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Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from Bangladesh demographic and health survey 2011

Background The number of child deaths is a potential indicator to assess the health condition of a country, and represents a major health challenge in Bangladesh. Although the country has performed exceptionally well in decreasing the mortality rate among children under five over the last few decade...

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Main Authors: Hossain, Md. Mosharaf, K. C. Mani, Kulanthayan, Islam, Md. Rafiqul
Format: Article
Language:English
Published: Public Library of Science 2015
Online Access:http://psasir.upm.edu.my/id/eprint/45977/1/Prevalence%20and%20determinants%20of%20the%20gender%20differentials%20risk%20factors%20of%20child%20deaths%20in%20Bangladesh%3B%20evidence%20from%20Bangladesh%20demographic%20and%20health%20survey%202011_new.pdf
http://psasir.upm.edu.my/id/eprint/45977/
https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0003616
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spelling my.upm.eprints.459772022-07-07T02:03:51Z http://psasir.upm.edu.my/id/eprint/45977/ Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from Bangladesh demographic and health survey 2011 Hossain, Md. Mosharaf K. C. Mani, Kulanthayan Islam, Md. Rafiqul Background The number of child deaths is a potential indicator to assess the health condition of a country, and represents a major health challenge in Bangladesh. Although the country has performed exceptionally well in decreasing the mortality rate among children under five over the last few decades, mortality still remains relatively high. The main objective of this study is to identify the prevalence and determinants of the risk factors of child mortality in Bangladesh. Methods The data were based on a cross-sectional study collected from the Bangladesh Demographic and Health Survey (BDHS), 2011. The women participants numbered 16,025 from seven divisions of Bangladesh – Rajshahi, Dhaka, Chittagong, Barisal, Khulna, Rangpur and Sylhet. The χ2 test and logistic regression model were applied to determine the prevalence and factors associated with child deaths in Bangladesh. Results in 2011, the prevalence of child deaths in Bangladesh for boys and girls was 13.0% and 11.6%, respectively. The results showed that birth interval and birth order were the most important factors associated with child death risks; mothers’ education and socioeconomic status were also significant (males and females). The results also indicated that a higher birth order (7 & more) of child (OR=21.421 & 95%CI=16.879-27.186) with a short birth interval 2 years was more risky for child mortality, and lower birth order with longer birth interval >2 were significantly associated with child deaths. Other risk factors that affected child deaths in Bangladesh included young mothers of less than 25 years (mothers’ median age (26-36 years): OR=0.670, 95%CI=0.551-0.815), women without education compared to those with secondary and higher education (OR =0 .711 & .628, 95%CI=0.606-0.833 & 0.437-0.903), mothers who perceived their child body size to be larger than average and small size (OR= 1.525 & 1.068, 95%CI=1.221-1.905 & 0.913-1.249), and mothers who delivered their child by non-caesarean (OR= 1.687, 95%CI=1.253-2.272). Conclusion Community-based educational programs or awareness programs are required to reduce the child death in Bangladesh, especially for younger women should be increase the birth interval and decrease the birth order. The government should apply the strategies to enhance the socioeconomic conditions, especially in rural areas, increase the awareness program through media and expand schooling, particularly for girls. Public Library of Science 2015-03 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/45977/1/Prevalence%20and%20determinants%20of%20the%20gender%20differentials%20risk%20factors%20of%20child%20deaths%20in%20Bangladesh%3B%20evidence%20from%20Bangladesh%20demographic%20and%20health%20survey%202011_new.pdf Hossain, Md. Mosharaf and K. C. Mani, Kulanthayan and Islam, Md. Rafiqul (2015) Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from Bangladesh demographic and health survey 2011. PLoS Neglected Tropical Diseases, 9 (3). art. no. e0003616. pp. 1-12. ISSN 1935-2727; E-SSN: 1935-2735 https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0003616 10.1371/journal.pntd.0003616
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Background The number of child deaths is a potential indicator to assess the health condition of a country, and represents a major health challenge in Bangladesh. Although the country has performed exceptionally well in decreasing the mortality rate among children under five over the last few decades, mortality still remains relatively high. The main objective of this study is to identify the prevalence and determinants of the risk factors of child mortality in Bangladesh. Methods The data were based on a cross-sectional study collected from the Bangladesh Demographic and Health Survey (BDHS), 2011. The women participants numbered 16,025 from seven divisions of Bangladesh – Rajshahi, Dhaka, Chittagong, Barisal, Khulna, Rangpur and Sylhet. The χ2 test and logistic regression model were applied to determine the prevalence and factors associated with child deaths in Bangladesh. Results in 2011, the prevalence of child deaths in Bangladesh for boys and girls was 13.0% and 11.6%, respectively. The results showed that birth interval and birth order were the most important factors associated with child death risks; mothers’ education and socioeconomic status were also significant (males and females). The results also indicated that a higher birth order (7 & more) of child (OR=21.421 & 95%CI=16.879-27.186) with a short birth interval 2 years was more risky for child mortality, and lower birth order with longer birth interval >2 were significantly associated with child deaths. Other risk factors that affected child deaths in Bangladesh included young mothers of less than 25 years (mothers’ median age (26-36 years): OR=0.670, 95%CI=0.551-0.815), women without education compared to those with secondary and higher education (OR =0 .711 & .628, 95%CI=0.606-0.833 & 0.437-0.903), mothers who perceived their child body size to be larger than average and small size (OR= 1.525 & 1.068, 95%CI=1.221-1.905 & 0.913-1.249), and mothers who delivered their child by non-caesarean (OR= 1.687, 95%CI=1.253-2.272). Conclusion Community-based educational programs or awareness programs are required to reduce the child death in Bangladesh, especially for younger women should be increase the birth interval and decrease the birth order. The government should apply the strategies to enhance the socioeconomic conditions, especially in rural areas, increase the awareness program through media and expand schooling, particularly for girls.
format Article
author Hossain, Md. Mosharaf
K. C. Mani, Kulanthayan
Islam, Md. Rafiqul
spellingShingle Hossain, Md. Mosharaf
K. C. Mani, Kulanthayan
Islam, Md. Rafiqul
Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from Bangladesh demographic and health survey 2011
author_facet Hossain, Md. Mosharaf
K. C. Mani, Kulanthayan
Islam, Md. Rafiqul
author_sort Hossain, Md. Mosharaf
title Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from Bangladesh demographic and health survey 2011
title_short Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from Bangladesh demographic and health survey 2011
title_full Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from Bangladesh demographic and health survey 2011
title_fullStr Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from Bangladesh demographic and health survey 2011
title_full_unstemmed Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from Bangladesh demographic and health survey 2011
title_sort prevalence and determinants of the gender differentials risk factors of child deaths in bangladesh: evidence from bangladesh demographic and health survey 2011
publisher Public Library of Science
publishDate 2015
url http://psasir.upm.edu.my/id/eprint/45977/1/Prevalence%20and%20determinants%20of%20the%20gender%20differentials%20risk%20factors%20of%20child%20deaths%20in%20Bangladesh%3B%20evidence%20from%20Bangladesh%20demographic%20and%20health%20survey%202011_new.pdf
http://psasir.upm.edu.my/id/eprint/45977/
https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0003616
_version_ 1738511941925601280
score 13.211869

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