Project Title: Socio-economic determinants of awareness and visit at community clinic by women: Evidence from Bangladesh Demographic and Health Survey 2017-2018

Bangladesh has made remarkable progress in improving the population's health. However, people are in a vulnerable situation in terms of health care facilities especially women and children are most at risk. The purpose of this study is to investigate the socio-economic determinants of awareness and visit at community clinic by women in Bangladesh. This study used population-representative cross-sectional data from the Bangladesh Demographic and Health Surveys conducted in 2017-18. The analyses were performed on a sample of 18,893 women aged 15-49 years. Descriptive statistics, bivariate and multivariate analysis was used to check the significant relationship between awareness and visitation of women at community clinics, and considered other background characteristics.

The prevalence of awareness and visitation of community clinic were 60.26% (95% CI: 57.88-62.60), and 15.92% (95% CI: 14.45-17.5), respectively. Factors positively associated with awareness of community clinic were primary education (aOR = 1.18 [95% CI: 1.04-1.34]), secondary education (aOR = 1.41 [95% CI:1.20-1.66]), higher education (aOR = 1.48 [95% CI: 1.20-1.83]), working women (aOR = 1.42 [95% CI:1.24-1.63]), 1-2 children (aOR = 1.39 [95% CI: 1.21-1.59]) and 3 or above children (aOR = 1.38 [95% CI: 1.17-1.61]); whereas, urban residence (aOR = 0.18 [95% CI: 0.13-0.24]), richer (aOR = 0.75 [95% CI: 0.6-0.94]) and richest (aOR = 0.54 [95% CI: 0.42-0.7]) had negative  associated with awareness of community clinic. Primary education (aOR = 1.43 [95% CI: 1.17-1.74]), secondary education (aOR = 1.59 [95% CI: 1.29-1.96]), higher education (aOR = 1.6 [95% CI: 1.18-2.18]), sex of household head (aOR = 1.21 [95% CI: 1.00-1.46]), 1-2 children (aOR = 2.05 [95% CI: 1.56-2.69]), and 3 or above children (aOR = 2.08 [95% CI: 1.54-2.81]) and media exposure (aOR = 1.22 [95% CI: 1.05-1.41]) were significantly positively associated with visit at community clinic; whereas, middle class (aOR = 0.81 [95% CI: 0.66-0.99]), richer (aOR = 0.67 [95% CI: 0.52-0.88]) and richest (aOR = 0.44 [95% CI: 0.31-0.61]) had negative  associated with visitation of community clinic. The study results reveal that more than half of the women were aware about community clinic but the community clinic visit rate were comparatively low. Priority based actions are urgently needed on the selected factors that increase the awareness and visit at community clinic by women.

 

Details
Role Supervisor
Class / Degree Masters
Students

Rabeya Kumkum (Student ID: MS-202007)


Start Date 2019
End Date 2022