- As a Professor as well as a researcher I am engaged to pursue research on public health issues.edit
Objective: Available literature reveals that usage of Maternal Health Care Services (MHCSs), including antenatal care (ANC), has been decreased significantly in the developing countries due to Corona Virus Disease (COVID-19) pandemic.... more
Objective: Available literature reveals that usage of Maternal Health Care Services (MHCSs), including antenatal care (ANC), has been decreased significantly in the developing countries due to Corona Virus Disease (COVID-19) pandemic. However, the COVID-19 related factors on the MHCSs utilization in Bangladeshi women are yet to be examined. Therefore, this study examines the effect of COVID-19 on the use of ANC services among rural communities in Bangladesh.Method: A community-based qualitative study was conducted from May 01, 2021, to July 20, 2021, among selected pregnant women residing in eight villages of the Kushtia District, Bangladesh. A total of ten focus group discussions (FGDs) was conducted. Open Code 4.0 software was used to transcribe, translate, and analyze the data thematically. Results: Findings suggest that the measures taken by the government against the COVID-19 pandemic have significantly decreased the optimum usage of ANC services. The need to shift the role of ...
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This paper examines fertility, fertility inhibiting effects and contraceptive use among indigenous women in Bangladesh. A sound methodology was adopted to estimate the sample size and subjects. Information regarding fertility,... more
This paper examines fertility, fertility inhibiting effects and contraceptive use among indigenous women in Bangladesh. A sound methodology was adopted to estimate the sample size and subjects. Information regarding fertility, contraceptive, socio-demographics etc. was elicited through a self-administered survey on 865 currently married women belonged to four major indigenous groups in 2006. To estimate the total fertility rate and fertility inhibiting effects we applied Bongaarts’ model. The estimated TFR was found to be 2.30 births per woman and CPR was 68.9%. The four major proximate determinants: marriage, contraception, postpartum amenorrhea and induced abortion conjointly inhibited 13.00 births per woman distributed as 23.97%, 47.54%, 14.93% and13.56% respectfully. The results of multivariate logistic regression suggest that place of residence, husband-wife interaction on family planning and door-step service delivery of modern methods by the family planning workers were the m...
To examine the relationship between socioeconomic factors affecting contraceptive use among tribal women of Bangladesh with focusing on son preference over daughter. The study used data gathered through a cross sectional survey on four... more
To examine the relationship between socioeconomic factors affecting contraceptive use among tribal women of Bangladesh with focusing on son preference over daughter. The study used data gathered through a cross sectional survey on four tribal communities resided in the Rangamati Hill District of the Chittagong Hill Tracts, Bangladesh. A multistage random sampling procedure was applied to collect data from 865 currently married women of whom 806 women were currently married, non-pregnant and had at least one living child, which are the basis of this study. The information was recorded in a pre-structured questionnaire. Simple cross tabulation, chi-square tests and logistic regression analyses were performed to analyzing data. The contraceptive prevalence rate among the study tribal women was 73%. The multivariate analyses yielded quantitatively important and reliable estimates of likelihood of contraceptive use. Findings revealed that after controlling for other variables, the likeli...
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Research Interests: Demography, Bangladesh, Adolescent, Medicine, Logistic Regression, and 15 moreMultivariate Analysis, Pregnancy, Humans, Reproductive health, Female, Young Adult, Unintended Pregnancy, Socioeconomic Status, Prevalence, Middle Aged, Adult, Public health systems and services research, Rural Area, Socioeconomic Factors, and Rural Population
Despite pervasiveness of child marriage in South Asian countries, its association with the usage of Maternal Health Care Services (MHCS) is poorly explored. In this study, we examined the impact of child marriage on MHCS utilisation among... more
Despite pervasiveness of child marriage in South Asian countries, its association with the usage of Maternal Health Care Services (MHCS) is poorly explored. In this study, we examined the impact of child marriage on MHCS utilisation among the prime reproductive aged women of five South Asian countries Afghanistan, Bangladesh, India, Nepal and Pakistan. Data for this study are extracted from the most recent Demographic and Health Surveys. The effect of child marriage on the use of MHCS was assessed by the multivariate logistic regression analysis. Findings reveal that in the South Asian region, the prevalence of child marriage is more common in Bangladesh, followed by Afghanistan, Nepal, India and Pakistan. Child marriage significantly (p< .01) deters the usage of MHCS - at least once antenatal care (ANC) visit, at least four ANC visit, Institutional delivery and seeking assistance from skilled birth assistance (SBA), though the effect size was somewhat different across the countries. Findings stipulate to remain girls in schooling more and the marriage acts of the countries should be enacted properly to diminish child marriage not only for increasing MHCS use, also for individual wellbeing and overall development of each country.Impact StatementWhat is already known on this subject? Child marriage in South Asian countries is commonplace despite substantial improvements of socioeconomic status. Although child marriage have many adverse reproductive and health outcomes, empirical evidence and systematic studies, particularly the association of child marriage with the usage of Maternal Health Care Services (MHCS) in the South Asian women are few.What do the results of this study add? Findings of this study affirm that prevalence of child marriage in South Asian region is still common. Although every country has set out minimum age at first marriage by acts, the acts are poorly followed, which adversely impacts the usage of MHCS among married women.What are the implications of these findings for clinical practice and/or future research? The study findings provide important insights of the consequence of child marriage on the skilled MHCS utilisation. The marriage acts of the countries should be enacted properly to restrict child marriage not only for increasing MHCS, also for individual wellbeing and overall development of each country. Study has important implications for planners, organisation managers and policy makers.
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This article investigates socioeconomic correlates of contraceptive use and method choice in rural Bangladesh. To meet the objectives of the study, the authors used nationally representative 2004 Bangladesh Demographic and Health Survey... more
This article investigates socioeconomic correlates of contraceptive use and method choice in rural Bangladesh. To meet the objectives of the study, the authors used nationally representative 2004 Bangladesh Demographic and Health Survey data. The findings indicate that contraceptive prevalence rate among currently married nonpregnant women was 61%. The prevalence of modern methods was 49%. Oral pill and periodic abstinence were the most preferred modern and traditional methods, respectively. Both bivariate and multivariate analyses reveal that women’s age, number of living children, having a male child, women’s education, religion, NGO membership, and place of region are important determinants of contraceptive use and method choices. Findings suggest that discussion between husband and wife on family planning has the most single significant effect on both current contraceptive use (odds ratio [OR] = 4.45; confidence interval [CI] = 3.95-5.01) and modern method preference (OR = 1.57;...
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This study examines the inequality of the use of skilled delivery assistance by the rural women of Bangladesh using the 2007 Bangladesh Demographic and Health Survey data. Simple cross-tabulation and univariate and multivariate... more
This study examines the inequality of the use of skilled delivery assistance by the rural women of Bangladesh using the 2007 Bangladesh Demographic and Health Survey data. Simple cross-tabulation and univariate and multivariate statistical analyses were employed in the study. Overall, 56.1% of the women received at least one antenatal care visit, whereas only 13.2% births were assisted by skilled personnel. Findings revealed apparent inequality in using skilled delivery assistance by socioeconomic strata. Birth order, women’s education, religion, wealth index, region and antenatal care are important determinants of seeking skilled assistance. To ensure safe motherhood initiative, government should pay special attention to reduce inequality in seeking skilled delivery assistance. A strong focus on community-based and regional interventions is important in order to increase the utilization of safe maternal health care services in rural Bangladesh.
Research Interests: Bangladesh, Adolescent, Medicine, Humans, Inequality, and 14 moreFemale, Psychological Intervention, Young Adult, Birth Order, Socioeconomic Status, Middle Aged, Adult, Public health systems and services research, Health surveys, Prenatal Care, Socioeconomic Factors, Rural Population, healthcare disparities, and Residence Characteristics
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Objectives: Bangladesh is a country which is known for its flora and fauna in South Asia. Despite embracing safe motherhood and adhering to the advice of the International Community, with remarkable progress towards achieving the maternal... more
Objectives: Bangladesh is a country which is known for its flora and fauna in South Asia. Despite embracing safe motherhood and adhering to the advice of the International Community, with remarkable progress towards achieving the maternal mortality Millennium Development Goals (MDG) 5 goal, its development contrasts with the tribal people who reside in the remote hilly regions of the country. Therefore, this study was intended to identify the predictors that affect secure maternity practices among the tribal women of Chittagong Hill Tracts (CHT), Bangladesh. Materials and Methods: This study adopted a cross-sectional approach and was performed with live births of 556 married tribal females aged 15 to 49 years from three districts of CHT when the age of their children was not more than 1 year. Semi-structured questionnaires were used to interview the subjects. Finally, the statistical analysis was conducted with SPSS20 to estimate the odds ratios and strength of the relationship betw...
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This paper examines the combined effect of three socioeconomic deprivations: education, wealth, and health on the utilisation of maternal health care services (MHCSs) among Bangladeshi women using the data of Bangladesh Demographic and... more
This paper examines the combined effect of three socioeconomic deprivations: education, wealth, and health on the utilisation of maternal health care services (MHCSs) among Bangladeshi women using the data of Bangladesh Demographic and Health Survey 2014. Both bivariate and multivariate statistical analyses were employed in this study. Multivariable logistic regression analysis is used to examine the effect of the multidimensional socioeconomic deprivations on the use of MHCSs. Of the women who had given at least one live birth in the three years preceding the survey, 43% were non-deprived by any dimension; 31% were deprived in one, 20% in two and 6% in all three dimensions. The prevalence of receiving four or more antenatal care (ANC) services was 31%; 38% used facility-based delivery (FBD) and 42% sought skilled birth assistance (SBA). When education and wealth deprivations were combined, women were significantly (P<0.01) least likely to seek assistance from SBA (OR=0.18, 95% ...
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Introduction: To address United Nations Millennium Develop ment Goal 4 (MDG 4) on reducing childhood mortality rates by two-thirds by 2015, there is a need for better population-based data on the rates and causes of neonatal death. This... more
Introduction: To address United Nations Millennium Develop ment Goal 4 (MDG 4) on reducing childhood mortality rates by two-thirds by 2015, there is a need for better population-based data on the rates and causes of neonatal death. This study aims to identify the risk factors of neonatal mortality in Bangladesh. Materials and Methods: The study used data from the nationally representative 2007 Bangladesh Demographic and Health Survey. The survey gathered information regarding socioeconomic, demographic,
This paper examines the factors affecting adolescent motherhood in Bangladesh using the 2007 Bangladesh Demographic and Health Survey data. Overall, 69.3 per cent of the married adolescents began childbearing. Among them 56.4 per cent... more
This paper examines the factors affecting adolescent motherhood in Bangladesh using the 2007 Bangladesh Demographic and Health Survey data. Overall, 69.3 per cent of the married adolescents began childbearing. Among them 56.4 per cent were already mothers and 12.9 per cent were pregnant for the first time. Of the adult married women age 20–49, 62.1 per cent initiated childbearing before age 19. The multiple logistic regression analyses revealed that women’s education, husband’s education, place of residence, ever use of contraceptive method, religion, wealth and region are important determinants of adolescent motherhood in Bangladesh.
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Objective This paper explores the relationship between domestic violence against women inflicted by husbands, unwanted pregnancy and pregnancy termination of Bangladeshi urban women. Materials and methods The study used the nationally... more
Objective This paper explores the relationship between domestic violence against women inflicted by husbands, unwanted pregnancy and pregnancy termination of Bangladeshi urban women. Materials and methods The study used the nationally representative 2007 Bangladesh Demographic and Health Survey (BDHS) data. The BDHS covered a representative sample of 10,996 ever married women from rural and urban areas. The BDHS used a separate module to collect information from women regarding domestic violence. The survey gathered information of domestic violence from 1,013 urban women which are the basis of the study. Simple cross tabulation, bivariate and multivariate statistical analyses were performed to analyzing data. Results Overall, the lifetime prevalence of domestic violence was 47.5%. Of the most recent pregnancies, 15.6% were unwanted and 16.0% of the women terminated pregnancy in their marital life. The multivariate binary logistic regression analyses yielded quantitatively important ...
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Objectives: Since the maternal health of the tribal women is a world concern, it involves our attention more to them as they are underprivileged people all over the globe. This issue sounds true in the Bangladesh perspective as well.... more
Objectives: Since the maternal health of the tribal women is a world concern, it involves our attention more to them as they are underprivileged people all over the globe. This issue sounds true in the Bangladesh perspective as well. Antenatal care (ANC) is the first flight of stairs to reach the peak of success for safe-motherhood. It represents a series of evaluations over time, which is not implemented appropriately due to different types of limitation and problems. The study aimed to delve into ANC practices and the factors associated with this practices among tribal women dwelling in the Chittagong Hill Tracts (CHT) of Bangladesh. Materials and Methods: The descriptive statistic was used to analyze frequency, percentage. Associations were evaluated through Chi-square tests, and a binary logistic regression model was used to explore factors related to the use of ANC services. This paper is based on a quantitative study. Result: The study exposes that one-third (29.9%) of the pre...
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This paper explores the relationship between household wealth and nutritional status of pre-school children in Bangladesh using the nationally representative 2007 Bangladesh Demographic and Health Survey data. Chronic malnutrition was... more
This paper explores the relationship between household wealth and nutritional status of pre-school children in Bangladesh using the nationally representative 2007 Bangladesh Demographic and Health Survey data. Chronic malnutrition was measured by z-score of height-for-age and the effect of household wealth on adverse childhood growth rate was assessed by multivariate logistic regression analyses. Overall, 43% of the children were stunted. The multivariate binary logistic regression analysis yielded significantly increased risk of stunting among the poorest (OR=2.26, 95% CI=1.77-2.89) as compared to the richest. The multivariate multinomial logistic regression produced elevated risk of moderate stunting (OR=1.98, 95% CI=1.50-2.61) and severe stunting (OR=2.88, 95% CI=2.00-4.14) of children in the poorest category compared to their richest counterparts. Children's age, duration of breastfeeding, mother's education, body mass index, mother's working status and place of regi...
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We examined intra-regional variations and contextual influences on institutional delivery of women using the nationally representative 2014 Bangladesh Demographic and Health Survey data. Due to the hierarchical structure of the data, we... more
We examined intra-regional variations and contextual influences on institutional delivery of women using the nationally representative 2014 Bangladesh Demographic and Health Survey data. Due to the hierarchical structure of the data, we employed multi-level logistic regression analysis. Of the women who had had a live birth in the last three years preceding the survey, only 38% availed the opportunity of institutional delivery. From the findings of this study, we observed that women of the Eastern region were less likely and those of the Western region were more likely to use FBD compared to the women of the Central region. Both individual- and community-level factors influence women to use facility-based delivery. Community-level programs aimed at improving availability and easy accessibility to economically deprived and geographically disadvantaged areas may increase safe motherhood practices among women.
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This study aims to investigate the effect of maternal education on neonatal mortality in Bangladesh using data from the nationally representative 2007 Bangladesh Demographic and Health Survey. Both bivariate and multivariate statistical... more
This study aims to investigate the effect of maternal education on neonatal mortality in Bangladesh using data from the nationally representative 2007 Bangladesh Demographic and Health Survey. Both bivariate and multivariate statistical analyses were used to assess the relationship between neonatal mortality and contextual factors focusing on maternal education. The prevalence of neonatal mortality was 37/1,000. The statistical analyses yielded quantitatively important and reliable estimates of neonatal death. The sequential multivariate logistic regression analyses yielded strong significant negative association between maternal education and neonatal mortality. Maternal age, religion, birth order and antenatal care seeking are also important determinants of neonatal death. Programmes should be undertaken to improve female education in Bangladesh for a better chance of satisfying important factors that can improve infant survival, such as the quality of infant feeding, household sanitation and adequate use of preventive and curative health services.
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This paper examines the factors affecting adolescent motherhood in Bangladesh using the 2007 Bangladesh Demographic and Health Survey data. Overall, 69.3 per cent of the married adolescents began childbearing. Among them 56.4 per cent... more
This paper examines the factors affecting adolescent motherhood in Bangladesh using the 2007 Bangladesh Demographic and Health Survey data. Overall, 69.3 per cent of the married adolescents began childbearing. Among them 56.4 per cent were already mothers and 12.9per cent were pregnant for the first time. Of the adult married women age 20–49, 62.1 per cent initiated childbearing before age 19. The multiple logistic regression analyses revealed that women’s education, husband’s education, place of residence, ever use of contraceptive method, religion, wealth and region are important determinants of adolescent motherhood in Bangladesh.
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In this paper we estimated the adjusted cumulative current fertility and also examined whether there is any indication of further decline in fertility in Bangladesh. We also computed which demographic component contributed more in... more
In this paper we estimated the adjusted cumulative current fertility and also examined whether there is any indication of further decline in fertility in Bangladesh. We also computed which demographic component contributed more in fertility decline in the period 1996-1997 to 2007. We applied well know Brass P/F ratio method and decomposition technique developed by Kitagawa on the Bangladesh Demographic and Health Survey (BDHS) data. The observed total fertility rate was 2.71 births per woman in 2007, whereas the adjusted total fertility rate was found to be 3.06 births per woman, indicating a 13 per cent under-reporting of current cumulative fertility. The estimated increasing trends in P/F ratios indicate further decrease of fertility in Bangladesh. The decomposition method showed that, marital fertility rather than marital structure was the sole component in overall decline of fertility. Raising the females’ age at first marriage and further increase of contraceptive prevalence ra...
This study explores the socioeconomic correlates of women’s intention to limit childbearing in Bangladesh using the nationally representative 2007 Bangladesh Demographic and Health Survey data. Overall, 70.0% of the currently married,... more
This study explores the socioeconomic correlates of women’s intention to limit childbearing in Bangladesh using the nationally representative 2007 Bangladesh Demographic and Health Survey data. Overall, 70.0% of the currently married, non-sterilized, and fecund women wanted to stop childbearing. Bivariate and multivariate analyses suggest that current age, females’ age at first marriage, sex composition of surviving children, women’s level of education, current place of residence, region of residence, current use status of contraceptive method, and inter-spousal communication on family planning are important predictors of the desire to limit childbearing. Doorstep delivery services of non-clinical modern methods should be strengthened targeting the poor and remote zones to avoid unintended pregnancy. Expanding information, education, and communication about small family norms and the benefits of family planning to achieve the goals of wanted fertility is needed.
This paper explores socioeconomic correlates of serious injury and injurious burden among urban people of Bangladesh. The study used information from the nationally representative 2006 Bangladesh Urban Health Survey data. Simple cross... more
This paper explores socioeconomic correlates of serious injury and injurious burden among urban people of Bangladesh. The study used information from the nationally representative 2006 Bangladesh Urban Health Survey data. Simple cross tabulation and multivariate statistical analyses were performed to the data set. Overall, 6.8% of the respondents reported to have had experience of serious injury. The most reported cause of serious injury was road accident. More than 37% of the injured people required at least 30 days to be recovered from injury. The incidence of injury was higher among the mid-aged and the older, lower educated and the rural to urban migrants. The poorer, richest, slum dwellers and those who had experience of occupational accident required more times to be recovered from injurious burden. Information, Education and Communication (IEC) programs to create awareness among people may be an effective measure to protect people from serious injury and injurious burden.
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The discourse of dual burden caused through underweight and overweight is well-documented globally but this issue and its connection with women's health in Bangladesh is yet to be explored widely. To enrich the current debate, this... more
The discourse of dual burden caused through underweight and overweight is well-documented globally but this issue and its connection with women's health in Bangladesh is yet to be explored widely. To enrich the current debate, this study, in the context of Bangladesh, examines the patterns, prevalence, and socioeconomic factors influencing the ever-married women of being underweight and overweight over normal weight. Data used in this study have been extracted from the most recent 2011 Bangladesh Demographic and Health Survey. To achieve results connected with the research objectives, both bivariate and multivariate statistical analyses have been employed. In bivariate analysis, we used seven categories of BMI cutoff points for Asian countries as prescribed by World Health Organization (WHO). Multinomial logistic regression model was constructed to investigate the net effect of socioeconomic factors on underweight, pre-overweight, and overweight over normal weight. The results c...
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This paper explores the relationship between domestic violence against women inflicted by husbands, unwanted pregnancy and pregnancy termination of Bangladeshi urban women. The study used the nationally representative 2007 Bangladesh... more
This paper explores the relationship between domestic violence against women inflicted by husbands, unwanted pregnancy and pregnancy termination of Bangladeshi urban women. The study used the nationally representative 2007 Bangladesh Demographic and Health Survey (BDHS) data. The BDHS covered a representative sample of 10,996 ever married women from rural and urban areas. The BDHS used a separate module to collect information from women regarding domestic violence. The survey gathered information of domestic violence from 1,013 urban women which are the basis of the study. Simple cross tabulation, bivariate and multivariate statistical analyses were performed to analyzing data. Overall, the lifetime prevalence of domestic violence was 47.5%. Of the most recent pregnancies, 15.6% were unwanted and 16.0% of the women terminated pregnancy in their marital life. The multivariate binary logistic regression analyses yielded quantitatively important and reliable estimate of unwanted pregna...
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This paper explores the relationship between household wealth and nutritional status of pre-school children in Bangladesh using the nationally representative 2007 Bangladesh Demographic and Health Survey data. Chronic malnutrition was... more
This paper explores the relationship between household wealth and nutritional status of pre-school children in Bangladesh using the nationally representative 2007 Bangladesh Demographic and Health Survey data. Chronic malnutrition was measured by z-score of height-for-age and the effect of household wealth on adverse childhood growth rate was assessed by multivariate logistic regression analyses. Overall, 43% of the children were stunted. The multivariate binary logistic regression analysis yielded significantly increased risk of stunting among the poorest (OR=2.26, 95% CI=1.77-2.89) as compared to the richest. The multivariate multinomial logistic regression produced elevated risk of moderate stunting (OR=1.98, 95% CI=1.50-2.61) and severe stunting (OR=2.88, 95% CI=2.00-4.14) of children in the poorest category compared to their richest counterparts. Children's age, duration of breastfeeding, mother's education, body mass index, mother's working status and place of regi...
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This paper examines the prevalence and socio-economic correlates of malnutrition among ever married non-pregnant women of reproductive age of Bangladesh using a nationally representative weighted sample of 10,145. Body mass index was used... more
This paper examines the prevalence and socio-economic correlates of malnutrition among ever married non-pregnant women of reproductive age of Bangladesh using a nationally representative weighted sample of 10,145. Body mass index was used to measure nutritional status. Both bivariate and multivariate statistical analyses were employed to assess the relationship between socio-economic characteristics and women's nutritional status. Overall, 28.5% of the women were found to be underweight. The fixed effect multivariate binary logistic regression analysis yielded significantly increased risk of underweight for the young, currently working, non-Muslim, rural residents, widowed, divorced or separated women. Significant wide variations of malnourishment prevailed in the administrative regions of the country. Wealth index and women's education were the most important determinants of underweight. The multivariate logistic regression analysis revealed that the risk of being underweig...
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Malnutrition among under-five children is a chronic problem in developing countries. This study explores the socio-economic determinants of severe and moderate stunting among under-five children of rural Bangladesh. The study used data... more
Malnutrition among under-five children is a chronic problem in developing countries. This study explores the socio-economic determinants of severe and moderate stunting among under-five children of rural Bangladesh. The study used data from the 2007 Bangladesh Demographic and Health Survey. Cross-sectional and multinomial logistic regression analyses were used to assess the effect of the socio-demographic variables on moderate and severe stunting over normal among the children. Findings revealed that over two-fifths of the children were stunted, of which 26.3% were moderately stunted and 15.1% were severely stunted. The multivariate multinomial logistic regression analysis yielded significantly increased risk of severe stunting (OR=2.53, 95% CI=1.34-4.79) and moderate stunting (OR=2.37, 95% CI=1.47-3.83) over normal among children with a thinner mother. Region, father's education, toilet facilities, child's age, birth order of children and wealth index were also important de...
Research Interests: Physiology, Research Methodology, Data Analysis, Biology, Developing Countries, and 15 morePopulation Dynamics, Bangladesh, Population, Humans, Measurement, Female, Male, Infant, Nutritional Status, Rural Areas, Prevalence, Questionnaires, Cross Sectional Studies, Child preschool, and Rural Population
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Introduction: To address United Nations Millennium Development Goal 4 (MDG 4) on reducing childhood mortality by three-quarter by 2015, there is a need for better population-based data on the rates and causes of neonatal death. This... more
Introduction: To address United Nations Millennium Development Goal 4 (MDG 4) on reducing childhood mortality by three-quarter by 2015, there is a need for better population-based data on the rates and causes of neonatal death. This study aims to identify the risk factors of neonatal mortality in Bangladesh.Methods: The study used data from the nationally representative 2007 Bangladesh Demographic and Health Survey. The survey gathered information regarding socioeconomic, demographic, environmental and maternal and child health care of 10,996 ever married women and 6,058 children. Both bivariate and multivariate statistical analyses were used to assess the relationship between neonatal mortality and contextual factors.Results: The prevalence of neonatal mortality was 37/1,000. The statistical analyses yielded quantitatively important and reliable estimates of neonatal death. The multivariate logistic regression analysis yielded significantly increased risk of neonatal mortality for...
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Bangladesh has witnessed an incredible decline in fertility from the mid-1970s to early 1990s. Since then the total fertility rate (TFR) has been halted abruptly in a stagnant point, which is now a major concern to the government,... more
Bangladesh has witnessed an incredible decline in fertility from the mid-1970s to early 1990s. Since then the total fertility rate (TFR) has been halted abruptly in a stagnant point, which is now a major concern to the government, researchers and the policy makers. This static situation in TFR raises questions about the factors responsible for fertility transition. This paper critically examines fertility levels, trends and the role of proximate determinants of fertility transition in Bangladesh. In ana- lyzing the major proximate determinants we applied Bongaarts model to data obtained from four nationwide demographic surveys. The contribution of each of the major proximate variables has been examined through the decomposition of TFR for the period 1989-2000 at four points by time. Our analyses clearly indicate that contraceptive practice is playing the key role in fertility decline in Bangladesh. The findings of the study provide a basis for drawing out some policy adoption and pr...
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This study examines sexuality and HIV/AIDS prevention knowledge among minority ethnic male youth of Bangladesh. A cross-sectional survey was conducted through a self-administered questionnaire on 800 young males aged 15–24 years in the... more
This study examines sexuality and HIV/AIDS prevention knowledge among minority ethnic male youth of Bangladesh. A cross-sectional survey was conducted through a self-administered questionnaire on 800 young males aged 15–24 years in the Chittagong Hill Tracts region in 2009. Of the respondents, almost one-third were sexually active and of them about one-quarter had had sex with multiple partners. Among sexually
Research Interests: Ethnic Identity, Medicine, Logistic Regression, Mass media, Sex Education, and 10 moreChittagong Hill Tracts, Hiv Infection, Condom use, Cross Section, Public health systems and services research, Curriculum and Pedagogy, Sexual Activity, Indexation, Sexually Transmitted Disease, and Education Mathematics With Information and Communication Technology
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Research Interests: Nursing, Health Behavior, Higher Education, Bangladesh, Adolescent, and 15 moreMaternal Health, Medicine, Pregnancy, Humans, Female, Mothers, Prevalence, Middle Aged, Adult, Binary Logistic Regression, Socioeconomic Factors, attitude to health, Health Care Surveys, Residence Characteristics, and Service Utilization
This study examines the prevalence of child marriage and its effect on reproductive outcomes among women in Bangladesh using the most recent 2011 Bangladesh Demographic and Health Survey data. Both bivariate and multivariate statistical... more
This study examines the prevalence of child marriage and its effect on reproductive outcomes among women in Bangladesh using the most recent 2011 Bangladesh Demographic and Health Survey data. Both bivariate and multivariate statistical techniques used in the study yielded quantitatively important and reliable estimates of child marriage and its impact on adverse reproductive and health outcomes. Overall, 77% of the marriages among women aged 20 to 49 years old took place before the age of 18 years. Women’s education is the most single significant determinant of child marriage. Findings revealed that after being adjusted for sociodemographic factors, child marriage significantly ( P < .001) increases the likelihood of stillbirth/miscarriage (odds ratio [OR] = 1.80; 95% confidence interval [CI] = 1.45-2.24) and pregnancy termination (OR = 1.24; 95% CI = 1.12-1.38). Programs should aim to retain girls in school for longer periods not only to raise the age at first marriage but also...
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This study investigates the factors affecting the timing of antenatal care (ANC) seeking among Bangladeshi women using the 2007 Bangladesh Demographic and Health Survey data. Overall, 52% of the most recently pregnant women sought skilled... more
This study investigates the factors affecting the timing of antenatal care (ANC) seeking among Bangladeshi women using the 2007 Bangladesh Demographic and Health Survey data. Overall, 52% of the most recently pregnant women sought skilled ANC. The most pronounced reason for not receiving the services was that it was “not needed.” Of the women who sought ANC, 57% entered for ANC at the fourth month or later. The multivariate regression analysis revealed that maternal age, women’s education, residence, wealth index, pregnancy intention status, child’s birth order, and wanting more children were the important determinants of ANC services utilization. Wanting more children and contraception use were no longer independent contributors to late ANC entry. These barriers should also be addressed as part of health interventions through information education and communication programs to early entry to ANC. The need to reduce financial barriers to care is a major implication of this study.
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This study aims to investigate the effect of adolescent motherhood on neonatal mortality in Bangladesh using data from the nationally representative 2007 Bangladesh Demographic and Health Survey. Both univariate and multivariate... more
This study aims to investigate the effect of adolescent motherhood on neonatal mortality in Bangladesh using data from the nationally representative 2007 Bangladesh Demographic and Health Survey. Both univariate and multivariate statistical analyses were used to assess the relationship between neonatal mortality and sociodemographic contextual factors focusing on maternal age, in particular, adolescent and adult motherhood. The statistical analyses yielded quantitatively important and reliable estimates of neonatal death. The sequential multivariate logistic regression analyses yielded significantly increased risk of neonatal mortality among children of adolescent mothers than of adult mothers. Maternal education, religion, birth rank, and antenatal care seeking are also important determinants of neonatal death. Programs should aim to support girls to stay in schooling for a longer period to be higher educated. Delaying the age at first marriage may be also a valuable strategy to pr...
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This study examined socioeconomic differentials of tobacco consumption and its effect on illicit drug use among rural men, extracting data from the 2004 Bangladesh Demographic and Health Survey. Overall, 58.4% of the respondents consumed... more
This study examined socioeconomic differentials of tobacco consumption and its effect on illicit drug use among rural men, extracting data from the 2004 Bangladesh Demographic and Health Survey. Overall, 58.4% of the respondents consumed tobacco either by smoking or chewing. Smoking bidi (33.9%) and cigarette (23.6%) were the most prevalent forms of tobacco use. The prevalence of illicit drug use was 3.5%. The predominant illicit drug used was ganja (2.3%). Socioeconomic and behavioral factors such as age, education, religion, marital status, premarital and extramarital sexuality, and having STDs were found to be significantly (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;.001) associated with tobacco consumption. Multivariate logistic regression analyses yielded significantly (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;.001) increased risk of illicit drug use for different forms of tobacco consumption, for young age, premarital and extramarital sexuality, and non-Muslims. Appropriate measures should be undertaken to prevent smoking and illicit drug use for a healthy Bangladesh.
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This study examines the factors that influence institutional delivery among women in Bangladesh extracting data from 2007 Bangladesh Demographic and Health Survey. We employed both bivariate and multivariate statistical analyses in this... more
This study examines the factors that influence institutional delivery among women in Bangladesh extracting data from 2007 Bangladesh Demographic and Health Survey. We employed both bivariate and multivariate statistical analyses in this study. Findings revealed that, only 14.7% of the women went for institutional delivery and 28.8% births were delivered by trained birth attendance. The multivariate logistic regression analysis yielded quantitatively important and reliable estimates of facility delivery. The likelihood of institutional delivery was significantly higher for first-order pregnancy, couples’ higher education, the richest, higher autonomy, TV ownership, non-Muslims, who received antenatal care services, pregnancy complications, and urban residents. Government should ensure quality of care, easy accessibility, and availability of all facilities free of cost in the public medical institutions. Women should be informed regarding the long-term benefit of institutional deliver...
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This article explores the socioeconomic factors affecting contraceptive use and method choice among women of urban slums using the nationally representative 2006 Bangladesh Urban Health Survey. Both bivariate and multivariate statistical... more
This article explores the socioeconomic factors affecting contraceptive use and method choice among women of urban slums using the nationally representative 2006 Bangladesh Urban Health Survey. Both bivariate and multivariate statistical analyses were applied to examine the relationship between a set of sociodemographic factors and the dependent variables. Overall, the contraceptive prevalence rate was 58.1%, of which 53.2% were modern methods. Women’s age, access to TV, number of unions, nongovernmental organization membership, working status of women, number of living children, child mortality, and wealth index were important determinants of contraceptive use and method preference. Sex composition of surviving children and women’s education were the most important determinants of contraceptive use and method choice. Programs should be strengthened to provide nonclinical modern methods free of cost among the slum dwellers. Doorstep delivery services of modern contraceptive methods ...
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This study examined knowledge, attitude, prevalence, and factors affecting cigarette smoking among male students of a university in Bangladesh. A cross-sectional survey was conducted on 474 students in 2009. Both quantitative and... more
This study examined knowledge, attitude, prevalence, and factors affecting cigarette smoking among male students of a university in Bangladesh. A cross-sectional survey was conducted on 474 students in 2009. Both quantitative and qualitative statistics were employed to examine the relationship between smoking and sociopsychological factors. Overall, 36.1% of the students were currently smoking. Significantly, more nonsmokers than smokers showed negative attitudes toward smoking and positive attitudes toward tobacco-controlling measures. Age, study streams and year, mother’s education and occupation, monthly expenditure, and father’s smoking appeared as important determinants of students’ smoking. A multivariate logistic regression analysis yielded significantly (P < .001) increased risk of smoking among students of the Law and Shariah Faculty (odds ratio [OR] = 38.75, 95% confidence interval [CI] = 6.56-228.82), third-year students (OR = 7.18, 95% CI = 2.56-20.17), and urban resi...