Trends in sociodemographic and health-related indicators in Bangladesh, 1993–2007: will inequities persist?

Khan, Mobarak Hossain; Krämer, Alexander; Aklimunnessa, Khandoker; Prüfer-Krämer, Luise; Islam, Anwar

doi:10.2471/blt.11.087429

Cited by 53 publications

(57 citation statements)

References 22 publications

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“…Moreover, Bangladesh has authorized most international agreements and declarations like Alma-Ata Declaration, Millennium Development Goals (MDGs), etc. 1 Great achievements have also been made across many health indicators; all health indicators show steady gains and the health status of the population has improved. Infant mortality has decreased from 97.5 per 1000 live births in 1991 to 33 per 1000 live births in 2012 and mortality in children under 5 years of age has declined sharply from 151 per 1000 in 1991 to 41 per 1000 in 2012.…”

Section: Key Messagesmentioning

confidence: 99%

“…4 In fact, Bangladesh has already achieved MDG 3 5 and is well on its way to achieving MDGs 1, 2, and 4 by 2015. 1 Despite such progress, however, there are still social health inequalities that continue to persist in Bangladesh. Poverty is higher in rural areas than in urban areas and the healthcare system caters to the rich, urban elite.…”

Section: Key Messagesmentioning

confidence: 99%

“…In other words, the poor have less access to healthcare services than the rich. 1,6,7 Therefore, in order to reduce health inequalities, the healthcare system should be operated in a way to allow for effective and affordable healthcare services to reach the rural and underprivileged communities of Bangladesh. Measuring health and its distribution among different groups within a population would provide valuable information about the health status of that population.…”

Section: Key Messagesmentioning

confidence: 99%

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Inequalities in Health Status from EQ-5D Findings: A Cross-Sectional Study in Low-Income Communities of Bangladesh

Sultana

Sarker

Mahumud

et al. 2016

Int J Health Policy Manag

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Background: Measuring health status by using standardized and validated instrument has become a growing concern over the past few decades throughout the developed and developing countries. The aim of the study was to investigate the overall self-reported health status along with potential inequalities by using EuroQol 5 dimensions (EQ-5D) instrument among low-income people of Bangladesh. Methods: A cross-sectional household survey was conducted in Chandpur district of Bangladesh. Bangla version of the EQ-5D questionnaire was employed along with socio-demographic information. EQ-5D questionnaire composed of 2-part measurements: EQ-5D descriptive system and the visual analogue scale (VAS). For measuring health status, UK-based preference weights were applied while higher score indicated better health status. For facilitating the consistency with EQ-5D score, VASs were converted to a scale with scores ranging from 0 to 1. Multiple logistic regression models were also employed to examine differences among EQ-5D dimensions. Results: A total of 1433 respondents participated in the study. The mean EQ-5D and VAS score was 0.76 and 0.77, respectively. The females were more likely to report any problem than the males (P < 0.001). Compared to the younger, elderly were more than 2-3 times likely to report any health problem in all EQ-5D dimensions (OR [odds ratio] = 3.17 for mobility, OR = 3.24 for self-care). However, the respondents of the poorest income group were significantly suffered more from every EQ-5D dimension than the richest income quintile. Conclusion: Socio-economic and demographic inequalities in health status was observed in the study. Study suggests to do further investigation with country representative sample to measure the inequalities of overall health status. It would be helpful for policy-maker to find a new way aiming to reduce such inequalities. Keywords: Health Status, EQ-5D, Visual Analogue Scale (VAS), Inequality, Population Implications for policy makers • The findings of the study can help policy-makers to find out the related factors of socio-economic and demographic inequalities in health status.• It also can help policy-makers to find a new path way aiming to reduce such inequalities by making need-based supply side efficiency. Implications for publicStudy found that potential inequalities in health status exist among different socio-economic and demographic groups. Hence, factors affecting the health status should be assessed in order to improve the community health. Key MessagesBackground Bangladesh has made notable gains across a range of social and health indicators, and has further experienced enhanced economic growth over the last 3 decades. According to article 15a in the constitution of Bangladesh, advocacy for human rights is considered as a fundamental priority as health and education. Moreover, Bangladesh has authorized most international agreements and declarations like Alma-Ata Declaration, Millennium Development Goals (MDGs), etc.

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Section: Key Messagesmentioning

confidence: 99%

Section: Key Messagesmentioning

confidence: 99%

Section: Key Messagesmentioning

confidence: 99%

See 1 more Smart Citation

Inequalities in Health Status from EQ-5D Findings: A Cross-Sectional Study in Low-Income Communities of Bangladesh

Sultana

Sarker

Mahumud

et al. 2016

Int J Health Policy Manag

View full text Add to dashboard Cite

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“…Every year between 8 and 11 million children die worldwide before reaching their fifth birthday [3]. The underlying cause for 60% of the deaths of children under the age five in Bangladesh is malnutrition [3,4].The primary objective of the current study is to identify socioeconomic and demographic risk factors/ predictors of the number of children's death for women aged 12-49 from the Bangladesh Health and Demographic Survey (BDHS) administered in 2011. It is useful for the policymakers to have a set of risk factors of the number of children's death in order to develop guidelines and address these risk factors with proper intervention.…”

Section: Introductionmentioning

confidence: 99%

“…It is useful for the policymakers to have a set of risk factors of the number of children's death in order to develop guidelines and address these risk factors with proper intervention. Framing proper guidelines and policies to reduce child mortality will insure the sustainability of achieving the Millennium Development Goal (MDG) [4] relating child mortality.…”

Section: Introductionmentioning

confidence: 99%

Statistical Modeling of the Number of Deaths of Children in Bangladesh

Alam

2014

BBIJ

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Inequality of childhood undernutrition in Bangladesh: A decomposition approach

Sarker

Sultana

Sheikh

et al. 2019

Health Planning & Management

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Summary Background Undernutrition is one of the major public health concerns in Bangladesh. This study examined the trends and patterns of childhood undernutrition, inequality, and its socioeconomic contributors in Bangladesh. Methods Data were extracted from the last four rounds of the Bangladesh Demographic Health Survey (BDHS). A regression‐based decomposition method was applied to assess the socioeconomic contributors of inequality. Results Although the prevalence of childhood undernutrition has declined during the period 2004 to 2014, the rate of undernutrition is higher among the children of mothers who had lower education, live in rural areas, and are from the poorest wealth quintile. Socioeconomic status accounted for almost half of the total inequality in the prevalence of both stunting and underweight among children, whereas maternal education was ranked second among the contributors. Conclusions Findings of the study indicate that undernutrition inequalities in terms of socioeconomic aspects appear to have widened over time. Improving economic activity and maternal education will improve the nutritional status of children and as a consequence reduce inequality. Therefore, investments in education, creation of working opportunities, and empowerment of vulnerable and disadvantaged people along with nutrition‐specific interventions will be important measures to eliminate this inequality at the population level.

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Trends in sociodemographic and health-related indicators in Bangladesh, 1993–2007: will inequities persist?

Cited by 53 publications

References 22 publications

Inequalities in Health Status from EQ-5D Findings: A Cross-Sectional Study in Low-Income Communities of Bangladesh

Inequalities in Health Status from EQ-5D Findings: A Cross-Sectional Study in Low-Income Communities of Bangladesh

Statistical Modeling of the Number of Deaths of Children in Bangladesh

Inequality of childhood undernutrition in Bangladesh: A decomposition approach

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