Socioeconomic and demographic factors for mothers' delivery at home: A comparative study among BDHS 2007, 2011 and 2014

Introduction: Although Bangladesh has made some significant progress in the health sector, home delivery of pregnancy is still a widespread tradition in Bangladesh. The objective of this study was to find the effects of sociodemographic factors associated with mothers' delivery at home utilizing the data extracted from the three Bangladesh Demographic and Health Survey (BDHSs) conducted in 2007, 2011, and 2014. Methods: The present study was based mainly on the three BDHSs conducted in 2007, 2011, and 2014, which used a two-stage stratified sampling design for data collection purposes. For the analysis purpose, frequency distribution and multivariate logistic regression were considered. Results: The prevalence of home delivery among Bangladeshi mothers had dropped from 82.60% in 2007 BDHS to 64.17% in 2014 BDHS. In general, older mothers at their first birth, highly educated mother and father, women from the richest household, women who take 4 + ANC (Antenatal Care Service), and women who accessed media were a lower chance of home delivery than their counterparts. The study also showed moderate advancement in the use of institutional conveyance care among mothers in Bangladesh during 2007, 2011, 2014 BDHSs. Large variations in outcome measures were observed between rural and urban areas. Conclusion: Our research convincingly confirms that Bangladesh's delivery system implementation level is improving day by day, but the Sustainable Development Goals goals are still far from being achieved. Therefore, to overcome this problem, policymakers must take effective measures to improve maternal education level, wealth status, and maternal health-care service, including family planning.