Influencing factors associated with maternal delivery at home in urban areas: a cross-sectional analysis of the Bangladesh Demographic and Health Survey 2017-2018 data

Khandaker Tanveer Ahmed; Md Karimuzzaman; Shohel Mahmud; Labiba Rahman; Md Moyazzem Hossain; Azizur Rahman

doi:10.1186/s41043-023-00428-9

Influencing factors associated with maternal delivery at home in urban areas: a cross-sectional analysis of the Bangladesh Demographic and Health Survey 2017-2018 data

J Health Popul Nutr. 2023 Aug 21;42(1):83. doi: 10.1186/s41043-023-00428-9.

Authors

Khandaker Tanveer Ahmed¹, Md Karimuzzaman², Shohel Mahmud³, Labiba Rahman⁴, Md Moyazzem Hossain^{5

6}, Azizur Rahman⁷

Affiliations

¹ Department of Statistics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh. tanveer.stu2015@juniv.edu.
² DREXEL Dornsife School of Public Health, DREXEL University, Philadelphia, PA, USA.
³ Department of Statistics, Noakhali Science and Technology University, Noakhali, 3814, Bangladesh.
⁴ Department of Statistics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.
⁵ Department of Statistics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh. hossainmm@juniv.edu.
⁶ School of Mathematics, Statistics, and Physics, Newcastle University, Newcastle upon Tyne, Tyne and Wear, UK. hossainmm@juniv.edu.
⁷ School of Computing, Mathematics and Engineering, Charles Sturt University, Wagga Wagga, NSW, 2678, Australia.

Abstract

Background: The associated factors and patterns of giving birth in home settings of rural areas have been extensively studied in Bangladeshi literature. However, urban areas still need to be explored, particularly with recent data. Therefore, the authors aimed to investigate the influential determinants of delivery at home in urban areas of Bangladesh.

Materials and methods: In this study, 1699 urban-dwelling women who had given birth within the previous 60 months of the survey and lived in urban areas were used. The secondary data were extracted from the latest Bangladesh Demographic and Health Survey 2017-2018. Descriptive statistics and logistic regression were applied along with the association among selected variables were examined by the Chi-square test.

Results: Findings depict that 36.49% of women who lived in urban areas of Bangladesh delivered at home, whereas, 63.51% delivered at different govt. and private health care facilities. Women who lived in Chittagong [adjusted odds ratio (AOR) = 2.11, 95% CI 1.24-3.60], Barisal [AOR = 2.05, 95% CI 1.16-3.64] and Sylhet [AOR = 1.92, 95% CI 1.08-3.43] divisions have more likelihood to deliver at home (36.85%). Urban women following Christian religion [AOR = 10.71, 95% CI 1.32-86.68] have higher odds of delivering child at home (0.47%). Urban women having three or more children before her latest delivery (22.37%) and who are employed (29.37%) have more likelihood to deliver at home. However, women aged between 25 and 34 years (43.50%), who have higher education (25.90%), play the role of household head (9.06%), have parity of more than two births (2.24%), and read daily newspapers (68.69%) had a lower chance of delivery at home. Furthermore, women from wealthier families (89.12%) and more antenatal care (ANC) visits (94.93%) were less likely to have a delivery at home.

Conclusion: Despite significant progress in women and reproductive health in Bangladesh, the proportion of delivery in the home in urban areas is alarming and should be emphasized more. The authors believe the identified factors will help design interventions and policy development on this issue.

Keywords: Bangladesh; Delivery at home; Determinants; Reproductive health.

MeSH terms

Adult
Asian People*
Bangladesh
Cross-Sectional Studies
Demography
Female
Home Childbirth*
Humans
Pregnancy
Urban Population