scholarly journals Factors Associated with Duration of Breastfeeding in Bangladesh: Evidence from Bangladesh Demographic and Health Survey 2014

2021 ◽  
Author(s):  
Ummay Ayesha ◽  
ASMA Mamun ◽  
Md. Abu Sayem ◽  
Golam Hossain

Abstract Background: Breastfeeding for optimum duration is one of the most effective ways to reduce infant morbidity and mortality and confirm expected growth and development of children. The aim of this study was to find out the effect of socio-demo­graphic and anthropometric determinants on duration of breast­feeding among Bangladeshi mothers.Methods: The data was extracted from the Bangladesh Demographic and Health Survey (BDHS)-2014. A total of 3541 married non–pregnant Bangladeshi mothers in reproductive age who had at least one child aged 6-36 months were included in this study. Independent sample t-test and analysis of variance (ANOVA) were used to find the significance difference in duration of breastfeeding between two and more than two groups respectively. Multiple linear regression model was utilized to determine the effect of some quantitative variables on duration of breastfeeding. Results: This study raveled that the mean and median duration of breastfeeding among Bangladeshi mothers was 18.91 (95% CI: 18.65-19.17) and 19.00 months respectively. Independent sample t-test and ANOVA showed that duration of breastfeeding among Bangladeshi mothers was significantly influenced by (i) ANC service, (ii) religion, (iii) mode of delivery, (iv) parents’ education, (v) geographical location and (vi) household wealth quintile. Multiple regression analysis demonstrated that mothers’ age, mothers’ body mass index, total number of children and mothers’ age at first birth were important predictors of duration of breastfeeding.Conclusions: Healthcare providers and decision makers can consider these findings to make plan for counseling of mothers and family members to promote optimum duration of breastfeeding practice in first two years of baby’s life.

2020 ◽  
Author(s):  
Ummay Ayesha ◽  
ASMA Mamun ◽  
Md. Abu Sayem ◽  
Golam Hossain

Abstract Background: Breastfeeding for optimum duration is one of the most effective ways to reduce infant morbidity and mortality and confirm expected growth and development of children. The aim of this study was to find out the effect of socio-demo­graphic and anthropometric determinants on duration of breast­feeding among Bangladeshi mothers.Methods: The data was extracted from the Bangladesh Demographic and Health Survey (BDHS)-2014. A total of 3541 married non–pregnant Bangladeshi mothers in reproductive age who had at least one child aged 6-36 months were included in this study. Independent sample t-test and analysis of variance (ANOVA) were used to find the significance difference in duration of breastfeeding between two and more than two groups respectively. Multiple linear regression model was utilized to determine the effect of some quantitative variables on duration of breastfeeding. Results: This study raveled that the mean and median duration of breastfeeding among Bangladeshi mothers was 18.91 (95% CI: 18.65-19.17) and 19.00 months respectively. Independent sample t-test and ANOVA showed that duration of breastfeeding among Bangladeshi mothers was significantly influenced by (i) ANC service, (ii) religion, (iii) mode of delivery, (iv) parents’ education, (v) geographical location and (vi) household wealth quintile. Multiple regression analysis demonstrated that mothers’ age, mothers’ body mass index, total number of children and mothers’ age at first birth were important predictors of duration of breastfeeding.Conclusions: Healthcare providers and decision makers can consider these findings to make plan for counseling of mothers and family members to promote optimum duration of breastfeeding practice in first two years of baby’s life.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ummay Ayesha ◽  
A. S. M. A. Mamun ◽  
Md. Abu Sayem ◽  
Md. Golam Hossain

Abstract Background Breastfeeding for optimum duration is one of the most effective ways to reduce infant morbidity and mortality and confirms expected growth and development of children. The aim of this study was to determine the effect of socio-demographic and anthropometric determinants on duration of breastfeeding (DB) among mothers in Bangladesh. Methods The data was extracted from the Bangladesh Demographic and Health Survey (BDHS)-2014. A total of 3541 married non–pregnant and currently non-breastfeeding Bangladeshi mothers in reproductive age who had at least one child aged 6–36 months were included in this study. Independent sample t-test and one-way analysis of variance (ANOVA) were used to find the significance difference in DB between two and more than two groups respectively. Multiple linear regression model was utilized to determine the effect of socio-economic, demographic, anthropometric and health related variables on DB. Results This study revealed that the mean and median of DB among Bangladeshi mothers were 18.91 (95% CI: 18.65–19.17) and 19.00 months respectively. Independent sample t-test and ANOVA showed that DB among Bangladeshi mothers was significantly influenced by (i) ANC visits, (ii) religion, (iii) mode of delivery, (iv) place of delivery, (v) parents’ education, (vi) geographical location, (vii) mothers’ occupation and (viii) household wealth quintile. Multiple regression analysis demonstrated that mothers’ age, total number of children, mothers’ age at first birth, ANC visits, mothers’ occupation and geographical location were important predictors of DB. Conclusions Healthcare providers and decision makers can consider these findings to make plan for counseling of mothers and family members to promote optimum DB practice in first 2 years of baby’s life.


2020 ◽  
Author(s):  
Ummay Ayesha ◽  
ASMA Mamun ◽  
Md. Abu Sayem ◽  
Golam Hossain

Abstract Background: Breastfeeding is one of the most effective ways for reducing infant mortality and confirming optimal growth and development of children. The aim of this study was to find the effect of socio-demo­graphic determinants on duration of breast­feeding among Bangladeshi mothers.Methods: The data was extracted from the Bangladesh Demographic and Health Survey (BDHS)-2014. A total of 3541 married non–pregnant Bangladeshi mothers in reproductive age who had at least one child aged 6-36 months were included. Independent sample t-test and ANOVA were used to find the significance deference in duration of breastfeeding between two and more than two groups respectively. Multiple linear regression model was utilized to determine the effect of some quantitative variables on duration of breastfeeding among Bangladeshi mothers. Results: This study raveled that the mean duration of breastfeeding among Bangladeshi mothers was 18.91±7.98 (95% CI: 18.65-19.17) and median was 19.00 month. Independent sample t-test provided that short duration of breastfeeding was observed among; (i) mothers received antenatal care facilities during their pregnancy period, (ii) Muslim and (iii) delivered their last child by caesarean section. ANOVA showed that duration of breastfeeding significantly influenced by (i) parents’ education, (ii) geographical location and (iii) household wealth quintile. Multiple regression analysis demonstrated that mothers’ age, mothers’ body mass index, total number of children and mothers’ mothers’ age at first birth were important predictors of duration of breastfeeding.Conclusion: Health care providers and decision makers can consider these findings to make plan for counseling of mothers and family members to promote optimal duration of breastfeeding practice in first three years of baby’s life.


2020 ◽  
Author(s):  
Ummay Ayesha ◽  
ASMA Mamun ◽  
Md. Abu Sayem ◽  
Golam Hossain

Abstract Background: Breastfeeding is one of the most effective ways for reducing infant mortality and confirming optimal growth and development of children. The aim of this study was to find the effect of socio-demo­graphic determinants on duration of breast­feeding among Bangladeshi mothers.Methods: The data was extracted from the Bangladesh Demographic and Health Survey (BDHS)-2014. A total of 3541 married non–pregnant Bangladeshi mothers in reproductive age who had at least one child aged 6-36 months were included. Independent sample t-test and ANOVA were used to find the significance deference in duration of breastfeeding between two and more than two groups respectively. Multiple linear regression model was utilized to determine the effect of some quantitative variables on duration of breastfeeding among Bangladeshi mothers. Results: This study raveled that the mean duration of breastfeeding among Bangladeshi mothers was 18.91±7.98 (95% CI: 18.65-19.17) and median was 19.00 month. Independent sample t-test provided that short duration of breastfeeding was observed among; (i) mothers received antenatal care facilities during their pregnancy period, (ii) Muslim and (iii) delivered their last child by caesarean section. ANOVA showed that duration of breastfeeding significantly influenced by (i) parents’ education, (ii) geographical location and (iii) household wealth quintile. Multiple regression analysis demonstrated that mothers’ age, mothers’ body mass index, total number of children and mothers’ mothers’ age at first birth were important predictors of duration of breastfeeding.Conclusion: Health care providers and decision makers can consider these findings to make plan for counseling of mothers and family members to promote optimal duration of breastfeeding practice in first three years of baby’s life.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Farhana Hasan ◽  
Md. Mesbahul Alam ◽  
Md. Golam Hossain

Abstract Background Caesarean section (CS) delivery has a significant effect on maternal and neonatal health especially in a developing country like Bangladesh. The aim of the study was to determine the risk factors and their individual contribution to CS delivery among Bangladeshi married women in reproductive age. Methods The cross sectional secondary data was used in this study. Data was extracted from Bangladesh Demographic and Health Survey (BDHS), 2014 dataset. BDHS-2014 collected data from all over Bangladesh. Stepwise logistic regression analysis and population attributable fractions (PAF) were utilized in this study. Results A total number of 4422 married Bangladeshi women having at least one child (age ≤ 5 years) were considered in this study. The prevalence of CS delivery among Bangladeshi women was 23.94%. The stepwise logistic regression model showed that location (division), type of residence, education of respondent and her husband, working status, age at first birth, number of children, wealth index and baby’s birth weight were most important predictors of CS delivery among Bangladeshi mothers. PAF demonstrated that overweight or obese women had highest contribution (23.36%) among the risk factors of CS delivery, followed by age at first birth (age >  20 years) (18.97%), highest wealth quintile (17.39%), higher education (15.93%), living in urban environment (14.39%), having lower number of ever born children (1–2 children) (13.58%), living in Dhaka division (12.11%), delivering large size of child at birth (11.13%) and housewife (6.55%). Conclusions In the present study, we have identified the important risk factors and their individual contribution to CS delivery in Bangladesh. Consequently, these factors can be considered for reducing the rate of CS delivery in Bangladesh.


2020 ◽  
Vol 40 (1) ◽  
Author(s):  
Amadou Barrow ◽  
Adeyinka Onikan ◽  
Chimezie Igwegbe Nzoputam ◽  
Michael Ekholuenetale

Abstract Background Cervical cancer is a prominently diagnosed form of cancer in several resource-constrained settings particularly within the sub-Saharan African region. Globally, Africa region has the highest incidence and mortality rates of cervical cancer. The high prevalence has been attributed to several factors including lack of awareness of the disease. The aim of this paper is to explore the prevalence and factors associated with awareness of cervical cancer among women of reproductive age in Republic of Benin and Zimbabwe, sub-Saharan Africa. Methods We used population-based cross-sectional data from Benin Demographic and Health Survey (BDHS) and Zimbabwe Demographic and Health Survey (ZDHS) respectively. BDHS 2017–18 and ZDHS - 2015 are the 5th and 6th rounds of the surveys respectively. About 15,928 and 9955 women aged 15–49 years were included in this study respectively. The awareness of cervical cancer among women of reproductive age in Benin and Zimbabwe was measured dichotomously; yes (if a woman heard of cervical cancer) vs. no (if a woman has not heard of cervical cancer). All significant variables from the bivariate analysis were included in the multivariable logistic regression model to calculate the adjusted odds ratios (AOR) with corresponding 95% confidence interval. Results While majority (79.2%) of women from Zimbabwe have heard about cervical cancer, only about one-tenth (10.2%) of their Beninese counterparts have heard about the disease. Advanced maternal age, having formal education, use of internet, having professional/technical/managerial occupation significantly increased the odds of awareness of cervical cancer after adjusting for other confounders. However, in Benin, women who resided in the rural area and those of Islamic belief had 20% (AOR = 0.80; 95%CI: 0.64, 0.99) and 35% (AOR = 0.65; 95%CI: 0.50, 0.86) reduction in the odds of awareness of cervical cancer respectively, when compared with women from urban residence and Christianity. Results from the predictive marginal effects showed that, assuming the distribution of all factors remained the same among women, but every woman is an urban dweller, we would expect 11.0 and 81.0% level of awareness of cervical cancer; If everywoman had higher education, we would expect 20.0 and 90% level of awareness of cervical cancer and if instead the distribution of other maternal factors were as observed and other covariates remained the same among women, but all women were in the richest household wealth quintile, we would expect about 11.0 and 83.0% level of awareness of cervical cancer, among women of reproductive age from Benin and Zimbabwe respectively. Conclusion The study has revealed that socio-demographical factors including geographical location and selected economic factors explained the inequality in distribution of women’s awareness on cervical cancer in both countries. Designing an effective population-based health education and promotion intervention programs on cervical cancer will be a great way forward to improving women’s awareness level on cervical cancer.


2020 ◽  
Author(s):  
Ganesh Khatiwada

Abstract Background: Maternal health is still a public health problem in Nepal though it has been improving in the last decade. In Nepal, choosing an institution for delivery and behavior searching for antenatal care (ANC) services have improved since the 1990s. However, a large percentage of women still deliver at home. Studies conducted in developing countries including Nepal presents that various demographic, socio-economic, and economic factors are associated with place of delivery. Methodology: The study was a cross-sectional study. Nepal Demographic and Health Survey (NDHS), 2016 data set were utilized. The likelihood of utilization of institutional delivery among 3998 ever-married women who had at least one live birth in the five years preceding the survey was analyzed in terms of women's demographic, socio-economic, and empowerment status in Nepal. Bivariate logistic regression analysis technique was used to examine the effects of these variables in the use of institutional delivery. Results: The study shows that large variation and gaps exist among women in Nepal in the utilization of an institution for delivery. Factors like women's age, parity, age at first birth, level of women's education, husband's education, household wealth status and women's decision making power strongly influence women to choose the place of delivery in Nepal. Conclusion: This study concludes that different maternal health programs ought to design in order to encourage women for institutional delivery. Coverage along with the quality of interventions that are under operation should be improved. Health programs should be targeted to poor, less educated, young women especially in rural, marginalized, and disadvantaged communities as these particular groups of women are less likely to utilize maternal health services. Finally, there is a need for qualitative research to explore the utilization of maternal health services among women.


2018 ◽  
Vol 11 (6) ◽  
pp. 496-506 ◽  
Author(s):  
Peter Austin Morton Ntenda ◽  
Jane Flora Kazambwe

Abstract Background Overweight and obesity are well-known risk factors for non-communicable diseases such as cardiovascular disease, diabetes, some cancers and musculoskeletal disorders. In Malawi, the proportion of women who are overweight/obese has doubled, from 10% in 1992 to 21% in 2015–16. Therefore we aimed to explore the individual- and community-level factors associated with overweight and obesity among non-pregnant women of child-bearing age. Methods Secondary analysis of the 2015–16 Malawi Demographic and Health Survey was conducted. Overweight was defined as a body mass index (BMI) of 25 to <30 kg/m2, while obesity was defined as a BMI ≥30 kg/m2. Two-level multilevel multivariable logistic regression models were constructed using a logit-link function with a binomial distribution on 7326 women living in 850 different communities. Results At the individual level, the adjusted multilevel regression results showed that women 15–19 y of age as well as women from the poorest households had reduced odds of being overweight/obese. However, women with white collar jobs and women who were affiliated with the Church of Central Africa Presbyterian and the Roman Catholic church had increased odds of being overweight/obese. At the community level, women from urban areas and women who resided in communities with a low percentage of media exposure had increased odds of being overweight or obese. While women from poor communities had reduced odds of being overweight and obese, the proportion change in variance showed that 56, 77 and 78% of total variations in the odds of overweight, obese and overweight/obese across the communities were explained by both individual- and community-level factors. The median odds ratio showed that the likelihood of maternal overweight, obese and overweight/obese increased by 63, 39 and 84% when the women moved from low- to high-risk neighbourhoods. Conclusions Older women, Christian women, women with white collar jobs and women from the richest households should be targeted during policy formulation. At the community level, media coverage should be spread evenly so that health awareness messages, consequences and means of overweight and obesity prevention are getting to the targeted women. Our study revealed evidence of clustering effects of overweight and obesity at the community level, hence neighbourhood variations with respect to maternal overweight and obesity should be taken into account when designing nutritional policies.


2020 ◽  
Vol 9 (3) ◽  
pp. 135-138
Author(s):  
Faiz Rasul Awan ◽  
Muhammad Safdar Baig ◽  
Atiq ur Rehman Khan

Background: Pakistan and Egypt bear more than 80% of the burden of disease as more than 12 million people are suffering from hepatitis B or C infection and there is addition of about 150000 new cases each year.Methods: We have used secondary data PDHS - Pakistan Demographic and Health Survey, DHS has become the gold standard of survey data in developing countries, a project by ORC Macro with financial support from the USAID for the International Development carried out as multistage, cluster sampling for its data collection on multiple questions, most pertinent from our study point view the maternal and child health related to knowledge attitude and practices of hepatitis and its prevention. Results:The final multivariate model six variables came out to be statistically significant with their adjusted odd's ration p-value and 95% confidence interval i.e., use of new disposable syringe every time for therapeutic injection purpose, the respondent being rich as wealth index, reading newspapers and magazines, watching television as source of information, area of residence being urban and with higher educational level came out to be most important variable which are making statistically significant difference for prevention of hepatitis among females of reproductive age group as our study population from Pakistan Demographic and Health Survey 2012-13. Conclusion: It is quite evident from the results of our study that use of new disposal syringes, being rich , being educated, having access to information resources like watching television, listening radio, reading newspaper & magazine and being as an urban dwellers are significant factor among women of reproductive age groups for prevention of hepatitis.


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