Risk factors of children's low birth weight and infant mortality in Bangladesh: Evidence from binary logistic
Md Johurul Islam1, Mashfiqul Huq Chowdhury1,2, Mohammad Mafizur Rahman3
1Department of Statistics Mawlana Bhashani Science and Technology University, Santosh Tangail Bangladesh.
Insights
Low birth weight and infant mortality in Bangladesh are linked to factors like parental education and wealth. Improving maternal health knowledge and access to care can reduce these risks for child survival.
Area of Science:
- Public Health
- Demography
- Child Survival
Background:
- Low birth weight (LBW) is a critical risk factor for child survival and growth.
- Bangladesh faces significant challenges with a 16% LBW prevalence and high infant mortality rate (IMR).
- Addressing these issues is crucial for effective health policy development in Bangladesh.
Purpose of the Study:
- To identify key risk factors contributing to low birth weight in Bangladesh.
- To determine factors associated with infant mortality in the Bangladeshi context.
Main Methods:
- Utilized data from the 2014 Bangladesh Demographic and Health Survey.
- Employed bivariate analysis (Log-rank, Chi-square tests) and regression models (Cox proportional hazards, binary logistic).
- Analyzed infant mortality and low birth weight as primary outcomes.
Main Results:
- Significant risk factors for LBW included wealth index, parental education, birth order, twin births, maternal BMI, and child sex.
- Risk factors for infant mortality encompassed wealth index, parental education, twin status, media exposure, birth order, antenatal care, and LBW.
- Maternal and child characteristics significantly influence child health outcomes.
Conclusions:
- Maternal and child characteristics, alongside health knowledge during pregnancy, can mitigate LBW and infant mortality risks.
- Policy recommendations include promoting community-based health education and encouraging institutional healthcare seeking during pregnancy.
- Targeted interventions can improve child health and survival rates in Bangladesh.
Background:
Low birth weight is recognized as a pivotal risk factor affecting child survival and growth. Although Bangladesh has made commendable progress in public health, an infant mortality rate of 38 per 1000 live births and a 16% prevalence of low birth weight remain significant concerns compared to other developing countries. This situation poses a significant challenge for the formulation of future health policies in Bangladesh. As a result, this study aims to identify potential risk factors contributing to low birth weight and infant mortality among children in Bangladesh.
Methods:
The data is extracted from the 2014 Bangladesh Demographic and Health Survey. The response variables are infant mortality and low birth weight. In the bivariate analysis, Log-rank tests and Chi-square tests of independence were conducted. Cox proportional hazards and binary logistic regression models were utilized to determine the impact of risk factors on infant mortality and low birth weight.
Results:
This study identified several significant factors associated with children's low birth weight, including wealth index, parental education, birth order, twin births, mother's body mass index, and child sex. Additionally, wealth index, parental education, twin status, media exposure, birth order, antenatal care visits, prenatal care assistance, and low birth weight were identified as potential risk factors for infant mortality in Bangladesh.
Conclusion:
This study revealed that maternal and child characteristics, along with knowledge about child health care during pregnancy, can potentially reduce the risk of low birth weight and infant mortality among children in Bangladesh. To improve child health and survival, policymakers should prioritize community-based health education programs, and encourage parents to seek healthcare information from institutional medical facilities during pregnancy and after birth.
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