Child and Maternal Mortality

in Islamic Countries

Section-III. Country Case-Study

We selected four OIC member countries for in-depth case studies. We selected Bangladesh, Cote

d’Ivoire, Indonesia and Iraq based on the following criteria:

●

Country’s track record of progress in maternal and U5 mortality reduction. The selected

countries represent both stories of success as well as the lack of accomplishments

●

Country’s absolute numbers of maternal and U5 deaths are high

●

Availability of national data for conducting analyses to examine differentials inmaternal

and child mortality rates and maternity and child health care utilization rates by a set of

covariates: maternal and paternal education, wealth/income, family size, service

availability, and contextual factors;

●

High inequity in health care and mortality rates

●

At least one case country in a Francophonic country considering that several OIC

countries are French speaking and health status in such countries is generally poor

●

At least one Middle East country with poor MNCH indicators

3.1. Bangladesh

Bangladesh is the 8

largest populous country in the world

with 1140 peoples per square kilometer, one of the highest

population densities in the world. The country, however,

achieved remarkable success in reducing maternal and

child mortality.

Although Bangladesh ranks much lower

than Indonesia in economic status (globally ranks 145

for

and 95

on the World Bank’s 2017 GDP [PPP] list,

respectively), the country’s maternal mortality level is

lower than that of Indonesia. Maternal mortality has

reduced from 322 deaths per 100 000 live births in 1998–

2001 to 194 deaths per 100 000 live births in 2007–10,

amounting to a 5.6% reduction per annum compared to the

global figure of 2.6%. According to the Demographic and

Health Survey (DHS) data, delivery at health facility has

increased from 12% in 2004 to 37% in 2014. Female

education has increased dramatically in Bangladesh with 91.4% of enrollment in primary

education. Contraceptive prevalence rate has reached 62% among married women of

reproductive age, and total fertility rate (TFR) has declined from 3.3 in 2000 to 2.3 in 2014. U5

mortality rate has declined from 94 deaths per 1000 livebirths in 1999-2000 to 46 deaths in

2014.

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