Evidence map›Paper›PMID 36581408›Full record

ArticleBMJ open2022

Trends and patterns of inequalities in using facility delivery among reproductive-age women in Bangladesh: a decomposition analysis of 2007-2017 Demographic and Health Survey data.

Md Ashfikur Rahman, Sumaya Sultana, Satyajit Kundu, Md Akhtarul Islam, Harun Or Roshid, Zahidul Islam Khan, Mortuza Tohan, Nusrat Jahan, Bayezid Khan, Md Hasan Howlader

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Md Ashfikur RahmanDevelopment Studies, Khulna University, Khulna, Bangladesh ashfikurr@gmail.com.ORCID 0000-0002-5517-8557
Sumaya SultanaDevelopment Studies, Khulna University, Khulna, Bangladesh.
Satyajit KunduGlobal Health Institute, North South University, Dhaka, Bangladesh.ORCID 0000-0001-9610-1479
Md Akhtarul IslamStatistics Discipline, Khulna University, Khulna, Bangladesh.
Harun Or RoshidStatistics Discipline, Khulna University, Khulna, Bangladesh.
Zahidul Islam KhanStatistics, East West University, Dhaka, Bangladesh.
Mortuza TohanDevelopment Studies, Khulna University, Khulna, Bangladesh.
Nusrat JahanDevelopment Studies, Khulna University, Khulna, Bangladesh.
Bayezid KhanDevelopment Studies, Khulna University, Khulna, Bangladesh.
Md Hasan HowladerDevelopment Studies, Khulna University, Khulna, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe prime objectives of the study were to measure the prevalence of facility delivery, assess socioeconomic inequalities and determine potential associated factors in the use of facility delivery in Bangladesh.

settingThe study involved investigation of nationally representative secondary data from the Bangladesh Demographic and Health Survey between 2007 and 2017-2018.

participantsThe participants of this study were 30 940 (weighted) Bangladeshi women between the ages of 15 and 49.

methodsDecomposition analysis and multivariable logistic regression were both used to analyse data to achieve the study objectives.

resultsThe prevalence of using facility delivery in Bangladesh has increased from 14.48% in 2007 to 49.26% in 2017-2018. The concentration index for facility delivery utilisation was 0.308 with respect to household wealth status (p<0.001), indicating that use of facility delivery was more concentrated among the rich group of people. Decomposition analysis also indicated that wealth quintiles (18.31%), mothers' education (8.78%), place of residence (7.75%), birth order (5.56%), partners' education (4.30%) and antenatal care (ANC) seeking (8.51%) were the major contributors to the prorich socioeconomic inequalities in the use of facility delivery. This study found that women from urban areas, were overweight, had any level of education, from wealthier families, had ANC, and whose partners had any level of education and involved in business were more likely to have facility births compared with their respective counterparts.

conclusionsThis study found a prorich inequality in the use of facility delivery in Bangladesh. The socioeconomic disparities in facility delivery must be addressed if facility delivery usage is to increase in Bangladesh.

Indexed as

ParturitionPrenatal CareAdolescentAdultBangladeshEducational StatusFemaleHumansMiddle AgedPregnancyPrevalenceSocioeconomic FactorsYoung AdultHealth economicsHealth policyPublic health

Identifiers

PMID36581408
PMCPMC9806084

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.