Exploring Factors Influencing Wealth‐Related Disparities in Institutional Delivery: A Decomposition Analysis Using Bangladesh Multiple Indicator Cluster Survey (MICS) 2019 DOI Creative Commons
Syed Toukir Ahmed Noor,

Panna Shil,

Anaytullah Talukdar

et al.

Public Health Challenges, Journal Year: 2025, Volume and Issue: 4(2)

Published: May 1, 2025

ABSTRACT Institutional delivery, defined as giving birth in a health facility with skilled delivery assistants, is essential for reducing maternal mortality low‐ and middle‐income countries. Bangladesh has historically had high rates, 452 deaths per 100,000 live births 1993, which declined to 123 2020. Despite this progress, the rate remains high, achieving Sustainable Development Goal (SDG) target of 70 requires further improvements healthcare, particularly institutional services. This study aimed assess wealth‐related disparities use services using data from Multiple Indicator Cluster Survey (MICS) 2019. We applied Wagstaff‐type decomposition approach Erreygers‐corrected concentration index (CIX) explore inequality delivery. logistic regression was used identify factors associated CIX measured disparities. Decomposition analysis helped key contributors these Results showed that 52% deliveries were deliveries. Women rich‐ households 94% adjusted odds ratio (AOR = 1.94; 95% confidence intervals [CI]: 1.62–2.34) 32% 1.32; CI: 1.12–1.56) higher likelihood, respectively, delivering institution compared poor women. The value 0.170 indicated more common among wealthier revealed antenatal care (ANC) visits (33.1%), parity (11.8%), wealth (11.1%) significant In conclusion, underutilized Bangladesh, only half all occurring facilities. To accelerate progress mortality, targeted pro‐poor strategies are essential, rural underserved areas like Mymensingh. Efforts should focus on expanding healthcare access, improving education, strengthening ANC

Language: Английский

The Association of Cyberbullying with Major Depressive Disorders among Bangladeshi Female Adolescents: Findings from the Bangladesh Adolescent Health and Wellbeing Survey 2019-20 DOI

Syed Toukir Ahmed Noor,

Md. Fakrul Islam, Md. Sabbir Hossain

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: April 23, 2025

Abstract Background Cyberbullying refers to the act of using digital technology engage in bullying. It involves intentional use internet demean or denigrate individuals, and it has been linked substantial psychological distress globally. Despite its increasing prevalence, there remains a gap nationwide research on association with mental well-being female adolescents Bangladesh. Objective The main objective this study was understand cyberbullying major depressive disorder (MDD) among Methods We used secondary data from 2019–20 Bangladesh Adolescent Health Wellbeing Survey (BAHWS), nationally representative survey. A multiple logistic regression model identify possible between MDD. Findings: Among 4,984 surveyed, 8% (95% CI: 7–9) reported experiencing within past 12 months, 12% 11–14) were found have those who had experienced cyberbullying, prevalence MDD 31%. Additionally, dose‒response relationship observed, where burden increases frequency experiences. Compared did not experience faced any form months almost four times more likely (AOR: 3.97, 95% 3.12–5.05) Conclusion is significant issue Bangladesh, higher risk increased exposure. Accessible reporting mechanisms timely counselling through teachers healthcare providers can help reduce long-term health impact cyberbullying. Clinical trial number: applicable.

Language: Английский

Citations

0

Exploring Factors Influencing Wealth‐Related Disparities in Institutional Delivery: A Decomposition Analysis Using Bangladesh Multiple Indicator Cluster Survey (MICS) 2019 DOI Creative Commons
Syed Toukir Ahmed Noor,

Panna Shil,

Anaytullah Talukdar

et al.

Public Health Challenges, Journal Year: 2025, Volume and Issue: 4(2)

Published: May 1, 2025

ABSTRACT Institutional delivery, defined as giving birth in a health facility with skilled delivery assistants, is essential for reducing maternal mortality low‐ and middle‐income countries. Bangladesh has historically had high rates, 452 deaths per 100,000 live births 1993, which declined to 123 2020. Despite this progress, the rate remains high, achieving Sustainable Development Goal (SDG) target of 70 requires further improvements healthcare, particularly institutional services. This study aimed assess wealth‐related disparities use services using data from Multiple Indicator Cluster Survey (MICS) 2019. We applied Wagstaff‐type decomposition approach Erreygers‐corrected concentration index (CIX) explore inequality delivery. logistic regression was used identify factors associated CIX measured disparities. Decomposition analysis helped key contributors these Results showed that 52% deliveries were deliveries. Women rich‐ households 94% adjusted odds ratio (AOR = 1.94; 95% confidence intervals [CI]: 1.62–2.34) 32% 1.32; CI: 1.12–1.56) higher likelihood, respectively, delivering institution compared poor women. The value 0.170 indicated more common among wealthier revealed antenatal care (ANC) visits (33.1%), parity (11.8%), wealth (11.1%) significant In conclusion, underutilized Bangladesh, only half all occurring facilities. To accelerate progress mortality, targeted pro‐poor strategies are essential, rural underserved areas like Mymensingh. Efforts should focus on expanding healthcare access, improving education, strengthening ANC

Language: Английский

Citations

0