Sanni Yaya|Ghose Bishwajit|Michael Ekholuenetale
Factors associated with the utilization of institutional delivery services in Bangladesh
University of Ottawa|Huazhong University of Science and Technology|Social Action
introduction bangladesh made remarkable progress towards reducing maternal mortality rate mmr last two decades one countries track achieving mmrrelated millennium development goals mdg5a however provision universal access reproductive healthcare mdg5b utilization maternal healthcare services mhs institutional delivery crucial reduction maternal mortality far behind internationally agreedupon target effective policymaking promote utilization mhs greatly facilitated identification factors hinder service uptake study therefore aim measure prevalence institutional delivery services explore factors associated utilization bangladesh methods data study extracted 2011 bangladesh demographic health survey bdhs 2011 participants 7313 women ages 15 49 years selected urban rural households data analyzed using chisquare analysis conditional logistic regression results according findings fewer one three women reported delivering health facility multivariable regression analysis showed participants rural areas 469 less likely institutional deliveries compared urban dwellers 0531 p0001 95ci 04670604 participants aged 30 49 years 236 higher prevalence institutional delivery service utilization compared aged 15 29 years 1236 p 0006 95ci 10621437 moreover participants higher educational attainment twice likely deliver standard health facility compared without formal education 2081 p0001 95ci 16502624 similarly husbands higher educational attainment exhibited approximately 71 higher service utilization institutional delivery facilities compared without formal education 1709 p0001 95ci 14122069 wealth status also significant predictor institutional delivery service use participants belonging highest economic stratum likely receive skilled care compared lowest economic stratum 2507 p0001 95ci 21182968 addition results indicated households average economic class 27 higher level institutional delivery service utilization compared lower economic status 1272 p 0011 95ci 10571531 furthermore institutional health service use 18 higher among participants aware community clinical services compared hardly aware services 0816 p 0012 95ci 06960957 lastly odds utilizing delivery services 1553 times likely participants use family planning compared p0001 95ci 13741754 3639 times likely receive antenatal care compared p0001 95ci 30744308 found significant predictors choice delivery services discussion results suggest efforts towards reducing national maternal mortality bangladesh could aided investments education poverty reduction strengthening reproductive healthcare services community clinics particular focus rural areas