urban differentials in influences of individual and geospatial preparedness on institutional childbirth. The district-level random effect estimation was done to measure geospatial preparedness. The conditional autoregressive model was used to examine the association of geospatial preparedness with areal variation in institutional births.ResultsIn rural settings, women who gave birth to a female newborn were 18% less likely to have facility births compared with women who gave birth to a male newborn. Also, women from households in the highest wealth quintile were twice as likely to have facility births compared with those from households in the poorest wealth quintile. In contrast, in urban areas, facility births did not vary by sex of the fetus or by households’ socioeconomic status. The geospatial preparedness explained 8% and 9% of the variability in institutional births in rural and urban areas, respectively. Geospatial mapping revealed low preparedness in the hill tracts. Findings identified geospatial preparedness as a potential source of areal variation in facility births.ConclusionFindings suggest improving district-level preparedness and developing differential programme strategies for urban and rural areas to increase the national prevalence and more equitable use of institutional childbirth in Bangladesh.

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A multilevel assessment of the influence of education on women's uptake of institutional delivery services during childbirth in Bangladesh

Cited by 2 publications

References 25 publications

Determinants of Institutional Delivery in Bangladesh: A Multilevel Analysis of a Nationwide Population-Based Survey

Determinants of Institutional Delivery in Bangladesh: A Multilevel Analysis of a Nationwide Population-Based Survey

Rural–urban differentials in the influences of individual and geospatial preparedness on institutional childbirth: a cross-sectional study in Bangladesh

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