MDG Report 2012 - United Nations in Bangladesh

Survey 2011, on average, women have 25 percent of their births before reaching twenty yearsof age, 57 percent during their twenties, and 17 percent during their thirties.Table 6.1: Adolescent Birth Rate, 1975-2011Year Adolescent birth rate Source1975 109 BFS1989 182 BFS1991 179 CPS1993-94 140 BDHS1996-97 147 BDHS1999-00 144 BDHS2004 135 BDHS2007 126 BDHS2011 118 BDHSHowever, according to SVRS 2010, the adolescent birth rate has declined, from 79 per 1,000women in 1990 to 59 in 2010 (Figure 6.6). As expected, early childbearing is more commonin rural areas, among the poor and the less educated. The Bangladesh Maternal MortalitySurvey 2010, on the other hand, found adolescent birth rate to be 105 per 1,000 women.Figure 6.6: Adolescent Birth Rate following SVRS, 1990-2010Adolescent Birth Rate90807060504030201001990 1995 2000 2005 2010Adolescent Birth Rate 79 55 39 57 59Source: SVRS, various years, BBSIndicator 5.5: Antenatal care coverage (at least one visit and at least four visits)Indicator 5.5a: Antenatal care coverage (at least one visit)Antenatal care from a medically trained provider is important to monitor the status of apregnancy and identify the complications associated with the pregnancy. According to BDHS2011, 67.7 percent of women with a birth in the three years preceding the survey receivedantenatal care at least once from any provider. Most women (54.6 percent) received care froma medically trained provider, e.g., doctor, nurse, midwife, family welfare visitor (FWV),community skilled birth attendant (CSBA), medical assistant (MA), or sub-assistantcommunity medical officer (SACMO).The urban-rural differential in antenatal care coverage continues to be large: 74.3 percent ofurban women receive antenatal care from a trained provider, compared to only 48.7 percentof rural women. Also, regional variation persists. Mothers in Khulna are most likely to66