Is Unwanted Birth Associated with Child Malnutrition in Bangladesh?

Md Mosfequr Rahman1

  • 1Associate professor, Department of Population Science and Human Resource Development, University of Rajshahi, Bangladesh, mosfeque@gmail.com.

Insights

Unwanted pregnancies in Bangladesh are linked to higher rates of child malnutrition, including stunting, wasting, and underweight. Preventing unintended pregnancies may improve child health outcomes.

Area of Science:

  • Public Health
  • Maternal and Child Health
  • Nutritional Epidemiology

Background:

  • Unintended pregnancy is a known risk factor for maternal and child health outcomes.
  • The specific relationship between unintended pregnancy and child malnutrition, particularly in high-prevalence settings like Bangladesh, requires further investigation.

Purpose of the Study:

  • To examine the association between pregnancy intendedness and child malnutrition (stunting, wasting, underweight) in Bangladesh.
  • To identify if children born from unwanted pregnancies face a higher risk of malnutrition.

Main Methods:

  • Utilized data from the 2011 Bangladesh Demographic and Health Survey.
  • Analyzed data from 6,506 last-born, singleton children under five years of age.
  • Employed multivariate logistic regression to assess the relationship between pregnancy intention and malnutrition indicators.

Main Results:

  • Significant prevalence of childhood malnutrition: 40% stunting, 16% wasting, 35% underweight.
  • 14% of index pregnancies were reported as unwanted, and 16% as mistimed.
  • Children from unwanted pregnancies showed increased odds of being stunted (OR 1.4), wasted (OR 1.4), and underweight (OR 1.3) compared to those from intended pregnancies.

Conclusions:

  • Maternal pregnancy intentions are significantly associated with child stunting, wasting, and underweight in Bangladesh.
  • Findings suggest that preventing unwanted pregnancies could be a strategy to mitigate childhood malnutrition.
  • Further research may explore the causal pathways linking pregnancy intention to nutritional status.
Abstract

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