ArticleBMJ open2024
Institutional delivery rate and associated factors among women in rural communities: analysis of the 2017-2018 Bangladesh Demographic and Health Survey.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 11 citations in OpenAlex.
- Factors associated with normal childbirth in Bangladesh: insights from BDHS 2022.BMC public health · 2026Article
- Maternal Healthcare Service Utilization in Bangladesh: A Cross-Sectional Study of Determinants and Temporal Trends Using BDHS 2011-2022.Health science reports · 2026Article
- Prevalence and factors associated with institutional delivery in rural Afghanistan: secondary analysis of the 2022-2023 multiple indicator cluster survey.Reproductive health · 2026Article
- Socioeconomic and geographic disparities in institutional delivery in Bangladesh: a Bayesian multilevel modelling framework.BMC public health · 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
- Barriers to Institutional Delivery in Urban Poor Society: Findings From Indonesia's National Survey.Journal of research in health sciences · 2025Article
- Distribution of government health financing benefits among women who delivered in public institutions in Bangladesh: a nationally representative cross-sectional study.The Lancet regional health. Southeast Asia · 2025Article
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4 authors at 2 institutions in 2 countries.
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Abstract
backgroundInstitutional delivery rate among women in rural communities in Bangladesh remains low after several governmental interventions. A recent analysis of maternal mortality in Bangladesh revealed that women in rural communities were more likely to die from maternal complications than those in urban areas.
objectiveThis study assessed the institutional delivery rate and associated factors among women in rural communities in Bangladesh.
designThis was a cross-sectional study that used the 2017-2018 Bangladesh Demographic and Health Survey for analysis. To determine the factors associated with institutional delivery, multivariate logistic regression analysis was performed. SETTING AND
participantsThe study was conducted in Bangladesh and among 3245 women who delivered live births 3 years before the survey.
main outcome measureThe outcome variable was the place of delivery which was dichotomised into institutional and home delivery/other non-professional places.
resultsThe institutional delivery rate was 44.82% (95% CI 42.02% to 47.65%). We found that women between the ages of 30 and 49 years (aOR=1.51, 95% CI 1.05 to 2.18), women whose partners attained higher education (aOR=2.02, 95% CI 1.39 to 2.94), women who had antenatal visits of 1-3 (aOR=2.54, 95% CI 1.65 to 3.90), 4-7 (aOR=4.79, 95% CI 3.04 to 7.53), and ≥8 (aOR=6.13, 95% CI 3.71 to 10.42), women who watched television (aOR=1.35, 95% CI 1.09 to 1.67) and women in the middle (aOR=1.38, 95% CI 1.05 to 1.82), rich (aOR=1.84, 95% CI 1.34 to 2.54) and richest (aOR=2.67, 95% CI 1.82 to 3.91) households were more likely to use institutional delivery. On the other hand, women who were working (aOR=0.73, 95% CI 0.60 to 0.89), women who were Muslims (aOR=0.62, 95% CI 0.44 to 0.89) and women who gave birth to two (aOR=0.61, 95% CI 0.48 to 0.77) or ≥3 children (aOR=0.46, 95% CI 0.35 to 0.60) were less likely to use institutional delivery.
conclusionThe study revealed that a low proportion of women in rural communities in Bangladesh used institutional delivery. The results of this study should be taken into account by policy-makers and governmental efforts when creating interventions or programmes aimed at increasing institutional delivery in Bangladesh.
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