Survey 2011, on average, women have 25 percent of their births before reach<strong>in</strong>g twenty yearsof age, 57 percent dur<strong>in</strong>g their twenties, and 17 percent dur<strong>in</strong>g 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, accord<strong>in</strong>g to SVRS 2010, the adolescent birth rate has decl<strong>in</strong>ed, from 79 per 1,000women <strong>in</strong> 1990 to 59 <strong>in</strong> 2010 (Figure 6.6). As expected, early childbear<strong>in</strong>g is more common<strong>in</strong> rural areas, among the poor and the less educated. The <strong>Bangladesh</strong> Maternal MortalitySurvey 2010, on the other hand, found adolescent birth rate to be 105 per 1,000 women.Figure 6.6: Adolescent Birth Rate follow<strong>in</strong>g 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 tra<strong>in</strong>ed provider is important to monitor the status of apregnancy and identify the complications associated with the pregnancy. Accord<strong>in</strong>g to BDHS2011, 67.7 percent of women with a birth <strong>in</strong> the three years preced<strong>in</strong>g the survey receivedantenatal care at least once from any provider. Most women (54.6 percent) received care froma medically tra<strong>in</strong>ed 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 <strong>in</strong> antenatal care coverage cont<strong>in</strong>ues to be large: 74.3 percent ofurban women receive antenatal care from a tra<strong>in</strong>ed provider, compared to only 48.7 percentof rural women. Also, regional variation persists. Mothers <strong>in</strong> Khulna are most likely to66
eceive antenatal care from a medically tra<strong>in</strong>ed provider (65 percent), while those <strong>in</strong> Sylhetare least likely to receive care (47 percent). The likelihood of receiv<strong>in</strong>g antenatal care from amedically tra<strong>in</strong>ed provider <strong>in</strong>creases with the mother‟s education level and wealth status.Coverage of antenatal care from a tra<strong>in</strong>ed provider <strong>in</strong>creases from 26 percent for motherswith no education to 88 percent for mothers who have completed secondary school or highereducation. Similarly the proportion of women who received ANC from a medically tra<strong>in</strong>edprovider is lowest among those <strong>in</strong> the lowest wealth qu<strong>in</strong>tile (30 percent), and <strong>in</strong>creases witheach wealth qu<strong>in</strong>tile to a high of 87 percent among women <strong>in</strong> the highest wealth qu<strong>in</strong>tile.Figure 6.7: Antenatal Care Coverage (1 and 4 visits) from any ProvidersSource: BDHS various years, NIPORT, MOHFW[1996-97 & 1999-00 represent services received from medically tra<strong>in</strong>ed provides, othersrepresent any providers]Indicator 5.5b: Antenatal care coverage (at least four visits) (%)The BDHS 2011 f<strong>in</strong>d<strong>in</strong>gs show that not only more women are receiv<strong>in</strong>g antenatal care, butthat they are also receiv<strong>in</strong>g care more often. The percentage of women who had no ANC visithas decl<strong>in</strong>ed from 44 percent <strong>in</strong> 2004 to 32 percent <strong>in</strong> 2011. At the same time, the percentageof pregnant women who made four or more antenatal visits has <strong>in</strong>creased from 15.9 percent<strong>in</strong> 2004 to 25.5 percent <strong>in</strong> 2011. Urban women are more than twice (44.7 percent) as likely asrural women (19.8 percent) to make four or more antenatal visits <strong>in</strong> 2011. However, althoughthe number of women who receive at least four ANC has <strong>in</strong>creased steadily, these ga<strong>in</strong>s willnot be sufficient to reach the <strong>MDG</strong> target set for 2015. Inequalities <strong>in</strong> ANC coverage existaccord<strong>in</strong>g to rural/urban sett<strong>in</strong>gs, adm<strong>in</strong>istrative divisions and household wealth status.Indicator 5.6: Unmet need for family plann<strong>in</strong>gThe def<strong>in</strong>ition of unmet need for family plann<strong>in</strong>g has been recently revised <strong>in</strong> the <strong>Bangladesh</strong>Demographic and Health Survey (BDHS) 2011. Unmet need for family plann<strong>in</strong>g refers tofecund women who are not us<strong>in</strong>g contraception but who wish to postpone the next birth(spac<strong>in</strong>g) or stop childbear<strong>in</strong>g altogether (limit<strong>in</strong>g). Specifically, women are considered tohave unmet need for spac<strong>in</strong>g if they are:67
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The Millennium Development GoalsBan
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Foreword„Millennium Development G
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MDG related progress reports/studie
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List of TablesPage No.Table 2.1: Co
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Figure 5.1: Trends of Under-Five Mo
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IUCN International Union for Conser
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Executive SummaryIt is encouraging
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Annexure116
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Goals, targets and indicators (revi
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Goals, targets and indicators (revi
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Annex 2Some macroeconomic indicator
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Annex 3Some tables and figures rela
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Figure 3: Regional comparison of po
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Table 7: International comparison o
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Table 4: Adult literacy rate, 1991-
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Table 3: Infant mortality rate (IMR
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Table 4: Vaccination coverage (meas
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Table 2: International comparison o
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Annex 4POST 2015 DEVELOPMENT AGENDA
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21 January 2013 at the Planning Com
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TargetsIndicators1.4 Create opportu
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TargetsIndicatorsdiseases by typeGo
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Targets7.2 Reduce vulnerability of
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TargetsIndicators11.7 Strengthen pa