Women's postnatal care utilization from a medically trained provider in Bangladesh: Evidence from a cross-sectional study

Md. Mamunur Rashid 1, *, Md. Al-Amin 2, Mostafizur Rahman 3 and Tapan Kumar Roy 3

1 Department of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Bangladesh.
2 Department of Human Resource Management, Jatiya Kabi Kazi Nazrul Islam University, Bangladesh.
3 Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh. 
 
Research Article
World Journal of Advanced Research and Reviews, 2023, 18(03), 1268–1276
Article DOI: 10.30574/wjarr.2023.18.3.1211
 
Publication history: 
Received on 13 May 2023; revised on 24 June 2023; accepted on 26 June 2023
 
Abstract: 
Maternal and neonatal mortality are still high in Bangladesh. The majority of these deaths occur within two days after delivery. The maximum number of deaths can be eliminated by providing timely postnatal care. This study aimed to identify the prevalence and risk factors associated with women's postnatal care utilization from a medically trained provider in Bangladesh. In order to perform this study, we used the most recent data from the Bangladesh Demographic and Health Survey 2017–18. A total of 3,287 women of reproductive age were examined. The multilevel Poisson regression model was used to identify the risk factors related to the utilization of postnatal care. The risk factors that were statistically significant were explained using an incidence rate ratio (IRR) with a 95% confidence interval. The prevalence of women’s postnatal care utilization from a medically trained provider was 51.83%. Women’s secondary education (IRR = 1.49, 95% CI = 1.22-1.82), higher secondary education (IRR = 1.66, 95% CI = 1.34-2.06), partners higher secondary education (IRR = 1.28, 95% CI = 1.10–1.49), partners' other occupations (students, unemployed, imams, or religious leaders) (IRR = 1.40, 95% CI = 1.09–1.80), rural areas (IRR = 0.90, 95% CI = 0.83-0.98), exposing to mass media (IRR = 1.17, 95% CI = 1.07-1.27), richest wealth index (IRR = 1.38, 95% CI = 1.24–1.53), and middle wealth index (IRR = 1.20, 95% CI = 1.09–1.33) were factors significantly associated with women’s postnatal care utilization. So, focusing on women’s education, partner's education, partner's occupation, place of residence, exposure to mass media, and wealth index can play a vital role in increasing women's postnatal care utilization from a medically trained provider in Bangladesh.
 
Keywords: 
Postnatal Care; Multilevel Poisson regression model; Incidence rate ratio; Bangladesh
 
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