ArticlePloS one2021
Trends and projections of under-5 mortality in Bangladesh including the effects of maternal high-risk fertility behaviours and use of healthcare services.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Negative effects of short birth interval on child mortality in low- and middle-income countries: A systematic review and meta-analysis.Journal of global health · 2022Pooled it
- Trends and Sociodemographic Differentials in Neonatal, Infant, and Under-5 Mortality in Bangladesh, 1993-2022.Public health challenges · 2026Article
- Prevalence and determinants of low birth weight and its association with child malnutrition in Bangladesh.BMC nutrition · 2026Article
- Article
- A hierarchical competing risks survival model in the study of child mortality in Bangladesh.Scientific reports · 2025Article
- Spatial patterns and determinants of under-five mortality in Sub-Saharan Africa: a spatial and multilevel analysis.Archives of public health = Archives belges de sante publique · 2025Article
- Strengthening midwifery and nursing interventions to reduce child mortality in South Asia: a policy and practice review.Journal of global health · 2025Review
- Comparative study on caesarian and normal vaginal delivery, Rajshahi Division, Bangladesh.Scientific reports · 2025Article
- Article
- Analyzing and forecasting under-5 mortality trends in Bangladesh using machine learning techniques.PloS one · 2025Article
- Exploring the achievements and forecasting of SDG 3 using machine learning algorithms: Bangladesh perspective.PloS one · 2025Article
- Identifying determinants of under-5 mortality in Bangladesh: A machine learning approach with BDHS 2022 data.PloS one · 2025Article
- Assessing the quality of data for selected reproductive health indicators in designated public health facilities in Bangladesh.Journal of global health · 2024Article
- An analysis of cause-specific under-5 mortality in Bangladesh using the demographic and health survey 2011 and 2017-2018.BMC pediatrics · 2024Article
- Availability and readiness of healthcare facilities and their effects on antenatal care services uptake in Bangladesh.BMC health services research · 2024Article
- Article
- Multilevel bivariate analysis of the association between high-risk fertility behaviors of birth and stunting with associated risk factors in Ethiopia.Frontiers in nutrition · 2024Article
- Magnitude and trends in inequalities in healthcare-seeking behavior for pneumonia and mortality rate among under-five children in Bangladesh: Evidence from nationwide cross-sectional survey 2007 to 2017.Health science reports · 2023Article
- High-risk fertility behaviour and undernutrition among children under-five in sub-Saharan Africa: a cross-sectional study.BMJ open · 2023Article
- Factors influencing and changes in childhood vaccination coverage over time in Bangladesh: a multilevel mixed-effects analysis.BMC public health · 2023Article
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7 authors.
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Abstract
objectiveThis study examines trends and puts forward projections of under-5 mortality (U5M) in Bangladesh and identifies the effects of maternal high-risk fertility behaviours and use of healthcare services.
methodsData from seven waves of the Bangladesh Demographic and Health Survey (1994-2014) were analyzed for trends and projections of U5M and a Chi-square (χ2) test was used to identify if there was any association with maternal high-risk fertility behaviours and use of healthcare services. A multivariate logistic regression model was used to determine the effects of fertility behaviors and healthcare usage on the occurrence of U5M adjusting with confounders.
resultsU5M declined from 82.5 to 41.0 per 1000 livebirths during 1994-2014 and is projected to further reduce to 17.6 per 1000 livebirths by 2030. The study identified a noticeable regional variation in U5M with maternal high-risk fertility behaviours including age at birth <18 years (aOR: 1.84, 95% CI: 1.23-2.76) and birth interval <24 months (aOR: 1.56, 95% CI: 1.02-2.37) found to be significant determinants. There was a 39-53% decline in this rate of mortality among women that had used antenatal care services at least four times (aOR, 0.51, 95% CI: 0.27-0.97), delivery care (aOR, 0.47, 95% CI: 0.24-0.95), and had received postnatal care (aOR, 0.61, 95% CI: 0.41-0.91) in their last birth. Cesarean section was found to be associated with a 51% reduction in U5M (aOR, 0.49, 95% CI: 0.29-0.82) compared to its non-use.
conclusionThe Sustainable Development Goals require a U5M rate of 25 per 1000 livebirths to be achieved by 2030. This study suggests that with the current trend of reduction, Bangladesh will achieve this target before the deadline. This study also found that maternal high-risk fertility behaviours and non-use of maternal healthcare services are very prevalent in some regions of Bangladesh and have increased the occurrence of U5M in those areas. This suggests therefore, that policies and programmes designed to reduce the pregnancy rates of women that are at risk and to encourage an increase in the use of maternal healthcare services are needed.
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