Determinants of Institutional Delivery Among Women in Bangladesh

Abstract

This study examines the factors that influence institutional delivery among women in Bangladesh extracting data from 2007 Bangladesh Demographic and Health Survey. We employed both bivariate and multivariate statistical analyses in this study. Findings revealed that, only 14.7% of the women went for institutional delivery and 28.8% births were delivered by trained birth attendance. The multivariate logistic regression analysis yielded quantitatively important and reliable estimates of facility delivery. The likelihood of institutional delivery was significantly higher for first-order pregnancy, couples' higher education, the richest, higher autonomy, TV ownership, non-Muslims, who received antenatal care services, pregnancy complications, and urban residents. Government should ensure quality of care, easy accessibility, and availability of all facilities free of cost in the public medical institutions. Women should be informed regarding the long-term benefit of institutional delivery through information, education, and communication program.

Factors related to choice of place of birth in a district in Nepal

“…Literacy level: Similarly, literacy level of women and their husbands affected place of birth. One study in Bangladesh showed significantly higher institutional birth rate for couples' education (24) although in this study literacy of women had no significant association with place of delivery contrary to other studies in Nepal (25) and Ethiopia (26,27) where the educational level of women affected place of birth. This result was however similar to one of the studies in rural Nepal where education level of women showed no clear association with place of birth (11).…”

“…Those women who had a television at home were significantly more likely to give birth at the primary health facilities which was similar to results shown by research conducted in Bangladesh (24). Similar to this study, other studies (28) show household wealth to be significantly associated with institutional delivery.…”

Factors Affecting the Selection of Institutional Delivery among Tribal Women in Bangladesh

“…Through education, mothers become aware of their health status and also provide measures to meet the medical costs of healthcare services. This result corroborates the researches that were earlier conducted in Bangladesh, Pakistan, and Uganda, respectively (Moyer et al, 2013;Kamal et al, 2013;Agha et al, 2011;Kalule-Sabiti et al, 2015). Also, recent studies in Kenya and Malawi show that institutional delivery to be significantly linked to higher education (Mazalale et al, 2015;Ono et al, 2013).…”

Exploring the influencing factors for non-utilisation of healthcare facilities during childbirth: a special mixed-method study of Bangladesh and 13 other low- and middle-income countries based on Demographic and Health Survey data

“…Homogeneous results have been seen in previous literature 37–41. On the flip side, when multiparous women had their first childbirth safely at home, they became less fearful about this and preferred to avoid facility delivery compared with primiparous women 19 42…”

“…In Bangladesh, diarrhoea and birth order were found to be the most significant risk factors for neonatal and child mortality, with a drawback being that the survey interviewed surviving women, which could lead to an underestimation of mortality rates and deficiency in the case of infant-specific variables 18. Several studies have also aimed to explore the determinants of institutional delivery among women in Bangladesh; however, the studies were based on previously published Bangladesh Demographic and Health Survey (BDHS) datasets 19 20. The trends and regional patterns of disparities on utilisation of healthcare services in Bangladesh have been investigated 21–23.…”