Determinants of institutional delivery among women in Bangladesh

Asia Pac J Public Health. 2015 Mar;27(2):NP1372-88. doi: 10.1177/1010539513486178. Epub 2013 May 10.


This study examines the factors that influence institutional delivery among women in Bangladesh extracting data from 2007 Bangladesh Demographic and Health Survey. We employed both bivariate and multivariate statistical analyses in this study. Findings revealed that, only 14.7% of the women went for institutional delivery and 28.8% births were delivered by trained birth attendance. The multivariate logistic regression analysis yielded quantitatively important and reliable estimates of facility delivery. The likelihood of institutional delivery was significantly higher for first-order pregnancy, couples' higher education, the richest, higher autonomy, TV ownership, non-Muslims, who received antenatal care services, pregnancy complications, and urban residents. Government should ensure quality of care, easy accessibility, and availability of all facilities free of cost in the public medical institutions. Women should be informed regarding the long-term benefit of institutional delivery through information, education, and communication program.

Keywords: Bangladesh; antenatal care; logistic regression; safe delivery; trained birth attendance.

MeSH terms

  • Adolescent
  • Adult
  • Bangladesh
  • Delivery, Obstetric / statistics & numerical data*
  • Female
  • Health Surveys
  • Humans
  • Middle Aged
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Prenatal Care / statistics & numerical data
  • Residence Characteristics
  • Socioeconomic Factors
  • Young Adult