Child Well-Being Survey in Urban Areas of Bangladesh
Key Results November, 2016
Government of the People’s Republic of Bangladesh
Bangladesh Bureau of Statistics (BBS) Statistics and Informatics Division (SID) Ministry of Planning
United Nations Children’s Fund
The Child Well-Being Survey 2016 (CWS 2016) was conducted to measure the level of child well-being in urban areas of Bangladesh in terms of nutrition, health, education, protection and access to water and sanitation.
As consequence of rapid urbanization, urban cities are experiencing extreme pressure on housing, growth of slums and pressure on urban services. It is known that one-third of the City Corporations’ population lives in slums, which are areas of dense concentration of people and of conditions that affect health negatively. It is, therefore, of a great concern to know the situation of urban children and their mothers, especially those living in slums. To understand the situation of children and women in urban context Bangladesh Bureau of Statistics (BBS) with support from UNICEF, commissioned this CWS 2016. Associates for Community and Population Research (ACPR) implemented the survey.
Results presented in this report are not expected to change and are considered final unless otherwise mentioned. For electronic copy of the report please go to bbs.gov.bd and unicef.org/Bangladesh.
Suggested citation: Child Well-Being Survey 2016, Key Results. Bangladesh Bureau of Statistics and UNICEF Bangladesh 2016, Dhaka, Bangladesh
Contents
CHILD WELL-BEING SURVEY 2016 AT A GLANCE ...... 1
NUTRITION ...... 2
CHILD HEALTH ...... 9
WATER AND SANITATION ...... 12
REPRODUCTIVE HEALTH ...... 14
CHILD DEVELOPMENT, LITERACY AND EDUCATION ...... 19
CHILD PROTECTION ...... 23
Bangladesh CWS 2016
CHILD WELL-BEING SURVEY 2016 AT A GLANCE Survey implementation Urban CWS Sample frame Population and Housing Questionnaires Household Census, 2011, and Women (age 15-49) Census of Slum areas and Children under five Floating Population 2014
Interviewer training January 21 – February 3, 2016 Fieldwork February – April 2016 Survey sample
Households Children under five Sampled 20,134 Eligible 7,736 Occupied 19,187 Mothers/caretakers interviewed 7,521 Interviewed 18,887 Response rate (Per cent) 97.2 Response rate (Per cent) 98.4
Strata/domains Women All urban 19 Eligible for interviews 20, 632 City Corporation Slum 5 Interviewed 19, 632 City Corporation Non-slum 7 Response rate (Per cent) 95.2 Other Municipalities/Urban areas 7
Survey population Urban CWS Average household size Percentage of population with source of All urban 4.3 livelihood Percentage of population under: All Urban All urban Self-employment 38.2 Age 5 9.3 Manufacturing sector 11.1 Age 18 35.6 Service sector 42.3 Percentage of women age 15-49 years with at Remittance 6.0 least one live birth in the last 2 years From rent 2.0 All Urban 14.7 Other 0.3 City Corporation Slum 15.7 Proportion of household having at least one City Corporation Non-slum 13.6 member employed in garment sector Other Municipalities/Urban 15.1 All Urban 8.6 City Corporation Slum 27.2 City Corporation Non-Slum 9.5 Other Municipalities/Urban 7.0
Housing characteristics Household or personal assets Percentage of households with Percentage of households that own Electricity 95.2 A television 72.2 Finished floor 72.7 A refrigerator 45.2 Finished roofing 99.5 Electric fan 92.5 Finished walls 64.8 Almirah / Wardrobe 58.4 Agricultural land 32.4
Farm animals/livestock 26.9
Mean number of persons per room used for Percentage of households where at least a sleeping member has or owns a All Urban 2.5 Watch 42.5 City Corporation Slum 3.3 Mobile phone 97.4 City Corporation Non-slum 2.7 Bicycle 20.7 Other Municipalities/Urban 2.4 Computer 11.4 Car or truck 1.2
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Bangladesh CWS 2016
NUTRITION
Nutritional status Urban CWS Sl. no. Indicator Description Value 1.1 a Underweight prevalence Percentage of children under age 5 who (a) Moderate and severe fall below minus two standard deviations
(moderate and severe) of the median weight for age of the WHO standard National 20.4 Area Division
City Corporation Slum 30.8 Barisal 18.7 City Corporation Non-slum 17.7 Chittagong 23.7
Other Municipalities/Urban 20.9 Dhaka 18.8 Khulna 21.0 Rajshahi 21.5 Rangpur 17.5 Sylhet 25.8 1.1 b Underweight prevalence Percentage of children under age 5 (b) Severe who fall below minus two standard
deviations (severe) of the median weight for age of the WHO standard National 4.0 Area Division
City Corporation Slum 7.9 Barisal 3.6 City Corporation Non-slum 2.7 Chittagong 5.3
Other Municipalities/Urban 4.3 Dhaka 3.3 Khulna 3.4 Rajshahi 4.6 Rangpur 2.8 Sylhet 6.1 1.2.a Stunting prevalence Percentage of children under age 5 who (a) Moderate and severe fall below minus two standard deviations
(moderate and severe) of the median height for age of the WHO standard National 26.3 Area Division
City Corporation Slum 40.4 Barisal 25.6 City Corporation Non-slum 25.2 Chittagong 30.4
Other Municipalities/Urban 25.9 Dhaka 24.5 Khulna 20.5 Rajshahi 27.1 Rangpur 26.1 Sylhet 35.5 1.2b Stunting prevalence Percentage of children under age 5 who (b) Severe fall below minus two standard deviations
(severe) of the median height for age of the WHO standard National 7.8 Area Division
City Corporation Slum 15.4 Barisal 7.5 City Corporation Non-slum 7.3 Chittagong 8.6
Other Municipalities/Urban 7.5 Dhaka 7.6 Khulna 5.1 Rajshahi 7.6 Rangpur 6.1 Sylhet 13.3 P a g e | 2
Bangladesh CWS 2016
Nutritional status Urban CWS Sl. no. Indicator Description Value 1.3a Wasting prevalence Percentage of children under age 5 who (a) Moderate and severe fall below minus two standard deviations (moderate and severe) of the median weight for height of the WHO standard National 9.9 Area Division
City Corporation Slum 11.6 Barisal 8.2 City Corporation Non-slum 7.3 Chittagong 10.6
Other Municipalities/Urban 11.0 Dhaka 9.4 Khulna 10.2 Rajshahi 10.7 Rangpur 9.4 Sylhet 11.6 1.3b Wasting prevalence Percentage of children under age 5 who (b) Severe fall below minus two standard
deviations (severe) of the median weight for height of the WHO standard National 2.2 Area Division
City Corporation Slum 2.1 Barisal 1.8 City Corporation Non-slum 2.1 Chittagong 2.7
Other Municipalities/Urban 2.3 Dhaka 2.1 Khulna 2.4 Rajshahi 1.2 Rangpur 2.0 Sylhet 2.7 1.4 Overweight Percentage of children under age 5 who are prevalence above two standard deviations of the
median weight for height of the WHO standard National 2.7 Area Division
City Corporation Slum 2.7 Barisal 2.0 City Corporation Non-slum 4.1 Chittagong 1.9
Other Municipalities/Urban 2.1 Dhaka 3.3 Khulna 3.2 Rajshahi 2.2 Rangpur 1.8 Sylhet 3.1
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Bangladesh CWS 2016
Fi gure 1: Nutrition status of under - five children (moderate and s ever e), Ban gl ad esh Urban CWS 2016
35
30
25
20
15 Per cent Per 10
5
0 0-5 6-11 12-17 18-23 24-35 36-47 48-59 Age in months
Underweight Stunted Wasted Overweight
Breastfeeding and infant feeding Urban CWS Sl. no. Indicator Description Value 1.5 Children ever Percentage of women with a live birth in breastfed the last 2 years who breastfed their last live-born child at any time National 98.2 Area Division
City Corporation Slum 97.8 Barisal 99.2 City Corporation Non-slum 97.2 Chittagong 98.6
Other Municipalities/Urban 98.7 Dhaka 97.3 Khulna 99.6 Rajshahi 99.2 Rangpur 99.4 Sylhet 99.2 1.6 Early initiation of Percentage of women with a live birth in breastfeeding the last 2 years who put their last newborn to the breast within one hour of birth National 63.3 Area Division
City Corporation Slum 66.9 Barisal 71.1 City Corporation Non-slum 58.2 Chittagong 57.5
Other Municipalities/Urban 65.2 Dhaka 63.2 Khulna 62.3 Rajshahi 64.0 Rangpur 71.4 Sylhet 73.4
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Bangladesh CWS 2016
Figure 2: Status of initial breastfeeding within one hour of birth, Bangladesh Urban CWS 2016
Per cent 100
80 71 71 73 67 63 65 62 63 64 58 58 60
40
20
0
Sylhet
Dhaka
Barisal
Khulna
CC slum CC
Rajshahi
Rangpur
Other
Chittagong
muni/urban CC non-slum CC
All urban Area Division CC: City Corporation; muni: Municipalities
Breastfeeding and infant feeding Urban CWS Sl. no. Indicator Description Value 1.7 Exclusive Percentage of infants under 6 months of breastfeeding under 6 age who are exclusively breastfed1 months National 52.7 Area Division
City Corporation Slum 62.3 Barisal 64.2 City Corporation Non-slum 57.5 Chittagong 62.0
Other Municipalities/Urban 50.0 Dhaka 49.4 Khulna 32.7 Rajshahi 43.6 Rangpur 66.4 Sylhet 56.1 1.8 Predominant Percentage of infants under 6 months of breastfeeding under 6 age who received breast milk as the
months predominant source of nourishment2 during the previous day National 72.5 Area Division
City Corporation Slum 83.0 Barisal 77.1 City Corporation Non-slum 72.0 Chittagong 78.4
Other Municipalities/Urban 72.1 Dhaka 66.9 Khulna 63.0
1 Infants receiving breast milk, and not receiving any other fluids or foods, with the exception of oral rehydration solution, vitamins, mineral supplements and medicines 2 Infants receiving breast milk and certain fluids (water and water-based drinks, fruit juice, ritual fluids, oral rehydration solution, drops, vitamins, minerals, and medicines), but do not receive anything else (in particular, non-human milk and food-based fluids) P a g e | 5
Bangladesh CWS 2016
Breastfeeding and infant feeding Urban CWS Sl. no. Indicator Description Value
Rajshahi 74.3 Rangpur 86.9 Sylhet 82.9 1.9 Continued Percentage of children age 12-15 months breastfeeding at 1 who received breast milk during the year previous day National 96.9 Area Division
City Corporation Slum 92.3 Barisal 98.0 City Corporation Non-slum 98.7 Chittagong 98.2
Other Municipalities/Urban 96.4 Dhaka 97.8 Khulna 91.6 Rajshahi 94.0 Rangpur 96.7 Sylhet 96.7 1.10 Continued Percentage of children age 20-23 months breastfeeding at 2 who received breast milk during the years previous day National 87.0 Area Division
City Corporation Slum 90.7 Barisal 95.8 City Corporation Non-slum 80.3 Chittagong 89.8
Other Municipalities/Urban 89.7 Dhaka 83.7 Khulna 91.3 Rajshahi 88.2 Rangpur 93.4 Sylhet 89.2 1.11 Age-appropriate Percentage of children age 0-23 months breastfeeding appropriately fed3 during the previous day National 60.3 Area Division
City Corporation Slum 60.2 Barisal 71.0 City Corporation Non-slum 59.8 Chittagong 66.8
Other Municipalities/Urban 60.5 Dhaka 55.7 Khulna 56.2 Rajshahi 51.7 Rangpur 71.0 Sylhet 72.2 1.12 Introduction of solid, Percentage of infants age 6-8 months who semi-solid or soft received solid, semi-solid or soft foods foods during the previous day
National 75.7 Area Division
City Corporation Slum 75.1 Barisal 78.3 City Corporation Non-slum 68.1 Chittagong 78.7
Other Municipalities/Urban 78.4 Dhaka 72.2 Khulna 92.0 Rajshahi 77.8 Rangpur 67.2 Sylhet 66.3
3 Infants age 0-5 months who are exclusively breastfed, and children age 6-23 months who are breastfed and ate solid, semi-solid and soft foods P a g e | 6
Bangladesh CWS 2016
Breastfeeding and infant feeding Urban CWS Sl. no. Indicator Description Value 1.13 Milk feeding Milk feeding frequency for non-breastfed frequency for non- children (6-23 months) during the previous breastfed children day National 2.9 Area Division
City Corporation Slum 2.7 Barisal 2.0 City Corporation Non-slum 2.5 Chittagong 2.1
Other Municipalities/Urban 3.1 Dhaka 2.8 Khulna 3.8 Rajshahi 4.7 Rangpur 1.2 Sylhet 1.7 1.14 Minimum meal Percentage of children age 6-23 months frequency who received appropriate liquids and solid, semisolids or soft foods the minimum number of times or more during the previous day National 72.2 Area Division
City Corporation Slum 64.5 Barisal 70.8 City Corporation Non-slum 76.2 Chittagong 54.5
Other Municipalities/Urban 71.0 Dhaka 81.9 Khulna 84.3 Rajshahi 66.4 Rangpur 73.5 Sylhet 61.0 1.15 Minimum dietary Percentage of children age 6-23 months diversity who received food 4 or more groups among 7 groups during the previous day National 45.1 Area Division
City Corporation Slum 36.3 Barisal 52.4 City Corporation Non-slum 52.0 Chittagong 41.1
Other Municipalities/Urban 43.0 Dhaka 49.1 Khulna 41.9 Rajshahi 36.1 Rangpur 47.0 Sylhet 41.6 1.16 Minimum acceptable Percentage of children age 6-23 months diet with minimum dietary diversity and minimum meal frequency (breastfed
children) and minimum dietary diversity (excluding milk feeds and minimum meal frequency (Non-breastfed children)) National 38.0 Area Division
City Corporation Slum 29.7 Barisal 45.3 City Corporation Non-slum 44.4 Chittagong 31.7
Other Municipalities/Urban 36.0 Dhaka 42.8 Khulna 37.5 Rajshahi 29.4 Rangpur 38.8 Sylhet 34.3
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Bangladesh CWS 2016
Breastfeeding and infant feeding Urban CWS Sl. no. Indicator Description Value 1.17 Bottle feeding Percentage of children age 0-23 months who were fed with a bottle during the previous day National 21.4 Area Division
City Corporation Slum 20.6 Barisal 18.7 City Corporation Non-slum 26.3 Chittagong 12.9
Other Municipalities/Urban 19.4 Dhaka 28.3 Khulna 20.8 Rajshahi 23.5 Rangpur 9.6 Sylhet 11.7
Low-birth Weight Urban CWS Sl. no. Indicator Description Value 1.18 Low-birthweight infants4 Percentage of most recent live births in the last 2 years weighing below 2,500 grams at birth National 13.7 Area Division
City Corporation Slum 15.8 Barisal 11.7 City Corporation Non-slum 11.1 Chittagong 16.5
Other Municipalities/Urban 15.1 Dhaka 13.0 Khulna 14.5 Rajshahi 12.0 Rangpur 13.9 Sylhet 14.9 1.19 Infants weighed at birth Percentage of most recent live births in the last 2 years weighing below 2,500 grams at birth National 64.6 Area Division
City Corporation Slum 60.5 Barisal 63.1 City Corporation Non-slum 78.7 Chittagong 49.9
Other Municipalities/Urban 59.0 Dhaka 70.6 Khulna 72.5 Rajshahi 68.1 Rangpur 71.4 Sylhet 49.0
4 Low- birthweight for children is estimated from the mother’s assessment of the child’s size at birth and their recall of the child’s weight or the weight as recorded on a health card P a g e | 8
Bangladesh CWS 2016
CHILD HEALTH
Tetanus Urban CWS Sl. no. Indicator Description Value 2.1 Neonatal tetanus Percentage of women age 15-49 years with protection a live birth in the last 2 years who received at least two doses of tetanus toxoid vaccine prior to the most recent birth or 5 doses during lifetime
National 86.8 Area Division
City Corporation Slum 83.4 Barisal 90.5 City Corporation Non-slum 83.6 Chittagong 90.6
Other Municipalities/Urban 88.3 Dhaka 83.6 Khulna 85.1 Rajshahi 93.7 Rangpur 86.3 Sylhet 84.2
Diarrhoea Urban CWS Sl. no. Indicator Description Value 2.2 Children with diarrhea Percentage of children under age 5 with diarrhoea in the last 2 weeks National 6.1 Area Division
City Corporation Slum 9.2 Barisal 5.0 City Corporation Non-slum 5.9 Chittagong 9.1
Other Municipalities/Urban 6.0 Dhaka 5.1 Khulna 5.7 Rajshahi 6.2 Rangpur 5.9 Sylhet 4.7 2.3 Diarrhoea treatment Percentage of children under age 5 with with oral rehydration diarrhoea in the last 2 weeks who received therapy (ORT) and ORT (ORS packet, pre-packaged ORS fluid, continued feeding recommended homemade fluid or increased fluids) and continued feeding during the episode of diarrhoea National 70.0 Area Division
City Corporation Slum 60.9 Barisal 62.8 City Corporation Non-slum 72.8 Chittagong 70.1
Other Municipalities/Urban 69.6 Dhaka 71.7 Khulna 68.5 Rajshahi 74.6 Rangpur 51.0 Sylhet 79.2
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Bangladesh CWS 2016
Acute Respiratory Infection (ARI) symptoms Urban CWS Sl. no. Indicator Description Value 2.4 Children with ARI Percentage of children under age 5 with symptoms ARI symptoms in the last 2 weeks National 7.1 Area Division
City Corporation Slum 7.5 Barisal 8.0 City Corporation Non-slum 6.7 Chittagong 6.1
Other Municipalities/Urban 7.2 Dhaka 6.8 Khulna 8.3 Rajshahi 10.2 Rangpur 6.6 Sylhet 6.2 2.5 Care-seeking for Percentage of children under age 5 with ARI children with ARI symptoms in the last 2 weeks for whom
symptoms advice or treatment was sought from a health facility or provider National 81.2 Area Division
City Corporation Slum 78.5 Barisal 86.9 City Corporation Non-slum 79.4 Chittagong 75.9
Other Municipalities/Urban 82.1 Dhaka 80.6 Khulna 79.4 Rajshahi 89.5 Rangpur 81.7 Sylhet 80.2 2.6 Antibiotic treatment Percentage of children under age 5 with for children with ARI ARI symptoms in the last 2 weeks who symptoms received antibiotics National 80.7 Area Division
City Corporation Slum 76.8 Barisal 86.9 City Corporation Non-slum 79.2 Chittagong 73.7
Other Municipalities/Urban 81.5 Dhaka 80.4 Khulna 79.4 Rajshahi 89.5 Rangpur 81.7 Sylhet 79.2
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Bangladesh CWS 2016
Solid fuel use Urban CWS Sl. no. Indicator Description Value 2.7 Use of solid fuels for Percentage of household members in cooking households that use solid fuels as the
primary source of domestic energy to cook National 48.6 Area Division
City Corporation Slum 44.5 Barisal 82.9 City Corporation Non-slum 15.2 Chittagong 45.2
Other Municipalities/Urban 64.3 Dhaka 29.1 Khulna 79.1 Rajshahi 78.9 Rangpur 88.9 Sylhet 47.7
Immunization Urban CWS 2.8 Measles immunization Percentage of children age 12-23 coverage months who received the coverage of measles immunization National 89.7 Area Division
City Corporation Slum 76.3 Barisal 90.0 City Corporation Non-slum 92.6 Chittagong 91.7
Other Municipalities/Urban 89.3 Dhaka 88.3 Khulna 93.8 Rajshahi 91.5 Rangpur 92.9 Sylhet 81.0 2.9 Full immunization Percentage of children age 12-23 coverage months who received the coverage of full immunization National 88.0 Area Division
City Corporation Slum 72.1 Barisal 88.0 City Corporation Non-slum 92.1 Chittagong 89.4
Other Municipalities/Urban 87.3 Dhaka 86.0 Khulna 93.7 Rajshahi 91.5 Rangpur 92.7 Sylhet 80.3
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Bangladesh CWS 2016
WATER AND SANITATION
Water and Sanitation Urban CWS Sl. no. Indicator Description Value 3.1 Use of improved drinking Percentage of household members using water sources improved sources of drinking water National 99.2 Area Division
City Corporation Slum 98.0 Barisal 98.8 City Corporation Non-slum 99.0 Chittagong 99.0
Other Municipalities/Urban 99.3 Dhaka 99.6 Khulna 97.0 Rajshahi 100.0 Rangpur 99.9 Sylhet 96.8 3.2 Water treatment Percentage of household members in households using unimproved drinking water who use an appropriate treatment method National 39.7 Area Division
City Corporation Slum 25.9 Barisal 45.8 City Corporation Non-slum 25.6 Chittagong 37.7
Other Municipalities/Urban 51.4 Dhaka 16.1 Khulna 56.7 Rajshahi Rangpur 0.0 Sylhet 46.1 3.3 Use of improved Percentage of household members using sanitation improved sanitation facilities which are not shared National 57.3 Area Division
City Corporation Slum 18.9 Barisal 80.7 City Corporation Non-slum 51.3 Chittagong 63.6
Other Municipalities/Urban 62.4 Dhaka 47.1 Khulna 65.2 Rajshahi 66.5 Rangpur 65.4 Sylhet 66.7 3.4 Safe disposal of child’s Percentage of children age 0-2 years faeces whose last stools were disposed of safely National 66.2 Area Division
City Corporation Slum 58.0 Barisal 57.5 City Corporation Non-slum 81.9 Chittagong 61.7
Other Municipalities/Urban 60.2 Dhaka 76.7 Khulna 62.8 Rajshahi 43.7 Rangpur 56.3 Sylhet 58.2
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Bangladesh CWS 2016
Water and Sanitation Urban CWS Sl. no. Indicator Description Value 3.5 Place for handwashing Percentage of households with a specific place for hand washing where water and
soap or other cleansing agent are present National 55.4 Area Division
City Corporation Slum 35.4 Barisal 43.9 City Corporation Non-slum 67.1 Chittagong 53.9
Other Municipalities/Urban 51.1 Dhaka 55.4 Khulna 57.6 Rajshahi 61.6 Rangpur 54.5 Sylhet 54.8 3.6 Availability of soap or Percentage of households with soap or other cleansing agent other cleansing agent anywhere in the dwelling National 97.3 Area Division
City Corporation Slum 93.9 Barisal 99.1 City Corporation Non-slum 96.4 Chittagong 97.6
Other Municipalities/Urban 98.0 Dhaka 96.7 Khulna 97.2 Rajshahi 99.1 Rangpur 97.7 Sylhet 96.2
Figure 3: Households who sh ar ed sanitation f acili ties (Impro ved ), Bangladesh Urban CWS 2016
Per cent 100
80 63 60
38 40 32 29 31 28 29 22 24 26 18 20
0
Sylhet
Dhaka
Barisal
Khulna
CC slum CC
Rajshahi
Rangpur
Other
Chittagong
muni/urban CC non-slum CC All urban Area Division
CC: City Corporation; muni: Municipalities
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Bangladesh CWS 2016
REPRODUCTIVE HEALTH
Fertility, contraception and unmet need Urban CWS Sl. no. Indicator Description Value 4.1 Adolescent birth Percentage of women age 15-19 years
who have had a live birth National 13.3 Area Division
City Corporation Slum 29.9 Barisal 16.0 City Corporation Non-slum 10.4 Chittagong 10.6
Other Municipalities/Urban 13.4 Dhaka 11.2 Khulna 16.3 Rajshahi 18.6 Rangpur 19.9 Sylhet 22.1 4.2 Early childbearing Percentage of women age 20-24 years who had at least one live birth before age 18 National 22.9 Area Division
City Corporation Slum 31.9 Barisal 23.1 City Corporation Non-slum 17.1 Chittagong 24.2
Other Municipalities/Urban 24.9 Dhaka 20.7 Khulna 27.0 Rajshahi 25.7 Rangpur 27.6 Sylhet 19.0 4.3 Contraceptive prevalence Percentage of women age 15-49 years rate currently married who are using (or whose partner is using) a (modern or traditional) contraceptive method National 67.3 Area Division
City Corporation Slum 73.8 Barisal 71.1 City Corporation Non-slum 66.6 Chittagong 64.7
Other Municipalities/Urban 67.2 Dhaka 66.6 Khulna 69.3 Rajshahi 73.0 Rangpur 69.0 Sylhet 59.3
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Bangladesh CWS 2016
Fertility, contraception and unmet need Urban CWS Sl. no. Indicator Description Value 4.4 Unmet need Percentage of women age 15-49 years who are currently married or in union who are fecund and want to space their
births or limit the number of children they have and who are not currently using contraception National 7.8 Area Division
City Corporation Slum 5.9 Barisal 5.1 City Corporation Non-slum 7.8 Chittagong 11.5
Other Municipalities/Urban 7.9 Dhaka 7.9 Khulna 5.6 Rajshahi 4.6 Rangpur 5.3 Sylhet 9.5
Maternal and newborn health Urban CWS Sl. no. Indicator Description Value 4.5 Antenatal care coverage Percentage of women age 15-49 years (at least once) with a live birth in the last 2 years who were attended during their last pregnancy that led to a live birth at least once by skilled health personnel National 81.1 Area Division
City Corporation Slum 67.7 Barisal 78.3 City Corporation Non-slum 84.1 Chittagong 75.6
Other Municipalities/Urban 80.7 Dhaka 83.9 Khulna 87.2 Rajshahi 80.4 Rangpur 83.0 Sylhet 72.0 4.6 Antenatal care coverage Percentage of women age 15-49 years (at least four times) with a live birth in the last 2 years who were attended during their last pregnancy that led to a live birth at least four times by any provider National 45.9 Area Division
City Corporation Slum 35.8 Barisal 37.3 City Corporation Non-slum 60.8 Chittagong 35.5
Other Municipalities/Urban 40.4 Dhaka 52.0 Khulna 54.1 Rajshahi 45.8 Rangpur 48.3 Sylhet 28.9
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Bangladesh CWS 2016
Maternal and newborn health Urban CWS Sl. no. Indicator Description Value 4.7 Content of antenatal Percentage of women age 15-49 years care with a live birth in the last 2 years who had their blood pressure measured and gave urine and blood samples during the last pregnancy that led to a live birth National 62.9 Area Division
City Corporation Slum 52.2 Barisal 62.3 City Corporation Non-slum 76.8 Chittagong 57.4
Other Municipalities/Urban 57.9 Dhaka 69.3 Khulna 63.9 Rajshahi 50.3 Rangpur 59.6 Sylhet 56.3 4.8 Skilled attendant at Percentage of women age 15-49 years delivery with a live birth in the last 2 years who were attended by skilled health personnel during their most recent live birth National 64.2 Area Division
City Corporation Slum 55.5 Barisal 68.2 City Corporation Non-slum 73.6 Chittagong 54.2
Other Municipalities/Urban 60.9 Dhaka 66.8 Khulna 80.3 Rajshahi 65.5 Rangpur 69.3 Sylhet 50.9 4.9 Institutional deliveries Percentage of women age 15-49 years with a live birth in the last 2 years whose most recent live birth was delivered in a health facility National 62.0 Area Division
City Corporation Slum 57.1 Barisal 63.2 City Corporation Non-slum 75.5 Chittagong 48.1
Other Municipalities/Urban 56.7 Dhaka 66.5 Khulna 76.9 Rajshahi 63.9 Rangpur 67.4 Sylhet 50.2
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Bangladesh CWS 2016
Maternal and newborn health Urban CWS Sl. no. Indicator Description Value 4.10 Caesarean section Percentage of women age 15-49 years whose most recent live birth in the last 2 years was delivered by caesarean section National 39.9 Area Division
City Corporation Slum 23.9 Barisal 39.5 City Corporation Non-slum 46.6 Chittagong 26.1
Other Municipalities/Urban 38.1 Dhaka 44.5 Khulna 57.2 Rajshahi 40.8 Rangpur 43.9 Sylhet 28.2
Fi gure 4: Percentage of women 15 -49 years who were attended during their last pregnancy 4 or more times by any provider, Bangladesh Urb an CW S 2016
Per cent 100
80 61 60 52 54 46 46 48 40 37 40 36 36 29
20
0
Sylhet
Dhaka
Barisal
Khulna
CC slum CC
Rajshahi
Rangpur
Chittagong
CC non-slum CC Othermuni/urban All urban Area Division
CC: City Corporation; muni: Municipalities
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Bangladesh CWS 2016
Post-natal health checks Urban CWS Sl. no. Indicator Description Value 4.11 Post-partum stay in Percentage of women age 15-49 years health facility who stayed in the health facility for 12
hours or more after the delivery of their most recent live birth in the last 2 years
National 84.4 Area Division
City Corporation Slum 70.9 Barisal 88.3 City Corporation Non-slum 83.3 Chittagong 86.2
Other Municipalities/Urban 86.0 Dhaka 83.5 Khulna 88.2 Rajshahi 80.5 Rangpur 85.6 Sylhet 83.1 4.12 Post-natal health check Percentage of last live births in the last 2 for the newborn years who received a health check while in facility or at home following delivery, or a post-natal care visit within 2 days after delivery National 79.9 Area Division
City Corporation Slum 64.8 Barisal 93.3 City Corporation Non-slum 83.9 Chittagong 73.4
Other Municipalities/Urban 79.2 Dhaka 79.3 Khulna 95.2 Rajshahi 82.8 Rangpur 85.4 Sylhet 69.3 4.13 Post-natal health check Percentage of women age 15-49 years for the mother who received a health check while in facility or at home following delivery, or a post-natal care visit within 2 days after delivery of their most recent live birth in the last 2 years
National 77.5 Area Division
City Corporation Slum 61.4 Barisal 88.5 City Corporation Non-slum 80.3 Chittagong 72.9
Other Municipalities/Urban 77.4 Dhaka 76.2 Khulna 96.0 Rajshahi 78.8 Rangpur 82.5 Sylhet 65.4
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Bangladesh CWS 2016
CHILD DEVELOPMENT, LITERACY AND EDUCATION
Literacy and Education Urban CWS Sl. no. Indicator Description Value 5.1 Attendance to early Percentage of children age 36-59 months childhood education who are attending an early childhood education programme National 26.2 Area Division
City Corporation Slum 23.8 Barisal 23.8 City Corporation Non-slum 30.4 Chittagong 23.9
Other Municipalities/Urban 24.2 Dhaka 27.7 Khulna 31.5 Rajshahi 21.7 Rangpur 26.7 Sylhet 20.1 5.2 Literacy rate among Percentage of young women age 15-24 young people years who are able to read a short simple
statement about everyday life or who attended secondary or higher education
National 82.6 Area Division
City Corporation Slum 59.0 Barisal 87.6 City Corporation Non-slum 83.7 Chittagong 79.8
Other Municipalities/Urban 83.8 Dhaka 80.9 Khulna 91.8 Rajshahi 88.8 Rangpur 81.9 Sylhet 76.8 5.3 School readiness Percentage of children in first grade of primary school who attended pre-school during the previous school year National 68.0 Area Division
City Corporation Slum 56.1 Barisal 64.3 City Corporation Non-slum 59.1 Chittagong 80.5
Other Municipalities/Urban 72.7 Dhaka 60.2 Khulna 86.9 Rajshahi 73.7 Rangpur 65.6 Sylhet 61.5
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Bangladesh CWS 2016
Literacy and Education Urban CWS Sl. no. Indicator Description Value 5.4 Net intake rate in Percentage of children of school-entry primary education age who enter the first grade of primary school National 62.2 Area Division
City Corporation Slum 40.5 Barisal 68.7 City Corporation Non-slum 66.9 Chittagong 57.5
Other Municipalities/Urban 61.5 Dhaka 65.2 Khulna 57.1 Rajshahi 58.6 Rangpur 57.6 Sylhet 70.5 5.5 Primary school net Percentage of children of primary school attendance ratio age currently attending primary or (adjusted) secondary school National 85.5 Area Division
City Corporation Slum 69.4 Barisal 89.5 City Corporation Non-slum 85.0 Chittagong 82.9
Other Municipalities/Urban 86.8 Dhaka 84.7 Khulna 90.0 Rajshahi 88.7 Rangpur 85.3 Sylhet 88.0 5.6 Secondary school net Percentage of children of secondary attendance ratio school age currently attending secondary (adjusted) school or higher National 63.1 Area Division
City Corporation Slum 33.3 Barisal 74.4 City Corporation Non-slum 62.0 Chittagong 60.9
Other Municipalities/Urban 65.5 Dhaka 59.4 Khulna 71.4 Rajshahi 70.3 Rangpur 69.3 Sylhet 63.4
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Bangladesh CWS 2016
Figure 5: Net attendance ratio (NAR) - Pri mar y and secondary school , Bangladesh Urban CWS 2016
Net attendance ratio (NAR)- Primary Net attendance ratio (NAR)- Secondary Per cent Per cent 100 90 90 89 88 100 86 85 87 83 85 85 74 71 70 80 69 80 66 69 63 62 61 59 63 60 60 33 40 40 20 20 0
0
Sylhet
Dhaka
Barisal
Khulna
CC slum CC
Sylhet
Dhaka
Rajshahi
Rangpur
Barisal
Khulna
CC slum CC
Rajshahi
Rangpur
Chittagong
CC non-slum CC
Chittagong
CC non-slum CC
Other muni/urban Other Other muni/urban Other All Area Division All urban Area Division urban
CC: City Corporation; muni: Municipalities
Literacy and Education Urban CWS Sl. no. Indicator Description Value 5.7 Children reaching last Percentage of children entering the first grade of primary grade of primary school who eventually reach last grade National 94.7 Area Division
City Corporation Slum 82.6 Barisal 95.4 City Corporation Non-slum 92.4 Chittagong 97.7
Other Municipalities/Urban 96.3 Dhaka 92.1 Khulna 98.0 Rajshahi 97.1 Rangpur 93.8 Sylhet 98.6 5.8 Primary completion Number of children attending the last rate grade of primary school (excluding repeaters) divided by number of children
of primary school completion age (age appropriate to final grade of primary school)
National 87.5 Area Division
City Corporation Slum 73.1 Barisal 86.2 City Corporation Non-slum 77.4 Chittagong 94.4
Other Municipalities/Urban 92.8 Dhaka 81.8 Khulna 88.8 Rajshahi 99.4 Rangpur 86.9 Sylhet 92.5
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Bangladesh CWS 2016
Literacy and Education Urban CWS Sl. no. Indicator Description Value 5.9 Transition rate to Number of children attending the last secondary school grade of primary school during the previous school year who are in the first grade of secondary school during the current school year divided by number of children attending the last grade of primary school during the previous school year National 97.2 Area Division
City Corporation Slum 92.5 Barisal 99.3 City Corporation Non-slum 98.5 Chittagong 98.5
Other Municipalities/Urban 96.8 Dhaka 95.8 Khulna 95.2 Rajshahi 99.8 Rangpur 98.0 Sylhet 98.4 5.10 Gender parity index Primary school net attendance ratio (primary school) (adjusted) for girls divided by primary school net attendance ratio (adjusted) for boys National 1.05 Area Division
City Corporation Slum 1.01 Barisal 1.10 City Corporation Non-slum 1.05 Chittagong 1.09
Other Municipalities/Urban 1.06 Dhaka 1.06 Khulna 0.98 Rajshahi 1.06 Rangpur 1.01 Sylhet 1.02 5.11 Gender parity index Secondary school net attendance ratio (secondary school) (adjusted) for girls divided by secondary
school net attendance ratio (adjusted) for boys National 1.18 Area Division
City Corporation Slum 1.14 Barisal 1.10 City Corporation Non-slum 1.22 Chittagong 1.19
Other Municipalities/Urban 1.17 Dhaka 1.24 Khulna 1.07 Rajshahi 1.15 Rangpur 1.18 Sylhet 1.11
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Bangladesh CWS 2016
CHILD PROTECTION
Birth registration Urban CWS Sl. no. Indicator Description Value 6.1 Birth registration Percentage of children under age 5 whose
births are reported registered National 29.3 Area Division
City Corporation Slum 32.9 Barisal 26.3 City Corporation Non-slum 33.2 Chittagong 34.3
Other Municipalities/Urban 27.2 Dhaka 29.3 Khulna 24.5 Rajshahi 24.5 Rangpur 25.3 Sylhet 31.0
Child discipline Urban CWS Sl. no. Indicator Description Value 6.2 Violent discipline Percentage of children age 1-14 years who experienced psychological aggression or
physical punishment during the last one month National 82.4 Area Division
City Corporation Slum 84.9 Barisal 80.6 City Corporation Non-slum 81.9 Chittagong 83.6
Other Municipalities/Urban 82.5 Dhaka 81.6 Khulna 83.3 Rajshahi 85.6 Rangpur 80.0 Sylhet 82.9
Figure 6: Child discipline methods, children age 1 -14 years , Ban gladesh Urb an C WS 2016
Other Severe Physical punishment Per cent 38 17.6
Psychological aggression 72
Any violent discipline 82
Only non-violent 13 discipline
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Bangladesh CWS 2016
Child labour Urban CWS Sl. no. Indicator Description Value 6.3 Child labour (5-14 Percentage of children age 5-11 years who years) are involved more than 1 hour per week and more than 14 hours for 12-14 years in economic activities and more than 28 hours in household chores for both groups National 8.1 Area Division
City Corporation Slum 14.3 Barisal 5.4 City Corporation Non-slum 7.0 Chittagong 6.1
Other Municipalities/Urban 8.2 Dhaka 9.3 Khulna 7.7 Rajshahi 7.0 Rangpur 9.9 Sylhet 7.5 6.4 Child labour (5-17 Percentage of children age 5-11 years who years) are involved more than 1 hour per week and more than 14 hours for 12-14 years in economic activities and more than 28 hours in household chores for both groups and more than 43 hours for 15-17 years involved in economic activities and household chores National 12.9 Area Division
City Corporation Slum 23.1 Barisal 8.1 City Corporation Non-slum 12.0 Chittagong 11.3
Other Municipalities/Urban 12.6 Dhaka 14.0 Khulna 12.8 Rajshahi 11.5 Rangpur 15.4 Sylhet 12.0
Fi gure 7: C hild l abour , chi ldren age 5 -17 years, Bangladesh Ur ban C WS 2016
Per cent 100
80
60
40 23 15 20 13 12 13 11 12 12 13 14 8
0 CC slum CC non-slum Other Barisal Chittagong Rajshahi Sylhet Khulna Dhaka Rangpur muni/urban All urban Area Division
CC: City Corporation; muni: Municipalities
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Bangladesh CWS 2016
Early marriage and polygyny Urban CWS Sl. no. Indicator Description Value 6.5 Marriage before age 15 Percentage of women age 15-49 years who were first married or in union before age 15 National 22.5 Area Division
City Corporation Slum 28.1 Barisal 22.7 City Corporation Non-slum 20.0 Chittagong 18.7
Other Municipalities/Urban 23.4 Dhaka 22.6 Khulna 30.2 Rajshahi 25.0 Rangpur 25.3 Sylhet 12.3 6.6 Marriage before age 18 Percentage of women age 20-49 years who
were first married or in union before age 18 National 59.7
Area Division
City Corporation Slum 66.4 Barisal 61.9 City Corporation Non-slum 53.3 Chittagong 56.2
Other Municipalities/Urban 62.3 Dhaka 60.3 Khulna 65.9 Rajshahi 62.6 Rangpur 61.8 Sylhet 40.4 6.7 Young people age 15-19 Percentage of young women age 15-19 years currently married years who are married or in union or in union National 32.9 Area Division
City Corporation Slum 34.8 Barisal 31.9 City Corporation Non-slum 32.9 Chittagong 23.5
Other Municipalities/Urban 32.7 Dhaka 36.4 Khulna 40.9
Rajshahi 37.6
Rangpur 29.0
Sylhet 18.1 6.8 Polygyny Percentage of women age 15-49 years who are in a polygynous union National 2.8 Area Division
City Corporation Slum 4.4 Barisal 1.8 City Corporation Non-slum 2.4 Chittagong 1.8
Other Municipalities/Urban 3.0 Dhaka 3.3 Khulna 3.0 Rajshahi 3.2 Rangpur 2.3 Sylhet 2.7
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Bangladesh CWS 2016
Children’s living arrangements Urban CWS Sl. no. Indicator Description Value 6.9 Children’s living Percentage of children age 0-17 years arrangements living with neither biological parent National 4.7 Area Division
City Corporation Slum 4.4 Barisal 5.5 City Corporation Non-slum 4.4 Chittagong 2.5
Other Municipalities/Urban 4.9 Dhaka 5.2 Khulna 5.2 Rajshahi 5.9 Rangpur 6.1 Sylhet 4.2 6.10 Prevalence of children Percentage of children age 0-17 years with one or both with one or both biological parents dead parents dead National 4.1 Area Division
City Corporation Slum 6.2 Barisal 4.1 City Corporation Non-slum 4.8 Chittagong 4.7
Other Municipalities/Urban 3.7 Dhaka 4.0 Khulna 3.2 Rajshahi 3.1 Rangpur 4.2 Sylhet 6.3 6.11 Children with at least Percentage of children 0-17 years with at one parent living least one biological parent living abroad abroad National 4.9 Area Division
City Corporation Slum 1.1 Barisal 3.7 City Corporation Non-slum 3.1 Chittagong 9.2
Other Municipalities/Urban 5.9 Dhaka 4.2 Khulna 3.6 Rajshahi 2.8 Rangpur 0.7 Sylhet 5.8
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