Child and Maternal Mortality
in Islamic Countries
71
Figure 3.19 shows the causes of under-five mortality in Bangladesh in 2017. Over half (57%) of
under-five deaths in Bangladesh occurred in the neonatal period. The top three leading under-
five causes are preterm birth complications (20.5%), intrapartum related events (15.7%), and
pneumonia (15.4%).
Figure 3.19. Causes of under-five mortality, Bangladesh, 2017
Data source: Maternal and Child Epidemiology Estimation and Global health Observatory, available at
3.1.2. Progress in MNCH Care Indicators in Bangladesh
Bangladesh has experienced considerable progress in MNCH care utilization indicators in the
last three decades. Any ANC visit rate has increased from 27.3 % in 1993-94 to 78.5% in 2014
(BDHS 2017 data are publicly not available yet). However, the use of at least four ANC visits,
recommended by the WHO, was much lower. ANC4+ visits rate has increased from 5.5% to
31.2% during the same period (1993-94 to 2014).
Skilled birth attendance rates increased predominately since 2004 – from 13.2% to 42.3% in
2014. Deliveries at health facilities increased from 9.9% to 37.6% during this period. The
IHME/GBD projected that the SBA rate in Bangladesh will increase to 80% by 2030. Although c-
section was low in Bangladesh in 2004 (3.5%), there was a rapid rise in c-section in the
subsequent period. The c-section rate was 22.9% in 2014.
Pneumonia;…
Preterm birth
complications;
18,96
Intrapartum-
related events;
14,45
Sepsis or
menigitis; 12,85
Other; 4,08
Injury; 0,52
Congenital; 8,21 Tetanus;…
Diarrhoea;…
Diarrhoea; 8,07
Measles; 2,20
Injury; 8,55
Malaria;…
AIDS; 0,02
Meningitis;…
Preterm birth…
Intrapartum-
related events;
1,27
Congenital; 2,19
Other; 14,09
Pneumonia;
11,58
Deaths among children
aged
1-59 months (43%)
Neonatal deaths