Determinants of Premature Childbirth among Neonates in Rural and Urban Settings of Bangladesh
Published: 2023-10-03
Page: 256-261
Issue: 2023 - Volume 6 [Issue 1]
Md. Al Kaiyum
Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.
Sazin Islam *
Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.
Sharmin Akter
Central Medical College, Cumilla-3500, Bangladesh.
Mst. Shamsun Naher
Department of Sociology, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.
Md. Shariful Islam
Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.
Sonia Afroz Mukta
Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.
Sadia Afroz Rikta
Sociology Discipline, Khulna University, Khulna-9208, Bangladesh.
*Author to whom correspondence should be addressed.
Abstract
Objective: This study aimed to conduct a comparative analysis of neonatal outcomes and the underlying socio-cultural determinants of premature childbirth in urban and rural settings of Bangladesh.
Methods: A cross-sectional study was carried out involving 1,000 pregnant women (500 each from urban and rural areas). Data was collected via structured interviews and medical record reviews, focusing on socio-demographics, neonatal outcomes, traditional childbirth practices, and access to health care.
Results: Urban regions reported a higher incidence of premature births (22%) compared to rural settings (15%). Traditional childbirth practices were more prevalent in rural areas (76%) than urban ones (58%). Despite better healthcare access in urban regions, with 89% of women attending at least four antenatal visits, rural areas lagged at 67%, with 52% citing distance as a major barrier.
Conclusion: Both urban and rural areas in Bangladesh present unique challenges influencing neonatal outcomes, with socio-cultural determinants playing a pivotal role. Addressing these disparities demands a comprehensive approach that incorporates culturally-sensitive strategies, enhanced healthcare facilities, and community awareness initiatives.
Keywords: Neonatal outcomes, antenatal care, premature childbirth, socio-cultural determinants, Bangladesh