Trends and projections of under-5 mortality in Bangladesh including the effects of maternal high-risk fertility behaviours and use of healthcare services

• Published in: PloS one 2021-02, Vol.16 (2), p.e0246210-e0246210
• Main Authors: Khan, Mostaured Ali, Khan, Nuruzzaman, Rahman, Obaidur, Mustagir, Golam, Hossain, Kamal, Islam, Rafiqul, Khan, Hafiz T A
• Format: Article
• Language: English
• Subjects: Behavior; Biology and Life Sciences; Health aspects; Infants; Medical care; Medicine and Health Sciences; Patient outcomes; People and Places; Pregnant women; Social Sciences; Utilization
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0246210

This study examines trends and puts forward projections of under-5 mortality (U5M) in Bangladesh and identifies the effects of maternal high-risk fertility behaviours and use of healthcare services. Data from seven waves of the Bangladesh Demographic and Health Survey (1994-2014) were analyzed for trends and projections of U5M and a Chi-square (χ2) test was used to identify if there was any association with maternal high-risk fertility behaviours and use of healthcare services. A multivariate logistic regression model was used to determine the effects of fertility behaviors and healthcare usage on the occurrence of U5M adjusting with confounders. U5M declined from 82.5 to 41.0 per 1000 livebirths during 1994-2014 and is projected to further reduce to 17.6 per 1000 livebirths by 2030. The study identified a noticeable regional variation in U5M with maternal high-risk fertility behaviours including age at birth