ArticlePloS one2022
Factors influencing health service utilization among mothers for under-five children: A cross-sectional study in Khulna district of Bangladesh.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Household livelihood vulnerability and child health in southwestern coastal Bangladesh: determinants and implications.BMC public health · 2026Article
- Determinants of multiple modes of failure in child mortality in Bangladesh: fine and gray modeling approach.Journal of health, population, and nutrition · 2026Article
- Prevalence and Determinants of Undernutrition Among Children Under Five in Coastal Bangladesh: A Community-Based Study.Food science & nutrition · 2026Article
- Socioeconomic and regional disparities in postnatal care utilization in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey 2022.PLOS global public health · 2026Article
- Household health-seeking behaviour and response to Informal payment: does economic status matter?Health economics review · 2025Review
- Prevalence of ARI, fever, and diarrhea among under-five children and the influencing factors in southwestern coastal region of Bangladesh.BMC public health · 2025Article
- Impact of socio-economic, demographic and cultural factors on the development of children's mental health: a cross-sectional study in Bangladesh.Discover mental health · 2025Article
- Determinants of inequalities in health care seeking behavior for childhood illness in Bangladesh: a trend analysis.BMC public health · 2025Article
- Determinants of child physical health development in Bangladesh: a study of key socioeconomic and cultural influences.BMC public health · 2025Article
- Exploring the spatial and temporal dynamics of the health index of Bangladesh using Bayesian framework.Journal of public health research · 2025Article
- Malnutrition among under-5 children and its determinants in the southwestern coastal region of Bangladesh: A community-based study.BMJ open · 2025Article
- Factors associated with essential newborn care practices among non-institutional births in urban Bangladesh: evidence from Bangladesh Urban Health Survey 2021.Global health action · 2024Article
- Qualitative exploration for the under-foot fall in utilization of health services at Primary Health Center of Shahdol, Madhya Pradesh.Journal of family medicine and primary care · 2024Article
- Uptake of antepartum care services in a matrilineal-matrilocal society: a study of Garo indigenous women in Bangladesh.BMC pregnancy and childbirth · 2023Article
- Racism and access to maternal health care among garo indigenous women in Bangladesh: A qualitative descriptive study.PloS one · 2023Article
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Abstract
Although Bangladesh has made significant progress in reducing child mortality, proper utilization of health services for under-five children among mothers remains one of the major challenges. Hence, this study was designed to investigate the factors influencing health service utilization among mothers for under-five children in the Khulna district of Bangladesh. Administering a semi-structured interview schedule, data were collected from 364 randomly selected mothers from the study area between June and August 2021. At first, Pearson's Chi-square test was conducted to measure the association between outcome and predictor variables. Multivariable logistic regression model was used to identify the factors associated with utilization of health services. Overall, about 59 percent of the mother received health services from unqualified doctors during their children's illness and the rest of them (41.5%) seek care from the qualified doctors. Results of regression analysis revealed that long duration of illness (AOR = 2.338; CI: 1.175-4.649; p = 0.015), the severity of illness (AOR = 6.402; CI: 3.275-12.513; p<0.001), and higher cost of treatment (AOR = 7.371; CI: 3.297-16.480; p<0.001) were the significant predictors of utilization of health services from the qualified doctors for under-five children. Thus, the study suggests that to reduce under-five child mortality by ensuring proper utilization of health services, it is necessary to raise awareness among mothers, improve transport facilities, establish need-based health care centers, and lower treatment costs.
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