Child Well-Being Survey in Urban Areas of Bangladesh

a Child Well-being Survey in Urban Areas of Bangladesh b Child Well-being Survey in Urban Areas of Bangladesh Design andLayout:Expressions Ltd Cover photo:©UNICEF/BANA2015/Kiron Bangladesh BureauofStatisticsandUNICEF 2016,Dhaka,Bangladesh Child Well-BeingSurvey2016,DivisionalReports. Suggested citation: go to and areconsideredfinalunlessotherwisementioned. Forelectroniccopyofthereportplease unweighted casestogiveestimatesatdivisionlevel. Theresultsarenotexpectedtochange Results presentedinthisreportareforselectedindicators thathaveminimumnumberof Population Research(ACPR)implementedthesurvey. with supportfromUNICEF,commissionedthisCWS2016.AssociatesforCommunityand the situationofchildrenandwomeninurbancontextBangladeshBureauStatistics(BBS) situation ofurbanchildrenandtheirmothers,especiallythoselivinginslums.Tounderstand and ofconditionsthataffecthealthnegatively.Itis,therefore,agreatconcerntoknowthe City Corporations’populationlivesinslums,whichareareasofdenseconcentrationpeople housing, growthofslumsandpressureonurbanservices.Itisknownthatone-thirdthe As consequenceofrapidurbanization,urbancitiesareexperiencingextremepressureon access towaterandsanitation. being inurbanareasofBangladeshtermsnutrition,health,education,protectionand Child Well-BeingSurvey2016(CWS2016) www.unicef.org.bd Email: [email protected] Telephone: (880-2)55668088 1, MintoRoad,Dhaka-1000,Bangladesh BSL OfficeComplex United NationsChildren’sFund(UNICEF) Social Policy,Evaluation,AnalyticsandResearchSection(SPEAR) www.bbs.gov.bd Dhaka, Bangladesh Government ofthePeople’sRepublicBangladesh Statistics andInformaticsDivision,MinistryofPlanning Bangladesh BureauofStatistics(BBS) granted toeducationalornon-profitorganizations.Pleasecontact: Permission isrequiredtoreproduceanypartofthispublication.willbefreely videotapes. All UNICEFmaterialsareprotectedbycopyright,includingtext,photographs,imagesand February, 2018 ©Bangladesh BureauofStatistics(BBS)andUnitedNationsChildren’sFund(UNICEF) bbs.gov.bd and unicef.org /Bangladesh. wasconductedtomeasurethelevelofchildwell- IN URBANAREASOFBANGLADESH CHILD WELL-BEINGSURVEY Divisional Reports 2016

i Child Well-being Survey in Urban Areas of Bangladesh ii Child Well-being Survey in Urban Areas of Bangladesh TABLE OF CONTENTS CHITTAGONG DIVISION BARISAL DIVISION List ofAbbreviations KHULNA DIVISION DHAKA DIVISION TABLE OFCONTENTS Key results Barisal DivisionTables Key results Khulna DivisionTables Key results Dhaka DivisionTables Key results Chittagong DivisionTables Reproductive Health Child Health Nutritional Status Child Protection Child Development,LiteracyandEducation Water andSanitation Reproductive Health Child Health Nutritional Status Child Protection Child Development,Literacy andEducation Water andSanitation Reproductive Health Child Health Nutritional Status Child Protection Child Development,LiteracyandEducation Water andSanitation Reproductive Health Child Health Nutritional Status Child Protection Child Development,LiteracyandEducation Water andSanitation ...... 24 24 24 23 4 3 3 3 2 2 2 2 1 73 72 71 71 70 70 70 70 69 49 48 47 47 47 46 46 46 45 26 25 25 25 24 iii iii Child Well-being Survey in Urban Areas of Bangladesh iv TABLEChild Well-being Survey in Urban Areas of Bangladesh OF CONTENTS ANNEX SYLHET DIVISION RANGPUR DIVISION RAJSHAHI DIVISION

Sylhet DivisionTables Rangpur DivisionTables Key results Rajshahi DivisionTables Key results CWS 2016,DivisionalIndicators:NumeratorsandDenominators Key results Child Protection Child Development,LiteracyandEducation Water andSanitation Reproductive Health Child Health Nutritional Status Child Protection Child Development,LiteracyandEducation Water andSanitation Reproductive Health Child Health Nutritional Status Child Protection Child Development,LiteracyandEducation Water andSanitation Reproductive Health Child Health Nutritional Status ...... 113 94 93 93 93 92 92 92 92 91 156 135 117 116 116 115 115 114 114 114 156 139 138 137 137 136 136 136 136 LIST OF ABBREVIATIONS WHO UNICEF UNFPA UNDP UNAIDS UHC TT SPSS PSU PSCR PNC ORT ORS OPV NAR MSD MR MICS MDG LAM IYCF IUD HPNSDP HIV GPI FP EPI ECCE ECE DPT CWS CSPro CPR CC BDHS BCG BBS ARI ANC AIDS ACPR LIST OFABBREVIATIONS World HealthOrganization United NationsChildren’s Fund United NationsPopulation Fund United NationsDevelopment Programme United NationsProgrammeonHIV/AIDS Bangladesh UrbanHealthSurvey Tetanus Toxoid Statistical PackageforSocialSciences Primary SamplingUnit Primary SchoolCompletionRate Postnatal Care Oral RehydrationTherapy Oral RehydrationSalt Oral PolioVaccine Net AttendanceRatio Measles SecondDose Measles-Rubella Multiple IndicatorClusterSurvey Millennium DevelopmentGoals Lactational AmenorrheaMethod Infant andYoungChildFeeding Intrauterine Device Health, PopulationandNutritionSectorDevelopmentProgramme Human ImmunodeficiencyVirus Gender ParityIndex Family Planning Expanded ProgramonImmunization Early ChildhoodCareandEducation Early ChildhoodEducation Diphtheria, Pertussis,andTetanusVaccine Child Well-beingSurvey Census andSurveyProcessingSystem Contraceptive PrevalenceRate City Corporation Bangladesh DemographicandHealthSurvey Bacille Calmetto-Guerin Bangladesh BureauofStatistics Acute RespiratoryInfection Antenatal Care Acquired ImmuneDeficiencySyndrome Associates forCommunityandPopulationResearch

v Child Well-being Survey in Urban Areas of Bangladesh vi Child Well-being Survey in Urban Areas of Bangladesh BARISAL DIVISION

1 Child Well-being Survey in Urban Areas of Bangladesh 2 Child Well-being Survey in Urban Areas of Bangladesh Child Health Nutritional Status Reproductive Health • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Key Results survey, received the recommended four or more antenatal care (ANC) visits by any provider. About 37.3percentofwomenage15-49whogave birthinthelasttwoyears,preceding received foodwithminimumdiversityinthelast24hoursprecedingsurvey. More thanhalf(53.2percent)oftheurbanchildrenage6-23monthsBarisaldivisionhad Barisal divisionwereputtothebreastwithinonehourofbirth. Regarding earlybreastfeeding,sevenoften(71.1percent)childrenage0-23months moderately orseverelyunderweight. Results alsoshowedthat18.7percentofurbanchildrenagedbelowfiveyearswereeither Barisal division,against2.7percentofthenationalestimate. Overweight prevalenceamongunder-5urbanchildrenwasrecordedat2.0percentin moderately orseverelywasted. Nearly oneinten(8.2percent)ofurbanunder-5childrenBarisaldivisionwere five ofBarisaldivisionwasquitehighat25.6percent. Bangladesh, prevalenceofstunting(moderateorsevere)amongurbanchildrenagebelow According totheresultsofChildWell-beingSurvey2016(CWS2016)inUrbanAreas within twodaysofbirth. More thannineinten(93.3 percent)ofthenewbornreceivedpostnatalhealth checks conducted bycaesarean section. were assistedduringthedeliverybyaskilledattendant. Almostfourintendeliverieswere Among thosewhohadalivebirthinthelasttwo years precedingthesurvey,68.2percent percent inBarisal,against0.5theentire urbanareasofBangladesh. The percentageofwomenage15-19whohavehad alivebirthbeforeage15was0.0 before age18. About aquarterofwomen(23.1percent)age20-24 ofthisdivisionhavehadalivebirth high at22.0percent. Early childbearingamongurbanwomenofage15-19yearsBarisaldivisionpersists years wereprotectedagainstneonatal/maternaltetanus. Nine inten(90.5percent)womenofBarisaldivisionwhohadalivebirththelasttwo or after15monthsofage. children age15-23monthsreceivedmeaslesseconddose,supposedtobeadministeredat at 9months)amongchildrenage12-23monthswas88.0percent.About76.2percentof Coverage withfullimmunization(BCG,3dosesofPentavalent,OPVandMR required numberoftimes.Lessthanhalf(45.3percent)hadreceivedminimumacceptablediet. About 70.8percentofchildrenage6-23monthsBarisaldivisionwerefedtheminimum Child Protection Child Development,LiteracyandEducation Water andSanitation • • • • • • • • • • • • • • • • • • • • • • • • • • • • women aged15-49yearsofBarisaldivisionwere in polygynousunion. Polygyny isnotcommonamongurbanwomenof Bangladesh.Only1.8percentofurban age of18was61.9percent. age of15.Amongthewomenaged20-49years, the proportionwhomarriedbefore Nearly aquarter(22.7percent)ofwomenage15-49 yearswere(first)marriedbeforethe child labouramongchildrenage5-14yearswas5.4 percent. About 8.1percentofurbanchildrenage5-17yearswereinchildlabour.Prevalence educate achildproperly. percent womenofBarisaldivisionapprovedphysicalpunishmenttobring,raiseor discipline appliedbyhouseholdmembersforchild(80.6percent),only33.8 While violentmethods(psychologicalorphysicalpunishment)werecommonformsof registration ofbirths. births registered.Ahugegapbetweenknowledgeandpracticepersistsinrelationto percent), butregistrationofbirthisstillnotwidelypracticedwithonly26.3percent whose birthshavenotbeenregisteredwereawareofhowtoregisterabirth(99.4 Almost allthemothersorcaretakersofchildrenunderage5Barisaldivision The effectivetransitionratetosecondaryschoolwas99.3percentinBarisaldivision. percentage pointslowerthantheprimaryschoolNAR. school adjustednetattendanceratiowas70.8percentinBarisaldivision,which14.4 The primaryschooladjustednetattendanceratio(NAR)was85.2percent.secondary attendance ratio(NAR)infavouroffemale. Gender ParityIndexshowedforbothprimaryschoolandsecondaryadjustednet Primary schoolcompletionratewasfoundtobe86.2percent. (93.9 percent)thanmales(85.2percent). primary school.Thelikelihoodofattendingschoolwashigheramongfemales Result showedthat89.5percentofurbanchildreninBarisaldivisionwereattending were attendinganearlychildhoodeducation(ECE)programorpre-school. Only aboutaquarter(23.8percent)ofurbanchildrenBarisaldivisionage36-59months cleansing agentsanywhereinthehouseholdwas99.1percent. The proportionofurbanhouseholdsBarisaldivisionbyavailabilitysoaporother they passedstool. For 57.5percentofchildrenage0-2years,thestoolsweredisposedsafelylasttime population useimprovedsanitationfacilities. households ofBarisaldivision(98.8percent).Similarproportion(98.4percent) Use ofdrinkingwaterfromimprovedsourceswasalmostuniversalamongurban

3 Child Well-being Survey in Urban Areas of Bangladesh 4 Child Well-being Survey in Urban Areas of Bangladesh Barisal DivisionTables Wealth indexquintile Age Area Religion Mother’s education Sex Total

Table 3.2:Nutritionalstatusofchildren:Barisaldivision ( )Figuresthat are based on25-49unweighted cases (*) Figures that are based onfewer than 25unweighted cases Bangladesh, CWS2016. for age,heightandweightbyselectedcharacteristics, Percentage ofchildrenunderage5yearsbynutritionalstatusaccordingtothreeanthropometricindices:weight or above Secondary complete 24-35 months Lowest Middle Hindu Secondary incomplete Primary complete 36-47 months 18-23 months Second Fourth Primary incomplete 48-59 months 12-17 months 6-11 months 0-5 months slum City Corporation non- Islam Highest No education urban Other municipalities/ Girl Boy - 2SD (15.0) (30.6) (24.8) (25.2) (24.0) (15.5) (10.6) (10.9) (14.0) Percent below 12.1 20.0 29.1 16.7 16.5 20.1 12.5 23.0 17.1 19.1 19.1 20.0 17.4 18.7 Underweight (*) Weight for age - 3SD (3.8) (7.2) (3.5) (7.0) (7.8) (3.5) (2.1) (6.2) (1.7) 2.2 3.4 7.0 2.9 1.7 1.0 1.0 5.9 1.4 3.6 4.2 3.2 4.0 3.6 (*) Z-Score (-1.0) (-1.4) (-1.1) (-1.4) (-1.5) (-1.0) (-0.6) (-0.8) (-0.5) Mean (SD) -0.5 -1.1 -1.5 -1.1 -1.1 -1.2 -0.8 -1.2 -0.8 -1.1 -1.1 -1.0 -1.1 -1.0 (*) children No. of age 5 under 151 261 233 150 141 291 66 59 51 83 30 32 26 58 43 70 31 32 28 30 58 58 44 11 - 2SD (21.8) (38.6) (27.3) (39.2) (34.6) (22.8) (17.4) (16.6) (13.8) Percent below 13.2 24.0 30.5 34.4 23.7 29.7 26.0 20.4 25.9 27.5 18.2 24.7 26.6 25.6 (*) Stunted Height for age - 3SD (14.6) (13.6) (13.1) (13.9) (6.3) (2.2) (2.6) (6.7) (6.7) 10.2 10.9 6.4 4.9 4.0 6.3 7.7 6.4 9.0 7.8 6.2 5.7 9.5 7.5 (*) Z-Score (-1.1) (-1.6) (-1.3) (-1.6) (-1.7) (-1.1) (-0.7) (-0.5) (-0.6) Mean (SD) -0.7 -1.1 -1.3 -1.6 -1.1 -1.3 -1.1 -0.9 -1.3 -1.2 -0.9 -1.1 -1.2 -1.1 (*) children No. of age 5 under 151 261 233 150 141 291 66 30 32 26 59 43 51 83 31 32 28 30 58 44 70 11 58 58 Child Well-beingSurveyinUrbanAreas, - 2SD (14.6) (10.4) (10.1) (11.0) Percent below (7.6) (2.1) (6.2) (4.9) 13.4 10.4 8.6 4.0 9.2 5.7 8.7 8.2 7.9 8.1 6.9 4.4 8.4 9.5 8.2 (*) Wasted - 3SD (2.9) (3.0) (3.8) (2.3) (5.3) (2.1) (1.9) (0.4) 1.7 0.9 1.8 1.8 1.4 2.4 1.5 0.3 1.7 1.8 1.3 1.9 0.5 1.7 1.8 Weight for height (*) Overweight + 2SD Percent above (1.2) (1.3) (2.4) (0.5) (2.7) (3.8) (0.0) (4.9) 1.3 5.2 0.0 1.8 0.3 1.3 1.9 2.1 1.2 1.8 2.5 4.9 2.1 2.2 2.0 (*) Z-Score (-0.7) (-0.7) (-0.8) (-0.7) (-0.2) (-0.5) (-0.1) Mean (SD) (-.5) -0.6 -0.2 -0.8 -0.5 -0.9 -0.7 -0.6 -0.7 -0.6 -0.6 -0.4 -0.4 -0.6 -0.6 -0.6 (*) children No. of age 5 under 151 261 233 150 141 291 26 66 43 30 32 31 32 59 51 83 11 28 30 58 44 70 58 58 Religion Wealth indexquintile Mother’s education Place ofdelivery Assistance atdelivery Months sincelastbirth Area Total Table 3.3:Initialbreastfeeding:Barisaldivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figures thatarebased onfewerthan25unweightedcases selected characteristics, within onehourofbirth,anddaypercentagewhoreceivedapre-lactealfeed,accordingto Percentage oflastlive-bornchildreninthetwoyearsprecedingsurvey,whowereeverbreastfed,breastfed Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Health facility Home Others Traditional birthattendant Skilled attendant 12-23 months 0-11 months Other municipalities/urban City Corporationnon-slum Private Public

Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. who wereever Percentage breastfed (100.0) (100.0) (100.0) (100.0) (100.0) (97.8) (99.6) (97.3) 100.0 99.2 99.4 98.9 98.9 99.7 98.8 99.4 99.2 (*) (*) (*) (*) (*) (*) Within onehour Percentage whowerefirst of birth (77.7) (70.1) (80.0) (74.0) (77.8) (63.4) (68.3) (81.3) 70.8 68.6 68.4 77.2 66.3 73.4 68.8 74.4 71.1 (*) (*) (*) (*) (*) (*) breastfed: Withinoneday of birth (92.5) (87.6) (94.9) (90.7) (89.8) (86.2) (83.0) (97.6) 89.0 88.1 89.3 97.0 86.1 92.8 86.6 91.3 89.7 (*) (*) (*) (*) (*) (*) Percentage who received apre- lacteal feed (22.6) (28.2) (11.6) (11.5) (14.2) (36.4) (18.2) (11.2) 22.6 37.5 22.4 13.1 27.8 19.6 26.6 22.7 23.1 (*) (*) (*) (*) (*) (*) the lasttwoyears born childrenin No. oflastlive- 110 120 10 16 33 36 15 19 27 65 11 14 49 27 44 30 82 60 60 99 22 2 8

5 Child Well-being Survey in Urban Areas of Bangladesh 6 Child Well-being Survey in Urban Areas of Bangladesh Religion* Wealth indexquintile Mother’s education Area Age Sex Total Table 3.7:Infantandyoungchildfeeding(IYCF)practices:Barisaldivision ( ) (*) * c b a CWS 2016. number oftimesormore duringthepreviousday,bybreastfeedingstatus,ChildWell-being Survey inUrban Areas, Bangladesh, Percentage ofchildren age6-23monthswhoreceivedappropriateliquidsandsolid,semi-solid, or softfoods theminimum Hindu Islam highest Fourth Middle Second Lowest or higher Secondary complete incomplete Secondary Primary complete Primary incomplete No education urban Other municipalities/ non-slum City Corporation 18-23 months 12-17 months 9-11 months 6-8 months Female Male Figures that are based on25-49 unweighted cases Figures that are based onfewer than 25unweighted cases Figures for Buddhistand Christian religion havebeen suppressed from the table due to asmall number ofunweighted cases minimum dietary diversity (excluding milk feeds and minimum meal frequency, Non-breastfed children). Minimum acceptable diet: Children age 6-23 months with minimum dietary diversity and minimum meal frequency (Breastfed children) and minimum of 7(ormore) times Minimum meal frequency: Children age 6-23months who received solid, semi-solid orsoftfood (plain milk feeds for non-breastfed children) the other fruits and vegetables. products (milk, yogurt, cheese), 4) flesh foods (meat, fish, poultry and liver/organ meats), 5) eggs, 6)vitamin-A rich fruits and vegetables, and 7) Minimum dietary diversity isdefined asreceiving foods from at least 4 of7food groups: 1)Grains, rootsand tubers, 2)legumes and nuts,3)dairy

diversity dietary (51.0) (56.5) (52.8) (52.0) a mum Percent of children who 52.4 54.3 53.4 Mini- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) Currently breastfeeding received: quency (69.0) (69.5) (63.5) (79.1) b mum meal 70.7 70.3 70.3 Mini- fre- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) accep- (47.1) (47.5) (43.4) (48.1) c mum table 45.6 46.9 45.8 Mini- diet (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) children months No. of 6-23 age 83 74 11 24 24 15 18 44 68 15 24 34 10 14 45 38 9 9 9 9 2 diversity dietary a mum Percent of children who received: Mini- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) Currently notbreastfeeding quency b mum meal Mini- fre- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) accep- c mum table Mini- diet (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) 2 milk feeds least (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) At children months No. of 6-23 age 0 2 0 1 1 0 1 1 0 0 1 1 1 1 0 0 1 1 2 diversity dietary (56.3) (51.4) (58.9) (57.1) (53.3) (53.2) a Percent of children who mum 53.2 55.2 53.8 Mini- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) received: quency (78.5) (68.6) (71.1) (69.2) (63.9) (79.3) b mum 70.8 meal 70.3 70.6 Mini- fre- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) All accep- (49.3) (47.0) (51.1) (47.6) (43.6) (47.6) c mum 45.3 table 46.5 45.4 Mini- diet (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) children months No. of 6-23 age 85 76 11 25 24 15 19 45 10 68 17 26 34 11 14 45 39 9 9 9 2 Total Sex: Mother’s education Area Wealth indexquintile Religion Area Total Table 4.3:Neonataltetanusprotection:Barisaldivision Table 4.2:Vaccinationbybackgroundcharacteristics:Barisaldivision Bangladesh, CWS2016. protected againstneonataltetanusbyselectedcharacteristics, Percentage ofwomanage15-49yearswithalivebirthinthelast twoyearsprecedingthesurveywhowere Bangladesh, CWS 2016. mother’s report, andvaccinationcardseen),byspecificbackgroundcharacteristics, Child Well-being Survey inUrban Areas, Percentage ofchildren age12-23monthswhoreceived specificvaccinesatanytime before the survey (vaccination card or ( )Figuresthat are based on25-49unweighted cases (*) Figures that are based onfewer than 25unweighted cases urban Other municipalities/ Male No education Female Primary incomplete non-slum City Corporation Primary complete incomplete Secondary complete or above Secondary Lowest Second Middle Fourth Highest Islam Hindu Other municipalities/urban City Corporationnon-slum characteristics Background (100.0) (100.0) (97.8) (96.5) 100.0 100.0 99.0 98.9 98.2 98.9 BCG (*) (*) (*) (*) (*) (*) (*) (100.0) (95.6) (96.6) (96.5) 100.0 100.0 98.1 97.7 96.4 98.9 (*) (*) (*) (*) (*) (*) (*) 1 Pentavalent Percentage of least 2doses women who (95.0) (98.3) (96.6) (96.5) 100.0 100.0 received at during last pregnancy 97.8 97.7 95.9 98.6 (*) (*) (*) (*) (*) (*) (*) 2 36.0 32.3 35.4 (92.9) (98.3) (89.8) (92.9) 100.0 94.9 94.3 96.5 94.1 96.5 (*) (*) (*) (*) (*) (*) (*) 3 (100.0) (95.6) (96.6) (96.5) 100.0 100.0 98.1 97.7 96.4 98.9 prior 5years 3 doses,the two ormoredosesduringlastpregnancybut (*) (*) (*) (*) (*) (*) (*) last within 1 Percentage ofwomenwhodidnotreceive 2.3 1.5 2.2 (95.0) (98.3) (96.6) (96.5) 100.0 100.0 OPV 97.8 97.7 95.9 98.6 (*) (*) (*) (*) (*) (*) (*) 2 (92.9) (98.3) (89.8) (96.5) 100.0 95.9 95.4 98.3 94.1 96.5 (*) (*) (*) (*) (*) (*) (*) prior 10years 3 4 doses,the last within received: Child Well-beingSurveyinUrbanAreas, 8.7 8.1 8.6 MR at9 months (91.6) (91.7) (89.8) (80.3) 90.0 89.7 88.6 89.1 97.7 90.2 (*) (*) (*) (*) (*) (*) (*) (87.3) (91.7) (83.0) (80.3) 88.0 87.4 88.6 87.3 97.7 89.2 Full (*) (*) (*) (*) (*) (*) (*) doses during 5 or more lifetime 42.4 52.9 44.3 None (2.2) (3.5) 1.0 1.1 0.0 0.0 1.8 0.0 0.0 1.1 (*) (*) (*) (*) (*) (*) (*) vaccina- Percen- (81.5) (73.3) (83.0) (69.4) seen 75.5 75.9 70.7 72.8 50.1 74.7 card tage with tion (*) (*) (*) (*) (*) (*) (*) Protected tetanus against children 89.5 94.8 90.5 No. of 60 50 26 33 10 32 12 12 17 16 54 2 7 7 7 7 6 Measles months received measles (76.2) (76.1) (72.1) (68.9) children age15- 23 monthswho at 15 76.2 76.3 76.3 69.5 93.0 73.9 Percentage of No. ofwomen at 15months (*) (*) (*) (*) (*) (*) (*) last 2years birth inthe with alive 120 99 22 children No. of 41 34 17 24 24 15 38 1 7 3 5 8 8 4 9 5 4

7 Child Well-being Survey in Urban Areas of Bangladesh 8 Child Well-being Survey in Urban Areas of Bangladesh Education Area Wealth indexquintile Total Religion Wealth indexquintile Mother’ education Table 5.2:Earlychildbearing:Barisaldivision Table 4.3: ( )Figuresthatarebasedon25-49unweightedcases (*) Figures thatarebasedonfewerthan25unweightedcases had alivebirthbeforeage18, childbearing, andwhohavehadalivebirthbeforeage15,percentageofwomen20-24years Percentage ofwomenage15-19yearswhohavehadalivebirth,arepregnantwiththefirstchild,begun No education City Corporationnon-slum Primary incomplete Secondary completeorhigher Secondary incomplete Primary complete Other municipalities/urban Fourth Middle Second Poorest Richest Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorabove Secondary incomplete Primary complete Primary incomplete No education continued Have had Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage of (23.5) least 2doses a live women who (7.1) 23.4 18.5 22.5 16.0 birth received at 4.7 9.2 during last pregnancy (*) (*) (*) (*) (*) (21.4) (58.7) (20.0) (51.4) (39.7) 36.7 20.4 31.5 43.7 30.4 35.0 (*) Percentage ofwomenage15-19who: Are pregnant with first (5.9) (3.5) child 7.9 6.2 4.7 1.6 5.9 0.0 (*) (*) (*) (*) (*) prior 5years 3 doses,the two ormoredosesduringlastpregnancybut last within Percentage ofwomenwhodidnotreceive (6.0) (5.1) 0.0 2.4 1.0 3.4 0.4 0.0 2.1 2.0 0.0 (*) childbearing Have begun (29.4) (10.6) 31.3 24.7 24.1 22.0 9.4 9.2 (*) (*) (*) (*) (*) prior 10years 4 doses,the last within received: (19.9) (15.4) (17.1) (5.1) 11.9 7.6 4.5 7.1 0.0 7.5 7.2 (*) before age15 a livebirth Have had (0.0) (0.0) 0.0 0.0 0.0 0.0 0.0 0.0 (*) (*) (*) (*) (*) doses during 5 ormore lifetime (41.9) (48.8) (33.9) (31.9) (34.2) 44.5 66.0 48.6 32.8 54.6 45.1 (*) Number age 15- women 33 19 47 10 20 10 57 16 13 of 2 2 3 8 7 women age20-24 Protected who havehada live birthbefore tetanus Percentage of against (83.2) (90.1) (92.6) (88.4) (96.0) 91.2 91.9 90.7 88.9 94.6 89.3 (*) age 18 (32.5) (37.7) (14.7) 24.8 24.3 16.9 29.8 24.4 23.1 22.1 10.9 17.6 (*) No. ofwomen last 2years birth inthe with alive 110 10 16 33 36 19 15 27 65 11 14 Number age 20- women 2 102 122 67 11 12 24 21 38 23 19 30 28 14 of 3 Religion Religion Total Wealth indexquintile Education Mother’s age atbirth Area Table 5.7:Numberofantenatalcarevisitsandtimingfirstvisit:Barisaldivision Table 5.2: ( )Figuresthatarebasedon25-49unweightedcases (*) Figures thatarebasedonfewerthan25unweightedcases Bangladesh, 2016. visits byanyproviderandthetimingoffirstantenatalcarevisits, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobynumberantenatalcare ( )Figuresthat are based on25-49unweighted cases (*) Figures that are based onfewer than 25unweighted cases Hindu Islam Islam Other municipalities/urban Highest Hindu Lowest Secondary complete or higher Secondary incomplete Primary complete Primary incomplete No education 20-34 Less than 20 City Corporation non-slum Fourth Middle Second

continued No antenatal care visits (22.7) (18.2) (19.6) Have had (7.1) 14.8 16.3 14.2 18.8 19.6 19.8 0.0 0.6 8.2 4.4 7.4 (*) (*) a live 16.1 birth (*) Percentage ofwomenage15-19who: One visit Are pregnant Percentage of women who had: (11.2) (12.2) (7.7) (4.0) 0.0 5.4 4.8 5.2 6.4 3.7 5.9 0.5 4.5 6.6 9.9 (*) (*) with first child 6.3 (*) Two visits (19.7) (37.1) (26.1) (5.6) 19.4 14.4 17.8 20.9 18.2 16.5 16.9 18.7 19.8 9.1 5.9 (*) (*) childbearing Have begun 22.5 (*) Three visits (34.2) (23.5) (19.3) (30.6) 18.9 27.2 23.5 32.2 26.6 23.8 24.4 30.9 21.6 22.4 18.9 (*) (*) before age15 ChildWell-beingSurveyinUrbanAreas, a livebirth Have had 4 or more 0.0 (*) (41.9) (26.3) (21.5) (11.6) visits 72.1 58.9 36.8 48.1 42.2 32.6 37.3 44.8 38.2 32.6 31.5 (*) (*) (100.0) (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Number age 15- Total women (*) (*) 19 53 of 4 live birth inthe women with a last two years Number of women age20-24 who havehada live birthbefore Percentage of 110 120 16 22 10 27 57 99 33 65 11 63 14 19 36 15 2 age 18 (15.6) 23.7 Number ofwomen the last two years with alive birth in who had atleast one ANC visit 103 16 21 10 27 52 83 31 94 53 10 51 12 15 29 12 2 Number age 20- women 113 24 of 9

9 Child Well-being Survey in Urban Areas of Bangladesh 10 Child Well-being Survey in Urban Areas of Bangladesh Education Wealth indexquintile Religion Area Mother’s age atbirth Total Place of delivery Place of delivery Mother’s age atbirth Area

Total Table 5.12:Post-natalhealthchecksfornewborn:Barisaldivision Table 5.9:Assistanceduringdeliveryandcaesareansection:Barisaldivision ( )Figures that are based on25-49unweighted cases (*) Figures that are based onfewer than 25unweighted cases and percentageofbirths delivered byC-section,ChildWell-beingSurvey inUrban Areas, Bangladesh,2016. Percent distributionofwomenage15-49yearswithalivebirthinthelasttwo bypersonprovidingassistance at delivery, natal healthchecksbyselectedcharacteristics, ChildWell-beingSurvey inUrbanAreas, Bangladesh, CWS 2016. post-natal care(PNC)visitsfromanyhealthproviderafterbirth,bytimingofvisit,andpercentagewho receivedpost birth received healthcheckswhileinfacilityorathomefollowingbirth,percentagewhose lastlivebirthreceived Percentage ofwomenage15-49years withalivebirth inthelasttwoyearspreceding thesurveywhoselastlive No education Primary complete Primary incomplete higher Secondary complete or Secondary incomplete Health facility Other municipalities/urban Highest Fourth Middle Second Lowest Hindu Islam City Corporation non-slum 20-34 Less than 20 Health facility Private Public Home 20-34 Home Less than 20 Other municipalities/urban City Corporation non-slum Private Public

Medical doctor (10.2) (24.4) (20.8) (59.3) 84.2 83.5 44.4 59.2 43.6 86.4 56.9 45.9 46.6 66.2 47.7 54.5 41.1 0.0 (*) (*) while in facility following birth Health check or athome Midwife Nurse/ 100.0 100.0 100.0 (18.2) (29.1) (23.5) (29.5) 81.7 97.1 89.7 92.4 97.1 93.3 14.9 26.0 40.8 21.5 10.0 17.1 23.2 19.7 16.2 20.6 21.8 19.6 14.6 7.5 (*) (*) a Person assisting atdelivery worker (1.1) (1.0) (1.7) (0.0) NGO 1.0 0.0 0.0 0.0 0.0 0.5 0.0 0.6 2.9 0.5 0.6 0.5 0.4 (*) (*) .5 Same 23.2 31.2 19.6 12.8 15.1 20.6 16.1 day 3.9 8.4 TTBA (8.0) (5.8) (7.7) (0.0) 19.0 0.0 9.8 0.0 7.6 0.6 3.6 5.6 9.9 7.6 4.4 7.0 7.2 6.9 (*) (*) following birth (62.5) (35.9) (43.3) UTBA 1 day (5.6) 18.2 26.2 19.4 20.6 24.7 23.1 62.7 15.4 30.2 0.4 2.7 2.1 2.5 1.6 1.8 1.7 1.5 1.7 0.0 0.0 8.4 0.0 8.8 (*) (*) PNC visitfor newborns Unqualified doctor (0.0) (5.6) (3.7) (3.0) 0.0 0.0 0.9 0.0 0.0 0.0 1.2 0.0 0.0 0.5 1.0 2.6 0.0 1.8 (*) (*) following birth 3-6 days 0.0 1.2 2.1 1.5 1.0 0.9 1.2 0.0 1.0 Relative/ friends (0.0) (0.0) (0.0) (0.0) 0.0 0.0 0.2 0.0 0.0 1.5 0.0 0.5 0.4 0.3 0.3 0.7 0.6 0.0 (*) (*) No post-natal b care visit (100.0) (100.0) (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total 95.7 65.0 87.3 72.8 77.8 84.5 82.0 78.0 81.3 (*) (*) assisted by any skilled attendant Delivery (28.4) (88.8) (53.5) (44.4) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 99.0 70.4 91.0 96.4 82.4 65.1 74.0 69.1 66.3 68.2 14.6 76.3 60.6 Total (*) (*) health check Post-natal newborn C-section delivered Percent for the 100.0 100.0 100.0 (10.2) (59.3) (12.2) (20.0) 81.7 97.1 89.7 92.4 97.1 93.3 73.0 43.0 36.4 73.0 78.3 63.3 34.3 50.0 34.4 37.7 39.5 47.4 31.9 0.0 (*) (*) by c a live birth inthe women who had live births inthe last two years Number oflast last two years Number of 110 120 49 27 14 11 65 27 16 10 22 44 99 15 19 33 36 57 63 120 2 44 49 27 76 57 63 99 22 Religion Wealth indexquintile Education ofhousehold head Area Total

Education Table 5.12: Table 6.1:Useofimprovedwatersources:Barisaldivision c b a ( ) (*) Survey inUrbanAreas,Bangladesh,CWS2016. household populationusingimproveddrinkingwatersources,byselectedcharacteristics, Percent distributionofhouseholdspopulationaccordingtomainsourcedrinkingwaterandpercentage Missing/DK higher Secondary complete or Secondary incomplete Hindu Primary complete Islam Highest Fourth Middle Second Lowest Secondary complete or higher Secondary incomplete Primary incomplete Primary complete No education Other municipalities/urban Primary incomplete City Corporation non-slum No education Post-natal health checks include any health check performed while in the health facility or at home following birth (see note services. PNC visitsdo notinclude health checks following birth while in facility orathome (seenote aabove). Post-natal care visits (PNC) refer to a separate visit by any health provider to check onthe health of the newborn and provide preventive care from home). Health checks by any health provider following facility births (before discharge from facility) orfollowing home births (before departure of provider PNC visits(seenote Figures that are based on25-49unweighted cases Figures that are based onfewer than 25unweighted cases

continued b above) within two daysofdelivery. dwelling (13.6) 10.4 Into 7.9 2.9 0.3 0.7 0.4 1.1 3.1 while in facility following birth Health check or athome (88.8) (86.8) (91.0) (98.6) (82.9) 100.0 100.0 yard/ (6.0) 93.7 94.4 93.2 92.5 Into plot 4.1 3.1 2.3 1.4 2.6 2.4 4.7 2.9 (*) Piped water 0.6 a neigh- bour Improved sources 0.0 0.4 0.3 0.7 0.9 1.0 0.7 0.0 To (15.8) (10.7) Same (5.1) (6.2) 16.1 17.9 18.2 12.9 29.5 32.8 day 0.0 (*) Public tap/ stand-pipe Main sourceof drinking water 0.0 0.3 0.4 0.0 0.0 0.0 0.2 0.2 0.2 following birth 1 day (0.8) (1.4) (0.0) 0.0 1.9 3.4 1.6 0.9 0.0 1.0 4.8 (*) (80.4) Tube- bore- 84.8 91.4 94.6 96.5 96.0 93.6 well/ 91.7 84.6 hole PNC visitfor newborns collection following birth water Rain- 0.0 0.4 0.8 0.0 0.0 0.0 0.5 0.4 0.0 3-6 days (0.0) 0.0 1.0 0.0 0.0 0.0 1.8 0.0 0.0 7.1 0.0 (*) drum tank/ with Cart 0.0 1.4 0.5 0.0 0.0 0.0 0.6 0.5 0.0 Unimproved sources No post-natal b care visit (100.0) (84.2) (88.5) (93.5) (93.8) Surface 81.0 78.7 80.3 84.5 62.4 62.5 water (*) 0.0 0.3 0.7 2.1 0.5 0.0 0.8 0.6 0.0 Bottled water (100.0) (100.0) (100.0) (100.0) (100.0) 0.0 0.4 0.0 0.0 0.0 0.0 0.1 0.1 0.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) a (100.0) Child Well-being 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total health check Post-natal newborn for the (88.8) (91.0) (86.8) (98.6) (82.9) 100.0 100.0 93.7 94.4 93.2 92.5 (*) Percentage sources of improved drinking (100.0) a c 100.0 100.0 water using 97.9 98.8 97.9 99.5 98.5 98.8 above), as well as live births inthe Number oflast last two years Number of 110 household members 10 33 36 19 65 15 11 16 27 14 2 1119 2645 3343 791 379 560 483 698 10 11 Child Well-being Survey in Urban Areas of Bangladesh 12 Child Well-being Survey in Urban Areas of Bangladesh Religion Religion Education ofhousehold head Area Wealth indexquintile Wealth indexquintile Total Table 6.1: Table 6.3:Typesofsanitationfacilities:Barisaldivision ( )Figuresthat are based on25-49 unweighted cases (*) Figures that are based onfewer than 25unweighted cases ( )Figuresthat are based on25-49unweighted cases (*) Figures that are based onfewer than 25unweighted cases characteristics, Percent distributionofhouseholdpopulationaccordingtotypetoiletfacilityusedbythehousehold,selected Christian Hindu Islam Primary complete Christian Highest Hindu Primary incomplete Islam Fourth Highest Middle No education Fourth Missing/DK urban Other municipalities/ Middle Second Second or higher Secondary complete non-slum City Corporation Lowest Secondary incomplete Lowest

continued Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. system sewer Piped 0.0 0.1 0.0 0.3 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.4 0.4 0.1 0.0 0.1 (*) Flush/Pour flush to: dwelling 14.1 Into 2.7 3.1 2.5 0.4 0.0 0.0 (*) Improved sanitation facility Septic 11.4 18.1 60.8 22.9 11.7 43.1 38.5 13.6 17.3 tank 6.2 7.9 3.5 3.2 0.0 2.9 0.7 (*) yard/ Into plot 2.4 2.9 4.3 5.1 1.3 1.6 2.2 (*) latrine Piped water 1.6 1.2 0.9 4.8 0.9 1.7 0.0 0.6 0.0 1.3 0.1 2.2 0.8 0.0 1.1 1.2 (*) Pit neigh- bour Improved sources 0.8 0.5 0.0 0.6 0.4 1.1 0.9 (*) To Ventilated pit latrine improved (26.8) Type of toilet facility used byhousehold 31.2 32.5 39.7 22.3 27.0 46.8 35.4 17.1 31.4 22.2 32.4 35.9 24.0 39.2 32.4 (*) Public tap/ stand-pipe Main sourceof drinking water 0.5 0.2 0.6 0.3 0.0 0.0 0.1 (*) (59.6) latrine 53.9 46.6 51.2 61.6 27.5 60.9 77.4 53.9 72.7 20.5 22.8 70.9 45.1 47.4 with slab 9.4 (*) Pit Tube- bore- 90.6 91.9 78.2 89.2 96.8 95.8 well/ 96.8 hole (*) flush to where some- Flush/ Pour else 0.1 0.5 1.8 0.7 0.0 0.6 0.0 0.0 0.0 0.5 0.0 1.0 0.2 0.0 0.3 0.4 (*) collection water Rain- 0.0 0.4 0.6 1.1 0.0 0.0 0.0 (*) Unimproved sanitation facility without latrine open slab/ 1.2 0.4 0.0 0.6 1.5 0.0 0.0 1.0 0.0 0.7 1.3 0.0 0.0 2.5 0.2 0.5 (*) Pit pit drum tank/ with Cart 1.1 0.4 1.2 0.8 0.2 0.3 0.0 (*) Unimproved sources Bucket 0.0 0.1 0.0 0.0 0.5 0.0 0.0 0.0 0.0 0.1 0.5 0.0 0.0 0.0 0.0 0.1 (*) Surface water 1.1 0.5 0.4 0.3 0.8 1.3 0.0 (*) Hanging latrine toilet/ 0.0 0.2 0.0 0.6 0.0 0.0 0.0 0.6 0.0 0.3 0.0 0.0 0.0 1.5 0.2 0.2 (*) Bottled water 0.8 0.0 0.6 0.0 0.0 0.0 0.0 (*) Missing/ (13.6) a 0.6 0.3 0.7 0.0 0.5 0.4 0.2 0.1 0.1 0.3 0.3 1.3 0.1 0.3 0.4 (*) Dk 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) defeca- facility, bush, Open field) tion 0.0 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.0 0.0 (no (*) Percentage sources of improved drinking 100.0 water using 97.1 99.0 97.8 98.9 98.9 98.4 (*) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) Number of household members of house- members Number 2919 1000 421 556 812 529 446 2919 1000 2645 1119 3343 holds 421 556 379 560 812 483 529 791 698 446 2 10 2 Religion Wealth indexquintile Mother’s education Total Area Type of sanitation facility used byhousehold members Area Education ofhousehold head Total Table 6.6:Disposalofchild’sfaeces:Barisaldivision Table 6.8:Availabilityofsoaporothercleansingagent:Barisaldivision ( )Figuresthat are based on25-49unweighted cases (*) Figures that are based onfewer than 25unweighted cases Survey inUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdsbyavailabilitysoaporothercleansingagentinthedwelling, Bangladesh, CWS 2016. 0-2 yearswhosestoolsweredisposedofsafelythelasttimechildpassed stools,Child Well-being Survey inUrban Areas, Percent distributionofchildrenage0-2yearsaccordingtoplacedisposalchild’s faeces, and thepercentage of children age Hindu Islam Highest Fourth Middle Second Secondary complete or higher Lowest Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban City Corporation non-slum Unimproved Improved Secondary complete or higher City Corporation non-slum Missing/DK Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban

cleansing observed Soap or agent other 83.0 64.7 44.0 48.8 18.1 15.2 17.6 38.3 toilet/latrine (*) Child used 0.0 0.7 0.0 2.3 0.0 0.0 0.0 0.0 0.9 1.4 0.0 0.6 0.6 0.8 0.6 (*) (*) agent shown cleansing Soap orother cleansing agent not observed at Soap or Place for handwashing observed other 14.8 26.7 37.0 36.6 57.2 53.2 41.6 39.9 (*) into toilet or Put/rinsed (60.8) (50.2) (29.6) (29.1) latrine 56.5 84.7 72.0 48.1 80.4 56.6 43.5 51.5 56.9 82.5 57.4 (*) (*) place for handwashing Place of disposal ofchild’s faeces other cleansing No soap or household agent in 0.0 0.1 0.4 0.1 0.0 1.8 0.6 0.5 (*) into drain or Put/rinsed (22.4) (30.2) (32.8) (36.4) ditch 22.0 10.8 11.6 27.2 23.1 29.6 24.6 22.0 21.5 6.3 9.9 (*) (*) not want to show cleansing agent Not able/Does soap orother Thrown into 0.0 0.0 0.1 0.4 0.0 0.0 0.0 0.2 (*) garbage (16.8) (15.9) (28.5) (25.3) 16.5 10.6 21.1 16.7 20.4 18.7 16.5 16.4 4.6 9.0 6.1 (*) (*) Place for handwashing the open Soap or cleans- shown agent Left in other 18.0 14.0 23.2 29.4 39.5 20.8 (3.7) (9.1) (9.2) 2.3 8.2 ing (*) 0.0 4.4 0.0 3.5 3.6 4.2 2.7 5.1 4.7 4.0 4.1 0.8 (*) (*) not observed house-hold (100.0) (100.0) (100.0) (100.0) cleansing 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No soap agent in or other Total (*) (*) 0.0 0.3 0.0 1.5 0.5 0.7 0.4 0.2 (*) disposed ofsafely last stools were children whose Percentage of 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (60.8) (50.2) (29.6) (29.1) 84.7 57.2 74.2 48.1 80.4 57.5 44.9 52.0 57.5 58.0 83.2 (*) (*) Child Well-being anywhere in the dwelling households Percentage with soap cleansing or other 100.0 agent 99.1 99.5 98.5 97.7 98.7 98.9 99.7 (*) of children age Number of 0-2 years 109 119 117 16 10 32 36 15 27 19 64 11 98 14 21 Number 2 3 households 749 187 252 123 100 586 163 85 of 2 13 Child Well-being Survey in Urban Areas of Bangladesh 14 Child Well-being Survey in Urban Areas of Bangladesh Wealth indexquintile Religion Mother’s education Age ofchild Area Sex Total Religion Wealth indexquintile Table 7.1:Attendancetoearlychildhoodeducation:Barisaldivision Table 6.8: selected characteristics, Percentage ofchildrenage36-59monthswhoareattendinganorganizedearlychildhoodeducationprogrammeby ( )Figuresthatarebasedon25-49 unweightedcases (*) Figuresthatarebasedonfewer than25unweightedcases (*) Figures that are based onfewer than 25unweighted cases Fourth Middle Second Lowest Highest Christian Hindu Islam Primary incomplete No education 48-59 months 36-47 months Other municipalities/urban City Corporationnon-slum Female Male Primary complete Hindu Islam Highest Fourth Middle Second Lowest Missing/Dk Secondary completeorhigher Secondary incomplete continued cleansing observed Soap or Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. agent other 70.9 29.1 15.8 10.4 92.4 41.6 44.4 (*) agent shown cleansing Soap orother cleansing agent not observed at Soap or Place for handwashing observed other 22.5 49.2 51.5 52.7 42.3 36.3 6.9 (*) Percentage ofchildrenage36-59months attending earlychildhoodeducation place for handwashing other cleansing No soap or household agent in 0.0 0.0 0.9 1.6 0.0 0.0 0.5 (*) (23.2) (25.0) (22.1) 36.5 10.8 22.3 29.7 27.8 20.3 23.8 24.0 26.7 23.5 20.1 20.4 29.5 20.8 24.7 (*) (*) not want to show cleansing agent Not able/Does soap orother 0.0 0.5 0.0 0.0 0.0 0.0 0.2 (*) Place for handwashing Soap or cleans- shown agent other 20.8 30.8 34.9 16.1 18.3 6.6 0.7 ing (*) not observed house-hold cleansing No soap agent in or other Number ofchildrenage36-59 0.4 0.9 0.5 0.0 0.0 0.0 0.4 (*) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) months 103 129 116 65 62 26 60 69 15 22 25 35 22 25 25 65 17 13 7 1 anywhere in the dwelling households Percentage with soap cleansing or other 100.0 100.0 100.0 agent 99.1 98.2 97.9 99.0 (*) of Number households 213 122 117 179 119 649 99 of 1 Total Area Age atbeginningofschool Religion Wealth indexquintile Mother’s education Sex Area Total Table 7.3:Schoolreadiness:Barisaldivision Table 7.5:Primaryschoolattendanceandoutofchildren:Barisaldivision ( )Figuresthatarebasedon25-49unweightedcases 2016. percentage attendingpreschool,andoutofschool, Percentage ofchildrenprimaryschoolageattendingorsecondary(adjustednetattendanceratio), selected characteristics, ChildWell-beingSurvey inUrbanAreas,Bangladesh,CWS 2016. Percentage ofchildren attendingfirstgradeofprimary school(in2016)whoattended pre-school the previous year (2015)by 9 10 8 7 urban Other municipalities/ non-slum City Corporation 6 Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete Hindu Islam Highest Fourth Middle Second Lowest No education Female Male Other municipalities/urban City Corporationnon-slum

Characteristics (adjus- dance atten- 90.5 85.2 94.1 91.5 87.4 85.4 84.9 62.2 ratio ted) Net preschool attending school or Percentage ofchildren: 4.6 2.3 4.4 2.3 0.4 2.0 3.5 0.0 Not Male school Atten- 12.2 10.6 29.8 ding 1.6 9.6 0.4 4.5 9.3 pre- Percentage ofchildren attendingfirstgrade school Out of 12.0 11.4 12.6 14.2 29.8 who attendedpreschoolinpreviousyear 6.3 4.8 6.8 a children No. of 174 138 34 37 32 37 36 34 100.0 (adjus- dance atten- 96.8 95.3 93.9 95.3 95.3 90.5 80.7 ratio ted) Net (76.3) (68.3) (61.2) (78.4) (79.5) (63.5) (70.5) (65.1) (65.3) 59.9 62.7 54.6 63.8 64.9 60.5 82.2 64.3

preschool attending school or 2.8 0.0 0.6 0.0 0.4 0.0 1.2 0.0 Not Percentage ofchildren: Child Well-beingSurveyinUrbanAreas,Bangladesh, Female ing pre- Attend- school 16.6 0.0 1.7 3.9 0.0 3.0 4.7 7.0 school Out of 16.6 2.8 1.7 4.5 0.0 3.4 4.7 8.2 a children No. of 171 132 37 43 34 27 31 38 Number ofchildrenattendingfirstgrade (adjus- dance atten- 95.4 93.7 89.5 95.2 70.4 90.2 91.0 87.8 ratio ted) Net of primaryschool preschool attending school or Percentage ofchildren: 3.6 1.0 1.5 2.3 0.0 1.2 0.2 2.3 Not 11 35 14 13 72 10 17 24 14 16 41 40 67 14 81 9 8

Total school Atten- 23.9 ding 0.2 2.9 6.8 0.8 6.2 8.8 8.7 preschool Out of 23.9 11.1 3.8 3.9 8.2 3.2 7.5 9.0 a children No. of 344 270 74 74 68 61 67 74 15 Child Well-being Survey in Urban Areas of Bangladesh 16 Child Well-being Survey in Urban Areas of Bangladesh Mother’s education Wealth indexquintile Religion Age atbeginning ofschool year Area Mother’s education Total Table 7.5: Table 7.6:Secondaryschoolattendanceandoutofchildren:Barisaldivision a Bangladesh, CWS2016. ratio), percentageattendingprimaryschool,andoutof Percentage ofchildrensecondaryschoolageattendingorhigher(adjustednetattendance ( )Figuresthat are based on25-49unweighted cases Secondary incomplete No education Primary complete Primary incomplete Highest Middle Second Lowest or higher Secondary complete Islam Fourth Hindu The percentage of children ofprimary schoolage out of school are those not attending school and those attending preschool 15 16 14 13 12 11 17 urban Other municipalities/ slum City Corporation non- higher Secondary complete or Secondary incomplete Primary complete Primary incomplete No education

continued (adjus- dance atten- 83.5 88.1 77.7 80.7 84.4 88.8 81.8 76.9 91.7 84.5 89.2 91.3 ratio ted) Net (adjus- (44.1) dance atten- 74.1 67.4 85.7 72.8 74.0 52.7 74.9 71.2 69.3 87.0 83.9 61.8 56.0 70.8 ratio ted) Net preschool attending school or Percentage ofchildren: 7.4 2.1 4.1 0.6 1.3 3.6 3.0 2.1 0.0 2.6 1.1 0.0 Not Attending primary school (30.3) 20.4 43.1 12.0 10.7 14.2 16.3 27.8 11.8 Percentage of 0.0 2.2 0.0 6.6 0.0 6.2 Male school Atten- children: 12.8 11.8 13.6 13.3 10.1 ding 5.1 8.9 8.0 9.3 8.3 7.0 5.8 pre- Male school school Out of Out of (24.6) 12.5 10.9 16.9 12.4 14.9 11.5 11.4 16.3 12.7 23.3 29.9 14.3 20.5 25.1 16.5 18.5 21.9 16.2 16.9 8.3 8.1 5.8 5.6 3.7 6.7 1.8 a a children No. of 154 children Number 14 24 77 31 26 24 42 51 27 29 19 187 231 34 33 28 43 34 39 17 21 44 17 57 23 30 of (96.0) (adjus- dance atten- 90.6 94.2 97.2 94.6 87.4 93.7 97.6 91.8 96.4 95.7 94.1 ratio ted) Net (adjus- (65.9) dance atten- 78.7 79.3 93.5 79.7 79.2 67.5 76.8 93.2 66.0 82.2 77.9 86.3 80.0 61.1 ratio ted) Net preschool attending school or 2.3 0.4 0.0 0.0 0.0 1.4 0.0 1.5 0.0 0.0 0.0 0.7 Not Percentage ofchildren: Attending primary school (31.9) 10.5 16.9 30.7 10.2 11.9 15.0 26.8 Percentage of 1.8 0.0 0.4 0.0 7.5 9.7 .8 children: Female ing pre- Attend- school Female 5.3 4.0 0.0 2.8 5.4 7.9 3.3 2.1 5.2 3.6 4.3 3.8 school Out of 19.0 12.7 20.7 34.0 12.2 12.1 (2.2 6.1 7.5 3.9 1.9 6.1 9.9 0.9 5.0 school Out of 7.6 4.4 0.0 2.8 5.4 9.3 3.3 3.6 5.2 3.6 4.3 4.5 Child Well-beingSurveyinUrbanAreas, a a children Number children No. of 186 232 150 32 36 24 45 38 21 30 46 28 14 55 26 26 31 73 14 31 22 22 41 49 24 33 20 of (adjus- dance atten- 91.0 91.1 89.8 87.4 87.0 85.9 91.4 93.1 84.0 89.6 93.6 89.2 (adjus- ratio ted) dance atten- Net 74.0 76.3 90.1 75.3 77.0 60.1 90.5 73.1 75.9 74.4 69.8 54.1 85.1 71.4 58.3 ratio ted) Net preschool attending school or Attending Percentage ofchildren: 1.3 1.3 3.7 2.1 0.3 1.4 0.6 2.5 1.1 1.4 0.0 1.7 Not primary school 11.1 18.4 36.9 10.7 31.0 13.1 15.6 27.4 Percentage of 0.9 0.2 8.0 3.2 1.1 9.1 0.0 children: Total Total school Atten- 10.9 ding 6.6 6.5 2.6 7.9 8.9 5.1 5.1 7.3 8.1 5.0 7.0 preschool Out of 14.6 21.2 15.8 25.5 14.1 14.5 30.2 14.3 13.0 14.3 9.7 6.4 4.7 2.8 1.3 school Out of 12.2 7.9 7.8 6.2 9.9 9.2 5.7 7.6 8.4 9.5 5.0 8.7 a a children Number 373 463 112 children 64 38 65 79 77 68 63 91 48 31 49 56 No. of of 150 101 304 55 28 62 48 46 84 51 63 40 Religion Area Total Wealth indexquintile Wealth indexquintile Sex Religion Mother’s education Table 7.8:Primaryschoolcompletionandtransitiontosecondaryschool:Barisaldivision Table 7.6: Survey inUrbanAreas,Bangladesh,CWS2016. Primary schoolcompletionratesandtransitioneffectivetosecondaryschool, a ( )Figuresthat are based on25-49unweighted cases ( )Figuresthatarebasedon25-49unweighted cases (*) Figuresthatarebasedonfewerthan 25unweightedcases * FiguresforBuddhistandChristianreligion havebeensuppressedfromthetableduetoasmallnumberofunweighted cases Note: Dueto1unweightedcases,‘Missing/DK’ categoryunder‘education’isnotshown Hindu Islam Highest City Corporationnon-slum Secondary completeorhigher Fourth Middle Second Lowest Middle Second Lowest Other municipalities/urban Fourth Male Highest Female Islam No education Hindu Primary incomplete Primary complete Secondary incomplete The percentage of children ofsecondary school age out of school are those who are not attending primary, secondary, orhigher education

continued (adjus- dance atten- 84.8 69.3 87.4 85.6 75.0 54.4 42.7 ratio ted) Net completion Primary (100.0) school (66.1) (71.0) (97.6) (72.4) 86.2 95.3 98.9 84.3 72.9 99.4 81.7 87.1 rate Attending (*) (*) (*) (*) primary school 12.1 10.0 10.4 11.8 28.7 Percentage of 8.4 5.0 children: Male completion age primary school children of Number of school Out of 18.0 14.6 33.8 25.1 6.8 2.6 9.1 74 11 13 13 13 22 61 18 37 10 37 69 15 30 8 4 8 a children Number 209 22 34 50 72 47 29 of secondary Transition (100.0) (100.0) (100.0) (100.0) rate to school (95.3) 100.0 100.0 100.0 99.3 97.6 99.1 98.6 99.2 (*) (*) (*) (*) (*) (adjus- dance atten- 79.6 77.7 88.2 90.6 79.0 62.1 54.1 ratio ted) Net Number ofchildren who Attending were in the last grade of primary schoolthe primary school 13.2 14.0 20.6 Percentage of 9.3 3.1 6.5 9.9 previous year children: Female 78 15 10 12 13 24 64 15 37 14 41 69 12 33 8 8 8 school Out of 12.7 23.9 24.7 11.1 7.1 7.3 2.9 a children Number 209 24 41 55 41 24 72 of transition rate to secondary Effective (100.0) (100.0) (100.0) (100.0) school (95.3) 100.0 100.0 100.0 99.3 97.6 99.1 98.6 99.2 (*) (*) (*) (*) (*) (adjus- dance atten- 82.1 73.5 87.9 88.2 58.0 47.8 77.0 ratio ted) Net Attending school the previous year and are not repeating that grade primary in the last grade of primary school in the current school year No. ofchildren who were 10.9 10.7 12.8 25.1 10.1 Percentage of 6.2 5.8 Child Well-being children: Total school Out of 15.3 29.2 24.9 12.9 78 15 10 12 13 24 64 15 37 14 41 69 12 33 7.0 5.2 5.9 8 8 8 a children Number 417 105 143 46 75 87 53 of 17 Child Well-being Survey in Urban Areas of Bangladesh 18 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Mother’s education Total Sex Area Age Table 8.1:Birthregistration:Barisaldivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, CWS2016. mothers/caretakers knowhowtoregisterbirthbyselectedcharacteristics, Percentage ofchildrenunderage5bywhetherbirthisregisteredandpercentagenotwhose Islam Highest Hindu Fourth Middle Second Secondary incomplete Lowest higher Secondary completeor Primary complete Primary incomplete No education 48-59 months 36-47 months Other municipalities/urban 24-35 months Male City Corporationnon-slum 12-23 months Female 0-11 months Has birth certificate (14.8) Seen 15.2 17.8 18.0 12.5 15.1 12.6 16.7 20.7 11.2 16.8 17.3 32.3 21.2 14.5 15.4 10.5 16.5 19.1 14.5 9.4 3.5 Children under age 5whose birth is registered with civil authorities Not seen (7.4) 18.5 16.7 12.3 19.4 12.5 12.3 15.5 10.5 10.6 11.5 11.5 10.8 12.5 9.7 8.3 7.5 7.9 7.7 3.2 9.8 1.2 certificate No birth (0.0) 0.1 0.0 1.7 0.0 0.6 0.3 0.3 0.0 0.0 0.5 0.0 0.9 0.0 0.2 0.2 0.2 0.5 0.3 0.0 0.0 0.0 registered (22.2) Total 24.9 26.1 38.2 29.2 23.2 25.3 25.0 28.4 30.7 29.7 20.5 45.5 36.7 25.3 26.3 22.3 28.4 30.2 21.9 24.3 4.6 children Number age 5 under 285 165 255 318 153 165 49 33 77 94 46 52 73 35 33 12 66 61 63 63 65 63 of Percent of children whose mother/caretaker knows how to register birth Children under age 5whose birth isnotregistered Child Well-beingSurveyinUrbanAreas, 100.0 100.0 100.0 100.0 100.0 100.0 98.0 99.3 98.3 99.6 99.7 99.1 99.4 98.4 99.4 99.3 99.4 98.6 98.8 99.7 99.9 (*) Number ofchildren under age 5without birth registration 214 124 191 234 110 125 36 20 54 72 35 37 51 24 26 36 38 49 44 51 60 9 Religion Wealth indexquintile Education ofhouseholdhead Age Sex Area Total Table 8.2:Childdiscipline:Barisaldivision selected characteristics, Percentage ofchildrenage1-14yearsbychilddiscipliningmethodsexperiencedduringthelastonemonth Hindu Christian Islam Highest Fourth Middle Second Lowest Primary complete Secondary incomplete Primary incomplete No education 10-14 5-9 3-4 1-2 Female Male Other municipalities/urban City Corporationnon-slum (*) Figures thatarebasedonfewerthan25unweightedcases

Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Only non-violent discipline 16.0 20.4 19.0 14.9 10.1 10.1 22.0 12.3 14.0 18.8 13.4 12.6 12.2 17.1 13.4 15.7 13.2 15.2 8.6 0.0 (*) Percentage ofchildren age1-14yearswhoexperienced: Psychological aggression 100.0 80.7 74.4 69.7 71.3 73.0 82.2 83.0 71.8 80.4 74.6 75.0 79.1 73.0 64.6 71.5 78.5 73.9 79.6 75.1 (*) Physical punishment 59.9 49.8 37.4 48.1 52.7 51.5 65.3 32.4 60.7 59.7 38.7 62.2 58.8 46.2 45.4 56.2 51.6 48.2 50.9 Any 0.0 (*) Severe 11.7 15.8 12.6 14.8 11.3 21.4 20.4 18.2 22.2 11.6 19.1 22.4 12.3 18.2 15.3 15.6 15.3 0.0 9.3 7.7 (*) discipline method Any violent 100.0 88.4 79.6 74.2 77.2 80.5 86.1 86.8 75.2 86.2 79.9 78.9 84.3 80.6 74.3 78.3 82.8 79.7 84.0 80.6 (*) Number ofchildrenage 1-14 years 785 137 208 262 144 131 235 357 181 336 330 111 105 434 449 705 178 883 97 1 4 19 Child Well-being Survey in Urban Areas of Bangladesh 20 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Education ofhouseholdhead Age Sex Area Total Table 8.6a:Childlabour:Barisaldivision being SurveyinUrbanAreas,Bangladesh,CWS2016. week, and percentage engaged in child labour during the last week according to selected characteristics, Percentage ofchildrenage5-14yearsbyinvolvementineconomicactivitiesorhouseholdchoresduringthelast Buddhist Hindu Islam Highest Fourth Middle Second Lowest Secondary incomplete Primary complete Primary incomplete No education 10-14 5-9 Female Male Other municipalities/urban City Corporationnon-slum (*) Figures thatarebasedonfewerthan25unweightedcases Percentage ofchildren age5-14dueto engaged inchildlabour 10.2 5.4 3.8 5.6 3.6 5.1 3.4 7.2 4.2 7.3 0.2 6.4 4.3 4.9 5.8 5.9 3.3 (*) (*) Number ofchildren(5-14)yearsaged 576 512 136 169 203 299 293 283 279 296 457 119 63 95 99 76 69 1 4 Child Well- Education Age Area Total Religion Wealth indexquintile Table 8.7:Earlymarriageandpolygyny(women):Barisaldivision Bangladesh, CWS2016. who areinapolygynousmarriageorunionbyselectedcharacteristics, birthdays, percentageofwomenage15-19yearscurrentlymarriedorinunion,andthe percentages ofwomenage20-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thand18th Percentage ofwomenage15-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thbirthday, ( )Figuresthat are based on25-49unweighted cases (*) Figures that are based onfewer than 25unweighted cases na: not applicable higher Secondary completeor Secondary incomplete Primary complete Primary incomplete No education 45-49 40-44 35-39 30-34 25-29 20-24 15-19 Other municipalities/urban City Corporationnon-slum Christian Hindu Islam Highest Fourth Middle Second Lowest

married Percen- age 15 Women age 15-49 before tage 19.5 33.3 44.6 38.0 38.5 35.2 31.4 25.1 25.4 13.0 23.7 19.3 22.7 12.4 24.3 17.2 18.1 25.3 29.1 26.4 7.1 3.3 (*) years 49 years Number age 15- women 461 112 113 118 134 141 149 158 748 211 959 125 833 174 244 276 146 119 205 172 67 87 of 1 Percentage before age married 24.8 35.7 48.2 39.1 38.5 35.2 31.4 25.1 25.4 13.0 28.2 22.7 26.9 28.9 20.7 22.1 29.7 35.1 29.4 8.4 15 (*) (*) na Women age 20-49years Percentage before age married 63.7 78.2 80.0 80.3 73.6 74.6 66.2 61.6 57.5 47.1 63.8 55.7 61.9 45.6 64.5 45.7 58.9 66.0 69.0 73.4 30.9 18 (*) na 49 years Number age 20- women 341 104 105 118 134 141 149 158 611 177 788 106 681 143 198 226 119 102 172 na 66 87 of 1 Child Well-beingSurveyinUrbanAreas, Percentage married/in currently Women age 15-19 (23.8) (29.1) (19.7) (52.8) (48.1) union 27.1 31.9 32.7 31.9 33.5 22.2 26.0 37.8 29.1 (*) (*) (*) na na na na na na years 19 years Number age 15- women 120 172 137 172 152 na na na na na na 34 19 31 47 51 26 17 33 of 2 8 8 0 polygynous Percentage marriage/ Women age 15-49years union 1.2 5.0 2.1 0.0 1.9 1.8 1.9 2.9 1.3 3.0 0.4 1.4 2.0 3.8 2.1 0.0 0.9 1.5 1.2 2.2 4.3 0.4 (*) in married/in union 15-49 years women age Number of currently 371 642 817 118 133 140 145 133 174 107 108 713 103 142 202 238 124 111 165 66 86 60 1 21 Child Well-being Survey in Urban Areas of Bangladesh 22 Child Well-being Survey in Urban Areas of Bangladesh CHITTAGONG DIVISION 23 Child Well-being Survey in Urban Areas of Bangladesh 24 Child Well-being Survey in Urban Areas of Bangladesh Reproductive Health Child Health Nutritional Status • • • • • • • • • • • • • • • • • • • • • • Key Results received minimumacceptablediet. percent werefedtheminimumrequirednumberoftimes.Approximately31.7had received foodwithminimumdiversityinthelast24hoursprecedingsurvey;and54.5 Less thanhalf(41.4percent)ofthechildrenage6-23monthsChittagongdivisionhad were puttothebreastwithinonehourofbirth. Nearly sixofeveryten(57.5percent)urbanchildrenage0-23monthsChittagong moderately orseverelyunderweight. Results alsoshowedthat23.7percentofchildrenagedbelowfiveyearswereeither urban childrenwasrecordedat1.9percent. children weremoderatelyorseverelywasted.Overweightprevalenceamongunder-5 Chittagong divisionwasquitehighat30.4percent.Aboutoneinten(10.6percent)under-5 Prevalence ofstunting(moderateorsevere)amongurbanchildrenagebelowfive within twodaysofbirth. More thanseveninten(73.4percent)ofthenewborn receivedpostnatalhealthchecks percent) ofdeliverieswereconductedbycaesarean section. 54.2 percentwereassistedduringthedeliveryby a skilledattendant.One-fourth(26.1 provider. Amongthosewhohadalivebirthinthe lasttwoyearsprecedingthesurvey, the survey,receivedrecommendedfourormore antenatalcare(ANC)visitsbyany About 35.5percentofwomenage15-49whogavebirthinthelasttwoyears,preceding percent inChittagong,against0.5theentireurbanareasofBangladesh. The percentageofwomenage15-19whohavehadalivebirthbefore15was0.7 About one-fourthofwomen(24.2percent)age20-24havehadalivebirthbefore18. high at19.6percent. Early childbearingamongurbanwomenofage15-19yearsChittagongdivisionpersists two yearswereprotectedagainstneonatal/maternaltetanus. Nine inten(90.6percent)womenofChittagongdivisionwhohadalivebirththelast or after15monthsofage. children age15-23monthsreceivedmeaslesseconddose,supposedtobeadministeredat 9 months)amongchildrenage12-23monthswas89.4percent.About72.8percentofthe Coverage withfullimmunization(BCG,3dosesofPentavalent,OPVandMRat Child Protection Child Development,LiteracyandEducation Water andSanitation • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Chittagong divisionwereinpolygynousunion. Polygyny isnotcommon,andonly1.8percentof urban womenaged15-49yearsof was 56.2percent. Among thewomenaged20-49years,proportion whomarriedbeforetheageof18 About 18.7percentofwomenage15-49yearswere (first)marriedbeforetheageof15. Labour, andprevalenceofChildLabouramongchildren age5-14yearswas6.1percent. About 11.3percentofurbanchildrenage5-17years ofChittagongdivisionwereinchild educate achildproperly. percent womenofChittagongdivisionapprovedphysicalpunishmenttobring,raiseor discipline appliedbyhouseholdmembersforchild(83.6percent),only25.7 While violentmethods(psychologicalorphysicalpunishment)werecommonformsof knowledge andpracticeinrelationtoregistrationofbirths. percent), butregistrationofbirthdoneis34.3percent,showingahugegapbetween whose birthshavenotbeenregisteredwereawareofhowtoregisterabirth(99.4 Almost allthemothersorcaretakersofchildrenunderage5Chittagongdivision The effectivetransitionratetosecondaryschoolwas98.5percentinChittagongdivision. percentage pointslowerthantheprimaryschoolNAR. The secondaryschooladjustednetattendanceratiowas55.5percent,which23.8 division. The primaryschooladjustednetattendanceratio(NAR)was79.3percentinChittagong net attendanceratio(NAR)infavouroffemale(1.09and1.19)Chittagongdivision. Gender ParityIndex(GPI)showedforbothprimaryschoolandsecondaryadjusted Primary schoolcompletionratewasfoundtobe94.4percent. (86.7 percent)thanmales(79.3percent). primary school.Thelikelihoodofattendingschoolwashigheramongfemales Result showedthat82.9percentofurbanchildreninChittagongdivisionwereattending months wereattendinganearlychildhoodeducation(ECE)programorpre-school. Only aboutaquarter(23.9percent)ofurbanchildrenChittagongdivisionage36-59 anywhere inthehouseholdwas97.6percent. The proportionofurbanhouseholdsbyavailabilitysoaporothercleansingagents they passedstool. For 61.7percentofchildrenage0-2years,thestoolsweredisposedsafelylasttime About 89.3percentofChittagongpopulationuseimprovedsanitationfacilities. households ofChittagongdivision. Use ofdrinkingwaterfromimprovedsourceswasalmostuniversalamongurban 25 Child Well-being Survey in Urban Areas of Bangladesh 26 Child Well-being Survey in Urban Areas of Bangladesh Chittagong DivisionTables Religion Wealth indexquintile Mother’s education Age Area Sex Total

Table 3.2:Nutritionalstatusofchildren:Chittagongdivision Bangladesh, CWS2016. for age,heightandweightbyselectedcharacteristics, Percentage ofchildrenunderage5yearsbynutritionalstatusaccordingtothreeanthropometricindices:weight (*)Figuresthatarebasedonfewerthan25unweightedcases Hindu Islam Highest Fourth Middle Second Lowest or above Secondary complete incomplete Secondary Primary complete Primary incomplete No education 48-59 months 36-47 months 24-35 months 18-23 months 12-17 months 6-11 months 0-5 months urban Other municipalities/ non-slum City Corporation City CorporationSlum Girl Boy Buddhist - 2SD Percent below 16.7 24.4 14.0 20.0 28.5 27.8 29.4 11.5 23.9 22.1 27.4 36.7 26.6 27.8 23.7 24.7 27.4 11.8 21.6 23.2 22.4 31.8 22.6 24.9 23.7 Underweight (*) Weight for age - 3SD 3.8 5.4 4.0 4.0 6.6 5.4 6.8 1.6 5.5 3.9 7.4 8.4 7.1 4.5 5.1 4.8 3.3 3.8 9.2 5.0 5.1 8.1 6.0 4.6 5.3 (*) Z-Score Mean (SD) -1.0 -1.2 -0.8 -1.1 -1.4 -1.4 -1.4 -0.7 -1.2 -1.3 -1.3 -1.6 -1.4 -1.4 -1.3 -1.3 -1.1 -0.7 -1.0 -1.2 -1.2 -1.3 -1.2 -1.2 -1.2 (*) children No. of under age 5 1267 1410 117 270 345 235 242 318 205 732 158 152 162 272 264 295 142 145 189 103 961 330 119 700 710 25 - 2SD Percent below 31.6 30.4 22.0 15.7 24.4 30.8 40.8 41.1 15.1 29.7 31.3 32.7 49.5 26.2 39.5 36.3 45.8 27.6 13.2 15.0 28.9 32.1 37.8 28.6 32.1 (*) Stunted Height for age - 3SD 10.6 13.1 12.0 10.7 10.5 14.9 19.7 14.8 8.4 8.6 4.8 5.8 7.7 3.2 7.8 7.6 9.1 9.7 8.4 1.7 4.3 7.8 8.6 7.8 9.4 (*) Z-Score Mean (SD) -1.4 -1.3 -1.0 -0.9 -1.2 -1.4 -1.6 -1.7 -0.8 -1.3 -1.5 -1.4 -1.9 -1.4 -1.6 -1.5 -1.9 -1.2 -0.6 -0.7 -1.3 -1.3 -1.6 -1.3 -1.4 (*) children No. of under age 5 1267 1410 270 345 235 242 318 205 732 158 152 162 272 264 295 142 145 189 103 961 330 119 700 710 117 25 Child Well-beingSurveyinUrbanAreas, -2SD Percent below 10.2 10.6 15.3 11.0 11.5 14.4 12.4 12.9 18.8 13.8 10.8 11.6 11.1 10.2 10.9 8.6 9.9 8.9 6.8 6.0 9.0 7.5 9.4 7.6 9.7 (*) Wasted - 3SD 2.6 2.7 1.8 2.4 5.1 2.3 2.4 1.6 3.2 0.6 6.1 1.1 3.6 1.0 1.8 2.9 1.4 3.8 6.9 2.6 3.2 2.2 2.5 3.0 2.5 (*) Weight for height Overweight Percent + 2SD above 1.7 1.9 4.2 0.3 1.0 2.3 1.9 1.6 2.0 1.3 2.5 1.6 2.4 0.2 2.4 1.5 4.7 0.9 1.4 1.5 2.4 3.2 1.5 2.3 3.8 (*) Z-Score Mean (SD) -0.7 -0.7 -0.5 -0.7 -0.8 -0.6 -0.7 -0.4 -0.7 -0.6 -0.7 -0.7 -0.8 -0.7 -0.6 -0.5 -0.7 -0.5 -0.5 -0.7 -0.6 -0.6 -0.6 -0.7 -0.6 (*) children No. of under age 5 1267 1410 270 345 235 242 318 205 732 158 152 162 272 264 295 142 145 189 103 961 330 119 700 710 117 25 Religion Wealth indexquintile Mother’s education Place ofdelivery Assistance atdelivery Months sincelastbirth Area Total

Table 3.3:Initialbreastfeeding:Chittagongdivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases according toselectedcharacteristics, breastfed withinonehourofbirth,anddaypercentagewhoreceivedapre-lactealfeed, Percentage oflastlive-bornchildreninthetwoyearsprecedingsurvey,whowereeverbreastfed, Buddhist Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Health facility Home No one/Missing Others Traditional birthattendant Skilled attendant 12-23 months 0-11 months Other municipalities/urban City Corporationnon-slum City Corporationslum Private Public Percentage who were breastfed (99.3) 100.0 100.0 ever 98.4 98.4 98.8 99.5 98.8 97.5 97.8 97.9 99.6 99.2 99.6 95.4 98.7 98.8 97.9 98.6 99.5 97.6 99.5 96.3 96.3 98.6 Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. (*) Percentage whowerefirstbreastfed: Within onehour of birth (38.2) 100.0 58.9 52.1 58.7 54.4 50.9 66.7 64.1 48.8 59.6 73.2 65.5 44.0 37.7 71.7 69.1 84.1 44.4 55.3 59.6 59.8 48.5 63.0 57.5 (*) Withinoneday of birth (82.8) 100.0 90.9 91.9 90.6 90.1 92.4 88.2 88.7 89.3 92.7 93.6 92.2 88.0 83.3 93.9 92.9 96.6 87.5 89.6 91.2 92.8 82.2 92.6 90.4 (*) who received a pre-lacteal Percentage (25.8) feed 23.4 14.5 21.8 20.5 22.0 33.7 12.4 21.6 27.0 29.8 37.0 21.5 20.4 25.2 25.2 26.6 21.5 25.1 21.4 18.7 33.7 34.6 23.2 0.0 (*) No. oflastlive- in thelasttwo born children years 581 111 149 128 102 160 114 315 222 338 225 352 322 329 455 147 651 71 81 70 91 71 48 26 43 2 27 Child Well-being Survey in Urban Areas of Bangladesh 28 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Mother’s education Area Age Sex Total

Table 3.7:Infantandyoungchildfeeding(IYCF)practices:Chittagongdivision Urban Areas,Bangladesh,CWS2016. minimum numberoftimesormoreduringthepreviousday,bybreastfeedingstatus, Percentage ofchildrenage6-23monthswhoreceivedappropriateliquidsandsolid,semi-solid,orsoftfoodsthe ( ) (*) * c b a Hindu Islam highest Fourth Middle Second Lowest higher Secondary completeor Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban City Corporationnon-slum City Corporationslum 18-23 months 12-17 months 9-11 months 6-8 months Female Male Buddhist Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases Figures forBuddhistandChristianreligionhavebeensuppressedfrom thetableduetoasmallnumberofunweightedcases children) andminimumdietarydiversity(excludingmilkfeeds mealfrequency,Non-breastfedchildren). Minimum acceptablediet:Childrenage6-23monthswithminimumdietary diversityandminimummealfrequency(Breastfed breastfed children)theminimumof7(ormore)times Minimum mealfrequency:Childrenage6-23monthswhoreceivedsolid, semi-solidorsoftfood(plainmilkfeedsfornon- vitamin-A richfruitsandvegetables,7)othervegetables. legumes andnuts,3)dairyproducts(milk,yogurt,cheese),4)fleshfoods (meat,fish,poultryandliver/organmeats),5)eggs,6) Minimum dietarydiversityisdefinedasreceivingfoodsfromatleast4 of7foodgroups:1)Grains,rootsandtubers,2) dietary Percent ofchildrenwho a diver- mum Mini- 48.6 38.9 48.5 51.8 53.5 23.8 26.2 54.0 44.5 38.7 28.5 21.5 43.4 36.8 31.2 52.2 45.5 28.3 29.4 38.2 44.6 41.1 sity (*) Currently breastfeeding received: frequ- b mum meal ency Mini- 58.2 54.8 60.9 64.8 60.4 50.4 42.5 76.1 51.5 62.5 53.5 32.6 57.9 51.3 47.7 51.9 50.6 38.7 80.1 55.8 55.7 55.7 (*) accep- c mum table Mini- 45.0 30.5 33.9 42.5 42.7 21.8 19.6 43.3 33.9 31.9 25.1 15.8 34.6 27.4 25.7 40.3 35.3 16.0 29.4 32.8 32.0 32.4 diet (*) children months No. of 6-23 age 441 122 116 219 346 106 137 163 109 262 222 484 26 82 89 74 98 50 64 54 32 75 17 dietary a diver- mum Mini- sity (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) Percent ofchildrenwho Currently notbreastfeeding frequ- b mum meal ency Mini- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) received: accep- c mum table Mini- diet (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) 2 milk feeds least (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) At children months No. of 6-23 age 18 18 20 16 10 26 5 3 6 5 5 7 3 1 1 3 3 3 4 2 3 8 2 Child Well-beingSurveyin dietary Percent ofchildrenwho a diver- (54.9) mum Mini- 38.8 49.3 50.4 54.1 28.3 25.4 53.5 45.8 38.8 28.3 20.3 44.2 35.8 29.9 52.0 45.0 30.2 29.4 37.7 45.9 41.4 sity (*) received: frequ- b (65.0) mum meal ency Mini- 53.2 62.3 62.1 60.3 47.8 40.9 74.6 50.0 63.0 52.6 31.9 56.0 51.7 47.5 48.8 50.1 40.6 78.3 54.5 56.1 54.5 (*) All accep- c (52.0) mum table Mini- 29.3 35.2 40.6 42.7 20.9 18.5 42.0 33.2 32.2 24.7 15.0 33.9 26.7 24.2 37.6 34.5 18.3 28.7 31.7 32.8 31.7 diet (*) children months No. of 6-23 age 464 130 124 101 239 366 112 155 167 114 272 230 515 (*) 86 95 80 52 65 58 37 79 31 Religion Mother’s education Wealth indexquintile Area Sex: Total Area Total Table 4.3:Neonataltetanusprotection:Chittagong division Table 4.2:Vaccinationbybackgroundcharacteristics-Chittagongdivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. (vaccination cardormother’sreport,andvaccinationseen),byspecificbackgroundcharacteristics, Percentage ofchildrenage12-23monthswhoreceivedspecificvaccinesatanytimebeforethesurvey Bangladesh, CWS2016. protected againstneonataltetanusbyselectedcharacteristics, Percentage ofwomanage15-49yearswithalivebirthinthelast twoyearsprecedingthesurveywhowere Buddhist Hindu Islam Highest Fourth Primary complete Middle Primary incomplete Second urban Other municipalities/ No education Lowest Female non-slum City Corporation or above Secondary complete Male Secondary incomplete City Corporationslum Other municipalities/urban City Corporationnon-slum City Corporationslum characteristics Background (100.0) (100.0) (100.0) (96.5) (93.1) (94.7) (95.3) 100.0 BCG 97.8 98.1 98.5 98.4 98.7 97.6 98.1 98.7 96.0 (*) (*) (100.0) (100.0) (100.0) (100.0) (100.0) (99.4) (96.1) 100.0 100.0 100.0 99.5 98.5 99.8 98.7 99.2 99.5 97.3 (*) (*) 1 Percentage of least 2doses women who Pentavalent received at during last pregnancy (100.0) (100.0) (100.0) (95.1) (93.1) (99.4) (92.9) 100.0 98.2 99.0 97.7 98.2 97.4 98.5 98.4 94.7 99.8 32.1 27.8 42.9 40.7 (*) (*) 2 (100.0) (99.2) (93.7) (91.2) (98.9) (86.6) (95.3) 95.8 97.3 98.1 93.1 95.9 93.5 96.4 96.2 85.3 98.9 (*) (*) 3 2 doses,the Percentage ofwomenwhodidnotreceivetwoormore last within prior 3 years (100.0) (100.0) (100.0) (100.0) (100.0) (99.4) (96.1) 100.0 100.0 100.0 0.4 0.0 0.6 3.1 99.5 98.5 99.8 98.7 99.2 99.5 97.3 (*) (*) 1 doses duringlastpregnancybutreceived: (100.0) (100.0) (100.0) (96.5) (93.1) (99.4) (95.3) 100.0 OPV 98.5 99.0 97.7 98.2 98.7 99.2 98.6 94.7 99.8 (*) (*) 3 doses,the 2 last within prior 5 years 2.9 2.9 3.1 2.5 (97.9) (99.2) (93.7) (91.2) (98.9) (85.8) (95.3) 95.3 97.3 98.1 92.7 95.4 92.2 96.2 95.8 84.0 98.3 (*) (*) 3 Child Well-beingSurveyinUrbanAreas, MR at9 months 4 doses,the (97.9) (91.9) (93.2) (81.7) (91.3) (82.5) (93.4) last within 90.8 93.1 94.2 85.9 90.2 88.3 93.4 91.7 77.3 95.3 (*) (*) prior 10 years 7.2 8.1 4.9 5.6 (95.8) (91.9) (89.7) (73.9) (86.5) (78.5) (93.4) 88.2 93.1 92.2 83.6 87.6 85.7 91.5 89.4 72.0 93.2 Full (*) (*) doses during None (0.6) (3.9) 5 ormore 0.5 0.0 0.0 0.0 0.0 0.0 0.0 1.5 0.2 1.3 0.0 0.8 0.5 2.7 0.0 (*) (*) lifetime 48.0 53.6 35.6 33.3 vaccina- Percen- (82.1) (79.8) (66.0) (55.1) (80.1) (67.3) (83.1) seen card tage with 70.5 71.9 75.7 66.2 69.8 64.9 74.9 72.1 57.3 71.5 tion (*) (*) Protected tetanus against dren chil- No. 286 224 173 143 316 162 11 20 43 81 38 63 32 52 38 78 69 47 90.6 22 92.3 87.1 85.2 of Measles months received measles children age15- 23 monthswho (78.9) (83.7) (63.0) (63.6) (73.2) (64.3) (82.3) at 15 73.3 76.3 64.9 71.7 69.1 74.5 72.8 49.2 77.6 Percentage of at 15months (*) (*) (*) Child women with in thelast2 a livebirth No. of years 651 455 147 48 children No. of 221 174 133 108 241 115 12 31 65 27 47 27 40 35 60 50 37 18 9 29 Child Well-being Survey in Urban Areas of Bangladesh 30 Child Well-being Survey in Urban Areas of Bangladesh Total Area Education Religion Wealth indexquintile

Mother’ education Wealth indexquintile Religion Table 5.2:Earlychildbearing:Chittagongdivision Table 4.3: ( )Figuresthatarebasedon25-49unweighted cases had alivebirthbeforeage18, childbearing, andwhohavehadalivebirthbeforeage15,percentageofwomen20-24years Percentage ofwomenage15-19yearswhohavehadalivebirth,arepregnantwiththefirstchild,begun ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases City Corporationnon-slum City Corporationslum Other municipalities/urban No education Primary incomplete Hindu Islam Poorest Secondary completeorhigher Secondary incomplete Primary complete Richest Fourth Middle Second Secondary completeorabove Secondary incomplete Primary complete Primary incomplete No education Highest Fourth Middle Second Lowest Buddhist Hindu Islam continued Percentage of Have had least 2doses Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. women who received at during last pregnancy a live birth (8.3) 10.6 21.7 11.3 10.9 12.4 23.7 17.0 15.2 12.0 4.2 7.1 8.7 7.9 0.8 5.4 (31.9) 28.2 28.4 40.8 44.3 32.8 30.3 24.5 29.7 48.0 32.4 32.1 (*) Percentage ofwomenage15-19who: Are pregnant with first (17.6) child 2 doses,the 11.3 11.8 18.4 14.9 16.1 Percentage ofwomenwhodidnotreceivetwoormore 9.0 3.1 6.9 1.8 7.7 8.7 5.0 0.0 2.9 5.4 last within prior 3 years (0.0) 0.0 0.1 0.4 0.4 2.1 0.0 0.0 0.0 0.0 1.5 0.4 (*) doses duringlastpregnancybutreceived: childbearing Have begun 3 doses,the (26.0) last within 19.6 24.8 22.6 11.1 18.6 12.6 21.1 42.1 13.7 31.9 21.5 15.2 14.9 13.3 8.9 prior 5 years (2.8) 0.0 3.1 3.5 1.1 7.9 1.9 1.5 1.7 0.9 7.1 3.0 (*) before age15 a livebirth Have had 4 doses,the last within (0.0) 0.7 2.1 0.0 1.4 0.0 0.8 0.0 0.2 5.4 1.2 0.0 0.0 0.9 0.0 2.1 prior 10 (11.5) years 14.1 5.2 9.2 7.9 7.2 0.8 4.4 5.4 6.6 5.8 7.2 (*) age 15-19 Number women doses during 229 135 199 135 29 65 17 30 37 17 24 44 63 35 31 57 of 5 ormore lifetime (51.0) 63.7 50.2 47.0 33.2 31.0 55.7 60.2 46.5 38.0 38.9 47.7 (*) women age20-24 live birthbefore who havehada Percentage of Protected age 18 (24.8) tetanus against 24.2 31.8 24.1 22.1 21.5 24.7 26.9 27.3 26.4 18.3 30.0 18.7 19.6 29.7 8.8 (97.2) 97.0 91.0 99.6 86.1 74.7 92.3 91.6 92.0 93.5 85.7 90.5 (*) women with in thelast2 a livebirth age 20-24 No. of years Number women 114 315 111 149 128 102 160 581 71 81 70 26 43 644 416 171 586 377 147 126 107 167 56 46 47 80 68 73 96 of Religion Wealth indexquintile Education Mother’s age atbirth Area Total Area Total Table 5.7:Numberofantenatalcarevisitsandtimingfirstvisit:Chittagongdivision Table 5.9:Assistanceduringdeliveryandcaesareansection:Chittagongdivision Bangladesh, 2016. assistance atdelivery,andpercentageofbirthsdeliveredbyC-section, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobypersonproviding ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, 2016. visits byanyproviderandthetimingoffirstantenatalcarevisits, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobynumberantenatalcare Buddhist Hindu Islam Highest Fourth Middle Second Secondary completeorhigher Secondary incomplete Lowest Primary complete Primary incomplete No education 35-49 20-34 Less than20 Other municipalities/urban City Corporationnon-slum City Corporationslum slum City Corporation non-slum City Corporation urban Other municipalities/

doctor Medi- 36.3 21.0 48.5 34.0 cal Nurse/ Mid- wife 17.5 23.5 16.6 17.2 No antenetal care visits FWV 0.3 0.0 0.0 0.5 (0.0) 14.8 23.9 24.6 14.9 28.5 34.4 19.3 12.9 11.0 22.8 13.2 2.0 7.8 6.5 2.2 8.2 6.2 (*) (*) Person assistingatdelivery FWA HA/ 0.3 0.0 0.0 0.5 Percentage ofwomenwhohad: NGO worker 1.4 7.4 0.6 1.0 (0.0) 17.3 25.8 16.9 19.0 12.3 12.6 20.1 24.7 18.4 13.9 17.0 17.7 10.4 15.5 visit One 9.8 6.2 9.9 (*) (*) TTBA (23.5) 11.0 14.2 11.0 visits Two 9.8 20.3 18.3 14.8 29.5 12.9 23.1 19.4 22.2 17.0 21.6 12.6 21.4 19.0 23.0 11.7 17.9 20.0 (*) (*) UTBA 27.8 28.4 23.3 29.2 Three (19.8) visits 15.0 20.9 10.4 18.3 22.6 10.7 11.2 20.1 15.6 14.9 16.7 14.4 15.3 17.8 13.6 15.7 6.0 (*) (*) Unquali- doctor fied 1.2 2.5 0.0 1.4 4 ormore (56.6) visits 32.5 49.1 60.7 19.9 23.7 22.5 55.0 36.9 32.4 19.2 19.6 41.9 30.3 31.1 49.1 35.8 35.5 (*) (*) Relative/ Child Well-beingSurveyinUrbanAreas, friends 3.9 3.1 1.2 4.8 Child Well-beingSurveyinUrbanAreas, (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) attendant No 0.3 0.0 0.0 0.5 live birthinthe women witha last twoyears Number of Total 100.0 100.0 100.0 100.0 581 111 149 128 102 160 114 315 298 350 455 147 651 43 26 71 81 70 48 2 attendant Delivery assisted by any skilled 54.2 44.4 65.0 51.7 a livebirthinthelasttwo Number ofwomenwith years whohadatleast Percent delivered by C-sec- 26.1 16.0 31.9 tion 25.4 one ANCvisit 495 109 138 119 121 111 289 280 283 397 131 565 43 26 78 60 58 46 37 2 the lasttwo live birthin who hada of women Number years 651 147 455 48 31 Child Well-being Survey in Urban Areas of Bangladesh 32 Child Well-being Survey in Urban Areas of Bangladesh Mother’s age atbirth

Mother’s ageatbirth Area Total Place ofdelivery Education Wealth indexquintile Religion Table 5.12:Post-natalhealthchecksfornewborn:Chittagongdivision Table 5.9: 2016. post natalhealthchecksbyselectedcharacteristics, post-natal care(PNC)visitsfromanyhealthproviderafterbirth,bytimingofvisit,andpercentagewhoreceived birth receivedhealthcheckswhileinfacilityorathomefollowingbirth,percentagewhoselastlive Percentage ofwomenage15-49yearswithalivebirthinthelasttwoprecedingsurveywhose ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases 20-34 35-49 Less than20 City Corporationnon-slum Other municipalities/urban Less than20 City Corporationslum 20-34 35-49 Home Health facility No education Primary incomplete Primary complete incomplete Secondary or higher Secondary complete Lowest Second Middle Fourth Highest Islam Hindu Buddhist Public Private

continued doctor Medi- (64.0) 29.6 44.4 61.0 79.0 17.0 13.8 45.4 56.9 14.6 20.7 32.5 53.9 62.6 35.5 cal 1.6 7.0 (*) (*) Nurse/ (15.5) Mid- wife 19.9 14.8 11.4 36.6 19.0 17.0 11.2 31.4 14.0 23.7 14.3 14.6 16.9 20.3 21.8 16.6 (*) (*) birth whilein Health check facility orat following home FWV 74.0 72.7 74.8 73.7 66.0 73.4 0.6 0.0 0.0 2.4 0.0 0.0 0.0 0.0 0.7 0.0 0.0 0.0 1.7 0.0 0.0 0.4 0.0 (*) (*) (*) a Person assistingatdelivery FWA HA/ 0.0 0.7 0.6 0.0 0.0 0.0 0.0 0.0 0.0 1.9 0.0 0.0 0.0 0.0 2.0 0.4 0.0 (*) (*) Same 12.0 12.9 day 7.5 8.6 8.0 9.5 (*) NGO worker 1.7 1.0 1.4 0.0 1.9 1.3 0.4 2.5 1.8 0.3 2.7 3.3 0.0 0.6 0.3 1.5 0.0 (*) (*) following TTBA 1 day (9.9) 13.6 21.1 14.9 11.7 13.6 10.7 18.9 12.3 11.2 birth 8.0 0.0 0.1 4.7 4.6 9.3 4.7 (*) (*) 0.9 0.0 0.5 0.6 0.0 0.5 (*) Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS UTBA (4.9) 28.9 25.9 53.6 49.7 45.3 47.6 20.2 10.6 48.6 37.4 28.0 14.5 29.6 0.0 0.0 6.7 (*) (*) following 2 days birth 0.1 0.1 0.0 0.0 1.2 0.1 (*) PNC visitfornewborns Unquali- doctor (0.7) fied 0.8 1.7 2.3 0.0 0.0 3.5 1.1 0.0 0.7 1.9 1.9 0.3 0.0 1.5 2.0 0.9 (*) (*) following 3-6 days birth 0.0 0.1 0.0 0.0 0.6 0.0 (*) Relative/ friends (5.1) 10.8 4.2 3.5 7.4 0.0 0.0 6.5 0.0 3.7 0.0 7.1 4.8 6.8 0.0 0.0 3.6 (*) (*) first week following After the birth 1.2 0.4 1.0 0.6 0.6 0.9 (*) attendant No 0.6 0.0 0.6 0.0 0.0 0.0 2.7 0.0 0.0 0.0 0.0 0.0 1.7 0.0 0.0 0.4 0.0 b (*) (*) natal care (100.0) No post- Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 (*) (*) 90.3 87.4 90.0 85.9 89.5 89.0 visit (*) attendant Delivery assisted by any skilled (79.5) 100.0 50.2 59.2 13.0 98.0 24.0 28.2 45.2 60.0 80.6 28.9 35.3 51.1 74.2 84.4 52.5 (*) (*) 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) Percent Post-natal newborn delivered by C-sec- (54.7) for the 20.0 33.6 tion 35.5 62.1 11.4 33.3 38.4 12.7 14.4 25.9 32.0 48.7 25.2 health check 0.0 7.9 9.4 (*) (*) 72.7 74.0 73.7 74.8 66.0 73.4 (*) c the lasttwo live birthin who hada of women Number live births two years in thelast Number years of last 350 298 338 222 315 114 160 102 128 149 111 581 91 70 81 71 43 26 350 298 455 147 651 2 48 2 Religion Wealth indexquintile Education Area Total Place of delivery Table 5.12: Table 6.1:Useofimprovedwatersources:Chittagongdivision Survey inUrbanAreas,Bangladesh,CWS2016. household populationusingimproveddrinkingwatersources,byselectedcharacteristics, Percent distributionofhouseholdspopulationaccordingtomainsourcedrinkingwaterandpercentage ( ) (*) c b a Buddhist Hindu Highest Islam Middle Fourth Second Secondary incomplete Secondary completeorhigher Lowest Primary complete Primary incomplete No education slum City Corporation Health facility non-slum City Corporation Home urban municipalities / Other Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases above), aswellPNCvisits(seenotebabove)withintwodaysofdelivery. Post-natal health checksinclude any health check performedwhile in the health facility or athome following birth (see notea preventive careservices.PNCvisitsdonotincludehealthchecksfollowingbirthwhileinfacilityorathome(seenoteaabove). Post-natal care visits (PNC) refer to a separatevisit by any health provider to check on the health of the newborn and provide departure ofproviderfromhome). Health checks by any health provider following facility births (before discharge from facility) or following home births (before Private Public

continued dwell- 18.7 11.1 36.1 12.7 Into ing yard/ 16.7 40.8 28.8 plot Into 9.0 Piped water neigh- bour 3.8 7.6 6.9 2.1 To birth whilein Health check facility orat following Improved sources home (85.7) 87.5 72.8 67.1 84.4 71.8 76.2 86.4 59.3 67.1 62.0 96.3 59.1 95.0 95.9 52.5 (*) stand- Public pipe tap/ 4.6 7.0 6.8 3.4 a Tube- bore- well/ 54.8 28.8 18.0 72.3 hole Same (18.5) 23.0 11.2 10.3 16.0 11.3 18.8 19.9 19.1 day 8.9 8.5 3.9 3.4 2.1 0.8 0.6 (*) Main sourceofdrinkingwater spring tected Pro- 0.1 0.3 0.0 0.1 following 1 day birth (5.1) 0.2 0.0 2.0 0.0 0.7 0.0 1.0 0.0 0.0 0.0 0.0 1.4 0.0 0.0 1.0 (*) Bottled water 0.5 0.4 1.4 0.1 following a 2 days birth 0.1 0.0 0.0 0.0 0.3 0.0 0.2 0.1 0.4 0.0 0.0 0.0 0.3 0.0 0.0 0.2 (*) Unpro- tected PNC visitfornewborns well 0.1 0.0 0.0 0.1 following 3-6 days Tanker truck birth 0.0 0.1 0.0 0.0 0.1 0.0 0.2 0.0 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.3 0.0 0.1 (*) Unimproved sources drum tank/ with Cart 0.8 3.9 1.8 0.0 first week following After the birth (0.7) 0.9 0.0 0.0 0.9 3.4 0.2 1.4 1.3 0.0 0.0 0.4 0.4 2.4 0.7 1.0 (*) water Sur- face 0.1 0.0 0.0 0.1 b Bottled water natal care No post- 0.0 0.2 0.1 0.0 (75.8) 89.9 91.3 75.1 94.9 84.7 96.2 87.1 96.2 84.0 88.7 98.7 79.1 77.4 98.6 78.6 visit (*) a Other 0.0 0.0 0.1 0.0 Child Well-being (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) 100.0 100.0 100.0 100.0 Total Post-natal newborn for the health check (85.7) drink-ing 72.8 84.4 87.5 71.8 67.1 59.3 76.2 67.1 86.4 62.0 59.1 96.3 95.0 52.5 95.9 sources Percen- impro- (*) water using 99.0 95.9 98.1 99.8 tage ved of c live births two years in thelast Number of household Number members of last 16019 10609 1252 4159 581 149 111 102 128 160 315 114 222 338 313 26 43 71 81 70 91 33 Child Well-being Survey in Urban Areas of Bangladesh 34 Child Well-being Survey in Urban Areas of Bangladesh Education ofhouseholdhead Area Education ofhouseholdhead Total Wealth indexquintile Religion Table 6.1: Table 6.3:Typesofsanitationfacilities:Chittagongdivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases characteristics, ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdpopulationaccordingtotypetoiletfacilityusedbythehousehold,selected Missing/DK higher Secondary completeor Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban City Corporationnon-slum City Corporationslum No education Christian incomplete Primary Primary complete incomplete Secondary higher complete or Secondary Missing/DK Lowest Second Middle Fourth Highest Islam Hindu Buddhist

continued dwell- (10.3) 11.5 11.9 23.6 40.5 24.4 47.5 18.2 23.8 Into ing 7.2 0.8 3.0 7.9 (*) (*) (28.5) yard/ 20.5 17.5 16.9 16.9 23.0 24.3 15.7 14.3 16.0 19.8 plot Into 8.8 9.7 Piped water (*) (*) system sewer Piped 4.4 1.4 0.8 2.9 1.5 0.8 5.6 1.0 2.0 (*) Flush/Pour flushto:

neigh- (13.4) bour 6.5 5.0 3.8 2.6 0.4 9.3 5.0 3.3 2.1 0.6 3.6 3.2 (*) (*) To Improved sources Septic Improved sanitationfacility 44.5 32.0 22.2 18.3 10.8 23.3 31.9 19.5 25.2 tank (*)

stand- Public (7.3) pipe tap/ 5.0 5.7 2.8 3.9 5.6 5.1 6.7 3.1 5.6 2.7 4.4 5.1 (*) (*) latrine 3.2 4.9 3.1 5.2 1.8 4.6 2.0 1.5 3.7 (*) Pit

(40.5) Tube- bore- well/ 58.7 59.2 63.6 52.0 42.3 hole 59.7 59.8 68.6 52.2 38.0 56.5 45.2 (*) (*) Ventilated improved pit latrine Type oftoiletfacilityusedbyhousehold Main sourceofdrinkingwater 16.7 12.6 20.1 11.1 12.1 14.7 12.2 12.7 13.9 (*)

spring tected Pro- 0.0 0.3 0.0 0.0 0.0 0.0 0.4 0.1 0.0 0.0 0.0 0.1 0.0 (*) (*) latrine Bottled 25.9 39.9 44.3 51.5 57.5 47.7 35.6 46.5 44.5 with slab water (*) Pit

0.0 0.3 0.1 0.1 0.2 2.0 0.4 0.0 0.1 0.3 1.3 0.4 0.6 (*) (*) a somewhere Flush/Pour Unpro- tected flush to well 0.0 0.4 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 0.1 0.0 (*) (*) else 3.7 4.4 3.3 1.4 2.3 2.2 5.1 5.6 3.2 (*)

Unimproved sanitationfacility Tanker truck 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 (*) (*) Pit latrine open pit Unimproved sources without slab/ 10.1 0.4 2.6 3.3 4.8 5.0 2.6 7.3 4.5 (*)

drum tank/ with Cart 0.0 1.0 0.9 1.0 0.6 0.5 0.8 1.1 0.9 0.9 0.3 0.6 2.0 (*) (*) Hanging water latrine toilet/ Sur- face 0.0 0.0 0.0 0.0 0.2 0.0 0.0 0.0 0.3 0.0 0.0 0.1 0.0 (*) (*) 0.0 0.0 0.1 0.6 0.3 0.2 0.0 1.4 0.2 (*)

Bottled water 0.0 0.0 0.1 0.0 0.1 0.0 0.0 0.0 0.0 0.1 0.0 0.0 0.1 (*) (*) Missing/ 1.1 2.2 2.7 3.5 3.1 1.3 5.0 4.4 2.5 (*) Dk

a Other 0.0 0.0 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.1 0.0 0.0 0.1 (*) (*) bush, field) (no facility, defecation Open (100.0) 0.0 0.0 0.0 0.6 0.5 0.3 0.0 0.1 0.2 (*) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Total (*) (*) drink-ing sources Percen- 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 (100.0) Total impro- water using (*) 98.6 99.0 99.0 99.2 99.4 tage 98.7 98.9 98.7 99.0 99.7 99.2 97.7 ved

(*) (*) of households Number of members Number of household members 10609 16019 2429 5037 2132 2431 3980 4159 1252 13813 3980 2431 2132 5037 2429 2877 2487 3182 3930 3543 1867 10 338

10 1 Religion Total Type of sanitation facility used byhousehold members Wealth indexquintile Area Mother’s education Wealth indexquintile Religion Table 6.6:Disposalofchild’sfaeces:Chittagongdivision Table 6.3: being SurveyinUrbanAreas,Bangladesh,CWS2016. of childrenage0-2yearswhosestoolsweredisposedsafelythelasttimechildpassedstools, Percent distributionofchildrenage0-2yearsaccordingtoplacedisposalchild’sfaeces,andthepercentage (*) Figuresthatarebasedonfewerthan25unweightedcases ( )Figuresthatarebasedon25-49unweighted cases (*) Figuresthatarebasedonfewerthan 25unweightedcases Christian Buddhist Hindu Islam Highest Fourth Middle Second Lowest Improved Unimproved Open defecation City Corporationslum City Corporationnon-slum Other municipalities/urban No education Primary incomplete Primary complete Secondary incomplete Secondary completeorhigher Lowest Second Middle Fourth Highest Islam Buddhist Hindu

continued system sewer Piped 0.0 2.3 2.0 3.9 1.8 1.2 1.3 1.5 (*) Flush/Pour flushto:

toilet/latrine Child used 92.1) Septic Improved sanitationfacility 1.2 1.2 1.7 0.7 3.8 0.5 3.1 0.0 1.3 0.7 2.4 1.4 0.9 0.0 3.1 0.3 1.2 (*) (*) 15.8 32.7 24.5 60.1 24.4 11.3 13.6 tank 8.9 (*)

latrine 4.3 2.8 3.8 2.7 4.2 5.9 3.1 2.2 (*) Pit

Put/rinsed into toilet or latrine (69.9) 60.5 62.3 42.2 50.3 68.4 59.0 42.3 46.4 47.9 64.4 79.2 36.1 44.6 59.3 83.7 80.1 60.0 (*) (*) Ventilated improved pit latrine Type oftoiletfacilityusedbyhousehold 13.4 21.0 13.0 11.4 22.8 12.8 11.7 Place ofdisposalchild’sfaeces 8.0 (*)

Put/rinsed into drain or ditch (17.2) 20.2 19.0 35.4 33.3 18.4 19.5 36.0 29.0 18.5 19.2 31.2 29.5 21.7 10.1 20.2 latrine 8.1 8.5 (*) (*) 61.7 36.4 45.2 14.9 40.2 61.2 56.3 58.2 with slab (*) Pit

garbage somewhere Thrown Flush/Pour (5.8) 12.9 12.5 17.9 11.1 15.1 18.2 12.7 27.0 10.2 flush to 24.3 21.4 13.2 into 6.3 8.3 9.8 2.7 5.6 (*) (*) else 4.9 1.8 3.3 5.0 3.7 1.0 4.3 1.7 (*)

Unimproved sanitationfacility Buried (5.1) Pit latrine 0.7 0.8 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.7 2.0 0.0 0.0 1.8 0.0 2.0 0.4 (*) (*) open pit without slab/ 11.6 0.0 0.4 5.2 0.5 2.0 4.6 6.0 (*)

the open Left in (0.0) 11.9 4.5 4.3 2.8 4.6 3.2 4.9 0.4 5.3 4.9 0.0 7.0 3.6 7.3 1.9 2.0 5.0 (*) (*) Hanging latrine toilet/ 0.0 0.3 0.2 0.0 0.0 0.1 0.2 0.9 (*)

(100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total Missing/ (*) (*) 0.0 2.1 2.6 1.4 0.8 2.0 3.5 5.8 (*) Dk

disposed ofsafely last stoolswere children whose bush, field) (no facility, Percentage of defecation Open 0.0 0.1 0.2 0.0 0.0 0.0 0.0 1.2 (*)

(72.0) 61.7 63.5 43.9 51.0 72.2 59.5 45.4 46.4 49.2 65.1 81.7 37.5 45.5 59.3 86.9 80.4 61.3 (*) (*) Child Well- 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*)

children age Number of 0-2 years households Number of members 13813 635 577 143 447 304 111 155 101 123 145 110 568 1867 3543 3930 3182 2487 2877 54 45 69 80 69 43 24 338 4 1

35 Child Well-being Survey in Urban Areas of Bangladesh 36 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Education ofhousehold head Area Sex Area Total Total Table 7.1:Attendancetoearlychildhoodeducation:Chittagongdivision Table 6.8:Availabilityofsoaporothercleansingagent:Chittagongdivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases being SurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdsbyavailabilitysoaporothercleansingagentinthedwelling, by selectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage36-59monthswhoareattendingan organizedearlychildhoodeducationprogramme Buddhist Hindu Islam Highest Fourth Middle Second Missing/DK Lowest or higher Secondary complete Secondary incomplete Primary complete Primary incomplete No education urban Other municipalities/ slum City Corporationnon- Other municipalities/urban City Corporationnon-slum City Corporationslum Female Male City Corporationslum

cleansing observed Soap or agent (65.7) other 68.1 52.0 95.2 78.0 46.1 26.9 18.1 87.3 62.8 52.0 33.9 33.9 54.0 62.7 29.8 54.2 (*) Place forhandwashingobserved cleansing Soap orothercleansingagentnotobserved Soap or shown agent (21.4) other 29.5 40.4 18.8 46.7 60.3 68.6 11.6 30.8 44.0 52.9 56.0 37.7 32.6 64.6 38.7 4.4 (*) Percentage ofchildrenage36-59months attending earlychildhoodeducation at placeforhandwashing household cleansing No soap agent in or other (5.2) 0.3 1.8 0.1 0.2 0.8 4.1 4.0 0.2 1.4 0.5 3.6 2.8 1.1 2.7 3.7 1.7 (*) not wanttoshow cleansing agent 21.8 31.0 19.9 27.6 20.6 23.9 Not able/Does soap orother (0.0) 0.4 0.0 0.0 0.0 0.0 0.3 0.2 0.0 0.1 0.0 0.2 0.1 0.0 0.3 0.1 0.1 (*) cleansing Place forhandwashing Soap or shown agent other (5.2) 1.3 5.2 0.3 2.7 5.8 7.9 7.6 0.9 4.4 3.2 8.4 6.3 6.6 1.4 1.6 4.7 (*) not observed household cleansing No soap agent in or other (2.6) 0.3 0.5 0.0 0.3 0.6 0.4 1.5 0.0 0.5 0.2 1.0 0.9 0.7 0.4 0.2 0.6 (*) Number ofchildrenage36-59 (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) months 397 150 279 324 603 56 households Percentage anywhere with soap cleansing Child Well- dwelling or other in the agent 92.3 99.0 97.6 99.9 99.6 98.6 95.1 94.3 99.8 98.0 99.3 95.2 96.2 98.3 96.7 96.0 97.6 (*) of Number households 2855 1078 2130 3334 399 664 760 674 539 697 537 428 493 795 908 296 80 of 3 Religion Wealth indexquintile Mother’s education Age ofchild Wealth indexquintile Mother’s education Sex Area Total Table 7.3:Schoolreadiness:Chittagongdivision Table 7.1: (*) Figuresthatarebasedonfewerthan25unweightedcases (2015) byselectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenattendingfirstgradeprimaryschool(in2016)whoattendedpre-schoolthepreviousyear Buddhist Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 48-59 months 36-47 months Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Female Male Other municipalities/urban City Corporationnon-slum City Corporationslum Characteristics continued

Percentage ofchildrenattendingfirstgrade Percentage ofchildrenage36-59months who attendedpreschoolinpreviousyear attending earlychildhoodeducation 44.8 21.6 36.4 27.9 26.9 15.5 11.8 32.8 28.4 21.8 14.7 34.9 11.5 90.2 90.5 74.2 80.6 72.0 87.1 84.2 87.6 72.2 71.8 75.3 86.4 84.6 72.4 69.6 80.5 7.7 (*) Number ofchildrenattendingfirst Number ofchildrenage36-59 grade ofprimaryschool months 541 110 173 118 112 321 294 298 56 91 67 66 72 77 159 197 173 253 371 6 51 78 81 70 90 30 45 68 67 88 30 37 Child Well-being Survey in Urban Areas of Bangladesh 38 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Mother’s education Age atbeginningofschool Area Total Religion Table 7.3: Table 7.5:Primaryschoolattendanceandoutofchildren:Chittagongdivision (*) Bangladesh, 2016. ratio), percentageattendingpreschool,andoutofschool, Percentage ofchildrenprimaryschoolageattendingorsecondary(adjustednetattendance a (*) Figuresthatarebasedonfewerthan25unweightedcases Islam Highest Fourth Middle Second Lowest or higher Secondary complete incomplete Secondary Primary complete Primary incomplete No education 10 9 8 7 Buddhist non-slum City Corporation urban Other municipalities/ 6 Hindu slum City Corporation

Buddhist Hindu Islam

Figures thatarebasedonfewerthan25 unweightedcases The percentageofchildrenprimaryschool ageoutofschoolarethosenotattendingandpreschool

Characteristics continued (adjus- dance atten- ratio 77.9 82.4 85.6 85.7 66.1 74.3 80.7 87.3 82.0 75.9 61.1 87.3 92.6 79.7 82.1 76.2 52.2 82.1 86.6 66.2 79.3 ted) Net (*) or preschool school atten- Percentage ofchildren: ding 13.0 Not 5.3 2.2 0.1 6.1 6.0 9.4 2.2 1.5 2.5 6.3 7.9 3.4 9.0 1.8 5.1 0.0 4.1 0.3 6.8 4.6 (*) Male school Atten- ding 11.2 14.1 10.8 18.8 14.8 10.9 10.9 13.4 11.1 12.3 39.7 10.7 11.9 11.1 11.1 pre- 4.8 7.8 5.4 1.4 1.1 5.7 (*) Percentage ofchildrenattendingfirstgrade who attendedpreschoolinpreviousyear school Out of 16.5 16.4 11.0 10.9 24.8 17.3 17.0 12.4 17.2 26.4 14.7 12.9 17.4 39.7 14.8 12.2 17.9 15.7 7.9 9.2 4.5 (*) a dren chil- 173 209 165 153 184 379 105 145 163 169 163 203 195 210 154 597 765 102 884 No. 92 16 77 of (adjus- dance atten- ratio 90.4 91.6 91.2 92.8 71.4 90.2 92.1 89.6 88.2 72.2 93.4 95.4 90.4 88.8 80.6 66.5 90.8 85.9 93.3 70.5 86.7 ted) Net (*) 78.1 81.6 (*) or preschool school attending Percentage ofchildren: Not 0.2 1.8 0.0 0.9 1.5 2.2 0.1 0.0 2.0 1.3 1.7 1.7 0.8 0.3 1.7 0.2 0.4 1.0 0.5 3.3 0.9 (*) Female school Atten- ding 17.8 14.9 22.9 pre- 5.7 5.5 7.3 1.4 4.7 6.0 5.8 7.6 1.1 1.0 5.8 8.2 9.1 7.4 8.4 4.8 9.5 8.0 (*) Child Well-beingSurveyinUrbanAreas, school Out of 19.3 16.3 10.8 23.1 12.8 5.9 7.3 7.3 2.3 7.0 6.1 5.8 9.6 2.9 2.7 6.6 8.6 7.7 9.4 5.3 8.9 (*) a dren chil- 156 162 150 163 196 105 314 132 176 186 143 157 172 207 170 558 749 826 No. 96 15 61 61 of Number ofchildrenattendingfirst (adjus- dance atten- ratio 86.2 88.2 88.3 79.9 72.8 85.8 89.5 85.6 81.7 66.9 90.5 93.9 84.3 85.3 78.4 59.7 86.3 81.8 89.1 82.9 68.1 ted) Net (*) grade ofprimaryschool or preschool school attending Percentage ofchildren: Not 1.3 0.9 3.2 3.4 5.3 2.2 0.9 1.3 4.3 6.9 4.7 2.6 5.4 1.1 3.4 0.1 2.3 3.2 0.4 2.8 5.3 (*) 342 24 4 Total school Atten- ding 10.1 13.0 14.2 10.7 30.9 10.4 pre- 8.5 6.0 9.8 9.4 8.7 5.6 9.3 1.2 1.1 5.7 9.7 9.1 9.8 9.2 9.6 (*) school Out of 11.4 13.2 18.3 11.7 13.6 21.1 11.2 10.9 14.1 31.0 11.4 13.0 15.6 12.4 9.4 9.2 9.5 6.9 5.9 3.7 9.6 (*) a 1155 1515 1710 dren chil- 329 371 315 315 380 198 693 201 277 339 355 306 360 367 417 323 163 138 No. 32 of Religion Wealth indexquintile Mother’s education Age atbeginningofschoolyear Area Total Table 7.6:Secondaryschoolattendanceandoutofchildren:Chittagongdivision a (*) Areas, Bangladesh,CWS2016. ratio), percentageattendingprimaryschool,andoutof Percentage ofchildrensecondaryschoolageattendingorhigher(adjustednetattendance 17 16 Highest or higher Secondary complete 15 Fourth Secondary incomplete 14 Middle urban Other municipalities/ Primary complete 13 Second Primary incomplete slum City Corporationnon- Buddhist 12 Islam Lowest No education 11 City Corporationslum Hindu

Figures thatarebasedonfewerthan25unweightedcases The percentageofchildrensecondaryschoolageoutarethosewho arenotattendingprimary,secondary,orhighereducation

(adjus- dance atten- ratio 48.2 59.3 76.6 90.0 64.9 73.5 69.9 58.0 50.4 59.1 45.6 71.0 40.8 37.9 50.6 45.2 55.5 53.0 24.8 31.1 42.4 35.9 76.2 ted) Net (*) Attending primary school 12.2 10.0 11.8 23.7 10.2 17.4 14.3 29.3 15.7 18.9 29.5 14.4 31.6 14.8 15.5 14.5 28.1 40.6 21.3 Percentage of 0.0 0.5 4.3 9.2 (*) children: Male school Out of 46.8 36.8 10.1 26.8 13.0 29.3 31.7 25.1 24.0 13.1 36.5 29.1 27.9 18.9 26.4 28.0 48.5 34.4 13.8 34.3 12.9 0.0 5.6 (*) a Number children 1182 1065 142 195 243 193 273 246 151 290 821 146 192 117 279 185 185 161 170 103 50 78 14 82 of (adjus- dance atten- ratio 59.6 65.6 82.0 91.3 69.4 79.6 73.8 78.4 71.0 71.8 67.3 75.6 50.5 61.5 58.3 63.2 35.2 35.7 46.4 47.5 81.1 65.9 63.8 ted) Net (*) Attending primary school 13.8 20.9 13.5 15.0 26.3 13.4 16.4 28.9 13.0 28.3 20.7 24.4 27.7 47.5 11.4 14.9 15.6 Percentage of 0.0 1.4 8.1 7.1 5.5 3.1 (*) children: Female school Out of 40.0 31.2 21.4 16.2 14.9 11.4 30.1 26.5 38.8 35.7 21.6 17.1 18.5 8.4 0.4 5.1 3.4 6.5 8.2 8.7 7.3 2.9 7.3 (*) Child Well-beingSurveyinUrban a Number children 1255 1111 134 173 257 197 322 283 180 257 848 169 189 323 150 237 229 177 164 122 75 64 21 83 of (adjus- dance atten- ratio 53.7 62.3 79.4 90.8 67.2 76.8 72.0 69.1 60.1 65.6 55.4 73.4 45.6 54.7 51.1 55.3 35.5 30.8 39.1 44.9 78.9 60.9 58.5 ted) Net (*) Attending primary school 10.1 12.9 22.2 15.6 14.7 27.9 14.5 17.6 13.6 29.2 29.8 21.0 20.0 27.9 44.0 10.4 14.9 15.5 Percentage of 0.0 0.9 8.3 4.9 6.3 (*) children: Total school Out of 43.5 34.1 24.1 22.2 23.8 18.1 16.0 10.5 33.3 27.2 17.7 12.4 36.6 41.4 27.7 21.6 23.2 9.2 0.2 8.7 4.4 8.5 9.8 (*) a Number children 1669 2437 2177 275 368 500 125 390 594 529 331 547 141 316 381 602 266 421 165 415 338 335 225 34 of 39 Child Well-being Survey in Urban Areas of Bangladesh 40 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Total Sex Area Area Total Mother’s education Sex Table 8.1:Birthregistration:Chittagongdivision Table 7.8:Primaryschoolcompletionandtransitiontosecondaryschool:Chittagongdivision ( )Figuresthatarebasedon25-49unweightedcases (*)Figuresthatarebasedonfewerthan25unweightedcases Note: Dueto1unweightedcases,‘Missing/DK’categoryunder‘education’isnotshown being SurveyinUrbanAreas,Bangladesh,CWS2016. Primary schoolcompletionratesandtransitioneffectivetosecondaryschool, Areas, Bangladesh,CWS2016. mothers/caretakers knowhowtoregisterbirthbyselectedcharacteristics, Percentage ofchildrenunderage5bywhetherbirthisregisteredandpercentagenotwhose Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Other municipalities/urban City Corporationnon-slum Primary incomplete Female Male City Corporationslum City Corporationslum City Corporationnon-slum Other municipalities/urban No education Male Female

Has birthcertificate Seen 19.5 11.4 17.1 21.2 20.4 18.5 Children underage5whosebirthis registered withcivilauthorities completion Primary school (76.8) (88.0) (79.2) (81.0) (78.3) 100.0 100.0 100.0 100.0 100.0 100.0 Not seen 95.0 80.5 64.6 94.4 84.2 54.3 rate (*) 14.1 16.2 17.1 12.9 12.9 15.4 primary school certificate completion Number of children of No birth 0.7 0.9 0.5 0.8 1.2 0.2 age 317 109 222 101 355 186 169 30 53 84 76 72 70 46 51 63 31 86 registered Total 34.3 28.6 34.7 34.9 34.5 34.1 secondary Transition school (100.0) (100.0) rate to (98.0) (94.8) (98.3) 100.0 100.0 100.0 98.3 97.4 98.3 98.4 98.6 98.5 96.5 99.5 97.4 (*) 2 under age5 of children Number 1562 1069 129 364 792 769 primary schoolthe in thelastgradeof children whowere previous year Number of 298 120 251 329 170 159 27 75 92 79 44 40 36 45 64 52 14 59 Child Well-beingSurveyinUrban Children underage5whosebirthisnotregistered Percent ofchildrenwhose mother/caretaker knows how toregisterbirth secondary 100.0 100.0 100.0 transition 99.4 99.1 98.8 Effective (100.0) (100.0) school rate to (98.0) (94.8) (98.3) 100.0 100.0 100.0 98.3 97.4 98.3 98.4 98.6 98.5 96.5 99.5 97.4 (*) school thepreviousyearand are notrepeatingthatgrade in thelastgradeofprimary in thecurrentschoolyear No. ofchildrenwhowere Child Well- under age5without Number ofchildren birth registration 298 120 251 329 170 159 27 75 92 79 44 40 36 45 64 52 14 59 1026 237 696 519 507 92 Total Area Age Mother’s education Wealth indexquintile Sex Religion Age Education ofhouseholdhead Table 8.2:Childdiscipline:Chittagongdivision Table 8.1: selected characteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage1-14yearsbychilddiscipliningmethodsexperiencedduringthelastonemonth (*) Figuresthatarebasedonfewerthan25unweightedcases City Corporationslum 48-59 months 36-47 months 24-35 months 12-23 months 0-11 months City Corporationnon-slum Primary complete Primary incomplete No education Secondary incomplete Secondary completeorhigher Other municipalities/urban Highest Fourth Middle Second Lowest Male Buddhist Hindu Islam Female 1-2 3-4 5-9 10-14 No education Primary incomplete Primary complete Secondary incomplete continued

Has birthcertificate Seen 29.8 25.7 23.2 13.7 20.7 17.1 21.1 22.0 23.3 19.4 25.2 19.0 12.4 19.0 19.5 7.1 9.8 (*) Children underage5whosebirthis registered withcivilauthorities Only non-violent Not seen discipline 10.1 17.9 17.2 15.0 11.2 11.4 12.2 15.0 18.9 15.3 18.6 13.3 12.4 24.8 13.3 8.6 9.0 (*) (18.0) 12.7 10.9 15.3 11.9 15.8 12.0 10.2 18.0 10.6 11.0 22.9 9.4 5.4 Percentage ofchildrenage1-14yearswhoexperienced: certificate No birth 0.8 1.4 0.8 0.0 0.7 0.2 0.2 0.0 1.0 1.0 0.1 2.3 0.6 0.1 0.3 0.0 0.8 (*) Psychological aggression (59.2) 75.5 78.1 72.8 76.2 78.7 72.4 72.8 73.7 79.0 73.6 76.1 80.0 68.7 registered Total 18.0 49.2 43.7 38.1 25.5 18.6 32.3 29.3 37.1 41.9 34.3 40.9 38.6 32.4 25.1 43.9 33.6 (*) under age5 Physical punishment of children (33.8) Number 55.7 55.1 50.7 57.7 58.8 52.8 60.1 63.0 64.1 42.5 63.4 60.8 33.7 Any 1404 340 300 288 316 319 176 172 165 833 216 250 310 391 264 347 128 29 Severe Children underage5whosebirthisnotregistered Percent ofchildrenwhose mother/caretaker knows (0.0) 18.6 21.5 16.1 19.1 20.9 16.3 17.6 21.8 22.2 13.7 22.3 20.4 11.0 how toregisterbirth 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 98.5 98.6 98.2 99.6 98.3 98.7 97.7 99.3 (*) discipline method Any violent (76.9) 83.6 85.0 80.2 84.6 86.6 80.6 81.9 84.3 87.7 79.6 86.0 87.5 73.9 under age5without Number ofchildren birth registration children age Number of 1-14 years 278 162 195 238 152 143 117 117 524 125 164 240 178 260 183 933 72 21 4246 1053 2865 2089 2158 1572 1511 1184 1651 329 524 640 851 35 41 Child Well-being Survey in Urban Areas of Bangladesh 42 Child Well-being Survey in Urban Areas of Bangladesh Wealth indexquintile Religion Religion Wealth indexquintile Education ofhouseholdhead Age Sex Area Total Table 8.2: Table 8.6a:Childlabour:Chittagongdivision ( )Figuresthatarebasedon25-49 unweightedcases Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. week, andpercentageengagedinchildlabourduringthelastweekaccordingtoselectedcharacteristics, Percentage ofchildrenage5-14yearsbyinvolvementineconomicactivitiesorhouseholdchoresduringthelast ( )Figuresthatarebasedon25-49unweightedcases Lowest Second Middle Fourth Highest Islam Hindu Buddhist Hindu Secondary incomplete Primary complete 10-14 Female Buddhist Islam Highest Fourth Middle Second Lowest Primary incomplete No education 5-9 Male Other municipalities/urban City Corporationnon-slum City CorporationSlum continued

Only non-violent discipline (42.1) 13.4 12.9 22.3 11.3 19.4 Percentage ofchildrenage5-14due 6.3 8.4 Percentage ofchildrenage1-14yearswhoexperienced: to engagedinchildlabour Psychological aggression (57.6) 82.0 75.2 80.3 75.4 65.0 77.0 65.4 (39.5) (7.0) 11.2 10.8 3.3 6.4 5.1 2.0 5.4 8.2 2.5 8.1 3.7 6.6 5.5 5.7 6.5 5.9 5.1 6.1

Physical punishment (31.8) 63.4 60.2 55.9 54.0 46.4 56.6 52.2 Any Severe (5.6) 25.6 23.0 17.0 17.2 10.9 19.5 12.0 Number ofchildren(5-14)yearsaged discipline method Any violent (57.6) 90.9 81.6 87.9 83.4 74.0 84.6 78.8 2324 1394 1342 1311 1346 1307 1788 2653 271 499 640 570 456 758 468 489 661 204 31 59

children age Number of Child 1-14 years 1045 3771 824 728 815 835 395 80 Religion Wealth indexquintile Education Age Area Total Table 8.7:Earlymarriageandpolygyny(women):Chittagongdivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases na: notapplicable Bangladesh, CWS2016. who areinapolygynousmarriageorunionbyselectedcharacteristics, birthdays, percentageofwomenage15-19yearscurrentlymarriedorinunion,andthe percentages ofwomenage20-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thand18th Percentage ofwomenage15-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thbirthday, Missing/Dk higher Secondary completeor Highest Fourth Secondary incomplete Buddhist 45-49 urban Other municipalities/ Middle Primary complete 40-44 Hindu 35-39 Second Primary incomplete 30-34 slum City Corporationnon- 25-29 Islam Lowest No education 20-24 15-19 City Corporationslum

Percentage before age married Women age15-49 (1.9) 15.8 16.0 14.1 34.0 18.1 21.1 26.8 31.0 14.7 24.9 20.4 27.0 26.3 18.6 20.5 19.7 21.8 34.5 10.1 22.8 18.7 2.4 2.2 (*) 15 years 49 years Number women age 15- (107) 1051 1179 2243 3031 1308 4058 4742 650 553 912 488 397 578 552 734 624 594 832 865 736 884 403 929 (*) of Percentage before age married (2.2) 18.9 19.7 19.0 34.0 21.9 25.1 30.3 31.0 17.9 24.9 25.1 31.8 26.3 23.2 20.5 24.0 26.8 36.0 10.1 27.0 22.7 2.7 (*) na 15 Women age20-49years Percentage before age married 45.4 15.0 54.8 56.4 71.9 57.2 27.5 61.1 68.5 67.4 46.5 64.3 60.4 67.5 65.3 52.5 48.4 58.5 62.9 73.4 37.6 60.8 56.2 (*) na 18 of women age 20-49 Number years 1592 2451 1037 3248 3813 858 569 937 553 755 427 397 473 552 582 523 594 832 681 701 884 325 na 92 1 Child Well-beingSurveyinUrbanAreas, Percentage married/in currently Women age15-19 union 21.6 43.5 25.0 19.8 22.0 20.6 26.1 26.9 19.3 22.4 23.8 23.5 29.7 45.5 34.3 23.5 23.5 0.0 na na na na na na years age 15-19 Number women years 194 242 651 580 158 105 152 102 271 810 184 929 929 (*) na na na na na na 81 61 14 35 78 of polygynous Percentage Women age15-49years marriage/ union ((0.0) 0.6 0.0 1.1 0.7 1.5 1.1 1.6 3.3 0.0 1.0 3.1 4.4 1.9 2.1 1.9 2.1 3.7 3.9 2.8 2.9 1.8 0.3 0.0 (*) in women age 15-49 years Number of married/in currently union 1671 2465 1007 3269 3804 815 476 942 738 431 553 452 396 600 522 549 587 708 703 780 331 691 248 82 1 43 Child Well-being Survey in Urban Areas of Bangladesh 44 Child Well-being Survey in Urban Areas of Bangladesh DHAKA DIVISION 45 Child Well-being Survey in Urban Areas of Bangladesh 46 Child Well-being Survey in Urban Areas of Bangladesh Nutritional status Child Health • • • • • • • • • • • • • • • • • • • • • • • • • • • • Key Results versus 37.0percent). dietary diversity(52.4percentversus44.2percent)andacceptablediet(49.6 As comparedtofemales,maleshavehadahigherlikelihoodofreceivingbothminimum received theminimumacceptablediet. minimum diversityinthelast24hoursprecedingsurveyand42.8percenthad Forty-eight percentchildrenage6-23monthsofDhakadivisionhadreceivedfoodwith exclusively breastfedona24-hourrecallbasis. About half(49.4percent)ofDhakadivisionurbanchildrenage0-5monthswere than thebabybornaprivatefacility(29.1%). likelihood ofreceivingapre-lactealfeedwashigherforthebabybornathome(37.0%) Thirty-two percenturbanchildrenofDhakadivisionwerereceivedpre-lactealfeed.The breastfed withonehourafterbirth,and88.3percentwerebreastedaday. More thansixintenchildrenwhowerebornthetwoyearsprecedingsurvey last-born childage0-23monthswereeverbreastfedatsomeoccasionoftheirlife. Breastfeeding isalmostuniversalintheurbanareasofBangladesh;97.3percent percent). Boys (12.2percent)arenearabouttwotimesmorelikelytobewastedthangirls(6.8 severely stunted. Nearly eightpercentofunder-fivechildrenintheurbanareasDhakadivisionwere estimates of2.7percent. About threepercentofunder-fivechildrenwereoverweightwhichishigherthannational stunted, 18.8percentwereunderweightand9.4arewasted. Bangladesh revealedthat24.5percentofchildrenagedyoungerthan5yearswere Data camefromtheChildWell-beingSurvey2016(CWS2016)inUrbanAreasof were receivedatleasttwo dosesduringtheirlastpregnancy. last twoyearswereprotected againstneonatal/maternaltetanus.Butonly 34.6percent More thanfourinfive(83.6percent)womenofDhaka divisionwhohadalivebirthinthe received MRwhereasthereceivingofmeaslessecond dosewaslow(64.4percent). About eighty-eightpercenturbanchildrenage12-23 monthsofDhakadivisionwere percent inlowestquintile). was lowamongthesocioeconomicallydisadvantaged sectionofthepopulation(69.7 Despite theEPIisapriorityprogrammeinBangladesh, thefullimmunizationcoverage mother andbytheEPIvaccinecard. (BCG, 3dosesofPentavalent,OPVand MRat9months)asreportedbythe Eighty-six percentchildrenofDhakadivisionage12-23monthswerefullyvaccinated Child Development,LiteracyandEducation Water andSanitation Reproductive Health • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • The effectivetransitionrate tosecondaryschoolwas95.8percentinDhaka division. secondary school(1.2)adjusted netattendanceratio(NAR). Gender ParityIndexshowedinfavourofgirlsthan boysforbothprimaryschool(1.1),and Eighty-two percentofchildrenwerecompletedprimary levelofeducation. higher amonggirls(87.0percent)thanboys(82.5 percent). against 85.0percentofurbannationalrate.Thelikelihood ofenrollinginprimarylevelwas The resultshowedthat84.7percentofchildrenin Dhakadivisionwereattendingschool attending anearlychildhoodeducation(ECE)program orpre-school. About twenty-eightchildreninurbanareasofDhaka divisionage36-59monthswere cleansing agentsobservedbytheinterviewerattimeofinterviewwas55.6percent. were availableanywhereinthedwelling.However,availabilityofsoaporother Ninety-seven percenthouseholdsofDhakadivisionwithsoaporothercleansingagents in thelasttimetheypassedstool. About seventy-sevenpercentofchildrenage0-2years,thestoolsweredisposedsafely facilities whichwerenotsharedwiththememberofotherhouseholds. Nearly eighty-onepercenturbanpeopleinDhakadivisionusedimprovedsanitation percent) thatistheyhavingwaterfrompipe,tubewell/borehole,protectedwell. Access toimprovedsourcesofdrinkingwaterinDhakadivisionwasalmostuniversal(99.6 two daysofbirth. Nearly fourinfive(79.3percent)ofthenewbornreceivedpostnatalhealthcheckswithin delivery wasquitehighpersistat44.5percentinDhakadivision. Although caesareansectionisalife-savingemergencyobstetriccare,the births inurbanareasofDhakadivisionwereattendantbyaqualifieddoctor. were assistedduringthedeliverybyaskilledattendant.Morethanhalf(52.8percent)of Among thosewhohadalivebirthinthetwoyearsprecedingsurvey,66.8percent than poorestwomen(31.1%). during pregnancy.Richestwomen(70.6%)weremorelikelytoreceivefourorANC More thanhalf(52.0percent)ofwomenreceivedrecommendedfourormoreANCvisits preceding thesurveyreceivedantenatalcare(ANC)visitatleastoncefromanyprovider. Ninety-three percentwomenaged15-49yearswhogavelivebirthinthetwo division (0.1percent)againsttheentireurbanareasinBangladesh(0.5percent). Adolescent women(15-19)whohavehadalivebirthbeforeage15wasquitelowinDhaka reached their18thbirthday. One-fifth (20.7percent)womenage20-24ofthisdivisionhadalivebirthbeforetheyhave have hadalivebirth,and16percentbeguntochildbearing. More thanoneinten(11.2percent)adolescentwomen(15-19years)ofDhakadivision 47 Child Well-being Survey in Urban Areas of Bangladesh 48 Child Well-being Survey in Urban Areas of Bangladesh Child Protection • • • • • • • • • • • • women inDhakadivisionage15-49yearswerepolygynousmarriage. Polygyny isnotcommonamongurbanwomenofBangladesh.Only3.3percent 18. In Dhakadivision,womenage20-49years,60.3percenttendtomarrybeforetheof (36.4 percent).Amongthem,22.6percentmarriedbeforetheageof15. Approximately oneinthreeadolescentwomenage15-19yearswerecurrentlymarried lower ascomparedtonationalestimatesof12.9percent. Children (age5-14years)becameachildlabourinDhakadivisionwas9.3percentwhichis members duringthelastmonths. physical punishment(58.2percent)weremostcommontheviolentmethodbyhousehold least oneformoftheviolentmethod,whilepsychologicalaggression(67.9percent)and In urbanareasofDhakadivision,81.6percentchildren1-14yearsweresubjectedtoat concerning birthregistration. been registered.Thatindicatesthemassivegapbetweenknowledgeandpractices division knewhowtoregisteredabirth,whileonly29.3percentofchildren’sbirthhave Almost allthemotherandcaretakerofchildrenagedyoungerthanfiveyearsinDhaka Dhaka DivisionTables Religion Wealth indexquintile Mother’s education Age Total Area Sex Table 3.2:Nutritionalstatusofchildren:Dhakadivision Bangladesh, CWS2016. for age,heightandweightbyselectedcharacteristics, Percentage ofchildrenunderage5yearsbynutritionalstatusaccordingtothreeanthropometricindices:weight ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorabove Secondary incomplete Primary complete Primary incomplete No education 48-59 months 36-47 months 24-35 months 18-23 months 12-17 months 6-11 months Christian Buddhist 0-5 months Other municipalities/urban City Corporationnon-slum Girl City CorporationSlum Boy

Percent below - 2SD Underweight (8.2) 19.4 13.7 24.6 20.6 27.8 16.9 24.9 22.9 33.8 19.4 18.6 26.4 13.5 14.1 24.1 19.4 16.4 17.9 18.8 31.1 19.7 7.2 8.2 8.0 (*) (*) Weight forage - 3SD (5.9) 3.2 0.0 1.8 7.3 2.2 5.6 1.4 3.0 2.5 4.0 8.3 5.1 4.0 3.4 4.2 0.1 0.1 3.3 4.0 1.8 2.5 3.3 8.4 4.2 (*) (*) Z-Score Mean (-0.6) (SD) -1.0 -0.4 -0.9 -1.1 -1.2 -1.4 -0.5 -0.9 -1.3 -1.4 -1.4 -1.3 -1.1 -1.1 -0.7 -0.7 -0.7 -1.0 -1.1 -0.9 -1.0 -1.0 -1.5 -1.0 (*) (*) children No. of under age 5 3103 1533 1800 1327 1681 3289 1608 171 616 711 610 703 650 569 297 580 310 693 715 664 336 332 299 250 163 12 4 - 2SD Percent below (13.8) 25.1 15.3 19.0 25.9 28.2 34.1 16.0 21.4 29.1 31.2 38.7 25.3 26.4 32.1 25.7 20.7 13.2 14.1 23.1 24.0 24.6 24.5 44.1 24.5 (*) (*) Stunted Height forage - 3SD (2.8) 11.8 14.0 16.4 11.5 17.2 7.9 4.1 4.4 8.1 9.7 4.4 5.2 9.1 8.8 9.3 6.3 1.6 2.7 5.0 7.0 7.3 7.5 7.6 7.8 (*) (*) Z-Score Mean (-0.8) (SD) -1.2 -0.6 -1.0 -1.1 -1.4 -1.5 -0.6 -1.0 -1.4 -1.5 -1.6 -1.3 -1.2 -1.4 -1.1 -0.9 -0.7 -0.5 -1.1 -1.1 -1.1 -1.1 -1.8 -1.1 (*) (*) children No. of under age 5 3103 1533 1800 1327 1681 3289 1608 171 616 711 610 703 650 569 297 580 310 693 715 664 336 332 299 250 163 Child Well-beingSurveyinUrbanAreas, 12 4 -2SD Percent below (11.5) 12.6 12.4 10.4 11.3 11.7 10.4 10.6 23.2 11.8 12.0 12.2 6.2 9.4 5.6 5.0 7.2 8.9 9.0 7.0 2.6 4.1 5.9 6.8 9.4 (*) (*) Wasted - 3SD (2.8) 0.6 2.1 2.5 4.4 0.7 2.6 2.1 1.0 3.4 1.6 7.6 2.6 2.8 0.7 0.0 1.3 0.3 8.7 2.4 1.8 2.1 1.1 3.2 2.1 (*) (*) Weight forheight Percent above Overweight + 2SD (4.5) 6.8 3.3 3.1 3.3 0.6 3.3 5.8 3.8 1.9 0.7 2.8 3.8 2.9 2.7 6.9 1.3 4.2 1.7 2.2 5.0 2.6 2.4 4.3 3.3 (*) (*) Z-Score Mean (-0.3) (SD) -0.1 -0.5 -0.5 -0.6 -0.7 -0.7 -0.2 -0.5 -0.7 -0.8 -0.8 -0.8 -0.6 -0.5 -0.2 -0.4 -0.3 -0.7 -0.6 -0.4 -0.6 -0.5 -0.5 -0.5 (*) (*) children No. of under age 5 3103 1533 1800 1327 1681 1608 3289 616 711 610 703 650 569 297 580 310 693 715 664 336 332 299 250 171 163 12 4 49 Child Well-being Survey in Urban Areas of Bangladesh 50 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Mother’s education Place ofdelivery Assistance atdelivery Months sincelastbirth Area Total Table 3.3:Initialbreastfeeding:Dhakadivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases according toselectedcharacteristics, breastfed withinonehourofbirth,anddaypercentagewhoreceivedapre-lactealfeed, Percentage oflastlive-bornchildreninthetwoyearsprecedingsurvey,whowereeverbreastfed, Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Health facility Home Others Traditional birthattendant Skilled attendant 12-23 months 0-11 months Other municipalities/urban City Corporationnon-slum City Corporationslum Private Public

who wereever Percentage breastfed (100.0) (96.2) 100.0 97.1 96.7 98.7 96.4 96.4 98.1 95.1 97.0 99.6 96.7 97.9 97.8 97.1 97.1 98.3 96.1 97.4 96.9 98.7 97.3 (*) (*) Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage whowerefirstbreastfed: Within onehour of birth (56.5) (79.0) 63.1 53.6 60.7 59.6 69.2 71.3 58.2 64.4 72.8 55.6 52.6 56.7 82.3 83.2 53.7 62.5 64.2 65.2 59.5 69.6 63.2 (*) (*) Withinoneday of birth (95.8) (90.2) 87.8 87.8 91.4 84.6 85.9 91.2 83.4 86.9 96.2 82.4 86.6 90.2 89.8 90.8 87.1 86.6 90.1 87.1 90.1 88.0 88.3 (*) (*) Percentage who received apre- lacteal feed (35.5) (34.9) 32.3 23.2 31.7 39.5 32.8 33.1 27.8 29.8 45.5 24.0 29.1 31.1 37.0 40.1 28.7 34.5 29.7 35.5 27.5 29.7 32.1 (*) (*) the lasttwoyears born childrenin No. oflastlive- 1239 1320 237 292 240 281 270 236 632 125 219 108 652 226 442 345 881 704 608 743 509 77 93 68 4 Religion Wealth indexquintile Mother’s education Age Area Sex Total Sex Total Table 3.4:Exclusiveandcontinuedbreastfeeding:Dhakadivision Table 3.7:Infantandyoungchildfeeding(IYCF)practices:Dhakadivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Urban Areas,Bangladesh,CWS2016. minimum numberoftimesormoreduringthepreviousday,bybreastfeedingstatus, Percentage ofchildrenage6-23monthswhoreceivedappropriateliquidsandsolid,semi-solid,orsoftfoodsthe in urbanareas,Bangladesh,CWS2016. (continued breastfeedingat1yearand2year)byselectedbackgroundcharacteristics, percentage of12-15monthsand20-23childrenwhoreceivedbreastmilkduringthepreviousday Percentage oflast-bornchildrenageunder6monthswhowereexclusivelybreastfed,predominantly Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete 18-23 months Primary incomplete 12-17 months No education 9-11 months Other municipalities/urban 6-8 months City Corporationnon-slum Female City Corporationslum Male Girl Boy

dietary Percent ofchildrenwho a diver- mum Mini- 60.8 55.5 37.6 20.8 44.4 53.8 49.1 sity Currently breastfeeding exclusively breastfed received: Percent uency b (39.7) mum meal freq- 51.0 47.1 41.7 Mini- 58.6 68.6 58.4 40.5 49.4 77.7 89.5 84.6 77.0 80.8 85.2 83.0 (*) (*) (*) (*) (*) (*) (*) (*) (*) Children age0-5months accep- c mum table Mini- 53.0 53.2 37.2 20.8 40.5 50.9 45.7 diet predominantly breastfed Percent (73.6) 67.4 55.3 63.9 69.0 85.7 80.8 53.1 66.9 (*) (*) (*) (*) (*) (*) (*) (*) (*) children months No. of 6-23 age 285 329 133 138 444 440 884 dietary children Percent ofchildrenwhoreceived: a diver- (38.9) mum No. of Mini- sity (*) (*) (*) (*) (*) (*) 291 127 173 113 149 151 300 10 32 93 76 41 58 64 23 58 28 15 Currently notbreastfeeding uency b (71.0) mum meal freq- Mini- (*) (*) (*) (*) (*) (*) Percent breastfed breastfeeding at Children age12-15months (Continued accep- c (13.7) mum 1 year) (100.0) (100.0) table Mini- (96.3) (95.8) (96.2) (99.6) diet (*) (*) (*) (*) (*) (*) 97.6 96.4 97.8 (*) (*) (*) (*) (*) (*) (*) (*) (*) At least 2 milk (45.5) feeds (*) (*) (*) (*) (*) (*) children No. of children months 219 134 129 101 127 114 241 No. of 22 38 34 36 70 63 18 20 47 22 10 6-23 age 54 25 42 36 88 9 Child Well-beingSurveyin Child Well-beingsurvey dietary Percent ofchildrenwho a diver- (37.9) mum Mini- 57.6 55.0 20.2 44.2 52.4 48.3 sity breastfeeding at2 Percent breastfed Children age20-23months (Continued received: years) (89.3) (88.5) (86.3) (82.0) 82.8 93.1 83.7 uency b (85.3) mum meal freq- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) Mini- 77.2 87.0 77.1 80.4 85.2 81.9 All accep- c (37.6) mum table Mini- 47.0 49.4 20.7 37.0 49.6 42.8 diet children No. of children months 225 113 134 147 239 No. of 14 61 49 35 53 41 64 13 38 11 93 11 92 6-23 age 350 354 147 147 486 484 998 51 Child Well-being Survey in Urban Areas of Bangladesh 52 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Sex: Mother’s education Total Area Table 4.2:Vaccinationbybackgroundcharacteristics Table 3.7: a Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. (vaccination cardormother’sreport,andvaccinationseen), byspecificbackgroundcharacteristics, Percentage ofchildrenage12-23monthswhoreceivedspecificvaccinesatanytimebeforethesurvey ( ) (*) * c b Hindu Islam highest Fourth Middle Second Lowest higher Secondary completeor Female Secondary incomplete Primary complete Primary incomplete Male No education Other municipalities/urban City Corporationnon-slum City Corporationslum

characteristics

Background Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases Figures forBuddhistandChristianreligionhavebeensuppressedfromthetableduetoasmallnumberofunweightedcases minimum dietarydiversity(excludingmilkfeedsandmealfrequency,Non-breastfedchildren). Minimum acceptablediet:Childrenage6-23monthswithminimumdietarydiversityandmealfrequency(Breastfedchildren) the minimumof7(ormore)times Minimum meal frequency: Children age 6-23 months who received solid, semi-solid or soft food (plain milk feeds for non-breastfed children) and 7)otherfruitsvegetables. dairy products(milk,yogurt,cheese),4)fleshfoods(meat,fish,poultryandliver/organmeats),5)eggs,6)vitamin-Arichfruitsvegetables, Minimum dietarydiversityisdefinedasreceivingfoodsfromatleast4of7foodgroups:1)Grains,rootsandtubers,2)legumesnuts,3)

continued BCG 97.0 91.6 94.4 dietary Percent ofchildrenwho a diver- (60.2) (51.3) (55.6) (55.6) (54.7) mum Mini- 48.3 43.7 38.2 50.6 40.3 37.8 44.3 57.6 40.6 sity (*) 96.9 94.4 95.7 1 Currently breastfeeding received: Pentavalent uency b (90.0) (91.2) (87.5) (97.0) (91.2) mum meal freq- Mini- 82.1 77.0 72.6 85.0 65.5 69.5 84.0 82.4 77.4 (*) 96.8 93.0 95.0 2 accep- c (57.9) (45.4) (53.0) (55.6) (54.2) mum table Mini- 44.6 41.6 33.9 45.7 37.6 32.3 42.5 51.8 37.7 diet (*) 95.1 90.1 92.7 3 children months No. of 6-23 age 813 165 169 150 218 182 131 447 143 508 330 67 93 70 46 98.2 94.4 96.3 1 dietary Percent ofchildrenwhoreceived: a diver- (38.5) mum OPV 98.1 94.4 96.3 Mini- sity (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) 2 Currently notbreastfeeding uency b (70.9) mum 93.8 90.0 92.0 meal freq- Mini- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) 3 MR at9 months accep- c (13.7) mum table Mini- 89.1 87.1 88.3 diet (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) At least 2 milk (45.8) feeds 87.4 84.3 86.0 Full (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) None children months 1.8 5.6 3.7 No. of 6-23 age 88 29 25 10 17 29 36 13 43 39 7 4 6 6 tage with tion card vaccina- Percen- seen 75.0 62.0 67.4 dietary Percent ofchildrenwho a diver- (54.0) (51.2) (54.0) (56.5) (40.7) mum Mini- 47.5 55.2 44.9 36.8 48.5 40.2 43.4 56.7 38.7 sity (*) children received: No. of 338 348 696 uency b (92.4) (88.0) (95.2) (91.5) (70.8) mum meal freq- Mini- 81.0 89.5 75.2 67.0 83.0 64.4 81.7 83.2 75.2 (*) All Measles children age15-23 months received measles accep- c (43.5) (49.7) (50.5) (52.1) (34.8) mum table at 15 Mini- 41.6 51.2 68.1 40.4 60.1 31.0 64.4 42.3 34.6 39.1 49.5 33.9 diet Percentage of Child at 15months (*) months who children months children No. of No. of 6-23 age 926 202 198 164 231 203 172 492 102 156 561 385 225 275 509 68 76 52 Religion Wealth indexquintile Mother’s education Total Area Area Mother’ education Table 4.3:Neonataltetanusprotection:Dhakadivision Table 4.2: Bangladesh, CWS2016. protected againstneonataltetanusbyselectedcharacteristics, Percentage ofwomanage15-49yearswithalivebirthinthelasttwoprecedingsurveywhowere ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Hindu Islam Highest Fourth Middle Second Primary incomplete Lowest No education or above Secondary complete /urban Other municipalities incomplete Secondary non-slum City Corporation City Corporationslum City Corporationnon-slum Other municipalities/urban Primary incomplete Primary complete Secondary incomplete Secondary completeorabove Primary complete slum City Corporation No education characteristics Background continued (100.0) (100.0) (100.0) (96.3) (79.3) (90.3) (99.4) BCG 94.0 97.3 80.5 93.7 97.1 95.9 89.7 (*) (100.0) (100.0) (100.0) (96.3) (83.1) (90.3) (99.4) 95.4 97.0 86.9 96.2 98.5 95.9 88.5 (*) 1 received atleast 2 dosesduring last pregnancy Pentavalent Percentage of women who (100.0) (100.0) (100.0) (96.3) (82.7) (90.3) (99.4) 94.6 94.1 86.9 94.9 97.1 95.9 87.2 (*) (24.4) 2 34.6 42.4 31.3 36.1 25.2 36.5 38.1 46.5 (100.0) (100.0) (96.3) (96.4) (74.0) (89.4) (92.5) 92.2 93.8 80.0 92.4 97.1 94.5 80.8 (*) 3 prior 3years 2 doses,the last within (100.0) (100.0) (100.0) (96.3) Percentage ofwomenwhodidnotreceivetwoormore (86.8) (90.3) (99.4) 96.1 97.3 89.4 96.2 98.5 97.3 89.7 (*) (0.3) 1 1.4 1.3 1.5 1.3 4.2 0.8 1.6 0.0 doses duringlastpregnancybutreceived: (100.0) (100.0) (100.0) (96.3) (86.4) (90.3) (99.4) OPV 96.0 97.0 89.4 96.2 98.5 97.3 88.5 (*) 2 prior 5years 3 doses,the last within (100.0) (100.0) (96.3) (96.4) (73.6) (79.6) (93.1) (7.7) 11.6 4.4 2.5 5.3 3.9 0.2 4.2 3.7 91.5 90.9 80.3 91.1 97.1 94.5 80.8 (*) 3 Child Well-beingSurveyinUrbanAreas, MR at9 months (100.0) (100.0) (96.3) (96.4) (65.3) (87.7) (86.2) 87.5 79.0 76.8 84.8 92.7 94.5 74.4 (*) prior 10years 4 doses,the last within (8.4) 4.4 3.8 5.3 3.9 0.4 4.4 3.4 7.0 (100.0) (100.0) (96.3) (96.4) (60.4) (77.9) (85.6) 85.1 76.3 69.7 81.0 91.3 94.5 70.5 Full (*) (13.2) None (3.7) (9.7) (0.6) doses during 10.6 10.3 0.0 0.0 0.0 3.9 2.7 3.8 1.5 2.7 (*) 5 ormore lifetime (48.4) 38.9 31.6 38.2 40.0 16.8 32.9 41.9 41.3 tage with tion card vaccina- Percen- (69.0) (69.4) (75.2) (50.4) (58.0) (74.1) (58.5) seen 67.2 68.7 57.4 70.9 74.4 64.4 53.8 (*) Protected children No. of tetanus against (89.2) 652 129 133 107 176 151 111 379 345 284 115 83.6 81.6 81.7 85.2 75.2 66.8 86.8 91.8 40 49 76 33 Measles children age15-23 months received measles (87.3) (51.0) (96.0) (53.6) at 15 63.8 45.8 60.3 61.7 71.7 49.2 Percentage of at 15months (*) (*) (*) (*) (*) months who women with in thelast2 a livebirth No. of years 1320 509 743 108 219 125 632 236 68 children No. of 479 103 125 102 278 246 206 26 99 80 28 97 60 25 79 53 Child Well-being Survey in Urban Areas of Bangladesh 54 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Education Area Wealth indexquintile Total Religion

Table 5.2:Earlychildbearing:Dhakadivision Table 4.3: ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases had alivebirthbeforeage18, childbearing, andwhohavehadalivebirthbeforeage15,percentageofwomen20-24years Percentage ofwomenage15-19yearswhohavehadalivebirth,arepregnantwiththefirstchild,begun ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Hindu Islam Richest Fourth Middle Second Poorest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban City Corporationnon-slum City Corporationslum Lowest Second Middle Fourth Highest Islam Hindu continued Have hada live birth received atleast 2 dosesduring last pregnancy (11.0) (22.0) Percentage of (6.4) (8.6) (0.0) 10.6 16.0 11.7 14.5 10.6 35.6 11.2 women who Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. 9.9 8.9 (*) (*) 40.3 42.2 23.0 26.1 41.2 36.2 (*) Percentage ofwomenage15-19who: with firstchild Are pregnant (5.8) (9.5) (6.4) (0.0) (5.1) 5.1 3.9 7.3 5.6 0.7 5.3 3.8 7.8 4.9 (*) (*) prior 3years 2 doses,the last within Percentage ofwomenwhodidnotreceivetwoormore 1.9 1.9 1.6 1.3 0.0 1.5 (*) doses duringlastpregnancybutreceived: childbearing Have begun (16.9) (31.5) (12.8) (8.6) (5.1) 15.7 19.9 17.2 17.2 15.2 16.0 12.7 43.3 16.0 (*) (*) prior 5years 3 doses,the last within 6.4 3.6 0.2 6.0 5.3 4.7 (*) birth beforeage15 Have hadalive prior 10years 4 doses,the (0.0) (0.8) (0.0) (0.0) (0.0) last within 0.1 0.2 0.0 0.0 0.0 0.0 0.0 1.1 0.1 (*) (*) 8.3 0.5 6.9 4.6 2.0 4.0 (*) of women age 15-19 doses during Number 5 ormore 749 165 112 231 167 153 445 117 450 307 122 796 lifetime 47 55 26 39 27.2 36.3 52.9 42.7 36.3 37.7 (*) who havehadalive birth beforeage18 women age20-24 Percentage of Protected tetanus against (15.9) (43.1) (9.2) 21.5 15.7 15.2 26.8 27.4 20.2 22.7 24.1 15.0 31.1 20.7 84.1 84.4 84.6 80.7 84.9 83.9 8.0 (*) (*) women with in thelast2 a livebirth of women age 20-24 No. of years Number 1239 270 281 240 292 237 77 1322 1398 205 224 212 410 347 825 225 757 572 158 104 76 85 69 Religion Wealth indexquintile Education Mother’s age atbirth Mother’s age atbirth Area Total Area Total Table 5.9:Assistanceduringdeliveryandcaesareansection:Dhakadivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, 2016. assistance atdelivery,andpercentageofbirthsdeliveredbyC-section, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobypersonproviding Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 35-49 20-34 35-49 Less than20 Other municipalities/urban 20-34 City Corporationnon-slum Less than20 urban Other municipalities/ City Corporationslum non-slum City Corporation City Corporationslum Table 5.7:Numberofantenatalcarevisitsandtimingfirstvisit:Dhakadivision Bangladesh, 2016. visits byanyproviderandthetimingoffirstantenatalcarevisits, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobynumberantenatalcare

Medical doctor 60.3 46.5 47.1 62.6 42.4 52.8 (*) care visits antenetal Nurse/ Mid- wife 11.6 15.8 14.2 13.0 17.7 13.9 (4.7) 18.6 10.8 11.9 14.0 12.7 (*) 7.5 1.6 3.3 5.6 5.4 3.3 7.1 7.0 7.1 6.1 7.0 No (*) (*) FWV 0.0 0.1 0.0 0.0 0.6 0.0 (*) Percentage ofwomenwhohad: One visit (7.4) 14.4 16.4 25.5 11.2 12.3 13.9 Person assistingatdelivery 8.3 3.3 3.4 4.0 2.0 7.5 8.0 8.9 2.3 8.5 (*) (*) FWA HA/ 0.0 1.2 0.6 0.8 0.0 0.7 (*) worker NGO 3.2 4.9 4.5 3.8 2.5 4.1 (13.7) (*) visits Two 15.5 13.7 28.9 15.7 29.0 17.2 14.3 16.1 16.8 12.2 20.9 15.2 9.7 7.3 9.2 8.3 (*) (*) TTBA 10.8 7.0 7.1 5.8 8.4 7.1 (*) Three (19.4) visits 17.3 14.8 11.9 23.2 19.0 18.1 10.7 15.9 30.8 16.8 17.1 20.0 13.0 19.6 17.3 9.4 (*) (*) UTBA 16.2 22.4 25.2 11.5 19.0 19.6 (*) 4 ormore (54.7) visits 51.4 70.6 74.1 53.4 32.3 31.1 74.8 45.9 35.7 26.8 53.8 50.9 43.9 66.4 32.9 52.0 Unquali- (*) (*) doctor fied 0.0 0.1 0.0 0.0 0.6 0.0 (*) Child Well-beingSurveyinUrbanAreas, Child Well-beingSurveyinUrbanAreas, (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total Relative/ friends (*) (*) 1.6 1.9 2.6 0.0 6.3 1.8 (*) live birthinthe women witha last twoyears Number of 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) 1239 1320 237 292 240 281 270 236 632 125 219 108 586 729 743 509 77 68 5 attendant Delivery assisted by any skilled 72.0 62.4 61.3 75.6 60.8 66.8 (*) a livebirthinthelasttwo Number ofwomenwith years whohadatleast delive- one ANCvisit red by C-sec- cent 54.0 36.5 42.6 49.6 27.2 44.5 Per- tion (*) 1146 1228 234 282 226 266 220 228 602 111 193 544 679 690 478 77 93 59 5 who hada of women two years in thelast live birth Number 1320 586 729 743 509 68 5 55 Child Well-being Survey in Urban Areas of Bangladesh 56 Child Well-being Survey in Urban Areas of Bangladesh Religion Place of delivery Mother’s age atbirth Wealth indexquintile Area Total

Education Place of delivery Table 5.12:Post-natalhealthchecksfornewborns:Dhakadivision Table 5.9: ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases 2016. post natalhealthchecksbyselectedcharacteristics, post-natal care(PNC)visitsfromanyhealthproviderafterbirth,bytimingofvisit,andpercentagewhoreceived birth receivedhealthcheckswhileinfacilityorathomefollowingbirth,percentagewhoselastlive Percentage ofwomenage15-49yearswithalivebirthinthelasttwoprecedingsurveywhose Christian Hindu Health facility Islam Highest Home Fourth 35-49 Middle 20-34 Second Less than20 or higher Secondary complete Lowest Other municipalities/urban Secondary incomplete City Corporationnon-slum Primary complete City Corporationslum Primary incomplete No education Health facility Home Private Public Private Public

continued Medical doctor (37.2) 50.1 78.7 72.3 51.9 41.4 80.1 21.9 56.6 29.1 37.2 80.5 74.2 1.1 (*) (*) birth whilein Health check facility orat Nurse/ following Mid- (9.1) wife 14.8 12.8 17.1 15.2 10.8 13.5 15.9 15.9 14.4 14.1 25.6 9.2 7.6 (*) (*) home 93.8 89.3 92.6 50.4 80.0 77.2 75.5 85.5 58.9 78.5 (*) a FWV (0.0) 0.0 0.0 0.0 0.0 0.2 0.0 0.0 0.0 0.0 0.4 0.0 0.2 0.0 (*) (*) Same Person assistingatdelivery 15.8 12.9 15.0 13.1 11.0 10.0 day 0.1 7.6 9.2 6.3 FWA (*) (3.1) HA/ 0.7 0.0 1.3 0.0 0.0 1.8 0.0 0.8 0.0 0.0 0.0 0.0 2.0 (*) (*) worker follow- (11.2) 1 day NGO birth 10.1 17.3 ing 4.4 0.0 0.0 3.6 6.7 0.0 2.1 4.2 4.8 0.0 5.3 1.2 0.2 0.9 1.1 0.1 1.7 0.6 1.5 0.6 1.0 (*) (*) (*) Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS (11.2) TTBA follow- 2 days 13.3 20.2 birth 7.5 8.6 3.0 3.6 6.7 7.0 7.7 5.6 2.0 0.6 0.0 (*) (*) ing 0.1 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.6 0.0 (*) PNC visitfornewborns UTBA (24.1) 20.4 23.6 24.0 44.6 15.3 42.7 26.8 58.4 0.0 4.6 3.7 0.0 0.0 following (*) (*) 3-6 days birth 3.3 2.3 3.0 2.1 2.4 3.0 1.3 4.6 3.8 2.7 (*) Unquali- doctor (0.0) fied 0.0 0.0 0.0 0.0 0.2 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.1 (*) (*) first week following After the birth 7.7 5.5 7.1 0.0 7.9 2.2 1.9 9.2 2.5 4.8 (*) Relative/ b friends (4.2) 0.0 1.9 1.6 2.0 3.6 0.0 1.4 1.7 2.6 0.0 2.0 0.0 5.3 (*) (*) No post- natal care 72.0 79.1 73.8 96.8 76.5 85.4 85.2 75.6 86.1 81.5 visit (*) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) attendant Delivery assisted by any skilled (46.3) 100.0 91.4 65.0 89.4 67.2 52.4 89.3 35.3 72.5 45.0 94.6 52.0 8.7 (*) (*) Post-natal newborn for the health check 94.6 89.3 93.2 51.5 80.9 77.8 76.8 85.5 60.1 79.3 (*) delivered by C-sec- (19.5) cent 75.0 42.0 59.7 42.7 29.8 70.8 18.2 50.0 18.8 72.5 36.0 50.7 Per- tion 0.0 (*) (*) c the lasttwo of lastlive who hada births in Number of women two years in thelast live birth Number years 1320 652 226 878 442 586 729 743 509 1239 68 237 292 240 281 236 270 632 125 219 652 108 226 442 5 77 4 Religion Wealth indexquintile Education Education ofhousehold head Area Total

Table 6.1:Useofimprovedwatersources:Dhakadivision Table 5.12: c Post-natal health checks include any health check performed while in the health facility or at home following birth (see note services. PNCvisitsdonotincludehealthchecksfollowingbirthwhileinfacilityorathome(seenoteaabove). b Post-natalcare visits (PNC) refer to a separate visit by any health provider to check on the health ofthe newborn and provide preventive care provider fromhome). a Healthchecksbyanyhealthprovider following facilitybirths (before discharge from facility)or following homebirths(beforedepartureof Survey inUrbanAreas,Bangladesh,CWS2016. household populationusingimproveddrinkingwatersources,byselectedcharacteristics, Percent distributionofhouseholdspopulationaccordingtomainsourcedrinkingwaterandpercentage PNC visits(seenote Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Primary incomplete No education Other municipalities/urban City Corporationnon-slum City Corporationslum Missing/DK higher Secondary completeor Secondary incomplete Primary complete

continued b above)withintwodaysofdelivery. dwelling 20.8 15.1 15.5 54.0 31.2 24.5 61.5 31.8 23.7 Into 9.8 birth whilein Health check facility orat following home yard/ 35.9 35.9 26.8 28.6 39.1 28.1 50.0 14.0 26.7 27.5 77.1 89.2 87.1 81.7 75.3 60.4 94.7 80.6 60.3 72.0 64.7 plot Into (*) (*) Piped water a neigh- bour 0.9 2.3 1.7 0.6 3.3 1.3 0.0 0.6 1.2 1.5 To Same Improved sources 21.0 10.9 20.2 day 9.7 8.0 5.1 6.4 9.3 4.2 4.8 9.6 (*) (*) Main sourceofdrinkingwater stand- Public pipe 14.8 tap/ 4.1 4.6 1.2 7.1 4.3 0.8 3.9 4.9 3.3 follow- 1 day birth ing 1.0 1.6 0.1 1.6 1.7 0.0 0.0 2.1 0.0 0.0 0.0 (*) (*) Tube- bore- well/ hole 37.6 41.4 54.4 32.0 34.1 24.2 19.1 34.1 42.3 7.8 follow- 2 days birth ing 0.0 0.0 0.0 0.0 0.0 0.2 0.0 0.1 0.0 0.0 0.0 (*) (*) PNC visitfornewborns tected well Pro- 0.0 0.0 0.2 0.1 0.0 0.2 0.0 0.3 0.1 0.7 following 3-6 days birth 2.9 5.3 1.3 1.6 3.7 1.8 5.3 2.5 0.0 2.4 1.6 (*) (*) Bottled water 0.7 0.4 0.2 0.8 0.2 0.4 0.0 0.5 0.5 0.0 a first week following After the birth 15.4 12.5 5.1 1.8 1.8 3.1 0.2 3.4 6.2 0.0 4.0 (*) (*) Tanker truck b 0.0 0.0 0.0 0.2 0.0 0.1 0.0 0.0 0.3 0.0 Unimproved sources No post- natal care 81.3 70.3 72.2 87.0 86.4 91.5 61.9 82.7 89.6 92.8 84.8 visit (*) (*) drum tank/ with Cart 0.0 0.4 0.0 0.7 0.8 0.3 0.5 0.3 0.3 1.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) Child Well-being 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total Post-natal newborn for the health check 78.0 89.2 87.1 81.7 77.0 62.4 94.7 81.5 60.3 72.0 69.6 (*) (*) drinking sources Percen- impro- a water using 100.0 100.0 tage 99.6 99.0 99.2 99.6 99.5 99.7 99.3 99.0 above), as well as ved of c the lasttwo of lastlive Number of household members births in Number years 20843 15960 38509 11367 1239 8798 1706 6683 7709 3692 237 292 240 281 270 236 632 125 219 108 259 77 4 57 Child Well-being Survey in Urban Areas of Bangladesh 58 Child Well-being Survey in Urban Areas of Bangladesh Religion Education ofhousehold head Wealth indexquintile Area Religion Wealth indexquintile Total Table 6.3:Typesofsanitationfacilities:Dhakadivision Table 6.1: ( )Figuresthatarebasedon25-49unweighted cases (*) Figuresthatarebasedonfewerthan 25unweightedcases characteristics, ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdpopulationaccordingtotypetoiletfacilityusedbythehousehold,selected ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Christian Buddhist Hindu Islam Highest Fourth Secondary incomplete Middle Primary complete Primary incomplete Second No education Lowest Other municipalities/urban Missing/DK City Corporationnon-slum City Corporationslum Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Buddhist Christian

continued (74.0) dwelling 20.0 31.7 70.3 43.5 19.0 10.0 Into 3.0 (*) system sewer (58.6) Piped 13.2 30.0 16.1 11.9 11.0 11.0 26.6 11.3 25.9 13.2 9.9 9.1 5.2 6.8 1.3 3.1 0.0 (*) Flush/Pour flushto: (25.0) yard/ 21.2 28.5 14.3 28.2 50.3 43.6 plot Into 8.4 (*) Improved sanitationfacility Piped water Septic (0.0) 13.6 11.2 29.3 11.5 14.1 11.5 11.6 23.4 11.3 tank 4.1 7.8 5.6 5.9 2.8 1.8 9.3 6.0 (*) neigh- bour (0.0) 0.0 1.4 0.2 0.4 0.9 2.1 3.5 latrine To (*) (0.0) 2.2 2.1 1.7 4.4 3.3 1.4 1.9 1.8 1.1 0.7 0.8 2.5 0.0 1.7 2.7 0.6 2.1 (*) Pit Improved sources Main sourceofdrinkingwater stand- Public Type oftoiletfacilityusedbyhousehold Ventilated pipe (1.0) improved pit latrine tap/ 5.3 4.2 2.6 6.3 2.4 6.7 3.3 (*) (30.1) 34.7 24.6 13.6 30.4 26.9 25.5 24.2 29.4 28.7 26.7 28.9 32.9 15.6 18.7 19.3 25.1 7.4 (*) Tube- bore- well/ hole (0.0) 52.6 33.1 16.6 33.4 49.2 30.5 46.5 (*) latrine (9.3) 27.2 34.1 26.1 30.1 45.3 41.6 41.0 40.0 46.7 53.6 44.3 12.7 18.5 15.2 43.6 33.6 with slab 9.2 (*) Pit tected (0.0) well Pro- 0.9 0.1 0.2 0.5 0.0 0.0 0.0 (*) Flush/Pour flush to where some- (2.0) 14.9 else 6.6 4.6 9.7 4.2 3.4 3.4 3.6 3.1 4.2 3.7 1.9 1.1 9.4 8.2 4.2 4.7 (*) Bottled water (0.0) Unimproved sanitationfacility 0.0 0.5 0.6 1.4 0.1 0.0 0.0 (*) a slab/ open Pit latrine without (0.0) 2.6 1.3 0.0 0.0 1.6 2.7 1.7 1.7 0.3 3.1 3.2 2.0 0.0 0.3 0.0 4.1 1.4 (*) pit Tanker truck (0.0) 0.0 0.1 0.4 0.0 0.0 0.0 0.0 (*) Unimproved sources Hanging latrine toilet/ (0.0) 0.0 0.2 0.0 0.0 0.2 0.0 0.1 0.0 0.1 0.5 1.1 0.2 0.0 0.0 0.0 1.5 0.2 (*) drum tank/ with (0.0) Cart 0.0 0.4 0.7 0.2 0.2 0.3 0.1 (*) Missing/ (0.0) 12.1 55.6 16.3 3.2 8.8 6.5 7.3 8.6 8.6 8.1 8.7 9.0 7.5 2.3 5.9 9.4 8.4 (*) Dk (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) defeca- facility, bush, Open field) (0.0) tion (no 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.1 0.0 0.0 0.0 0.0 0.0 0.0 (*) drinking sources Percen- impro- (100.0) water using 100.0 tage 99.5 98.9 99.8 99.8 99.7 99.9 ved (*) of (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) Number of household members members 36218 of house- Number 8823 7798 7390 8195 6304 2150 125 36218 11367 20843 15960 38509 15 holds 2150 8823 7798 7390 3692 8195 6683 8798 6304 7709 1706 125 259 15 Type of sanitation facility used byhousehold members Total Area Total Area Mother’s education Wealth indexquintile Religion Table 6.6:Disposalofchild’sfaeces:Dhakadivision Table 6.8:Availabilityofsoaporothercleansingagent:Dhakadivision being SurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdsbyavailabilitysoaporothercleansingagentinthedwelling, being SurveyinUrbanAreas,Bangladesh,CWS2016. of childrenage0-2yearswhosestoolsweredisposedsafelythelasttimechildpassedstools, Percent distributionofchildrenage0-2yearsaccordingtoplacedisposalchild’sfaeces,andthepercentage ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Unimproved Improved City Corporationnon-slum City Corporationslum City Corporationslum Other municipalities/urban non-slum City Corporation urban Other municipalities/ No education Primary incomplete Primary complete Secondary incomplete Secondary completeorhigher Lowest Second Middle Fourth Highest Christian Hindu Islam

cleansing observed Soap or agent other 55.6 40.4 68.2 47.1 Place forhandwashingobserved toilet/latrine Child used cleansing Soap or shown agent (11.2) other observed atplaceforhandwashing 32.7 36.8 20.3 41.9 Soap orothercleansingagentnot 2.6 4.2 4.0 6.3 1.3 2.7 4.5 0.0 4.1 3.6 1.9 1.8 5.4 5.6 5.4 3.9 (*) (*) household cleansing No soap agent in or other toilet orlatrine Put/rinsed into 2.1 3.9 2.0 2.0 (63.7) 78.6 71.9 72.7 82.0 63.6 67.1 67.3 71.9 72.6 81.2 57.7 78.3 68.4 78.5 79.9 72.5 (*) (*) Place ofdisposalchild’sfaeces other cleansing Not able/Does show soapor not wantto agent 0.1 0.0 0.0 0.1 Put/rinsed into drain orditch (1.4) 15.2 11.0 11.6 22.1 15.4 12.5 17.7 14.2 19.4 12.5 16.3 12.0 4.7 3.8 6.3 3.6 (*) (*) cleansing Place forhandwashingnotobserved Soap or shown agent other 15.1 8.4 7.4 8.7 Thrown into garbage (15.6) 14.9 16.3 11.1 2.6 9.4 8.5 9.7 7.0 9.4 5.5 6.7 9.3 7.4 1.8 6.3 8.3 household (*) (*) cleansing No soap agent in or other 1.1 3.7 2.0 0.2 the open Left in (8.0) 1.0 3.5 3.2 3.2 0.0 5.4 0.8 4.9 2.4 2.1 4.7 0.0 8.0 3.3 0.0 3.4 (*) (*) show soap cleansing Not able/ Does not or other want to agent 0.0 0.0 0.1 0.0 (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) 100.0 100.0 100.0 100.0 Total disposed ofsafely last stoolswere children whose Percentage of (75.0) anywhere in the dwelling 81.2 76.1 76.7 64.9 88.3 69.8 71.8 71.9 76.7 84.8 59.6 80.1 73.9 84.2 85.2 76.4 households Percentage (*) (*) with soap cleansing Child Well- or other agent Child Well- 96.7 92.3 95.9 97.7 of of children of house- Number age 0-2 Number years 1110 1278 1197 holds 9263 3848 5007 168 498 714 107 214 120 609 228 250 271 240 292 226 408 66 77 4 59 Child Well-being Survey in Urban Areas of Bangladesh 60 Child Well-being Survey in Urban Areas of Bangladesh Mother’s education Age ofchild Area Sex Total Education ofhouseholdhead Wealth indexquintile Religion Table 7.1:Attendancetoearlychildhoodeducation:Dhakadivision Table 6.8: by selectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage36-59monthswhoareattendinganorganizedearlychildhoodeducationprogramme ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 48-59 months 36-47 months Other municipalities/urban City Corporationnon-slum City Corporationslum Female Male No education Primary incomplete Primary complete Secondary incomplete or higher Secondary complete Lowest Missing/DK Second Christian Middle Fourth Islam Highest Hindu Buddhist

continued

cleansing observed Soap or agent other 34.0 40.8 52.5 59.1 86.5 18.2 30.1 51.0 85.5 55.1 97.2 62.3 (*) (*) (*) Place forhandwashingobserved cleansing Soap or shown agent other observed atplaceforhandwashing 43.7 42.6 37.9 32.1 11.5 54.5 51.4 41.6 11.2 32.9 29.3 Soap orothercleansingagentnot 1.9 (*) (*) (*) Percentage ofchildrenage36-59months household cleansing No soap agent in or other attending earlychildhoodeducation 5.9 1.0 1.7 0.8 0.3 5.7 3.6 0.4 0.3 0.2 2.1 1.8 (*) (*) (*) other cleansing Not able/Does show soapor not wantto agent 0.0 0.0 0.2 0.0 0.0 0.3 0.0 0.0 0.0 0.0 0.1 0.0 (*) (*) (*) (14.7) 43.0 25.6 27.8 25.4 45.4 25.4 30.8 25.5 28.4 27.0 27.7 9.2 cleansing Place forhandwashingnotobserved Soap or shown agent other 14.0 14.2 19.1 12.5 5.9 8.3 1.5 6.8 0.7 2.3 8.7 5.0 (*) (*) (*) household cleansing No soap agent in or other 2.1 1.4 1.0 0.5 0.2 2.1 2.2 0.3 0.0 0.7 1.1 0.8 (*) (*) (*) show soap cleansing Not able/ Does not or other want to agent 0.2 0.0 0.0 0.0 0.0 0.2 0.0 0.0 0.0 0.0 0.0 0.8 (*) (*) (*) Number ofchildrenage36-59 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) (*) months 1599 238 737 136 308 180 801 787 854 665 789 810 81 anywhere in the dwelling households Percentage with soap cleansing or other agent 91.7 97.6 97.1 98.7 99.5 91.8 94.1 99.4 99.8 99.1 96.7 96.7 (*) (*) (*) of of house- Number holds 1976 1616 2866 1909 1791 2171 1707 1906 1689 8737 851 493 46 30 4 Religion Wealth indexquintile Mother’s education Sex Religion Wealth indexquintile Area Total Table 7.3:Schoolreadiness:Dhakadivision Table 7.1: ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases (2015) byselectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage of children attending first grade of primary school (in 2016) who attended pre-school the previous year Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Female Male Other municipalities/urban City Corporationnon-slum City Corporationslum Christian Hindu Islam Highest Fourth Middle Second Lowest Characteristics continued

Percentage ofchildrenage36-59months Percentage ofchildrenattendingfirst attending earlychildhoodeducation grade whoattendedpreschoolin previous year (41.5) (64.1) (55.6) (65.3) 59.6 74.2 56.2 60.5 67.0 51.0 53.7 63.0 57.7 68.0 52.0 45.9 26.1 44.8 26.1 25.1 25.2 20.6 60.2 (*) (*) (*)

Number ofchildrenattendingfirst Number ofchildrenage36-59 grade ofprimaryschool months 1503 893 148 156 209 207 210 130 137 357 174 131 443 486 497 386 263 360 290 368 319 929 36 46 89

61 Child Well-being Survey in Urban Areas of Bangladesh 62 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Mother’s education school Age atbeginningof Area Total Table 7.5:Primaryschoolattendanceandoutofchildren:Dhakadivision ( ) (*) a Bangladesh, 2016. ratio), percentageattendingpreschool,andoutofschool, Percentage ofchildrenprimaryschoolageattendingorsecondary(adjustednetattendance Hindu Christian Middle Islam Highest Fourth Second incomplete Secondary Lowest or higher Secondary complete Primary complete Primary incomplete 8 7 No education 10 9 6 urban Other municipalities/ non-slum City Corporation City Corporationslum Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases The percentageofchildrenprimaryschoolageoutarethosenotattending schoolandthoseattendingpreschool

(adjus- dance atten- (89.7) ratio 89.1 82.1 86.6 89.3 81.1 88.8 64.3 89.5 77.7 85.1 83.2 78.1 64.4 87.1 92.7 67.3 82.6 84.0 69.5 82.5 ted) Net (*) or preschool school attending (4.9) Percentage ofchildren: 14.5 10.6 11.9 11.9 Not 5.7 3.6 3.2 3.5 4.7 2.9 2.3 5.1 7.3 4.8 8.6 5.0 0.3 5.3 5.3 5.6 (*) school Male Atten- ding (5.4) 10.7 10.7 12.0 26.1 13.0 pre- 8.7 9.8 5.0 6.3 7.6 8.2 9.8 5.0 1.8 1.2 6.8 9.3 7.3 9.3 8.5 (*) school Out of (10.3) 14.4 13.4 15.4 10.5 10.5 25.1 20.5 10.0 15.4 17.0 26.4 24.9 14.6 12.6 21.2 14.1 8.2 9.7 9.1 6.0 (*) a 1987 1191 2087 dren chil- No. 403 508 393 430 304 758 353 235 401 491 380 328 384 490 397 796 100 97 of 4 (adjus- dance atten- ratio 87.0 81.7 93.0 92.9 83.1 84.9 87.8 90.4 87.8 87.5 78.8 95.1 95.6 96.0 79.6 66.9 88.6 87.6 66.3 87.0 ted) Net (*) (*) or preschool school attending Percentage ofchildren: Not 1.7 2.1 0.0 1.2 1.6 3.3 2.0 0.6 0.0 3.5 2.5 2.3 3.9 0.1 1.0 0.8 1.4 1.0 9.1 1.6 (*) (*) Female school Atten- ding 13.1 11.5 12.0 11.6 14.7 29.1 18.9 pre- 9.4 6.7 5.9 8.8 6.7 9.0 7.4 0.1 0.2 3.9 8.2 9.4 9.2 (*) (*) Child Well-beingSurveyinUrbanAreas, school Out of 11.0 15.2 13.1 12.0 12.0 10.9 14.2 15.7 29.9 10.4 28.0 10.9 6.7 7.0 8.6 9.6 2.5 4.2 4.0 9.5 (*) (*) a 1871 1061 1944 dren chil- No. 406 408 361 414 354 239 246 724 379 356 436 337 349 407 415 780 103 62 12 of (adjus- dance atten- (93.2) ratio 84.5 84.1 82.0 91.1 90.9 74.6 82.8 88.8 89.6 86.3 71.3 78.9 67.1 90.4 94.2 89.1 85.8 67.8 85.4 84.7 ted) Net (*) or preschool school attending (3.0) Percentage ofchildren: 10.4 Not 3.7 2.9 3.3 1.7 2.3 8.9 5.3 2.5 1.5 4.3 7.4 2.8 0.5 5.3 4.4 4.7 3.2 3.4 3.7 (*) Total school Atten- ding (3.9) 11.4 11.0 10.9 12.3 13.4 27.7 14.2 pre- 9.0 5.8 6.1 9.7 7.2 8.6 6.1 1.1 0.7 5.5 8.3 8.8 8.9 (*) school Out of (6.8) 12.7 14.3 14.4 18.6 16.2 10.1 10.4 19.7 16.3 28.2 10.2 11.5 24.6 12.2 12.6 7.5 8.4 9.7 6.3 5.1 (*) a 3857 1482 1576 2253 4031 dren chil- No. 158 810 917 754 844 707 473 550 780 740 817 666 839 804 906 202 16 of Religion Wealth indexquintile Mother’s education Age atbeginningofschoolyear Area Total Table 7.6:Secondaryschoolattendanceandoutofchildren:Dhakadivision Areas, Bangladesh,CWS2016. ratio), percentageattendingprimaryschool,andoutof Percentage ofchildrensecondaryschoolageattendingorhigher(adjustednetattendance ( ) (*) a Christian Buddhist Hindu Islam Highest Fourth Middle Second Lowest Missing/DK higher Secondary completeor Secondary incomplete Primary complete Primary incomplete No education 17 16 15 14 13 12 11 Other municipalities/urban City Corporationnon-slum City Corporationslum Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases The percentageofchildrensecondaryschoolageoutarethosewho notattendingprimary,secondary,orhighereducation

(adjus- dance atten- (66.0) (87.6) ratio 52.2 78.9 73.6 54.5 25.5 32.8 62.0 48.4 39.6 29.7 52.4 56.7 62.1 58.0 65.8 50.8 30.8 55.2 53.4 24.9 53.1 ted) Net (*) (*) (*) primary school Atten- (12.4) ding (8.0) 17.9 14.4 14.2 19.9 23.2 12.8 28.4 39.5 32.6 31.0 Percentage of 12.5 35.6 55.3 17.1 17.0 21.4 17.3 0.0 0.1 1.2 6.1 (*) (*) (*) children: Male school Out of (19.1) (0.0) 25.7 10.6 23.6 44.4 44.5 27.7 31.2 38.6 39.6 31.0 31.0 16.6 11.2 13.0 25.7 22.3 43.4 25.3 4.5 7.2 9.2 (*) (*) (*) a Number children 2524 1519 1020 2670 141 531 507 613 599 420 171 473 166 345 399 348 408 357 346 343 438 430 130 of 1 4 (adjus- dance atten- (65.4) ratio 65.8 83.2 76.7 75.0 52.6 25.4 72.4 86.4 67.3 64.0 50.6 51.5 69.2 56.7 76.2 78.4 73.5 54.9 67.3 68.0 30.9 65.7 ted) Net (*) (*) primary school Atten- (12.6) ding 10.9 10.9 12.7 18.8 17.5 11.5 20.8 17.5 34.0 Percentage of 11.3 19.5 38.6 10.2 11.4 15.4 10.9 8.3 6.7 0.0 0.1 0.4 2.8 (*) (*) children: Female school Out of (22.0) 22.3 15.8 13.9 32.3 54.3 18.2 13.3 49.2 28.5 40.5 19.2 22.5 18.4 47.5 22.2 7.4 7.9 2.2 9.9 9.1 5.9 6.4 (*) (*) Child Well-beingSurveyinUrban a Number children 2590 1519 1051 2707 109 650 535 571 582 369 176 500 203 332 309 368 469 345 316 381 409 419 137 of 8 0 (adjus- dance atten- ratio 65.8 59.1 81.3 75.2 64.4 38.8 29.3 79.8 74.5 58.8 51.5 38.8 51.9 63.4 59.4 66.7 72.4 61.7 42.7 61.3 60.8 28.0 59.4 ted) Net (*) (*) (*) primary school Atten- ding 10.1 14.3 11.0 10.3 15.5 18.0 15.6 15.0 19.7 29.2 25.2 32.3 Percentage of 11.8 27.8 47.0 13.7 14.2 18.3 14.1 0.0 0.1 0.8 4.5 (*) (*) (*) children: Total school Out of 20.3 23.9 13.3 18.9 38.4 49.1 23.0 23.4 44.0 33.7 35.6 25.3 12.6 24.1 20.3 45.5 23.7 6.1 4.0 4.6 9.6 8.6 9.7 (*) (*) (*) a Number children 5114 1181 1042 1184 1181 3039 2071 5377 250 789 347 973 369 677 708 716 876 701 662 724 848 849 267 of 4 1 9 63 Child Well-being Survey in Urban Areas of Bangladesh 64 Child Well-being Survey in Urban Areas of Bangladesh Area Area Total Sex Total Sex Religion Wealth indexquintile Mother’s education Table 8.1:Birthregistration:Dhakadivision Table 7.8:Primaryschoolcompletionandtransitiontosecondaryschool:Dhakadivision being SurveyinUrbanAreas,Bangladesh,CWS2016. Primary schoolcompletionratesandtransitioneffectivetosecondaryschool, Areas, Bangladesh,CWS2016. mothers/caretakers knowhowtoregisterbirthbyselectedcharacteristics, Percentage ofchildrenunderage5bywhetherbirthisregistered andpercentageofchildrennotregisteredwhose ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases completion ageatthebeginningofschoolyear). completion rate=100*(numberofchildrenattendingthelastgradeprimaryschool-repeaters)/primary time, tothenumberofchildrenprimarygraduationageatbeginningcurrent(ormostrecent)schoolyear,calculatedas:Primary The primarycompletionrateistheratiooftotalnumberstudents,regardlessage,enteringlastgradeschoolforfirst Other municipalities/urban City Corporationnon-slum City Corporationslum Other municipalities/urban City Corporationnon-slum City Corporationslum Male Highest Fourth Secondary completeorhigher Secondary incomplete Female Male Christian Hindu Islam Female Middle Second Lowest Primary complete Primary incomplete No education

Has birthcertificate Seen completion 14.5 12.0 11.8 13.3 13.2 13.4 Primary Children underage5whosebirthis (100.0) (100.0) (100.0) school (79.1) 81.8 85.1 79.0 63.4 97.0 89.6 76.3 80.4 73.4 54.0 68.6 60.9 rate registered withcivilauthorities (*) (*) Not seen 11.0 19.7 20.2 15.0 14.7 15.3 primary school completion Number of children of age 839 137 487 313 166 145 257 349 490 816 215 177 209 195 certificate 39 80 98 24 No birth 0 1.0 0.7 1.3 1.9 1.6 0.5 registered secondary Transition school rate to Total (97.2) (99.4) (96.3) (92.8) (90.0) (91.3) 100.0 29.3 26.2 33.0 33.9 29.5 29.2 95.8 94.6 98.4 86.0 97.3 93.9 95.7 90.5 (*) (*) (*) (*) 2 under age5 of children of Number who wereinthelast school theprevious Number ofchildren 3580 1940 1463 1780 1800 grade ofprimary 177 year 618 357 240 138 199 347 270 145 129 606 115 140 115 21 82 66 12 65 Child Well-beingSurveyinUrban mother/caretaker knowshow Children underage5whosebirthisnotregistered Percent ofchildrenwhose to registerbirth secondary transition 100.0 100.0 100.0 Effective 99.8 99.6 99.7 school rate to (97.2) (99.4) (96.3) (92.8) (90.0) (91.3) 100.0 95.8 86.0 94.6 98.4 97.3 93.9 95.7 90.5 (*) (*) (*) (*) school thepreviousyearand are notrepeatingthatgrade in thelastgradeofprimary in thecurrentschoolyear No. ofchildrenwhowere Child Well- under age5without Number ofchildren birth registration 618 357 240 138 199 347 270 145 129 606 115 140 115 21 82 66 12 65 2530 1432 1255 1274 981 117 Mother’s education Age Wealth indexquintile Religion Total Area Sex Age Table 8.1: Table 8.2:Childdiscipline:Dhakadivision selected characteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage1-14yearsbychilddiscipliningmethodsexperiencedduringthelastonemonth ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases 48-59 months 36-47 months 24-35 months 12-23 months Secondary incomplete Primary complete Primary incomplete No education 0-11 months Secondary completeorhigher Highest Fourth Middle Second Lowest Buddhist Islam Christian Hindu Other municipalities/urban City Corporationnon-slum City Corporationslum Female Male 10-14 5-9 3-4 1-2

continued Has birthcertificate Only non-violent (16.7) Seen 20.8 13.4 15.6 14.7 14.3 16.8 17.4 16.7 14.8 13.1 8.5 8.7 7.6 6.2 9.3 8.4 (*) (*) Children underage5whosebirthis discipline registered withcivilauthorities 13.1 13.0 13.5 10.9 14.2 11.9 16.8 10.3 17.5 7.3 Not seen (13.6) 16.7 19.1 15.3 13.0 15.9 10.8 14.4 18.0 13.7 15.8 14.6 11.0 12.3 21.4 15.0 9.3 (*) (*) Percentage ofchildrenage1-14yearswhoexperienced: certificate Psychological No birth aggression (2.3) 2.4 1.3 0.5 0.0 0.7 1.0 1.3 1.8 0.3 0.6 1.9 0.7 0.9 1.1 0.7 1.0 (*) (*) 67.9 71.4 63.1 69.4 64.9 71.0 69.2 72.2 70.0 49.7 registered (32.5) Total 40.0 33.7 31.4 21.4 16.3 31.6 20.8 23.8 32.6 31.1 35.1 32.0 26.7 22.7 30.5 29.1 (*) (*) Physical punishment 58.2 54.3 62.4 67.4 54.6 61.8 49.3 66.8 71.4 42.9 Any under age5 of children of Number 1681 3376 786 779 722 710 584 307 616 335 642 676 792 666 757 689 189 12 4 Severe 18.7 16.7 20.7 25.4 16.3 21.1 17.1 20.7 25.0 9.9 mother/caretaker knowshow Children underage5whosebirthisnotregistered Percent ofchildrenwhose to registerbirth discipline method (100.0) Any violent 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 99.2 99.7 99.2 99.8 (*) (*) 81.6 81.3 81.7 83.9 80.1 83.1 65.4 78.7 87.8 87.3 Number ofchildren under age5without Number ofchildren birth registration age 1-14years 10051 5528 4049 5021 5030 1260 3665 3489 1637 475 1150 2394 516 472 495 558 489 243 469 225 442 488 439 538 586 479 127 4 4 65 Child Well-being Survey in Urban Areas of Bangladesh 66 Child Well-being Survey in Urban Areas of Bangladesh Wealth indexquintile Education ofhouseholdhead Age Sex Area Total Wealth indexquintile Education ofhousehold head Religion Table 8.2: Table 8.6a:Childlabour:Dhakadivision Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. week, andpercentageengagedinchildlabourduringthelastweekaccordingtoselectedcharacteristics, Percentage ofchildrenage5-14yearsbyinvolvementineconomicactivitiesorhouseholdchoresduringthelast ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Highest Fourth Middle Second Lowest Secondary completeorabove Secondary incomplete Primary complete Primary incomplete No education 10-14 5-9 Female Male Other municipalities/urban City Corporationnon-slum City CorporationSlum Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Christian Hindu Islam

continued Only non-violent discipline (2.5) 18.3 14.7 10.3 11.7 10.3 19.2 12.0 10.8 13.2 8.5 (*) (*) Percentage ofchildrenage5-14dueto Percentage ofchildrenage1-14yearswhoexperienced: Psychological engaged inchildlabour aggression (79.0) 60.5 63.9 73.7 70.5 71.0 68.5 71.7 70.0 69.9 67.9 (*) (*) (80.3) 13.4 17.3 10.8 10.3 14.3 11.1 17.6 3.4 6.7 6.8 4.0 4.0 7.4 9.5 8.1 9.3 (*) Physical punishment (10.0) 42.8 60.4 63.0 60.6 64.7 40.0 64.0 70.5 63.9 57.8 Any (*) (*) Severe (9.1) 20.8 19.0 20.1 25.2 12.3 20.8 24.5 18.3 18.6 9.2 (*) (*) Number ofchildren(5-14)yearsaged discipline method Any violent (79.0) 73.5 81.1 86.2 83.9 83.1 75.1 86.0 87.2 79.5 81.7 (*) (*) 1329 1145 1346 1441 1033 1763 3528 3057 3080 3507 2492 3237 3214 6294 954 296 43 5 Number ofchildren age 1-14years Child 2036 1939 2038 2275 1763 1947 4123 2665 9555 464 51 32 5 Wealth indexquintile Education Age Total Area Religion Table 8.7:Earlymarriageandpolygyny(women):Dhakadivision Table 8.6a: ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, CWS2016. who areinapolygynousmarriageorunionbyselectedcharacteristics, birthdays, percentageofwomenage15-19yearscurrentlymarriedorinunion,andthe percentages ofwomenage20-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thand18th Percentage ofwomenage15-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thbirthday, Highest Fourth Middle Second Missing/Dk higher Secondary completeor Lowest Secondary incomplete Primary complete Primary incomplete No education 45-49 40-44 35-39 30-34 25-29 20-24 15-19 urban Other municipalities/ slum City Corporationnon- City Corporationslum Buddhist Hindu Islam

continued Women age15-49years Percentage before age married 14.0 19.8 26.1 27.9 27.6 17.5 33.8 32.5 41.5 34.9 34.2 31.4 28.4 25.6 13.5 23.7 22.6 20.2 31.2 3.7 4.7 (*) 15 of women age 15-49 Number 11544 years 2785 2260 2083 2513 1937 1903 5007 1008 1912 1679 1170 1023 1449 1714 2161 1867 2161 6203 4833 508 1 Percentage ofchildrenage5-14dueto Percentage before age married 17.0 22.3 31.2 33.5 32.3 22.2 37.8 37.2 43.1 34.9 34.2 31.4 28.4 25.6 13.5 28.2 23.8 26.7 37.0 engaged inchildlabour 4.4 (*) na 15 Women age20-49years Percentage before age married 12.5 9.0 (*) 43.3 57.7 68.3 68.3 69.0 22.1 60.7 72.1 73.0 79.4 71.4 69.4 66.6 64.5 56.9 43.6 65.1 53.4 60.3 69.5 (*) na 18 of women age 20-49 Number years 2265 1845 1713 2025 1535 1658 3588 1641 1601 1170 1023 1449 1714 2161 1867 4978 4006 9383 894 399 na 1 Child Well-beingSurveyinUrbanAreas, Percentage married/in currently Women age15-19 union (32.9) 23.4 38.8 29.0 47.3 45.2 55.0 31.1 48.3 41.4 36.4 36.6 36.4 36.4 34.4 (*) na na na na na na Number ofchildren(5-14)yearsaged years of women age 15-19 Number years 1419 2161 1225 2161 520 415 370 488 368 279 114 272 827 109 na na na na na na 77 0 polygynous 6002 Percentage 272 marriage/ Women age15-49years 21 union 10.4 1.3 1.4 2.6 3.8 8.3 0.0 1.6 1.5 4.4 6.3 5.0 4.4 3.3 1.8 1.9 1.7 3.9 2.3 3.3 5.2 (*) in women age 15-49 years Number of married/in currently union 2085 1938 1763 2201 1670 1467 3918 1734 1170 1612 1011 1433 1678 2043 1477 5258 3976 9658 925 847 424 1 67 Child Well-being Survey in Urban Areas of Bangladesh 68 Child Well-being Survey in Urban Areas of Bangladesh Religion Table 8.7: ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases na: notapplicable Christian Buddhist Hindu Islam

continued Women age15-49years Percentage before age married 15.0 23.1 (*) (*) 15 of women age 15-49 Number 10875 years 617 49 4 Percentage before age married 16.5 27.4 (*) (*) 15 Women age20-49years Percentage before age married 46.6 61.3 (*) (*) 18 of women age 20-49 Number years 8838 500 42 4 Percentage married/in currently Women age15-19 union (40.4) 36.3 (*) years of women age 15-19 Number years 2037 117 8 0 polygynous Percentage marriage/ Women age15-49years union 0.1 3.5 (*) (*) in women age 15-49 years Number of married/in currently union 9092 528 34 4 KHULNA DIVISION 69 Child Well-being Survey in Urban Areas of Bangladesh 70 Child Well-being Survey in Urban Areas of Bangladesh Child Health Nutritional status Reproductive Health • • • • • • • • • • • • • • • • • • • • • • • • • • • • Key Results only 37.5percentreceivedminimumacceptablediet. More thantwoinfivechildren(41.5percent)havehadminimumdietarydiversity,and Nearly thirty-fourpercentofchildrenreceivedapre-lactealfeed. breastfed withonedayofbirth. breastfed forthefirsttimewithinonehourofbirth,while88.8percentnewbornstarted breastfed atsomepointoftheirlife,only62.3percentbabiesinKhulnadivisionwere Although 99.6percentofchildrenborninthetwoyearsprecedingsurveyever- richest quintile;thescenarioisoppositeforchildoverweight. Children fromlowestquintileweremorelikelytobeundernourishedthanchildren rate islowestatthedivisionallevelandlowersascomparedtonationalestimates. About fivepercentchildreninurbanareasofKhulnadivisionwereseverelystunted.The division wasquitelow(3.2percent). Like otherurbanareasofthecountry,overweightamongchildrenunder-fiveinKhulna likelihood ofchildrentobestuntedwasleastinKhulnathanotherdivisions. (20.5 percent).Aboutoneintenchildren(10.2percent)thisdivisionwaswasted.The younger thanfiveyearsinKhulnadivisionwereunderweight(21.0percent)andstunted By theChildWell-beingSurvey2016(CWS2016),almostanequalproportionchildren percent. recommended fourormore ANCwaslowintheurbanareasofKhulnadivision only58.7 the surveyhavevisiteda healthcareproviderduringtheirpregnancy.Coverage of Ninety-three percentofwomenage15-49yearswho gavebirthinthetwoyearspreceding Early childbearingishigheramongthewomenfrom lowestquintileandlesseducated. percent. The percentageofwomenage20-24yearswhohave hadalivebirthbeforeage18is27.0 childbearing, and1.6percenthavehadalivebirth beforeage15. a livebirth,4.8percentwerepregnantwiththeirfirst child,21.1percenthavebegunto About sixteenpercentofwomenage15-19years in Khulnadivisionhavealreadyhad were receivedatleasttwodosesduringtheirlastpregnancy. past twoyearswereprotectedagainstneonatal/maternaltetanus.Butonly22.0percent Eighty-five percentwomenofKhulnadivisionage15-49yearswhohadalivebirthinthe socioeconomic status(92.9percent). EPI programme,lesslikelytobefullyimmunisedthanchildrenwiththehighest Children withthelowestsocioeconomicstatus(85.4percent),despitehighpriority card amongchildrenage12-23monthsis93.7percent. at 9months)inKhulnadivisioneitherreportedbythemotherorrecordedfromvaccine The coverageoffullimmunization(BCG,3dosesPentavalent,OPVandMR

Child Development,LiteracyandEducation Water andSanitation • • • • • • • • • • • • • • • • • • • • • • • • • • from theschoolthangirls (11.9percent). At thesecondarylevel,more boys(17.3percent)inKhulnadivisionweredropped out 88.9 percent). slightly higheramongboysfortheprimaryattendance inthatstage(91.0percentversus ratio islower(69.1percent)thanthefemale (73.9 percent),thoughtheratewas the ratewasmoredramaticthaninprimaryschool. Themaleadjustednetattendance The secondaryadjustednetattendanceratio(NAR) was71.4percentinKhulnadivision; a higherproportionofgirls(10.2percent)thanboys (6.9percent). higher thanthenationalrate.However,8.5percent ofthechildrenwereoutschoolwith Nine inten(90.0percent)childrenofprimaryschool agewereattendingaschoolwhichis an equalproportionofboysandgirls. attending apre-schoolaspartoforganisedearlychildhoodeducation(ECE)programwith Nearly oneinthree(31.5percent)ofchildrenage36-59monthsKhulnadivisionwere shown (35.1percent)inabout93.0percentcases. could beobserved,soaporothercleansingagentswereeitherobserved(58.0percent) somewhere inthedwelling.Amonghouseholdswhereplaceofhandwashing In Khulna,97.2percentofhouseholdshadsoaporothercleansingagentsavailable were disposedsafely. About sixty-threepercentofchildren’syoungerthan24monthsfaeceswhoselaststools followed byseptictank(21.8percent)andpitlatrinewithslab(29.8percent). improved sanitationfacility,useofventilatedpitlatrineismorecommon(36.7percent), sanitation facilitieswhicharenotsharedwiththemembersofotherhouseholds.In Nearly ninetypercent(89.3percent)urbanhouseholdsinKhulnadivisionusedimproved well. (97.0 percent)thatistheyhavingwaterfrompipe,tubewell/borehole,bottleandprotected Access toimprovedsourcesofdrinkingwaterinKhulnadivisionwasalmostuniversal birth. About ninety-fivepercentofnewbornreceivedpostnatalhealthcheckswithintwodays four infivebirths. wealthiest womeninKhulnadivisiongavetheirbirthbycaesareansection,resultednearly Nearly threeinfivebirthsweredeliveredascaesareansection.Astonishingly,79percent women whocompletedprimaryeducation(28.3percent) women (82.1percent)andhighereducated(80.0thanpoorest(34.2) The likelihoodofdeliveredbirthbyamedicaldoctorwasmuchhigheramongrichest (9.6 percent)anduntrainedTBA(8.4percent). assistance fromaqualifieddoctor,followedbynurse/midwives(21.7percent),trainedTBA in thetwoyearsprecedingsurvey.Amongwomen,58.5percentwerereceived The skilledpersonneldeliveredabouteightypercentofbirthsinKhulnadivision higher educatedthantheircounterparts. The likelihoodofreceivingfourormoreANCvisitswashigheramongrichestwomen, 71 Child Well-being Survey in Urban Areas of Bangladesh 72 Child Well-being Survey in Urban Areas of Bangladesh Child Protection • • • • • • • • • • Bangladesh isonly3.0percent. Polygynous marriage/unionarerareinKhulnadivision,likeotherurbanareasof of womenage20-49yearswereinunionbeforethe18. birthday and40.9percentmarriedattheiradolescentage(15-19years).Sixty-six Thirty percentwomenofchildbearingagedweremarriedbeforereachedtheir15th (10.3 percent)thanCCnon-slumchildren(2.5percent). likelihood ofbecomingachildlabourwasfourtimesmoreamongtheCCslumchildren Nearlyeightpercentchildrenage5-14yearsinKhulnadivisionwerechildlabour.The commonly methodandanyphysicalpunishmentwerethesecondmost(52.6percent). violent disciplinemethod,whilepsychologicalaggression(76.0percent)werethemost More thanfourinfivechildrenage1-14yearsKhulnadivisionwereexperiencedany lack ofadequateknowledgehowtoregisterabirth. children’s mothersorcaretakerswereawareofhowtoregisterabirth.Thisindicatesthe been registered,thoughthecertificatecouldbeseenfor14.1percent,while99.7percent Only 24.5percentbirthsofchildrenyoungerthanfiveyearsinKhulnadivisionhave Khulna DivisionTables Religion Wealth indexquintile Mother’s education Age Area Sex Total

Table 3.2:Nutritionalstatusofchildren:Khulnadivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, CWS2016. for age,heightandweightbyselectedcharacteristics, Percentage ofchildrenunderage5yearsbynutritionalstatusaccordingtothreeanthropometricindices:weight Hindu Islam Highest Fourth Middle Second Lowest above Secondary completeor Secondary incomplete Primary complete Primary incomplete No education 48-59 months 36-47 months 24-35 months 18-23 months 12-17 months 6-11 months 0-5 months Other municipalities/urban City Corporationnon-slum City CorporationSlum Girl Boy Buddhist Percent below - 2SD Underweight 18.8 21.2 15.3 21.8 29.6 36.5 12.6 21.6 31.3 26.0 32.4 28.4 16.2 28.7 18.6 13.8 16.6 22.4 15.6 23.4 22.0 20.2 21.0 8.0 9.8 (*) Weight forage - 3SD 2.3 3.5 2.9 2.6 5.2 2.5 3.6 4.0 3.3 4.4 0.1 7.5 5.5 1.7 4.3 3.2 0.2 0.2 7.4 3.5 2.8 4.5 2.7 4.0 3.4 (*) Z-Score Mean (SD) -0.7 -1.0 -0.3 -0.9 -1.1 -1.3 -1.4 -0.5 -1.0 -1.3 -1.2 -1.4 -1.2 -0.9 -1.2 -0.9 -0.8 -0.4 -0.8 -1.0 -0.8 -1.2 -0.9 -1.0 -1.0 (*) children No. of under age 5 447 110 123 107 132 249 115 108 386 105 233 270 502 53 66 97 46 57 19 96 38 56 47 42 12 2 Percent below - 2SD 21.9 20.3 10.3 15.5 22.2 20.7 36.3 13.8 18.6 31.5 33.5 26.3 19.5 14.2 27.2 29.6 22.0 14.1 17.4 20.8 18.1 30.1 21.0 20.1 20.5 (*) Stunted Height forage - 3SD 10.2 2.3 5.4 6.2 1.6 6.2 1.2 9.7 4.2 5.2 5.3 5.5 8.0 4.0 3.1 5.2 7.2 5.3 8.0 6.7 5.4 3.1 3.5 6.4 5.1 (*) Z-Score Mean (SD) -0.9 -1.0 -0.3 -0.9 -1.0 -1.2 -1.6 -0.5 -1.0 -1.3 -1.4 -1.5 -1.0 -0.8 -1.3 -1.1 -1.0 -0.5 -0.8 -1.0 -0.9 -1.4 -1.0 -0.9 -1.0 (*) children No. of under age 5 447 110 123 107 132 249 115 108 386 105 233 270 502 53 66 97 46 57 19 96 38 56 47 42 12 2 Child Well-beingSurveyinUrbanAreas, Percent below - 2SD 10.0 10.1 13.4 18.8 10.2 12.6 12.4 12.1 13.0 11.7 10.6 10.0 10.5 10.2 4.0 8.4 6.0 8.1 9.5 6.6 6.4 7.2 6.8 9.4 6.3 (*) Wasted - 3SD 0.0 2.6 1.4 3.0 0.6 4.9 3.0 2.1 1.9 9.0 0.7 0.2 2.2 2.0 2.9 3.2 2.4 0.9 3.7 2.6 1.9 2.4 1.1 3.5 2.4 (*) Weight forheight Overweight Percent above + 2SD 8.2 2.6 4.3 1.5 1.2 2.5 6.7 2.9 2.8 3.4 4.4 6.6 1.6 2.6 3.2 3.2 2.8 8.6 3.1 3.5 2.2 1.0 2.7 3.6 3.2 (*) Z-Score Mean (SD) -0.6 -0.2 -0.6 -0.8 -0.8 -0.7 -0.4 -0.7 -0.8 -0.6 -0.7 -0.8 -0.6 -0.7 -0.5 -0.5 -0.1 -0.3 -0.6 -0.5 -0.6 -0.5 -0.7 -0.6 -0.2 (*) children No. of under age 5 447 110 123 107 132 249 115 108 386 105 233 270 502 66 97 46 57 19 96 38 56 47 42 12 53 2 73 Child Well-being Survey in Urban Areas of Bangladesh 74 Child Well-being Survey in Urban Areas of Bangladesh Total Area Months sincelastbirth Assistance atdelivery Place ofdelivery Mother’s education Wealth indexquintile Religion ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Table 3.3:Initialbreastfeeding:Khulnadivision according toselectedcharacteristics, breastfed withinonehourofbirth,anddaypercentagewhoreceivedapre-lactealfeed, Percentage oflastlive-bornchildreninthetwoyearsprecedingsurvey,whowereeverbreastfed, City Corporationnon-slum City Corporationslum Other municipalities/urban 0-11 months 12-23 months Skilled attendant Traditional birthattendant Others Home Health facility Primary incomplete No education Primary complete Secondary incomplete Secondary completeorhigher Lowest Second Middle Fourth Highest Islam Hindu Christian Public Private

who wereever Percentage breastfed Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. (100.0) (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 99.6 98.4 99.1 99.3 99.6 99.4 99.1 99.8 99.3 99.2 99.6 (*) hour ofbirth Within one Percentage whowerefirst (84.2) (71.7) (64.3) 62.3 66.7 70.7 60.8 56.2 68.1 56.6 86.7 84.1 66.4 52.5 79.2 46.0 55.2 63.9 62.3 65.7 60.9 66.6 57.4 61.8 (*) breastfed: day ofbirth Withinone (100.0) (93.7) (92.6) 88.5 91.9 93.1 87.5 87.9 89.2 86.5 93.7 97.2 87.2 85.6 92.0 85.0 87.2 87.7 92.8 86.7 94.5 82.7 85.1 87.9 (*) who received a pre-lacteal Percentage (30.9) (14.5) (25.9) feed 33.7 30.1 25.5 35.0 37.4 30.3 36.3 15.8 23.2 33.6 37.9 24.7 45.6 32.6 44.4 31.0 25.2 25.7 41.7 41.3 35.1 (*) No. oflastlive- in thelasttwo born children years 193 148 155 114 167 40 94 99 19 20 45 34 25 21 81 58 40 23 45 43 42 25 5 8 1 Religion Wealth indexquintile Mother’s education Area Age Sex Total Table 3.7:Infantandyoungchildfeeding(IYCF)practices:Khulnadivision a Urban Areas,Bangladesh,CWS2016. minimum numberoftimesormoreduringthepreviousday,bybreastfeedingstatus, Percentage ofchildrenage6-23monthswhoreceivedappropriateliquidsandsolid,semi-solid,orsoftfoodsthe ( ) (*) c b Hindu Islam Christian highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban City Corporationnon-slum City Corporationslum 18-23 months 12-17 months 9-11 months 6-8 months Female Male 3) dairyproducts(milk,yogurt,cheese),4)fleshfoods(meat,fish,poultryand liver/organ meats),5)eggs,6)vitamin-Arichfruitsand Minimum dietarydiversityisdefinedasreceivingfoodsfromatleast4of7food groups:1)Grains,rootsandtubers,2)legumesnuts, vegetables, and7)otherfruitsvegetables. Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases minimum dietarydiversity(excludingmilkfeedsandmealfrequency, Non-breastfedchildren). Minimum acceptablediet:Childrenage6-23monthswithminimumdietarydiversity andminimummealfrequency(Breastfedchildren) the minimumof7(ormore)times Minimum mealfrequency:Childrenage6-23monthswhoreceivedsolid,semi-solid orsoftfood(plainmilkfeedsfornon-breastfedchildren)

dietary a Percent ofchildrenwho diver- (48.9) (62.3) (29.7) (40.6) (32.9) (22.6) (21.1) (17.9) mum Mini- 40.5 29.7 58.8 33.5 84.9 39.8 51.9 34.0 49.0 56.2 43.4 41.9 40.9 sity (*) (*) Currently breastfeeding received: frequ- b (92.2) (76.4) (89.3) (84.9) (76.8) (83.8) (76.2) (90.8) mum meal ency Mini- 86.8 86.7 91.0 85.7 91.1 88.0 79.2 83.0 84.2 87.7 86.9 86.2 85.6 (*) (*) accep- c (48.9) (56.7) (28.7) (29.0) (32.7) (20.4) (18.6) (17.9) mum table Mini- 38.5 29.7 55.9 29.9 84.9 37.3 48.1 32.7 47.1 51.6 38.2 39.3 40.0 diet (*) (*) children months No. of 6-23 age 114 103 131 16 28 28 33 14 28 42 52 18 14 25 34 53 15 29 54 77 1 4 3 dietary Percent ofchildrenwhoreceived: a diver- mum Mini- sity (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) Currently notbreastfeeding frequ- b mum meal ency Mini- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) accep- c mum table Mini- diet (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) At least 2 milk feeds (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) children months No. of 6-23 age 10 12 0 2 4 3 3 2 5 6 0 1 9 3 5 7 0 4 4 Child Well-beingSurveyin dietary a Percent ofchildrenwho diver- (48.0) (56.6) (30.4) (42.0) (32.9) (22.5) (21.1) (17.9) mum Mini- 40.1 30.5 56.7 33.3 84.0 39.1 51.8 33.9 51.2 52.2 43.9 39.7 41.5 sity (*) (*) received: frequ- b (92.2) (78.6) (89.4) (72.4) (76.8) (76.9) (76.2) (90.8) mum meal ency Mini- 85.5 83.0 91.1 82.8 91.2 85.6 80.2 79.0 82.1 84.7 87.7 86.3 84.3 (*) (*) All accep- c (46.6) (51.5) (29.4) (25.9) (32.7) (18.6) (18.6) (17.9) mum table Mini- 37.3 29.0 52.9 28.6 84.0 35.6 46.5 29.3 46.5 45.8 38.4 38.9 37.5 diet (*) (*) children months No. of 6-23 age 124 111 143 32 18 31 33 17 30 47 58 18 16 28 40 60 15 29 58 81 1 4 4 75 Child Well-being Survey in Urban Areas of Bangladesh 76 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Mother’s education Area Sex: Total Area Total Table 4.3:Neonataltetanusprotection:Khulnadivision Table 4.2:Vaccinationbybackgroundcharacteristics:Khulnadivision Background characteristics Bangladesh, CWS2016. protected againstneonataltetanusbyselectedcharacteristics, Percentage ofwomanage15-49yearswithalivebirthinthelast twoyearsprecedingthesurveywhowere ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. (vaccination cardormother’sreport,andvaccinationseen),byspecificbackgroundcharacteristics, Percentage ofchildrenage12-23monthswhoreceivedspecificvaccinesatanytimebeforethesurvey Christian Hindu Islam Highest Fourth Middle Second Lowest above Secondary completeor Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban City Corporationnon-slum City Corporationslum Female Male Other municipalities/urban City Corporationnon-slum City Corporationslum (100.0) (100.0) (100.0) (100.0) (100.0) (97.6) (96.9) 100.0 100.0 BCG 99.5 99.9 98.2 98.2 99.4 99.6 (*) (*) (*) (*) received atleast 2 dosesduring last pregnancy Percentage of women who (100.0) (100.0) (100.0) (100.0) (100.0) (97.4) (96.5) 100.0 99.5 99.9 98.2 96.4 99.9 99.4 99.6 (*) (*) (*) (*) 1 20.0 29.3 21.7 22.0 Pentavalent (100.0) (100.0) (100.0) (100.0) (99.2) (97.1) (96.5) 100.0 99.3 99.8 98.2 91.0 99.8 99.2 99.4 (*) (*) (*) (*) 2 (100.0) (100.0) (100.0) (99.8) (98.6) (96.5) (96.1) 100.0 prior 3years 99.1 Percentage ofwomenwhodidnotreceivetwoormoredoses 99.6 98.2 83.1 99.7 99.0 99.2 2 doses,the (*) (*) (*) (*) last within 3 1.7 0.8 0.9 1.5 (100.0) (100.0) (100.0) (100.0) (100.0) (97.4) (96.5) 100.0 99.5 99.9 98.2 96.4 99.9 99.4 99.6 (*) (*) (*) (*) 1 during lastpregnancybutreceived: (100.0) (100.0) (100.0) (100.0) (99.2) (97.1) (96.5) 100.0 prior 5years OPV 99.3 99.8 98.2 91.0 99.8 99.2 99.4 3 doses,the (*) (*) (*) (*) last within 2 13.3 10.6 1.6 1.7 (100.0) (100.0) (100.0) (99.8) (98.6) (96.5) (96.1) 100.0 99.1 99.6 98.2 83.1 99.7 99.0 99.2 (*) (*) (*) (*) 3 Child Well-beingSurveyinUrbanAreas, MR at9 months prior 10years (92.9) (94.8) (99.6) (92.4) (85.4) (92.4) (91.0) 4 doses,the 94.2 99.5 95.0 91.2 74.7 94.1 93.6 93.8 last within (*) (*) (*) (*) 9.2 7.3 9.0 8.8 (92.9) (94.8) (99.6) (91.9) (85.4) (92.4) (91.0) 94.1 99.5 95.0 91.2 72.2 94.1 93.5 93.7 Full (*) (*) (*) (*) doses during None (0.0) (0.0) (0.0) (0.0) (2.4) (0.0) (3.1) 0.5 0.1 0.0 1.8 1.8 0.0 0.6 0.4 5 ormore (*) (*) (*) (*) lifetime 40.8 48.0 40.4 42.3 vaccina- Percen- (68.5) (74.7) (89.6) (89.5) (80.0) (75.0) (78.6) seen card tage with 81.3 79.4 81.7 70.2 83.1 82.7 77.4 79.5 tion (*) (*) (*) (*) Protected children tetanus No. of against 85.0 87.0 73.7 85.1 13 81 22 24 24 10 16 33 34 14 11 74 19 37 58 95 1 4 2 children age15-23 Measles months received measles (73.9) (60.2) (71.1) (76.1) (46.7) at 15 69.6 57.4 69.2 73.3 71.6 Child Percentage of at 15months (*) (*) (*) (*) (*) (*) (*) (*) (*) months who women with in thelast2 a livebirth No. of years 148 193 40 5 children No. of 10 61 15 19 19 11 24 25 12 56 15 31 41 72 1 8 9 2 2 Total Area Education Wealth indexquintile Religion Religion Wealth indexquintile Mother’ education Table 5.2:Earlychildbearing:Khulnadivision Table 4.3: ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases had alivebirthbeforeage18, childbearing, andwhohavehadalivebirthbeforeage15,percentageofwomen20-24years Percentage ofwomenage15-19yearswhohavehadalivebirth,arepregnantwiththefirstchild,begun ( )Figuresthatarebasedon25-49unweighted cases (*) Figuresthatarebasedonfewerthan 25unweightedcases City Corporationnon-slum Primary incomplete Other municipalities/urban Secondary incomplete Primary complete City Corporationslum No education Secondary completeorhigher Poorest Second Middle Fourth Richest Islam Hindu Christian Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorabove Secondary incomplete Primary complete Primary incomplete No education continued received atleast 2 dosesduring last pregnancy Percentage of Have hada women who live birth Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. (37.1) (2.4) 16.3 20.8 23.9 14.7 16.6 34.2 28.1 16.6 18.8 16.3 17.4 (18.6) 4.1 4.3 22.4 15.3 20.6 17.1 22.3 35.7 14.3 19.7 32.7 44.2 (*) (*) 5.0 (*) Percentage ofwomenage15-19who: with firstchild Are pregnant prior 3years Percentage ofwomenwhodidnotreceivetwoormoredoses 2 doses,the (0.0) (0.0) 20.7 last within 4.8 4.0 4.9 4.4 7.0 4.7 2.6 9.7 6.8 0.1 4.0 5.2 (*) (*) (0.0) 1.7 0.0 0.0 0.0 1.6 6.2 0.0 1.5 0.0 6.5 0.0 (*) childbearing Have begun during lastpregnancybutreceived: (37.1) (2.4) 21.1 24.8 44.6 19.6 21.0 41.2 30.7 26.3 11.1 18.9 20.3 22.6 prior 5years 3 doses,the 8.8 (*) (*) last within (4.9) 11.5 11.4 10.9 13.4 17.1 12.0 9.6 5.5 4.8 5.2 0.0 (*) birth beforeage15 Have hadalive prior 10years 4 doses,the (0.0) (0.0) last within 1.6 0.0 0.7 2.0 2.1 2.8 0.0 0.3 0.0 0.0 3.9 4.0 1.7 (*) (*) (11.0) 15.2 14.5 12.3 13.4 8.3 7.4 3.6 5.4 6.9 0.3 0.5 (*) of women age 15-19 Number doses during 5 ormore 162 126 117 148 33 26 30 32 37 32 31 13 lifetime 6 9 3 4 (49.5) 41.4 58.6 45.7 42.0 42.1 22.0 65.0 35.6 27.8 30.4 20.0 (*) who havehadalive birth beforeage18 women age20-24 Percentage of Protected (40.1) (24.7) tetanus against 16.5 18.6 27.0 33.2 29.1 34.2 33.7 41.4 32.7 18.8 11.7 27.3 5.2 (*) (*) (84.1) 85.2 90.9 81.2 85.2 86.0 82.7 91.0 86.3 85.9 86.8 25.5 (*) women with in thelast2 a livebirth women age Number of No. of years 167 20-24 25 42 43 45 23 40 58 81 21 25 228 183 141 203 1 8 39 17 18 50 47 25 65 48 43 23 6 2 2 77 Child Well-being Survey in Urban Areas of Bangladesh 78 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Education Mother’s age atbirth Area Total Mother’s age atbirth Area Total Table 5.7:Numberofantenatalcarevisitsandtimingfirstvisit:Khulnadivision Table 5.9:Assistanceduringdeliveryandcaesareansection:Khulnadivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, 2016. visits byanyproviderandthetimingoffirstantenatalcarevisits, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobynumberantenatalcare Bangladesh, 2016. assistance atdelivery,andpercentageofbirthsdeliveredbyC-section, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobypersonproviding Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 20-34 Less than20 Other municipalities/urban City Corporationnon-slum City Corporationslum 20-34 Less than20 Other municipalities/urban City Corporationnon-slum City Corporationslum

Medical doctor 68.6 47.7 59.2 58.5 39.5 58.5 No antenetal care visits (19.5) (1.3) 15.7 10.0 12.8 7.9 3.0 6.4 6.9 0.0 2.1 8.5 1.8 1.5 7.5 4.9 7.8 7.0 (*)

Midwife Nurse/ 19.0 24.7 21.7 21.1 28.1 21.7 Percentage ofwomenwhohad: FWV (9.8) (5.9) 11.0 18.0 19.0 20.5 49.0 12.8 11.7 visit One 0.0 0.0 0.0 0.0 0.9 0.0 9.4 2.8 2.1 8.2 6.3 1.6 5.2 9.4 (*) .8

Person assistingatdelivery worker (11.0) (25.6) visits NGO Two 15.0 12.6 16.1 10.0 12.4 21.0 16.5 19.0 11.5 17.7 15.0 12.2 16.8 14.5 0.0 0.5 0.0 0.8 3.5 0.3 6.5 8.4 (*)

Three TTBA (14.0) visits 13.4 10.0 (1.3) 17.2 21.7 19.4 22.2 14.0 14.9 23.6 16.8 13.2 13.3 21.1 16.5 15.0 6.1 8.1 9.9 9.6 5.4 8.9 1.0 (*)

4 ormore UTBA 10.8 13.9 6.2 8.3 8.1 8.4 (76.6) (35.0) visits 50.5 78.2 53.0 52.7 47.4 35.5 75.2 51.9 35.0 31.6 63.8 43.6 52.5 60.2 53.7 54.1 (*)

Unquali- doctor fied 0.0 1.7 0.8 0.8 0.0 0.8 Child Well-beingSurveyinUrbanAreas, (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*)

Child Well-beingSurveyinUrbanAreas, Relative/ friends 0.1 1.2 0.0 2.4 4.3 0.6 Number of women with alivebirthin the lasttwoyears 100.0 100.0 100.0 100.0 100.0 100.0 167 100 148 193 Total 25 42 43 45 23 40 58 81 21 25 93 40 1

attendant Delivery assisted by any skilled 87.6 72.4 80.8 79.7 68.5 80.3 birth inthelasttwoyearswho Number ofwomenwithalive had atleastoneANCvisit delivered C-section Percent 66.7 46.8 58.3 55.3 36.9 57.2 by 154 137 180 25 41 41 42 23 34 57 74 17 24 98 81 38

last twoyears women who birth inthe Number of had alive 100 148 193 93 40 5 Religion Wealth indexquintile Place of delivery Mother’s age atbirth Area Education Place of delivery Total Table 5.12:Post-natalhealthchecksfornewborns:Khulnadivision Table 5.9: ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases characteristics, ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. from anyhealthproviderafterbirth,bytimingofvisit,andpercentagewhoreceivedpost-natalchecksselected health checkswhileinfacilityorathomefollowingbirth,percentagewhoselastlivebirthreceivedpost-natalcare(PNC)visits Percentage ofwomenage15-49yearswithalivebirthinthelasttwoprecedingsurveywhosereceived Christian Hindu Islam Highest Fourth Middle Second Lowest higher Secondary completeor Primary complete Secondary incomplete Health facility Health facility Home 35-49 20-34 Less than20 Other municipalities/urban City Corporationnon-slum City Corporationslum Primary incomplete No education Home Private Public Private Public

continued birth whilein Health check Medical facility orat doctor (53.3) (49.9) following 59.4 82.1 56.2 63.0 53.3 34.2 80.1 55.2 28.3 89.3 32.3 0.0 (*) (*) home 99.4 95.3 98.5 84.5 97.8 92.4 96.7 91.1 86.1 95.2 (*) a Midwife Nurse/ (30.8) (28.4) 20.2 13.3 19.1 20.9 23.5 33.3 13.5 21.3 36.4 10.0 67.7 16.4 (*) (*) Same 23.9 13.5 21.5 23.6 10.1 16.7 18.7 20.3 17.2 day 2.9 (*) FWV (0.0) (0.0) 0.0 0.0 0.0 0.0 0.2 0.0 0.0 0.1 0.0 0.0 0.0 0.1 (*) (*) Person assistingatdelivery following 1 day birth 0.3 0.1 0.2 0.0 0.3 0.0 0.0 0.8 0.9 0.2 (*) worker NGO (0.0) (0.4) 0.3 0.0 0.0 0.0 0.0 1.2 0.0 0.1 1.3 0.4 0.0 0.1 (*) (*) following 3-6 days TTBA birth (4.9) (7.7) 10.4 12.3 18.2 10.8 18.1 40.8 1.1 0.0 0.8 0.0 1.2 0.0 0.8 0.0 0.0 0.6 3.8 5.6 8.1 4.2 0.3 0.0 (*) (*) (*) PNC visitfornewborns UTBA (13.4) (6.2) 10.4 14.9 10.9 11.3 36.5 (*)` (*)` first week 8.8 0.8 8.0 2.1 9.1 0.0 0.0 following After the birth 1.0 0.0 0.7 0.7 0.0 1.5 0.0 3.3 2.6 0.7 (*) Unquali- doctor (4.9) (0.0) fied 0.2 0.0 2.8 0.0 0.0 0.0 0.8 0.4 5.0 0.0 0.0 3.5 (*) (*) No post- natal care 72.7 86.4 75.9 96.4 74.8 87.1 81.7 77.2 76.3 80.6 visit (*) b Relative/ friends (0.0) (0.2) 0.7 0.0 1.5 0.0 0.0 0.0 1.3 0.8 1.7 0.0 0.0 2.7 (*) (*) Missing/ 1.1 0.0 0.8 0.0 0.0 1.3 0.8 0.0 0.0 0.6 (*) Dk (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total attendant (*) Delivery assisted by any skilled (84.1) (78.3) 100.0 79.6 95.4 75.4 84.0 76.9 93.6 67.4 76.6 64.7 99.3 16.5 (*) (*) Post-natal newborn for the health check delivered C-section 99.4 95.3 98.5 84.5 97.8 92.4 96.7 91.1 86.1 95.2 Percent (*) (48.4) (49.9) 58.5 79.0 53.4 63.0 53.3 76.3 33.9 54.7 28.1 87.3 31.1 0.0 (*) (*) by c in thelasttwo last livebirths last twoyears women who Number of birth inthe Number of had alive years 114 149 100 148 193 167 114 34 45 93 40 42 25 43 45 23 58 40 81 25 21 34 45 5 1 8 79 Child Well-being Survey in Urban Areas of Bangladesh 80 Child Well-being Survey in Urban Areas of Bangladesh Total Area

Wealth indexquintile Education Religion Education ofhouseholdhead Table 5.12: Table 6.1:Useofimprovedwatersources:Khulnadivision Survey inUrbanAreas,Bangladesh,CWS2016. household populationusingimproveddrinkingwatersources,byselectedcharacteristics, Percent distributionofhouseholdspopulationaccordingtomainsourcedrinkingwaterandpercentage ( ) (*) c b a City Corporationslum non-slum City Corporation higher Secondary completeor Secondary incomplete Highest Fourth Middle Second Lowest Primary complete No education Primary incomplete Christian Hindu Islam urban Other municipalities/ No education Primary incomplete Primary complete Secondary incomplete or higher Secondary complete Missing/DK Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases PNC visits(seenote Post-natal healthchecksincludeanycheckperformedwhileinthefacilityorathomefollowingbirth(seenote services. PNCvisitsdonotincludehealthchecksfollowingbirthwhileinfacilityorathome(seenoteaabove). Post-natal carevisits(PNC)refertoaseparatevisitbyanyhealthprovidercheckontheofnewbornandprovidepreventive provider fromhome). Health checksbyanyhealthproviderfollowingfacilitybirths(beforedischargefromfacility)orhome(beforedepartureof

continued b dwelling above)withintwodaysofdelivery. 17.4 Into 6.2 0.5 6.7 6.2 0.7 0.5 0.4 5.1 9.5 birth whilein Health check facility orat yard/ following plot Into 6.0 0.6 3.6 6.8 3.3 5.4 6.5 6.9 7.4 0.3 Piped water home (98.2) (95.1) 97.9 97.4 96.3 94.9 98.4 96.6 90.2 93.5 79.7 95.2 (*) neigh- bour a 2.2 0.0 0.2 2.7 4.5 3.5 0.8 1.6 0.8 0.0 To Improved sources Same (26.1) stand- Public (6.7) 24.4 16.5 27.9 13.5 21.5 16.0 19.0 10.7 15.9 day pipe 9.5 tap/ (*) 2.8 0.3 1.6 3.2 3.1 3.3 4.5 2.3 2.4 0.0 Tube- following bore- well/ hole 78.1 98.6 87.0 75.3 86.6 80.1 84.7 79.3 66.2 90.1 1 day birth (1.3) (.2) 0.0 0.4 0.8 0.0 0.0 0.2 0.0 0.0 0.0 0.0 (*) Main sourceofdrinkingwater tected well Pro- 0.1 0.0 0.0 0.1 0.0 0.0 0.0 0.3 0.0 0.0 following 3-6 days birth (0.0) (0.0) 2.1 0.0 2.9 0.0 0.0 0.0 0.0 0.0 0.0 0.7 (*) collec- water Rain- PNC visitfornewborns tion 1.4 0.0 0.0 1.7 0.0 2.8 0.0 2.4 0.7 0.0 Bottled first week following water After the 0.3 0.0 0.4 0.3 0.0 0.4 0.5 0.0 0.7 0.0 birth (1.6) (0.0) 0.6 0.9 0.1 1.5 0.1 1.6 0.8 0.0 0.0 0.9 (*) a truck Tan- ker 0.1 0.0 0.1 0.1 0.0 0.0 0.0 0.0 0.3 0.0 No post- (91.5) (72.6) natal care 72.9 80.7 68.3 86.1 86.4 76.7 83.2 81.0 89.3 81.7 visit (*) b drum tank/ with Cart Unimproved sources 1.4 0.0 0.6 1.6 0.9 2.2 2.5 0.7 1.6 0.0 Missing/ water Sur- face (0.0) (0.0) 1.4 0.0 0.0 1.8 0.7 1.6 0.0 1.4 2.3 0.0 0.0 1.5 0.0 2.8 0.0 0.0 0.0 0.0 0.0 0.7 Dk (*) Bottled water 0.1 0.0 0.0 0.1 0.0 0.0 0.0 0.2 0.2 0.0 (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) a Child Well-being Other 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.0 Post-natal newborn for the health check (98.2) (95.1) 97.9 97.4 96.3 94.9 98.4 96.6 90.2 93.5 79.7 95.2 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) a above), aswell c drinking sources Percen- impro- water using 100.0 100.0 tage 97.0 99.3 96.4 98.3 96.2 97.5 97.7 95.6 in thelasttwo last livebirths ved of Number of years 167 58 81 21 42 43 45 23 40 25 25 8 1 house- ber of mem- Num- 6988 1407 5436 1312 1114 2163 1726 hold bers 145 621 51 Religion Wealth indexquintile Education ofhouseholdhead Area Total Wealth indexquintile Religion Table 6.3:Typesofsanitationfacilities:Khulnadivision Table 6.1: characteristics, ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdpopulationaccordingtotypetoiletfacilityusedbythehousehold,selected Christian Hindu Islam Highest Missing/DK Fourth Middle Second Lowest higher Secondary completeor Secondary incomplete Other municipalities/urban Primary complete Primary incomplete No education City Corporationnon-slum City Corporationslum Lowest Second Middle Fourth Highest Islam Hindu Christian

continued dwelling 21.0 13.6 Into 0.4 0.5 0.9 3.5 6.6 3.8 system sewer Piped Flush/Pour flushto: 0.0 0.0 0.2 0.5 0.0 0.0 0.0 0.2 0.0 0.4 0.1 0.1 0.0 0.0 0.0 0.3 0.1 0.1 yard/ 10.5 plot Into 3.1 3.5 1.8 8.8 6.1 5.6 2.3 Piped water Septic neigh- tank 67.9 17.2 22.3 49.3 14.8 20.4 10.2 11.8 41.4 21.3 12.4 12.7 12.3 58.2 20.3 21.8 bour 6.8 9.3 5.0 0.7 3.3 2.0 0.5 1.7 4.6 0.0 To Improved sanitationfacility Improved sources latrine stand- Public 0.0 0.2 0.8 1.2 1.9 0.7 0.3 0.5 1.0 1.2 0.7 0.5 0.0 0.8 0.4 1.6 2.1 0.7 pipe Pit tap/ 3.9 3.8 1.1 4.0 2.1 2.6 4.1 0.0 ved pit impro- latrine Tube- Venti- Type oftoiletfacilityusedbyhousehold bore- lated well/ hole 85.5 87.4 84.7 75.8 64.0 79.6 69.7 62.8 35.3 37.1 40.9 48.0 46.5 35.6 28.2 24.5 42.5 40.6 41.5 36.2 32.3 26.2 18.7 32.3 36.7 5.7 Main sourceofdrinkingwater tected well Pro- latrine 0.0 0.0 0.0 0.4 0.0 0.1 0.0 0.0 with 21.3 38.6 28.4 14.3 27.9 39.9 41.5 45.7 11.6 30.0 34.6 41.7 35.3 43.9 11.3 29.6 29.8 slab 5.3 Pit collec- water Rain- tion ting toilet Compos- 0.5 1.0 4.2 0.4 0.4 0.6 5.8 0.0 0.0 0.0 0.2 0.0 0.0 0.0 0.0 1.1 0.0 0.0 0.0 0.2 0.0 0.0 0.9 0.0 0.0 0.2 Bottled water 0.0 0.0 0.3 0.6 0.3 0.3 0.5 0.0 a flush to where some- Flush/ Pour else 0.0 0.6 1.5 2.3 0.0 1.6 0.9 0.8 0.9 1.7 1.3 0.4 1.6 1.0 1.5 4.7 4.8 1.4 Unimproved sanitationfacility truck Tan- ker 0.0 0.0 0.0 0.1 0.2 0.1 0.0 0.0 without latrine open slab/ drum 19.1 12.4 14.9 20.2 10.2 17.3 16.8 tank/ with 0.0 7.8 8.4 0.0 1.3 0.4 4.9 6.9 1.3 5.6 8.3 Cart Unimproved sources 21.3 pit Pit 0.8 1.9 1.3 1.1 1.7 1.4 0.5 water Hanging Sur- face 0.8 1.3 2.2 1.4 1.1 0.8 5.0 0.0 latrine toilet/ 0.6 0.0 0.0 0.0 0.0 0.0 0.7 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.9 0.0 Bottled water 0.0 0.0 0.2 0.2 0.0 0.1 0.4 0.0 Miss- ing/ 4.5 0.1 1.0 0.5 1.6 0.9 1.3 0.7 1.0 0.6 1.0 0.8 0.1 3.8 0.9 0.9 4.4 0.9 Dk a Other 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.0 tion (no defeca- facility, bush, Open field) 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.3 0.0 0.0 0.0 0.1 0.1 0.1 0.0 0.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total drinking sources Percen- impro- water using tage 98.3 96.8 96.2 97.2 97.0 97.6 94.2 78.7 ved of members of house- Number holds 1022 5937 1680 1671 1726 1547 1066 1024 2163 5436 1407 1114 1312 6988 house- 621 145 ber of mem- Num- 29 51 1024 1066 1547 1671 1680 5937 1022 hold bers 29 81 Child Well-being Survey in Urban Areas of Bangladesh 82 Child Well-being Survey in Urban Areas of Bangladesh Type of sanitation facility used byhousehold members Total Area Total Mother’s education Area Wealth indexquintile Religion Table 6.6:Disposalofchild’sfaeces:Khulnadivision Table 6.8:Availabilityofsoaporothercleansingagent:Khulnadivision being SurveyinUrbanAreas,Bangladesh,CWS2016. of childrenage0-2yearswhosestoolsweredisposedsafelythelasttimechildpassedstools, Percent distributionofchildrenage0-2yearsaccordingtoplacedisposalchild’sfaeces,andthepercentage being SurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdsbyavailabilitysoaporothercleansingagentinthedwelling, ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Improved Unimproved City Corporationslum City Corporationnon-slum Other municipalities/urban No education City Corporationnon-slum City Corporationslum Primary incomplete Other municipalities/urban Primary complete Secondary incomplete Secondary completeorhigher Lowest Second Middle Fourth Highest Islam Hindu Christian

cleansing observed Soap or agent other Child used 58.0 69.6 32.9 55.6 latrine toilet/ (4.1) (7.8) 13.8 5.0 5.2 5.3 7.6 4.3 0.0 1.6 6.3 3.1 9.2 0.1 6.8 0.1 5.2 4.6 (*) Place forhandwashingobserved cleansing Soap or shown agent other 35.1 24.4 49.2 37.5 observed atplaceforhandwashing Soap orothercleansingagentnot Put/rinsed into toilet or latrine (41.1) (64.8) 57.7 61.0 46.1 65.5 56.0 62.9 48.5 34.2 52.1 76.6 48.6 40.5 51.5 65.0 73.9 56.5 (*) household cleansing No soap agent in or other Place ofdisposalchild’sfaeces 1.1 0.8 6.1 1.0 Put/rinsed into drain or ditch (21.7) (14.5) 17.6 16.8 37.7 22.7 15.5 21.0 21.1 40.2 18.2 20.6 40.0 15.9 17.5 18.1 6.6 5.5 (*) other cleansing Not able/Does show soapor not wantto garbage Thrown (20.5) agent (7.8) 14.7 13.6 18.1 21.9 13.4 19.9 26.9 20.4 15.8 into 5.5 3.4 0.5 7.6 6.6 9.4 6.8 (*) 0.5 0.0 0.5 0.6 Buried (4.1) (0.0) 0.7 0.0 0.0 0.0 0.9 0.0 0.0 0.0 1.6 0.0 0.0 6.2 0.0 0.0 0.0 0.8 (*) cleansing Soap or shown agent other handwashing not 4.1 3.8 6.5 4.2 in the open (4.4) (5.1) 15.5 12.1 Left 3.6 3.5 5.3 0.8 4.3 6.9 0.0 5.1 0.0 0.5 0.0 2.9 0.0 3.4 (*) observed Place for household cleansing No soap agent in Other or other (4.1) (0.0) 0.7 0.0 0.0 0.0 0.9 0.0 0.0 5.9 0.0 0.0 3.2 0.0 0.0 0.0 0.0 0.8 (*) 1.3 1.4 4.9 1.1 (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) 100.0 100.0 100.0 100.0 Total disposed ofsafely last stoolswere children whose Percentage of Percentage of anywhere in the dwelling households with soap cleansing (45.2) or other (72.6) 62.8 66.1 51.4 73.1 60.3 62.9 50.1 40.5 55.2 85.8 48.7 47.3 51.6 70.2 87.7 61.1 agent (*) 97.2 97.8 88.5 97.3 Child Well- Child Well- households Number of of children Number age 0-2 1657 1285 years 338 34 187 157 143 162 30 39 23 21 76 58 39 20 44 43 41 24 5 8 1 Education ofhousehold head Wealth indexquintile Religion Mother’s education Age ofchild Area Sex Total Table 7.1:Attendancetoearlychildhoodeducation:Khulnadivision Table 6.8: by selectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage36-59monthswhoareattendinganorganizedearlychildhoodeducationprogramme (*) Figuresthatarebasedonfewerthan25unweightedcases No education Primary incomplete Primary complete Secondary incomplete higher Secondary completeor Missing/DK Lowest Second Middle Fourth Highest Islam Hindu Christian Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 48-59 months 36-47 months Other municipalities/urban City Corporationnon-slum City Corporationslum Female Male

continued

cleansing observed Soap or agent other 32.1 39.4 44.8 59.1 89.4 20.8 33.2 45.7 73.9 98.0 58.8 51.8 (*) (*) Place forhandwashingobserved cleansing Soap or shown agent other 56.3 50.4 51.7 32.7 67.0 54.9 45.3 21.5 34.2 41.3 observed atplaceforhandwashing 9.0 1.8 (*) Soap orothercleansingagentnot (*) Percentage ofchildrenage36-59months attending earlychildhoodeducation household cleansing No soap agent in or other 2.9 1.6 0.2 1.0 0.0 2.7 1.5 1.8 0.0 0.0 1.1 1.2 (*) (*) other cleansing Not able/Does show soapor not wantto (30.1) 23.9 33.3 55.8 18.3 47.3 10.3 31.4 31.8 30.1 31.5 31.5 31.5 agent 0.9 0.9 0.0 0.2 0.3 0.5 1.0 0.7 0.3 0.0 0.4 0.5 (*) (*) cleansing Soap or shown agent other handwashing not 5.8 5.7 2.2 5.6 1.1 5.8 6.5 5.4 4.2 0.2 4.6 1.7 (*) (*) observed Place for household cleansing No soap agent in or other 2.1 2.0 1.1 1.4 0.3 3.2 2.9 1.2 0.0 0.1 0.9 3.6 (*) (*) Number ofchildrenage36-59 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) Percentage of months anywhere in the dwelling households with soap cleansing or other 117 125 170 112 113 225 54 21 23 10 98 49 agent 5 94.2 95.5 98.7 97.4 99.4 93.6 94.6 96.4 99.7 99.9 97.6 94.8 (*) (*) households Number of 1410 295 261 146 507 434 292 253 348 382 382 240 13 7 83 Child Well-being Survey in Urban Areas of Bangladesh 84 Child Well-being Survey in Urban Areas of Bangladesh Wealth indexquintile Religion Mother’s education Sex Religion Wealth indexquintile Area Total Table 7.3:Schoolreadiness:Khulnadivision Table 7.1: ( )Figuresthatarebasedon25-49 unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases year (2015)byselectedcharacteristics, Percentage ofchildrenattendingfirstgradeprimaryschool(in2016)whoattendedpre-schooltheprevious ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Children attendingearlychildhoodeducation:EC5=1 Islam Hindu No education Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete Fourth Middle Highest Male Female Other municipalities/urban City Corporationnon-slum City Corporationslum Christian Hindu Islam Highest Fourth Middle Second Lowest Characteristics continued

Percentage ofchildrenage36-59months Percentage ofchildrenattendingfirstgrade Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. attending earlychildhoodeducation who attendedpreschoolinpreviousyear 33.4 31.2 35.1 34.6 24.1 30.8 (*) (*) (80.1) (80.4) (93.4) 85.8 80.4 88.1 92.8 91.7 74.8 77.6 89.4 87.0 86.9 89.9 75.7 65.4 86.9 (*)

Number ofchildrenage36-59 Number ofchildrenattending first gradeofprimaryschool months 199 24 51 57 39 39 39 1 115 108 134 19 14 33 23 64 11 22 24 18 36 24 71 63 23

Mother’s education Religion Age atbeginningofschool Area Wealth indexquintile Total Table 7.5:Primaryschoolattendanceandoutofchildren:Khulnadivision a Bangladesh, 2016. ratio), percentageattendingpreschool,andoutofschool, Percentage ofchildrenprimaryschoolageattendingorsecondary(adjustednetattendance ( ) (*) incomplete Secondary Primary complete incomplete Primary No education 10 9 8 Islam Highest 7 6 urban municipalities/ Other Fourth non-slum City Corporation Middle Christian slum City Corporation Second Hindu Lowest complete orhigher Secondary

Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases The percentageofchildrenprimaryschoolageoutarethosenotattending schoolandthoseattendingpreschool

(adjus- dance atten- ratio 91.0 93.4 88.0 88.2 95.0 99.6 99.2 91.0 96.0 87.0 63.7 92.2 89.7 87.0 89.3 79.7 87.4 90.9 91.0 93.8 91.4 ted) Net (*) or preschool school atten- Percentage ofchildren: ding Not 0.4 0.0 1.4 0.5 1.1 0.0 0.5 0.6 0.0 0.6 0.0 0.0 1.3 2.2 0.2 4.1 0.1 0.0 0.5 0.0 0.7 (*) school Atten- ding 32.0 12.7 pre- (*)` 7.6 3.3 7.7 2.1 0.0 0.0 0.3 6.1 4.0 9.8 5.9 8.9 8.1 8.3 6.9 9.1 6.5 6.2 4.3 Male school Out of 10.5 10.3 32.0 10.3 16.8 8.1 3.3 9.2 2.6 1.1 0.0 0.8 6.6 4.0 5.9 8.5 6.9 9.1 6.9 6.2 5.0 (*) a children No. of 160 284 266 333 39 54 26 72 86 63 78 65 73 47 60 68 55 48 55 60 1 7 (adjus- dance atten- ratio 90.3 97.8 89.0 99.2 98.1 99.9 97.9 86.8 87.5 86.3 87.7 91.4 54.0 93.4 87.4 83.0 99.4 92.2 88.9 78.2 95.1 ted) Net (*) or preschool school atten- Percentage ofchildren: ding Not 0.8 0.0 0.0 0.2 0.4 0.0 0.0 0.6 2.2 0.0 0.5 0.0 2.3 0.5 0.0 0.0 0.0 0.6 0.5 0.5 0.1 (*) school Atten- ding Female 10.3 11.5 10.4 10.8 42.9 12.1 12.2 21.4 pre- 7.2 2.2 0.4 1.5 0.1 2.1 9.6 8.6 5.5 0.6 6.5 9.7 4.8 (*) school Out of Child Well-beingSurveyinUrbanAreas, 10.3 12.5 11.3 45.3 12.1 10.2 12.2 21.8 12.1 8.0 2.2 0.6 1.9 0.1 2.1 9.6 8.6 6.0 0.6 7.1 4.9 (*) a children No. of 147 247 313 262 31 43 23 81 61 60 71 58 75 52 59 65 52 50 69 49 1 7 (adjus- dance atten- ratio 90.6 95.3 88.4 93.5 96.6 99.7 98.6 92.0 90.0 86.7 90.6 58.6 90.2 88.3 90.0 85.3 95.2 85.8 85.2 93.0 89.0 ted) Net (*) or preschool school atten- Percentage ofchildren: ding Not 0.6 0.0 0.8 0.3 0.8 0.0 0.3 1.0 0.3 0.2 0.7 1.2 1.4 0.1 0.5 0.0 0.0 2.4 0.3 0.4 0.6 (*) school Atten- ding 37.8 10.2 14.6 pre- 7.4 2.8 8.9 1.3 0.8 0.0 1.2 7.0 9.7 8.3 8.8 6.8 8.1 9.4 4.8 9.7 4.6 8.7 Total (*) school Out of 10.0 39.0 10.3 12.1 14.8 8.1 2.8 9.7 1.6 1.6 0.1 1.4 8.0 8.5 9.4 8.2 8.5 9.5 4.8 5.0 9.2 (*) a children No. of 307 153 147 123 124 150 513 148 119 133 646 106 124 109 546 70 96 49 99 14 98 2 85 Child Well-being Survey in Urban Areas of Bangladesh 86 Child Well-being Survey in Urban Areas of Bangladesh Mother’s education Wealth indexquintile Religion Age atbeginningofschoolyear Area Total Table 7.6:Secondaryschoolattendanceandoutofchildren:Khulnadivision Areas, Bangladesh,CWS2016. ratio), percentageattendingprimaryschool,andoutof Percentage ofchildrensecondaryschoolageattendingorhigher(adjustednetattendance ( ) (*) a Secondary completeorhigher Primary complete Secondary incomplete Primary incomplete No education 17 Highest Fourth Middle Second Lowest 16 Christian Hindu Islam 15 Other municipalities/urban 14 13 12 11 City Corporationnon-slum City Corporationslum Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases The percentageofchildrensecondaryschoolageoutarethosewhonotattendingprimary,secondary,orhighereducation

(adjus- dance atten- ratio 86.9 74.1 66.4 52.9 60.0 80.2 87.8 77.8 67.9 53.2 50.0 68.4 77.5 67.4 71.3 68.5 69.1 73.2 70.1 69.1 47.9 74.2 46.8 ted) Net (*) primary school Atten- ding 24.1 27.1 19.8 11.0 11.1 19.1 18.6 10.5 13.7 13.9 13.1 15.6 21.8 41.9 10.0 13.4 Percentage of 9.6 4.4 0.0 9.6 2.4 6.7 7.9 (*) children: Male school Out of 19.5 19.8 19.3 19.0 10.8 20.6 27.5 29.7 29.2 11.6 18.4 21.4 17.7 17.3 18.4 13.8 13.7 34.1 3.4 8.9 2.3 8.4 9.6 (*) a Number children 123 104 142 413 386 491 35 19 54 45 68 97 82 67 69 76 78 71 78 68 60 94 11 of 1 (adjus- dance atten- ratio 90.7 75.0 65.6 54.0 77.7 65.1 89.3 75.8 78.1 63.3 51.8 74.4 70.3 74.4 85.7 72.4 73.9 85.7 81.2 81.7 45.4 81.4 57.9 ted) Net (*) primary school Atten- ding 20.5 25.0 27.4 40.9 11.2 11.9 19.6 20.4 11.5 13.3 14.5 13.1 10.7 17.5 52.0 17.1 Percentage of 4.1 0.0 6.8 2.3 3.3 9.7 7.2 (*) children: Female school Out of 33.4 12.0 10.0 15.6 25.5 21.0 15.9 11.3 11.0 11.7 11.9 11.5 23.5 5.2 0.4 0.0 7.0 1.9 2.7 3.5 3.8 0.7 2.5 (*) Child Well-beingSurveyinUrban a Number children 116 388 344 446 31 87 25 46 40 80 96 96 81 56 56 56 79 59 47 62 63 90 11 of 2 (adjus- dance atten- ratio 88.7 71.1 74.7 58.8 57.2 72.0 88.6 76.7 72.0 58.2 50.8 71.1 74.5 70.8 78.6 70.3 71.4 78.9 74.3 75.1 46.6 77.7 52.4 ted) Net (*) primary school Atten- ding 22.6 16.2 27.2 29.7 11.1 11.4 19.3 19.4 10.9 13.5 14.2 13.1 13.4 19.8 47.1 15.3 Percentage of 7.1 0.0 8.2 2.3 5.0 9.1 8.6 (*) children: Total school Out of 26.8 13.9 11.1 25.5 11.5 16.3 21.6 27.8 16.2 13.4 15.0 11.7 14.8 12.6 14.7 10.1 28.8 4.2 5.4 8.3 2.5 4.7 6.0 (*) a Number children 148 210 100 125 193 220 238 162 123 157 132 801 130 730 184 937 125 129 122 66 44 85 23 of 3 Area Total Area Total Sex Age Mother’s education Wealth indexquintile Religion Table 8.1:Birthregistration:Khulnadivision Table 8.2:Childdiscipline:Khulnadivision selected characteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage1-14yearsbychilddiscipliningmethods experiencedduringthelastonemonthby Urban Areas,Bangladesh,CWS2016. whose mothers/caretakersknowhowtoregisterbirthbyselectedcharacteristics, Percentage ofchildrenunderage5bywhetherbirthisregisteredandpercentagenot ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Other municipalities/urban City Corporationnon-slum City Corporationslum City Corporationslum City Corporationnon-slum Other municipalities/urban Male Female 0-11 months 12-23 months 24-35 months 36-47 months 48-59 months No education Primary incomplete Primary complete Secondary incomplete Secondary completeorhigher Lowest Second Middle Fourth Highest Islam Hindu Christian

Children underage5whosebirthisregistered Has birthcertificate (16.7) Seen 14.1 25.5 15.5 13.4 14.9 13.2 16.8 15.1 23.7 23.5 14.6 12.3 14.1 17.5 19.2 14.3 13.1 3.3 8.5 6.3 7.5 8.4 (*) Only non-violent discipline 11.3 10.9 11.1 Not seen 8.1 with civilauthorities (11.5) 15.7 10.2 10.6 10.5 12.8 14.4 15.7 14.8 12.1 9.6 9.2 8.7 6.1 8.2 9.4 4.3 8.0 8.3 4.1 6.3 7.4 9.2 (*) Percentage ofchildrenage1-14yearswhoexperienced: certificate No birth Psychological (0.0) 0.9 0.3 0.9 0.9 0.5 1.2 1.6 0.3 1.3 0.0 1.0 2.2 0.7 0.6 1.1 0.0 0.1 0.0 2.9 0.6 0.7 2.1 (*) aggression 74.7 79.9 84.2 76.0 registered (28.2) Total 24.5 41.6 26.5 23.4 24.1 25.0 11.0 17.1 27.5 25.6 37.6 12.8 32.2 23.5 27.8 11.6 24.1 20.4 35.2 27.2 24.2 27.3 (*) Physical punishment 51.9 53.4 68.7 52.6 Any under age5 of children Number 542 112 417 288 254 101 119 101 123 270 144 102 111 140 116 480 13 98 19 57 52 73 60 2 Severe 16.5 14.1 24.6 16.2 whose mother/caretaker knows howtoregister Percent ofchildren Children underage5whosebirthisnot Child Well-beingSurveyin (100.0) discipline method 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 birth 99.7 99.4 99.6 99.3 98.5 99.9 99.9 99.4 98.6 99.6 (*) Any violent 82.5 85.6 88.9 83.3 registered under age5without Number ofchildren birth registration children age1-14 Number of 409 319 218 190 206 104 364 82 87 84 86 75 77 14 50 35 90 55 88 91 85 44 years 1252 1600 8 2 312 36 87 Child Well-being Survey in Urban Areas of Bangladesh 88 Child Well-being Survey in Urban Areas of Bangladesh Wealth indexquintile Religion Education ofhousehold head Sex Age Education ofhouseholdhead Age Sex Area Total Table 8.6a:Childlabour:Khulnadivision Table 8.2: (*) Figuresthatarebasedonfewerthan25unweightedcases Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. week, andpercentageengagedinchildlabourduringthelastweekaccordingtoselectedcharacteristics, Percentage ofchildrenage5-14yearsbyinvolvementineconomicactivitiesorhouseholdchoresduringthelast Christian Hindu Secondary incomplete Lowest Second Middle Fourth Islam Highest Primary complete 10-14 No education Primary incomplete Male Female 1-2 3-4 5-9 Secondary incomplete Primary complete Primary incomplete No education 10-14 5-9 Female Male Other municipalities/urban City Corporationnon-slum City CorporationSlum

continued Only non-violent discipline 13.6 15.3 10.7 19.8 20.7 13.2 10.2 13.2 11.3 8.7 7.1 9.2 9.0 9.8 9.4 8.5 7.8 (*) Percentage ofchildrenage5-14dueto Percentage ofchildrenage1-14yearswhoexperienced: engaged inchildlabour Psychological aggression 68.7 74.1 77.0 66.3 25.3 82.4 81.7 77.1 75.8 77.3 82.0 76.0 79.9 76.1 75.9 63.5 74.4 (*) 10.8 10.3 3.9 3.8 7.9 7.6 5.5 9.6 9.0 2.5 7.7 (*) Physical punishment 43.2 37.8 54.0 36.3 18.1 58.8 61.9 59.9 50.8 41.1 53.8 49.8 58.0 68.5 54.9 46.6 73.7 Any (*) Severe 17.3 23.0 23.5 12.2 17.2 13.8 18.2 15.3 16.2 19.9 17.0 15.7 23.2 9.9 9.5 8.9 2.3 (*) Number ofchildren(5-14)years discipline method Any violent 75.5 78.7 84.4 70.4 25.3 86.7 88.9 88.3 84.7 81.6 87.7 81.8 86.0 86.6 84.5 74.6 88.7 (*) aged 1056 323 572 153 523 533 468 588 828 204 23 6 children age1-14 Number of Child years 1380 213 352 362 260 262 340 376 575 640 728 588 382 872 217 221 7 9 Total Area Age Education Wealth indexquintile Religion Wealth indexquintile Table 8.7:Earlymarriageandpolygyny(women):Khulnadivision Table 8.6a: (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, CWS2016 who areinapolygynousmarriageorunionbyselectedcharacteristics, birthdays, percentageofwomenage15-19yearscurrentlymarriedorinunion,andthe percentages ofwomenage20-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thand18th Percentage ofwomenage15-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thbirthday, City Corporationslum City Corporationnon-slum Other municipalities/urban 15-19 20-24 25-29 30-34 35-39 40-44 45-49 No education Primary incomplete Primary complete Secondary incomplete higher Secondary completeor Lowest Second Middle Fourth Highest Christian Hindu Islam Highest Fourth Middle Second Lowest

continued Percentage before age married Women age15-49 30.2 35.9 23.6 31.8 12.5 26.3 40.4 38.2 47.0 53.5 58.5 51.3 54.5 25.4 39.8 37.0 36.6 26.2 19.1 5.6 4.7 15 years of women age 15-49 Number years 2158 1674 1055 441 387 309 336 311 287 217 312 225 281 162 435 311 316 463 535 532 43 Percentage ofchildrenage5-14dueto Percentage before age engaged inchildlabour married 35.6 41.2 28.1 37.4 12.5 26.3 40.4 38.2 47.0 53.5 60.3 53.2 58.1 33.4 45.8 45.3 42.3 31.8 22.2 5.3 na 15 Women age20-49years Percentage before age 11.9 10.5 11.0 6.8 3.7 5.6 9.4 (*) married 65.9 75.2 59.4 67.4 48.0 57.8 70.4 67.9 73.4 81.1 85.3 88.3 86.1 70.8 22.6 79.6 79.8 76.2 59.0 48.0 na 18 of women age 20-49 Number years 1771 1375 361 309 336 311 287 217 312 218 268 149 746 389 258 250 386 430 446 na 35 Child Well-beingSurveyinUrbanAreas, Percentage married/in currently Women age15-19 union (42.8) 40.9 38.4 39.3 41.5 40.9 62.3 37.3 56.5 55.2 47.6 47.0 29.7 35.4 (*) na na na na na na years Number ofchildren(5-14)years of women age 15-19 Number years 387 299 387 308 105 na na na na na na 80 13 14 46 53 66 77 86 8 7 polygynous Percentage aged marriage/ Women age15-49years 154 896 243 238 229 178 168 union 5 3.0 8.2 3.2 2.8 0.2 2.2 3.4 2.4 4.3 3.0 3.9 8.1 4.1 5.7 1.8 0.6 7.2 3.5 3.2 1.8 0.6 in women age 15-49 years Number of married/in currently union 1855 1451 366 182 246 310 307 284 217 309 214 274 159 862 346 293 280 409 438 435 37 89 Child Well-being Survey in Urban Areas of Bangladesh 90 Child Well-being Survey in Urban Areas of Bangladesh Religion Table 8.7: ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases na: notapplicable Islam Hindu Christian

continued Percentage before age married Women age15-49 30.9 26.6 (*) 15 years of women age 15-49 Number years 1840 310 7 Percentage before age married 36.5 31.0 (*) 15 Women age20-49years Percentage before age married 66.9 61.0 (*) 18 of women age 20-49 Number years 1502 262 6 Percentage married/in currently Women age15-19 union 42.9 27.7 (*) years of women age 15-19 Number years 338 48 1 polygynous Percentage marriage/ Women age15-49years union 3.4 0.5 (*) in women age 15-49 years Number of married/in currently union 1581 266 7 RAJSHAHI DIVISION 91 Child Well-being Survey in Urban Areas of Bangladesh 92 Child Well-being Survey in Urban Areas of Bangladesh Child Health Nutritional Status Reproductive Health • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Key Results times whichiscomparativelylowerthanotherdivisions. time oftheinterview,andonly30.0percentwerefedminimumrequirednumber had receivedfoodwithminimumdietarydiversityinthelast24hoursprecedingat Slightly higherthanone-third(35.7percent)childrenage6-23monthsinRajshahidivision Thirty percentofchildrenwerereceivedpre-lactealfeed. within oneday. children, 63.8percentwereputtothebreastwithinonehourofbirthand88.8 Ever-breastfed (98.9percent)wasuniversalamongchildreninRajshahidivision.Among Overweight prevalenceamongchildrenunder-5inRajshahidivisionwas1.6percent. 4.3 percent,respectively. of severestuntingandwastingamongchildreninRajshahidivisionwas6.1percent Boys (28.5percent)weremorelikelytobestuntedthangirls(23.8percent).Theproportion one-fifth (21.9percent)wereunderweight,andone-tenthwastedinRajshahidivision. More thanone-fourth(26.2percent)childrenage0-59monthswerestunted,more Untrained TBA(11.7percent). doctor, followedbynurse/midwives (16.0percent),TrainedTBA(5.9percent) and Among womenage15-49 years,59.6percentwerereceivedassistancefrom aqualified Three-fourths births(75.8 percent)wereattendedbytheskilledbirthattendant (SBA). (41.3 percent)andilliterate(35.5percent). wealthiest women(82.5percent),highereducated (71.0percent)thanpoorestwomen visits, however,thelikelihoodofreceivingfouror moreANCwerehigheramongthe More thanhalf(56.9percent)ofwomenwerereceived recommendedfourormoreANC antenatal care(ANC)fromanyhealthcareprovider. Ninety-five percent(94.7percent)womeninRajshahi divisionreceivedatleastone higher 2.2percentinRajshahi,against0.5 intheentireurbanareasofBangladesh. The percentageofwomenage15-19whohavehad alivebirthbeforeage15wasmuch before theageof18. About thirtypercentwomen(29.7percent)age20-24inRajshahihavehadalivebirth high at22.9percent. Early childbearingamongurbanwomenofage15-19yearsRajshahidivisionpersists Only 19.1percentwomenhadreceivedatleasttwodosesduringlastpregnancy. or more. projected againstneonatal/maternaltetanusand65.4percentwomenwerereceivedfive Ninety-six percent(96.3percent)womenage15-49yearsinRajshahidivisionwere supposed tobeadministeredatorafter15monthsofage. About 79.7percentofthechildrenage15-23monthsreceivedmeaslesseconddose, 9 months)amongchildrenage12-23monthswas93.3percent. Coverage withfullimmunization(BCG,3dosesofPentavalent,OPVandMRat

Child Protection Child Development,LiteracyandEducation Water andSanitation • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Rajshahi divisionwerein apolygynousunion. Polygyny isnotcommon, andonly3.8percentofurbanwomenage15-49 yearsof 18 was63.5percentwhichindicatesthehigherchild marriagerateinRajshahidivision. of 15.Amongthewomenage20-49years,proportion whomarriedbeforetheageof About twenty-eightpercentofwomenage15-49years were(first)marriedbeforetheage Prevalence ofchildlabouramongchildrenage5-14 yearswas6.5percent. educate achildproperly. percent womenofRajshahidivisionapprovedphysical punishmenttobring,raiseor discipline appliedbyhouseholdmembersforchild discipline(88.7percent),only23.9 While violentmethods(psychologicalorphysical punishment)werecommonformsof knowledge andpracticeinrelationtotheregistration ofbirths. percent), butregistrationofbirthdoneis38.5percent,showingahugegapbetween whose birthshavenotbeenregisteredwereawareofhowtoregisterabirth(99.4 Almost allthemothersorcaretakersofchildrenunderage5Rajshahidivision The effectivetransitionratetosecondaryschoolwas99.5percentinRajshahidivision. and theirmotherwithouthavinganyformaleducation. Net attendanceRatioinRajshahidivisionwasloweramongchildrenofpooresthousehold level washigheramongthegirls(73.2percent)thanboys(62.0percent). The secondaryschooladjustednetattendanceratiowas66.7percent.NARin The primaryschoolcompletionratewas71.4percent. females (89.6percent)thanmales(85.7 85.0 percentofurbannationalrate.Netattendanceratio(NAR)washigheramongthe About 87.6percentofchildreninRajshahidivisionwereattendingprimaryschool,against an earlychildhoodeducation(ECE)programorpre-school. About twenty-nineofurbanchildreninRajshahidivisionage36-59monthswereattending All mostallofhouseholdshavesoaporothercleansing-agentanywhereinthedwelling. divisions. time theypassedstool.Thesafedisposalofchildrenfaeceswasquitelowthanother Only 48.4percentofchildrenage0-2years,thestoolsweredisposedsafelylast tank (21.3percent)andpitlatrine(10.6percent). common (38.1percent),followedbyventilatedimprovedpitlatrine(23.2septic sanitation facility.Amongtheimprovedtoiletfacility,useofpitlatrinewithslabaremore Ninety-four percent(94.0percent)householdsofRajshahidivisionusedimproved households ofRajshahidivision. Use ofdrinkingwaterfromimprovedsourceswasalmostuniversalamongurban two daysofbirth. Eighty-six percentnewbornsinRajshahidivisionreceivedpostnatalhealthcheckswithin women deliveredtheirbirthasC-section,resulting4in5births. Forty-six percentbirths were deliveredby caesarean section; 78.9 percentof the wealthiest 93 Child Well-being Survey in Urban Areas of Bangladesh 94 Child Well-being Survey in Urban Areas of Bangladesh Rajshahi DivisionTables Sex Total Area Age Mother’s education Wealth indexquintile Religion Table 3.2:Nutritionalstatusofchildren:Rajshahidivision (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, CWS2016. for age,heightandweightbyselectedcharacteristics, Percentage ofchildrenunderage5yearsbynutritionalstatusaccordingtothreeanthropometricindices:weight Girl Boy Other municipalities/urban City Corporationnon-slum City CorporationSlum Buddhist 0-5 months 12-17 months 6-11 months 18-23 months 48-59 months 36-47 months 24-35 months No education Secondary completeorabove Secondary incomplete Primary complete Primary incomplete Highest Fourth Middle Second Lowest Hindu Islam

- 2SD Underweight 21.9 21.8 22.1 21.8 18.6 25.3 15.6 24.5 12.8 19.6 23.7 24.7 24.7 35.9 11.5 19.1 30.7 29.2 21.9 21.9 26.6 27.8 27.4 21.3 9.4 (*) Percent below Weight forage - 3SD 4.3 4.5 4.0 4.7 3.9 4.2 6.5 5.1 2.1 2.1 2.7 6.3 4.8 9.0 2.7 3.0 8.9 4.2 3.6 3.0 6.2 5.2 3.4 3.2 4.4 (*) Z-Score Mean (SD) -1.1 -1.1 -1.1 -1.2 -1.0 -1.2 -0.7 -1.1 -0.7 -1.2 -1.2 -1.3 -1.3 -1.6 -0.6 -1.1 -1.4 -1.4 -0.4 -1.1 -1.3 -1.3 -1.4 -1.2 -1.1 (*) children No. of under age 5 912 441 471 344 280 288 186 174 186 148 465 101 120 139 233 210 154 176 812 77 98 94 97 78 95 5 - 2SD 26.2 23.8 28.5 27.6 22.9 27.8 28.6 11.7 18.2 34.0 25.8 25.9 32.3 37.2 12.8 25.2 34.7 32.5 14.4 22.7 30.0 30.5 31.8 26.1 26.3 (*) Stunted Percent below Height forage - 3SD 12.8 10.5 6.1 5.2 7.0 7.8 5.4 4.9 5.1 2.1 6.5 7.2 4.3 7.5 8.6 2.0 5.6 7.9 7.5 2.2 2.6 8.4 6.8 6.7 2.1 (*) Z-Score Mean (SD) -1.2 -1.2 -1.3 -1.3 -1.0 -1.3 -1.3 -0.7 -0.7 -1.5 -1.2 -1.3 -1.4 -1.8 -0.6 -1.2 -1.5 -1.4 -0.6 -1.1 -1.4 -1.4 -1.5 -1.2 -1.2 (*) children No. of under age 5 Child Well-beingSurveyinUrbanAreas, 912 441 471 344 280 288 186 174 186 148 465 101 120 139 233 210 154 176 812 98 94 77 97 78 95 5 - 2SD 10.9 10.7 11.0 10.8 12.2 14.7 15.3 10.3 11.8 10.9 11.3 10.3 11.0 13.9 13.3 13.3 10.4 11.9 10.3 9.6 6.4 7.8 6.8 7.9 9.5 (*) Percent Wasted below - 3SD 1.2 0.7 1.7 1.8 1.2 0.7 0.0 1.1 1.3 1.0 2.1 0.5 1.1 1.6 0.0 1.4 1.1 1.0 2.5 2.2 0.9 1.4 0.6 1.1 1.4 (*) Weight forheight Overweight Percent + 2SD above 1.6 2.5 0.8 1.1 2.3 1.4 2.1 2.1 5.2 1.0 2.1 2.2 0.0 1.1 0.0 4.1 1.3 1.0 1.7 3.6 1.7 0.0 1.9 1.7 1.6 (*) Z-Score Mean (SD) -0.7 -0.7 -0.7 -0.6 -0.7 -0.7 -0.7 -0.4 -0.2 -0.7 -0.6 -0.8 -0.8 -0.8 -0.9 -0.3 -0.6 -0.8 -0.9 -0.2 -0.7 -0.8 -0.7 -0.8 -0.7 (*) children No. of under age 5 912 441 471 280 344 288 186 174 186 148 465 101 120 139 233 210 154 176 812 95 94 77 98 97 78 5 Mother’s education Religion Wealth indexquintile Place of delivery Assistance atdelivery Months sincelast birth Area Total Table 3.3:Initialbreastfeeding:Rajshahidivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases according toselectedcharacteristics, breastfed withinonehourofbirth,anddaypercentagewhoreceivedapre-lactealfeed, Percentage oflastlive-bornchildreninthetwoyearsprecedingsurvey,whowereeverbreastfed, No education Primary incomplete Primary complete Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Christian Health facility Home Others Traditional birthattendant Skilled attendant 12-23 months 0-11 months Other municipalities/urban City Corporationnon-slum City Corporationslum Private Public

who wereever Percentage breastfed (100.0) (100.0) (97.3) (97.1) 100.0 100.0 100.0 100.0 98.8 99.1 98.2 98.5 97.3 98.5 97.7 98.6 99.3 98.5 99.4 99.3 98.2 99.1 98.9 (*) (*) Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Within onehourofbirth Percentage whowerefirstbreastfed: (69.0) (73.5) (67.6) (65.7) 52.1 63.7 54.4 59.8 66.7 68.7 68.0 61.3 60.8 65.0 84.1 88.4 57.2 63.6 64.1 64.2 62.3 64.9 63.8 (*) (*) Withinonedayof (93.1) (98.0) (81.1) (85.7) birth 86.7 90.0 94.7 87.4 90.0 86.6 90.7 90.3 88.4 91.1 93.2 95.7 88.1 87.2 92.3 85.8 94.7 89.5 89.6 (*) (*) Percentage who received apre- lacteal feed (27.6) (18.4) (18.9) (22.9) 40.0 31.0 33.3 37.9 34.4 19.4 24.0 37.1 33.7 19.5 27.3 24.6 31.9 32.3 28.2 39.2 23.7 25.4 30.3 (*) (*) No. oflastlive-born children inthelast two years 165 339 199 123 285 195 181 148 114 114 376 29 49 37 57 87 90 67 75 62 35 22 88 69 2 95 Child Well-being Survey in Urban Areas of Bangladesh 96 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Mother’s education Area Age Sex Total Table 3.7:Infantandyoungchildfeeding(IYCF)practices:Rajshahidivision Urban Areas,Bangladesh,CWS2016. minimum numberoftimesormoreduringthepreviousday,bybreastfeedingstatus, Percentage ofchildrenage6-23monthswhoreceivedappropriateliquidsandsolid,semi-solid,orsoftfoodsthe ( ) (*) c b a Christian highest Fourth Middle Second Hindu Islam Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban City Corporationnon-slum City Corporationslum 18-23 months 12-17 months 9-11 months 6-8 months Female Male Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases minimum dietarydiversity(excludingmilkfeedsandmealfrequency, Non-breastfedchildren). Minimum acceptablediet:Childrenage6-23monthswithminimumdietarydiversity andminimummealfrequency(Breastfedchildren) the minimumof7(ormore)times Minimum mealfrequency:Childrenage6-23monthswhoreceivedsolid,semi-solid orsoftfood(plainmilkfeedsfornon-breastfedchildren) vegetables, and7)otherfruitsvegetables. 3) dairyproducts(milk,yogurt,cheese),4)fleshfoods(meat,fish,poultryand liver/organ meats),5)eggs,6)vitamin-Arichfruitsand Minimum dietarydiversityisdefinedasreceivingfoodsfromatleast4of7food groups:1)Grains,rootsandtubers,2)legumesnuts,

dietary Percent ofchildrenwho a diver- (38.5) (26.1) (55.3) (20.7) (17.2) mum Mini- 44.4 37.9 35.3 23.2 34.7 36.2 36.3 30.6 40.7 36.3 37.8 17.6 39.2 30.3 34.4 sity (*) (*) (*) Currently breastfeeding received: frequ- b (74.4) (71.7) (83.0) (65.5) (62.1) mum meal ency Mini- 81.0 74.2 74.7 69.6 75.7 61.9 90.0 75.3 78.0 73.6 75.7 68.6 72.8 75.9 74.4 (*) (*) (*) accep- c (35.9) (17.4) (53.2) (20.7) mum table Mini- (6.9) 42.9 31.8 30.5 17.9 28.5 26.7 35.0 28.2 36.3 30.8 29.7 15.7 33.6 26.2 29.6 diet (*) (*) (*) age 6-23 children months No. of 249 144 105 125 145 270 39 63 66 46 20 56 47 29 29 21 80 85 91 91 37 51 1 dietary Percent ofchildrenwhoreceived: a diver- mum Mini- sity (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) Currently notbreastfeeding frequ- b mum meal ency Mini- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) accep- c mum table Mini- diet (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) At least 2 milk feeds (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) age 6-23 children months No. of 14 17 3 2 6 4 3 2 2 9 1 4 1 9 3 5 4 6 6 1 9 4 0 Child Well-beingSurveyin dietary Percent ofchildrenwho a diver- (38.1) (55.1) (20.7) (21.9) (39.0) (17.3) mum Mini- 45.6 38.2 28.6 25.4 36.4 36.4 39.5 35.7 30.7 41.7 38.1 40.7 31.1 35.7 sity (*) (*) (*) received: frequ- b (75.6) (83.7) (63.3) (60.6) (74.4) (69.2) mum meal ency Mini- 81.2 72.9 69.4 70.7 74.1 75.8 64.0 88.0 74.4 77.9 73.2 74.6 75.8 74.2 (*) (*) (*) All accep- c (36.6) (51.0) (20.0) (30.2) (15.4) mum table Mini- (9.1) 42.0 31.4 18.4 19.0 30.4 30.1 28.9 33.7 27.8 36.8 30.9 34.3 26.8 30.0 diet (*) (*) (*) age 6-23 children months No. of 265 156 115 135 151 290 24 69 70 50 59 42 22 49 30 33 85 90 96 99 43 52 1 Religion Wealth indexquintile Mother’s education Area Sex: Total Table 4.2:Vaccinationbybackgroundcharacteristics:Rajshahidivision Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. (vaccination cardormother’sreport,andvaccinationseen),byspecificbackgroundcharacteristics, Percentage ofchildrenage12-23monthswhoreceivedspecificvaccinesatanytimebeforethesurvey ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Christian Hindu Islam Highest Fourth Middle Second Lowest above complete or Secondary incomplete Secondary complete Primary characteristics incomplete Primary No education urban municipalities/ Other non-slum City Corporation slum City Corporation Female Male Background (100.0) (100.0) (100.0) (100.0) (98.2) 100.0 100.0 BCG 99.4 99.1 99.0 99.5 (*) (*) (*) (*) (*) (*) (*) (*) (100.0) (100.0) (100.0) (97.4) (98.2) 100.0 98.9 98.1 98.7 98.0 99.0 (*) (*) (*) (*) (*) (*) (*) (*) 1 Pentavalent (100.0) (100.0) (100.0) (97.4) (98.2) 100.0 98.9 98.1 98.7 98.0 99.0 (*) (*) (*) (*) (*) (*) (*) (*) 2 (100.0) (100.0) (97.7) (97.4) (96.5) 100.0 98.3 97.2 98.7 96.9 98.4 (*) (*) (*) (*) (*) (*) (*) (*) 3 (100.0) (100.0) (100.0) (97.4) (98.2) 100.0 98.9 98.1 98.7 98.0 99.0 (*) (*) (*) (*) (*) (*) (*) (*) 1 (100.0) (100.0) (100.0) (97.4) (98.2) 100.0 OPV 98.9 98.1 98.7 98.0 99.0 (*) (*) (*) (*) (*) (*) (*) (*) 2 (100.0) (100.0) (97.7) (97.4) (96.5) 100.0 98.3 97.2 98.7 96.9 98.4 (*) (*) (*) (*) (*) (*) (*) (*) 3 MR at9 months (97.7) (92.2) (89.7) (96.5) (93.2) 93.1 93.5 90.9 92.6 93.9 93.3 (*) (*) (*) (*) (*) (*) (*) (*) (97.7) (92.2) (89.7) (96.5) (93.2) 93.1 93.5 90.9 92.6 93.9 93.3 Full (*) (*) (*) (*) (*) (*) (*) (*) None (0.0) (0.0) (0.0) (1.8) (0.0) 0.6 0.9 0.0 0.0 1.0 0.5 (*) (*) (*) (*) (*) (*) (*) (*) vaccina- Percen- (79.5) (72.5) (89.7) (77.2) (84.7) seen card tage with 78.3 79.4 76.6 81.1 77.6 79.3 tion (*) (*) (*) (*) (*) (*) (*) (*) children No. of 175 107 193 17 25 44 51 34 39 30 18 22 16 77 57 59 95 98 1 Measles months children age15-23 received measles (79.3) (77.8) (78.1) (87.8) (85.7) at 15 79.7 73.2 67.9 79.1 80.3 79.7 Percentage of (*) (*) (*) (*) (*) (*) (*) (*) at 15months months who Child children No. of 128 143 14 21 29 36 25 32 22 82 12 11 16 53 41 49 67 76 1 97 Child Well-being Survey in Urban Areas of Bangladesh 98 Child Well-being Survey in Urban Areas of Bangladesh Area Total Mother’ education

Education Area Total Wealth indexquintile Religion Table 5.2:Earlychildbearing:Rajshahidivision Table 4.3:Neonataltetanusprotection:RajshahiDivision had alivebirthbeforeage18, childbearing, andwhohavehadalivebirthbeforeage15,percentageofwomen20-24years Percentage ofwomenage15-19yearswhohavehadalivebirth,arepregnantwiththefirstchild,begun Bangladesh, CWS2016. protected againstneonataltetanusbyselectedcharacteristics, Percentage ofwomanage15-49yearswithalivebirthinthelasttwoprecedingsurveywhowere ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases City Corporationslum City Corporationnon-slum Secondary completeorhigher Secondary incomplete No education Other municipalities/urban Primary complete Primary incomplete Primary incomplete Primary complete No education Other municipalities/urban City Corporationnon-slum City Corporationslum Secondary incomplete Secondary completeorabove Lowest Second Middle Fourth Highest Islam Hindu Christian Have hada received atleast 2 dosesduring last pregnancy live birth Percentage of women who (0.0) 26.2 18.5 16.9 31.7 22.9 Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. (*) (*) (*) (27.6) (22.4) (18.9) (17.1) 19.1 18.4 14.0 23.6 17.1 19.4 18.7 26.9 18.9 16.1 15.8 19.5 (*) Percentage ofwomenage15-19who: with firstchild Are pregnant (2.2) 6.4 2.5 4.5 7.9 5.2 (*) (*) (*) prior 3years 2 doses,the Percentage ofwomenwhodidnotreceivetwoormoredoses last within (0.0) (0.0) (0.0) (0.0) 0.3 0.0 0.9 0.0 0.5 0.0 0.0 0.0 0.0 1.1 0.0 0.3 (*) childbearing Have begun (2.2) during lastpregnancybutreceived: 32.6 21.0 21.3 39.6 28.0 (*) (*) (*) prior 5years 3 doses,the last within (10.8) (0.0) (0.0) (0.0) 4.0 6.1 0.0 5.4 4.5 3.2 4.0 4.5 2.2 4.6 5.3 4.1 (*) birth beforeage15 Child Well-beingSurveyinUrbanAreas, Have hadalive (0.0) 2.7 1.2 3.4 2.0 2.2 last withinprior (*) (*) (*) 4 doses,the 10 years (10.8) (0.0) (8.2) (2.9) 10.1 13.4 10.0 7.4 5.3 6.1 8.0 6.5 4.0 5.7 3.5 8.0 (*) of women age 15-19 Number 187 101 271 45 18 15 81 89 6 doses during 5 ormore lifetime (62.1) (63.3) (54.1) (77.1) 65.4 69.3 54.1 76.3 66.8 71.0 66.7 50.7 65.6 70.1 73.7 64.3 (*) had alivebirthbefore Percentage ofwomen age 20-24whohave age 18 (22.0) (51.1) 34.1 24.6 33.1 31.7 29.7 tetanus [1] 8.6 Protected (*) against (89.7) (93.9) (94.6) (97.1) 100.0 96.3 99.1 93.2 97.4 97.0 93.3 95.5 96.7 97.7 98.2 96.2 (*) women with in thelast2 a livebirth women age Number of No. of years 376 114 148 114 199 339 20-24 29 49 37 62 75 67 90 87 57 35 220 142 127 142 411 2 81 41 45 24

Religion Total

Area Wealth indexquintile Mother’s age atbirth Wealth indexquintile Religion Education Table 5.2: Table 5.7:Numberofantenatalcarevisitsandtimingfirstvisit:Rajshahidivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, 2016. visits byanyproviderandthetimingoffirstantenatalcarevisits, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobynumberantenatalcare ( )Figuresthatarebasedon25-49unweighted cases (*) Figuresthatarebasedonfewerthan25unweightedcases Christian Hindu Islam Richest Fourth Middle Secondary completeorhigher Secondary incomplete Primary complete Other municipalities/urban City Corporationnon-slum City Corporationslum Second Highest Fourth Middle Second Lowest Primary incomplete 20-34 Less than20 Poorest Christian Hindu Islam No education

continued No antenetal Have hada care visits live birth (17.4) (18.4) (32.4) (14.3) 23.7 21.1 28.8 (8.1) (5.7) (6.9) 10.7 (*) (*) 5.3 0.0 4.0 6.8 4.4 4.4 0.0 3.4 4.4 7.5 3.8 6.4 5.3 (*) Percentage ofwomenwhohad: Percentage ofwomenage15-19who: with firstchild Are pregnant (16.2) (8.2) (2.9) (3.4) visit One 12.8 11.1 17.3 7.7 3.2 8.0 2.6 6.1 0.0 3.4 4.5 9.0 6.8 8.3 (*) (2.2) (4.1) (2.9) 4.8 8.9 3.8 (*) (*) (26.5) (20.7) visits Two (8.1) (5.7) 13.6 11.6 10.5 20.3 16.4 16.7 11.4 21.1 14.7 14.5 9.7 7.9 7.0 6.9 (*) childbearing Have begun (19.6) (22.4) (35.3) 28.5 30.0 32.7 (*) (*) Three (34.5) (14.3) visits (8.1) (6.1) 16.5 18.1 15.8 16.1 16.9 16.7 19.4 14.1 18.2 10.5 20.7 14.4 16.0 16.8 (*) birth beforeage15 Have hadalive 4 ormore (59.5) (44.9) (34.5) (71.4) visits 56.9 58.3 66.7 71.0 43.2 64.9 52.2 56.4 57.3 82.5 65.5 48.9 41.3 55.2 (*) (0.0) (2.0) (5.9) Child Well-beingSurveyinUrbanAreas, 2.4 3.3 0.0 (*) (*) (100.0) (100.0) (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) of women age 15-19 Number 249 live birthinthe 20 46 90 49 52 34 women witha last twoyears 2 Number of 376 199 114 148 114 156 220 339 62 37 49 67 57 87 90 75 29 35 2 had alivebirthbefore Percentage ofwomen age 20-24whohave age 18 (22.7) 30.0 14.5 24.0 31.9 35.4 40.0 a livebirthinthelasttwo (*) Number ofwomenwith years whohadatleast one ANCvisit 356 191 109 138 109 150 206 321 62 34 42 62 57 84 86 67 27 33 2 women age Number of 20-24 363 44 62 96 94 79 80 4 99 Child Well-being Survey in Urban Areas of Bangladesh 100 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Education Place ofdelivery Mother’s ageatbirth Area Total Table 5.9:Assistanceduringdeliveryandcaesareansection:Rajshahidivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, 2016. assistance atdelivery,andpercentageofbirthsdeliveredbyC-section, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobypersonproviding Christian Hindu Islam Highest Fourth Middle Second Lowest higher Secondary completeor Secondary incomplete Primary complete Primary incomplete No education Health facility Home 20-34 Less than20 Other municipalities/urban City Corporationnon-slum City Corporationslum Private Public

Medical doctor (68.6) (48.6) (53.1) (41.4) 58.4 87.7 72.4 51.1 55.2 37.3 74.2 61.3 77.0 78.9 60.9 58.6 48.6 74.6 58.8 59.6 0.0 (*) Midwife Nurse/ (17.1) (24.3) (14.3) (13.8) 15.9 13.8 18.9 22.4 14.7 17.7 14.6 19.4 20.3 12.8 18.2 13.5 13.2 21.9 16.0 8.8 3.4 (*) FWV (0.0) (0.0) (0.0) (0.0) 0.3 0.0 0.0 1.1 0.0 0.0 0.0 0.5 0.0 0.8 0.0 0.0 0.5 0.7 0.0 0.0 0.3 (*) Person assistingatdelivery FWA (0.0) (0.0) (0.0) (0.0) HA/ 0.6 0.0 2.3 0.0 0.0 0.0 1.6 0.5 0.0 0.0 2.3 0.6 0.5 1.4 0.0 0.0 0.5 (*) worker NGO (0.0) (2.7) (2.0) (0.0) 2.1 1.8 1.1 2.2 3.0 1.3 1.6 2.0 3.0 0.0 2.3 1.3 2.3 1.4 1.8 2.6 1.9 (*) (13.8) TTBA (5.7) (5.4) (6.1) 10.0 12.0 23.9 5.9 0.0 1.1 4.5 0.0 6.5 0.6 0.0 4.5 6.8 9.5 3.5 3.5 5.9 (*) UTBA (18.9) (18.4) (24.1) (5.7) 12.4 11.1 13.4 29.3 50.0 17.3 18.9 10.5 11.7 0.0 3.4 3.2 9.5 0.0 0.0 7.7 3.5 (*) Unquali- doctor (0.0) (0.0) (0.0) (3.4) fied 0.6 0.0 1.1 1.1 0.0 0.0 0.0 0.5 0.0 0.0 2.3 0.0 0.9 1.4 0.0 0.0 0.5 (*) Child Well-beingSurveyinUrbanAreas, friends Rela- (2.9) (0.0) (6.1) (3.4) tive/ 15.9 3.8 1.8 4.6 4.4 1.5 5.3 1.6 4.5 0.0 0.0 2.6 4.5 4.7 3.5 2.6 3.7 (*) (100.0) (100.0) (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) assisted by any skilled attendant Delivery (85.7) (73.0) (67.3) (55.2) 100.0 74.6 96.5 86.2 71.1 77.6 52.0 91.9 76.4 96.4 73.7 77.3 62.8 87.7 80.7 75.8 3.4 (*) delivered C-section Percent (51.4) (32.4) (34.7) (31.0) 45.1 78.9 59.8 32.2 43.3 24.0 67.7 46.7 69.7 47.2 51.9 41.8 39.2 55.3 45.6 46.0 0.0 (*) by the lasttwo live birthin who hada of women Number years 339 199 165 123 156 220 148 114 114 376 35 57 87 90 67 75 62 37 49 29 88 2

Area Total Mother’s age atbirth Place of delivery Education Wealth indexquintile Religion Table 5.12:Post-natalhealthchecksfornewborns:Rajshahidivision 2016. post natalhealthchecksbyselectedcharacteristics, post-natal care(PNC)visitsfromanyhealthproviderafterbirth,bytimingofvisit,andpercentagewhoreceived birth receivedhealthcheckswhileinfacilityorathomefollowingbirth,percentagewhoselastlive Percentage ofwomenage15-49yearswithalivebirthinthelasttwoprecedingsurveywhose ( ) (*) c b a City Corporationslum City Corporationnon-slum Other municipalities/urban Less than20 20-34 Home Health facility No education Primary incomplete Primary complete Secondary incomplete higher Secondary completeor Lowest Second Middle Fourth Highest Islam Hindu Christian Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases PNC visits(seenote Post-natal healthchecksinclude any healthcheck performed whileinthehealthfacilityorathomefollowing birth (seenote services. PNCvisitsdonotincludehealthchecksfollowingbirthwhileinfacility orathome(seenoteaabove). Post-natal care visits (PNC) refer to a separate visit by any health provider to check on the health of the newborn and provide preventive care provider fromhome). Health checksby any health provider followingfacilitybirths(before discharge from facility) orfollowinghome births (beforedepartureof Private Public b above)withintwodaysofdelivery. birth whilein Health check facility orat following home (72.4) (71.4) (89.2) (85.7) 85.4 85.1 91.2 81.1 85.9 84.6 47.7 97.6 95.9 96.9 87.4 93.5 72.0 85.1 85.6 89.7 96.5 85.3 (*) a Same (13.8) (26.5) (35.1) (31.4) 31.6 42.1 40.4 16.9 32.3 30.8 50.3 26.8 40.3 32.7 38.7 16.0 31.3 31.1 35.6 47.4 31.3 day 3.4 (*) following 1 day birth (6.9) (0.0) (0.0) (0.0) 1.1 0.9 0.0 2.0 1.4 0.6 2.3 1.2 0.0 0.7 0.5 1.6 2.7 0.0 0.0 1.1 1.8 1.2 (*) following Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS 3-6 days birth (0.0) (2.0) (0.0) (2.9) 0.5 0.9 0.9 0.0 0.5 0.6 0.0 0.0 1.6 0.7 0.5 0.0 0.0 0.0 0.0 2.3 0.0 0.3 (*) PNC visitfornewborns first week following After the birth (0.0) (2.0) (0.0) (0.0) 0.3 0.0 0.0 0.7 0.5 0.0 1.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.1 0.0 0.0 0.3 (*) (79.3) (69.4) (64.9) (65.7) post- natal care 66.0 55.3 visit 57.9 80.4 64.5 67.9 92.0 48.5 70.7 58.0 65.3 59.7 81.3 67.2 66.7 60.9 50.9 66.4 No (*) b Missing/ (0.0) (0.0) (0.0) (0.0) 0.5 0.9 0.9 0.0 0.9 0.0 1.1 0.0 0.8 0.3 1.0 0.0 0.0 1.5 1.1 0.0 0.0 0.6 Dk (*) (100.0) (100.0) (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) Post-natal newborn for the health check (72.4) (71.4) (89.2) (85.7) 86.2 86.0 92.1 81.8 86.8 85.3 48.9 98.8 95.9 97.6 88.9 93.5 72.0 86.6 87.8 89.7 96.5 86.1 (*) a above), aswell c the lasttwo of lastlive births in Number years 376 114 114 148 220 156 165 123 288 199 339 88 29 49 37 62 75 67 90 87 57 35 2 101 Child Well-being Survey in Urban Areas of Bangladesh 102 Child Well-being Survey in Urban Areas of Bangladesh Total Area Total Area Education ofhousehold head Wealth indexquintile Religion Table 6.3:Typesofsanitationfacilities:Rajshahidivision Table 6.1:Useofimprovedwatersources:Rajshahidivision Survey inUrbanAreas,Bangladesh,CWS2016. household populationusingimproveddrinkingwatersources,byselectedcharacteristics, Percent distributionofhouseholdspopulationaccordingtomainsourcedrinkingwaterandpercentage characteristics, ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdpopulationaccordingtotypetoiletfacilityusedbythehousehold,selected (*) Figuresthatarebasedonfewerthan25unweightedcases Other municipalities/urban City Corporationnon-slum City Corporationslum City Corporationslum slum City Corporationnon- Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education urban Other municipalities/ Highest Fourth Middle Second Lowest Missing/DK Islam Hindu Christian

system sewer Piped 0.8 0.0 1.1 1.3 Flush/Pour flushto: dwelling Improved sanitationfacility Septic 15.1 14.5 Into 4.9 8.5 4.3 1.1 5.1 2.2 2.6 0.8 5.3 1.4 1.3 0.1 4.8 5.9 1.5 (*) tank 21.3 15.6 32.4 15.2 latrine 10.6 14.1 14.6 4.0 yard/ Pit plot Into 6.3 7.5 4.3 7.0 8.4 6.3 3.5 5.0 6.1 7.1 6.5 3.6 7.3 7.3 5.9 9.5 0.0 (*) Piped water Type oftoiletfacilityusedbyhousehold Ventilated improved pit latrine neigh- 23.2 20.5 17.2 31.2 bour 0.3 0.2 0.2 0.7 0.2 0.0 0.5 0.5 0.7 0.0 0.6 0.0 0.2 0.2 0.3 0.1 0.0 To (*) Main sourceofdrinkingwater Improved sources Public tap/ latrine with 38.1 40.6 slab 29.5 44.3 stand- Pit pipe 10.5 5.2 1.3 4.7 4.9 4.3 4.8 6.7 5.3 4.3 5.6 7.5 4.2 3.9 5.0 6.7 1.5 (*) Pour flush to somewhere Flush/ else Tube- bore- 1.2 2.1 1.5 0.3 well/ hole 83.3 82.5 86.5 80.5 81.3 87.3 88.5 87.0 82.6 87.1 86.0 88.8 73.1 73.9 83.8 77.4 97.0 (*) Unimproved sanitationfacility open pit without latrine Pro-tected slab/ 2.2 2.9 1.0 2.8 Pit well 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.1 0.0 0.0 0.0 (*) Hanging latrine toilet/ 0.3 0.3 0.0 0.6 Bottled water 0.0 0.0 0.0 0.1 0.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.2 0.0 0.4 0.0 (*) Missing/ a 2.1 3.2 2.9 0.3 Dk 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total Child Well-being (*) bush, field) (no facility, defecation Open 0.2 0.7 0.0 0.0 Percentage sources of improved drinking water using 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 (*) 100.0 100.0 100.0 100.0 Total households Number of Number of household members members 12362 12362 10962 3635 4272 4455 4455 4272 3635 3302 1619 1775 3479 3198 2693 2116 1829 2165 2526 1268 132 22 Mother’s education Area Type of sanitation facility used byhousehold members Total Education ofhouseholdhead Wealth indexquintile Religion Table 6.6:Disposalofchild’sfaeces:Rajshahidivision Table 6.3:continued being SurveyinUrbanAreas,Bangladesh,CWS2016. of childrenage0-2yearswhosestoolsweredisposedsafelythelasttimechildpassedstools, Percent distributionofchildrenage0-2yearsaccordingtoplacedisposalchild’sfaeces,andthepercentage (*) Figuresthatarebasedonfewerthan25unweightedcases higher Secondary completeor Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban City Corporationnon-slum City Corporationslum Unimproved Improved No education Primary incomplete Primary complete Secondary incomplete higher Secondary completeor Missing/DK Lowest Second Middle Fourth Highest Islam Hindu Christian

system sewer Piped 0.0 0.0 0.0 1.2 2.9 0.0 0.0 0.2 0.5 3.2 0.7 2.1 0.0 (*) Flush/Pour flushto: latrine toilet/ Child used (2.8) (2.1) (0.0) (0.0) 3.3 1.5 1.4 2.7 1.8 2.1 1.9 Improved sanitationfacility Septic tank 14.1 14.6 23.9 46.4 12.2 22.9 53.5 21.1 21.5 34.1 9.7 2.4 8.2 (*) Put/rinsed into toilet or latrine (44.4) (25.0) (31.0) (35.5) 70.5 47.7 40.4 58.4 43.8 47.9 46.9 latrine 14.9 11.3 10.8 12.4 16.4 13.3 10.4 11.8 17.4 6.9 3.0 7.8 8.7 Pit (*) Type oftoiletfacilityusedbyhousehold Ventilated improved pit latrine Put/rinsed into drain 24.7 27.4 24.7 22.4 17.7 21.4 23.6 28.3 27.3 13.6 22.9 26.4 15.2 or ditch (*) Place ofdisposalchild’sfaeces (33.3) (45.8) (31.0) (32.3) 19.7 33.0 26.7 31.0 41.1 32.4 32.3 latrine with 50.4 38.4 slab 41.8 36.3 18.0 60.3 52.4 46.0 27.7 14.7 38.9 32.7 23.5 Pit (*) garbage Thrown (13.9) (16.7) (27.6) (19.4) 12.2 23.3 12.4 12.9 into 4.9 4.4 8.0 Pour flush to somewhere Flush/ else 0.3 0.3 2.7 2.2 0.8 1.1 1.7 1.1 1.5 0.8 1.0 2.4 7.6 (*) Unimproved sanitationfacility Buried (0.0) (0.0) (3.4) (3.2) 0.0 0.5 0.0 0.0 1.8 0.3 0.5 open pit without latrine slab/ 4.6 2.5 1.9 0.9 0.4 7.5 3.7 1.4 0.4 0.2 2.3 1.3 0.0 Pit (*) in the open (5.6) (8.3) (6.9) (9.7) Left 1.6 4.1 6.2 3.5 3.6 4.1 4.6 Hanging latrine toilet/ 0.6 0.4 0.4 0.0 0.0 1.7 0.2 0.0 0.0 0.0 0.3 0.0 0.0 (*) Other (0.0) (2.1) (0.0) (0.0) 0.0 1.0 2.1 0.0 0.0 0.9 0.8 Missing/ (100.0) (100.0) (100.0) (100.0) 2.2 1.6 2.6 2.2 1.5 1.2 2.5 2.2 3.3 0.6 2.1 1.7 2.3 Dk (*) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total bush, field) (no facility, defecation last stoolswere children whose Percentage of Open disposed of 0.6 0.3 0.0 0.0 0.0 1.4 0.0 0.0 0.0 0.0 0.2 0.0 0.0 (*) safely (47.2) (27.1) (31.0) (35.5) 73.8 49.2 41.8 61.1 45.5 50.0 48.8 Child Well- 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) of children households Number of members Number age 0-2 years 10962 3479 1775 1619 3302 2165 1829 2116 2693 3198 2526 1268 197 146 113 112 340 371 132 61 36 48 29 31 22 103 Child Well-being Survey in Urban Areas of Bangladesh 104 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Total Area Education ofhouseholdhead Wealth indexquintile Religion ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Table 6.6:continued Table 6.8:Availabilityofsoaporothercleansingagent:Rajshahidivision ( )Figuresthatarebasedon25-49unweighted cases (*) Figuresthatarebasedonfewerthan25 unweightedcases being SurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdsbyavailabilitysoaporothercleansingagentinthedwelling, Hindu Christian Islam Highest Fourth Middle Second Lowest City Corporationslum City Corporationnon-slum Other municipalities/urban No education Primary incomplete Primary complete Lowest Missing/DK Secondary incomplete Second Secondary completeorhigher Middle Fourth Islam Highest Hindu Christian

latrine toilet/ obser- Child clean- used agent (66.7) (0.0) other Soap sing 63.1 50.9 75.9 60.3 44.4 54.4 54.6 29.2 72.1 46.1 90.3 55.8 81.4 62.9 96.2 64.1 2.1 3.5 0.0 2.3 4.5 0.0 ved (*) (*) or Soap orothercleansingagentnotobserved Put/rinsed Place forhandwashingobserved into toilet cleansing or latrine Soap or shown agent (24.2) (25.7) other 22.9 24.4 12.1 32.0 31.6 31.9 27.9 42.0 18.6 32.1 32.0 10.5 23.2 19.9 48.8 66.7 51.8 50.0 48.5 21.3 5.8 1.6 (*) (*) at placeforhandwashing Put/rinsed into drain household or ditch cleansing Place ofdisposalchild’sfaeces No soap (62.9) agent in or other 29.3 22.8 35.3 28.4 36.4 37.3 (*) (0.0) 0.2 0.1 0.1 0.3 0.5 0.0 0.0 1.0 0.0 0.1 0.0 0.0 0.0 0.0 0.2 0.0 (*) garbage Thrown Not able/Does show soapor other clean- not wantto (8.6) 13.5 15.9 28.0 into sing agent 3.5 8.2 6.1 (*) (0.0) 0.6 1.1 0.5 0.3 0.7 1.0 0.5 0.6 0.0 0.7 2.1 0.2 0.0 0.3 0.6 0.7 (*) Buried (0.0) 0.6 0.0 0.0 0.0 1.5 1.3 (*) shown clean- agent other Soap sing (9.1) 12.7 22.1 11.0 21.3 12.0 16.1 24.8 19.2 11.5 12.5 14.6 6.8 3.8 8.4 2.2 7.9 (*) or Place forhandwashingnot in the open (2.9) 10.7 Left 4.8 3.5 3.5 2.3 3.0 (*) household cleansing No soap agent in or other observed (0.0) 0.6 1.3 0.4 0.3 1.3 0.7 0.8 0.0 0.1 2.3 0.6 0.5 0.0 0.0 0.7 0.4 (*) Other (0.0) 0.9 0.0 1.2 1.1 0.0 1.3 (*) cleansing Not able/ Does not soap or want to agent show other (0.0) (100.0) 0.0 0.1 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.2 0.0 0.0 0.0 0.0 0.0 0.4 (*) 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) last stoolswere (100.0) children whose 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total Percentage of (*) disposed of safely (25.7) 50.9 70.2 51.8 52.3 53.0 21.3 (*) Child Well- Percentage anywhere with soap cleansing of house- dwelling or other (100.0) in the agent holds 100.0 100.0 98.6 97.4 99.0 99.1 97.3 98.3 98.6 99.1 96.0 97.4 99.3 99.7 98.6 98.6 (*) of children Number age 0-2 years Number 334 house- 35 57 85 88 66 75 holds 2 2909 1021 1049 2595 839 826 401 548 366 764 524 532 555 600 698 281 33 of 4 Religion Wealth indexquintile Mother’s education Age ofchild Area Sex Total Sex Area Total Table 7.1:Attendancetoearlychildhoodeducation:Rajshahidivision Table 7.3:Schoolreadiness:Rajshahidivision Children attendingearlychildhoodeducation:EC5=1 ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases (2015) byselectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage of children attending first grade of primary school (in 2016) who attended pre-school the previous year by selectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage36-59monthswhoareattendinganorganizedearlychildhoodeducationprogramme Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 48-59 months 36-47 months Other municipalities/urban City Corporationnon-slum City Corporationslum Female Male Female Male Other municipalities/urban City Corporationnon-slum City Corporationslum Characteristics

Percentage of children age 36-59months Percentage ofchildrenattendingfirst attending earlychildhoodeducation grade whoattendedpreschoolin previous year (25.0) (29.8) (16.7) (17.5) 28.7 26.2 35.2 37.8 19.0 18.2 33.8 31.7 44.7 11.6 19.4 39.8 27.8 29.7 27.2 28.5 74.5 69.2 73.0 83.3 62.0 72.0 (*) Number ofchildrenattendingfirst Number ofchildrenage36-59 grade ofprimaryschool months 342 105 183 188 190 139 118 126 192 191 383 145 130 111 275 61 82 58 77 65 40 47 48 40 72 92 1 105 Child Well-being Survey in Urban Areas of Bangladesh 106 Child Well-being Survey in Urban Areas of Bangladesh Total Area school Age atbeginningof Mother’s education Religion Wealth indexquintile Mother’s education Table 7.3:continued Table 7.5:Primaryschoolattendanceandoutofchildren:Rajshahidivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, 2016. ratio), percentageattendingpreschool,andoutofschool, Percentage ofchildrenprimaryschoolageattendingorsecondary(adjustednetattendance City Corporationslum Secondary incomplete non-slum City Corporation or higher Secondary complete urban Other municipalities/ 6 7 8 9 10 No education Primary incomplete Primary complete Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education

Characteristics (adjus- dance atten- ratio 85.7 80.8 88.0 91.1 90.8 85.6 59.6 86.8 94.7 94.9 89.9 74.5 83.7 93.4 ted) Net or preschool school atten- Percentage ofchildren: ding Not 2.4 4.1 1.6 1.7 0.0 1.5 0.0 2.5 1.5 2.0 5.9 4.7 4.3 1.6 school Atten- ding 10.0 11.4 31.7 10.4 pre- 8.5 8.3 5.6 7.7 8.3 3.1 2.0 Male 0.0 5.4 4.9 school Out of 11.0 12.4 11.6 12.9 31.7 10.7 15.1 7.3 7.7 4.6 4.0 5.9 9.8 6.6 Percentage ofchildrenattendingfirst grade whoattendedpreschoolin a children No. of 574 193 250 179 202 104 121 131 119 106 65 99 92 61 previous year (adjus- dance atten- 100.0 ratio 89.6 86.1 89.1 91.0 91.5 91.1 64.5 88.8 96.5 98.1 86.2 91.7 90.8 ted) Net (66.7) (78.6) (84.6) (75.0) (68.2) 72.6 75.5 69.8 73.4 64.2 73.7 64.4 (*) or preschool school atten- Percentage ofchildren: ding Not 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 school Atten- Female ding 12.0 10.0 32.7 11.2 pre- 9.1 7.8 8.5 8.0 0.9 0.0 0.9 9.2 7.3 9.2 Child Well-beingSurveyinUrbanAreas, school Out of 12.0 10.0 32.7 11.2 9.1 7.8 8.5 8.0 0.9 0.0 0.9 9.2 7.3 9.2 a children No. of 558 166 239 167 225 110 116 114 111 107 71 87 96 65 Number ofchildrenattendingfirst (adjus- dance atten- ratio 87.6 83.3 88.5 91.0 91.2 88.5 62.1 87.8 95.5 97.6 93.8 79.8 87.8 92.1 ted) Net grade ofprimaryschool or preschool school atten- Percentage ofchildren: ding Not 1.2 2.2 0.8 0.9 0.0 0.7 0.0 1.3 0.8 1.0 3.1 2.6 2.1 0.8 248 114 53 63 64 53 59 24 42 26 32 44 school 3 Atten- ding 10.0 10.0 32.2 pre- Total 8.8 6.6 8.1 9.6 9.7 2.0 1.0 0.4 9.8 6.4 7.1 school Out of 10.1 12.3 10.8 10.3 32.2 11.0 12.4 7.5 8.1 2.9 1.9 3.5 8.5 7.9 a children No. of 1132 359 489 346 136 427 214 237 245 210 226 193 188 126 Wealth indexquintile Total Area Age atbeginningofschoolyear Mother’s education Wealth indexquintile Religion Table 7.5:continued Table 7.6:Secondaryschoolattendanceandoutofchildren:Rajshahidivision Areas, Bangladesh,CWS2016. ratio), percentageattendingprimaryschool,andoutof Percentage ofchildrensecondaryschoolageattendingorhigher(adjustednetattendance (*) Figuresthatarebasedonfewerthan25unweightedcases a Thepercentageofchildrenprimaryschoolageoutarethosenotattendingandpreschool Lowest City Corporationslum City Corporationnon-slum 11 Other municipalities/urban 12 13 14 15 16 No education 17 Secondary incomplete Primary complete Primary incomplete Lowest Secondary completeorhigher Second Middle Fourth Highest Second Middle Fourth Highest Islam Hindu Christian

(adjus- dance atten- ratio 73.9 84.7 89.0 89.6 90.8 85.2 89.7 ted) Net (*) or preschool school atten- Percentage ofchildren: ding Not 6.3 1.8 2.5 1.6 0.0 2.8 0.0 (*) (adjus- dance atten- ratio 62.0 49.8 69.2 37.7 65.2 59.1 74.4 69.5 67.5 64.2 43.3 58.6 69.0 57.4 51.5 33.9 82.5 57.5 55.8 68.6 88.0 ted) Net school Atten- ding 11.7 pre- 9.9 5.1 8.0 8.3 8.7 6.9 Male (*) primary school Atten- Percentage of ding 14.4 17.0 12.1 56.6 14.3 28.7 11.1 30.8 22.2 20.4 30.9 27.5 15.8 10.2 17.5 10.2 5.1 2.4 0.0 0.0 9.8 children: school Out of 16.2 13.5 11.4 Male 7.6 9.6 8.3 6.9 (*) school Out of a 20.1 27.7 16.5 17.4 10.4 12.0 20.3 25.2 32.5 18.3 37.4 22.2 13.2 28.4 24.4 25.7 19.9 2.8 7.0 1.8 0.8 children No. of 111 111 118 125 109 508 a 58 8 Number children 801 235 273 106 293 115 117 118 123 123 104 171 109 127 206 226 133 99 54 68 57 of (adjus- dance atten- ratio 78.8 94.8 89.8 94.9 86.7 89.4 90.6 ted) Net (*) (adjus- dance atten- or preschool school atten- ratio Percentage ofchildren: 73.2 61.9 83.3 42.7 74.6 71.8 82.0 86.8 82.3 76.0 53.7 68.6 71.7 62.1 83.6 50.5 79.5 70.6 74.0 78.1 83.9 ted) Net ding Not 0.0 0.0 0.0 0.0 0.0 0.0 0.0 (*) primary school Atten- school Atten- Female ding 17.2 10.2 13.3 pre- ding Percentage of 13.2 19.8 52.7 12.5 23.3 14.4 39.8 21.7 33.3 13.3 26.6 19.0 12.2 4.3 3.7 9.6 5.7 (*) 7.0 4.4 2.4 0.0 0.0 7.7 9.0 5.0 children: Female school Out of school 17.2 10.2 13.3 Out of 4.3 3.7 9.6 5.7 (*) 12.9 16.8 12.1 14.5 23.2 29.7 12.8 20.2 10.5 13.3 12.4 10.6 9.7 4.5 3.9 2.7 8.8 5.6 6.7 4.5 2.4 a Child Well-beingSurveyinUrban a children No. of Number children 115 118 136 498 99 90 53 7 805 268 257 110 280 103 111 114 124 125 118 108 165 109 153 181 201 161 60 66 39 of (adjus- dance atten- ratio 76.2 89.8 89.4 92.3 88.9 87.3 90.1 ted) Net (*) (adjus- dance atten- ratio 67.6 56.3 76.0 40.3 69.8 65.1 78.1 78.0 74.9 70.2 64.1 48.6 64.9 56.7 76.2 81.3 42.2 64.6 64.3 73.1 85.7 ted) Net or preschool school atten- Percentage ofchildren: ding Not 3.3 0.9 1.3 0.8 0.0 1.4 0.0 (*) primary school Atten- ding Percentage of 13.8 18.5 54.6 13.4 26.1 12.7 35.4 21.1 32.1 17.9 12.5 27.1 15.0 15.0 9.6 4.7 2.4 0.0 0.0 9.6 7.1 school Atten- children: ding 13.3 10.6 pre- Total 8.0 7.6 5.7 9.1 6.3 (*) Total school Out of 16.5 21.9 13.2 14.8 14.7 19.8 27.8 33.2 11.8 14.0 24.3 16.8 19.9 16.4 school 3.7 7.3 7.5 9.0 4.8 6.3 6.1 Out of 16.7 10.6 10.5 8.8 8.9 6.5 6.3 (*) a a Number children children 1606 No. of 503 530 216 573 218 228 232 247 248 217 212 114 134 336 218 280 387 427 294 1006 96 of 210 226 236 261 199 111 15 107 Child Well-being Survey in Urban Areas of Bangladesh 108 Child Well-being Survey in Urban Areas of Bangladesh Area Religion Mother’s education Sex Total Wealth indexquintile Religion Table 7.8:Primaryschoolcompletionandtransitiontosecondaryschool:Rajshahidivision Table 7.6:continued being SurveyinUrbanAreas,Bangladesh,CWS2016. Primary schoolcompletionratesandtransitioneffectivetosecondaryschool, (*) a ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases completion ageatthebeginningofschoolyear). completion rate=100*(numberofchildrenattendingthelastgradeprimary school-repeaters)/(numberofchildrenprimary time, to the number of children of the primary graduation age at the beginning of the current (or most recent) school year, calculated as: Primary The primarycompletionrateistheratiooftotalnumberstudents,regardless ofage,enteringthelastgradeprimaryschoolforfirst Other municipalities/urban City Corporationnon-slum City Corporationslum Christian Hindu Islam Primary incomplete No education Female Male Secondary incomplete Primary complete Secondary completeorhigher Lowest Second Hindu Highest Fourth Middle Islam Figures thatarebasedonfewerthan25unweightedcases The percentageofchildrensecondaryschoolageoutarethosewhonotattendingprimary,secondary,orhighereducation

completion (adjus- dance atten- ratio Primary 60.8 62.0 ted) Net (100.0) (100.0) school (*) (95.6) (87.1) 100.0 100.0 100.0 100.0 100.0 82.9 97.3 93.3 87.6 92.1 90.2 95.2 98.0 rate (*) primary school Atten- Percentage of ding 16.5 14.1 (*) children: completion age primary school Male Number of children of school Out of 226 107 119 202 21.5 20.1 86 70 70 39 45 22 31 89 38 18 59 41 42 46 (*) a Number children 716 79 of 6 secondary Transition school (100.0) (100.0) (100.0) (100.0) (100.0) (100.0) rate to (97.1) 100.0 100.0 100.0 100.0 100.0 99.5 98.6 99.1 98.0 99.5 (*) (adjus- dance atten- 2 ratio 64.9 74.1 ted) Net (*) who wereinthelast school theprevious Number ofchildren primary grade ofprimary school Atten- ding Percentage of 20.3 12.5 (*) children: Female year 204 106 185 69 61 74 35 98 26 38 78 19 32 19 54 34 50 34 school Out of 13.5 12.6 (*) a Number children 722 74 of 9 transition rate to secondary Effective (100.0) (100.0) (100.0) (100.0) (100.0) (100.0) school (97.1) 100.0 100.0 100.0 100.0 100.0 99.5 99.1 98.6 99.5 98.0 (*) (adjus- dance atten- ratio 62.7 68.1 ted) Net (*) school thepreviousyearand are notrepeatingthatgrade in thelastgradeofprimary primary in thecurrentschoolyear No. ofchildrenwhowere school Atten- ding Percentage of 18.3 13.3 (*) children: Child Well- Total school Out of 17.6 16.3 204 106 185 (*) 69 61 74 98 35 26 38 78 19 32 19 54 50 34 34 a Number children 1438 153 15 of Mother’s education Religion Age Sex Area Area Total Wealth indexquintile Total Table 8.1:Birthregistration:Rajshahidivision Table 8.2:Childdiscipline:Rajshahidivision (*) Figuresthatarebasedonfewerthan25unweightedcases Areas, Bangladesh,CWS2016. mothers/caretakers knowhowtoregisterbirthbyselectedcharacteristics, Percentage ofchildrenunderage5bywhetherbirthisregisteredandpercentagenotwhose characteristics, ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage1-14yearsbychilddiscipliningmethodsexperienced duringthelastonemonthbyselected Secondary incomplete Primary complete Primary incomplete No education 48-59 months 36-47 months Christian 24-35 months Hindu 12-23 months Islam Highest 0-11 months Female Fourth Male Other municipalities/urban Middle City Corporationnon-slum Second Other municipalities/urban City Corporationnon-slum City Corporationslum Secondary completeorhigher City Corporationslum Lowest

Has birthcertificate Children underage5whosebirthisregistered Seen 24.4 25.5 26.4 21.7 33.2 28.9 25.6 20.8 18.8 24.3 23.9 12.7 23.6 22.4 23.9 14.7 24.7 27.9 23.1 30.9 23.8 19.6 24.9 (*) Only non-violent discipline Not seen 12.6 6.5 5.5 8.5 with civilauthorities 12.8 14.5 13.6 14.5 17.6 17.1 13.1 18.8 13.9 13.0 11.6 13.5 18.4 13.7 10.1 15.7 17.5 20.8 13.6 15.2 10.1 6.3 6.2 (*) Percentage ofchildrenage1-14yearswhoexperienced: certificate No birth Psychological aggression 1.0 0.9 2.4 0.0 1.6 1.6 0.5 3.0 1.0 0.9 0.0 1.1 1.3 1.2 1.0 0.8 1.3 1.0 1.9 1.7 1.1 1.3 1.1 (*) 79.0 83.1 88.2 83.1 registered Total 38.2 40.9 42.4 36.1 52.3 47.6 39.2 42.6 33.7 38.2 35.5 20.1 38.4 42.0 38.6 21.7 36.1 44.6 42.5 53.4 38.5 36.1 36.0 (*) 56.2 65.9 65.2 62.0 Any Physical punishment under age5 of children of Number 500 110 125 193 187 199 101 208 870 155 189 474 245 502 373 227 305 160 298 976 158 189 83 5 Child Well-beingSurveyinUrban Severe Children underage5whosebirthisnotregistered 19.4 12.3 13.2 15.3 Percent ofchildrenwhose mother/caretaker knows how toregisterbirth 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 (*) discipline method Any violent 85.0 90.1 91.8 88.7 under age5without Number ofchildren birth registration children age1-14 Number of 309 121 138 538 100 151 292 142 308 292 145 169 139 600 101 121 65 72 92 53 98 58 92 years 4 1055 2758 862 841 109 Child Well-being Survey in Urban Areas of Bangladesh 110 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Education ofhousehold head Age Sex Education ofhouseholdhead Age Sex Area Total Table 8.2:continued Table 8.6a:Childlabour:Rajshahidivision Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. week, andpercentageengagedinchildlabourduringthelastweekaccordingtoselectedcharacteristics, Percentage ofchildrenage5-14yearsbyinvolvementineconomicactivitiesorhouseholdchoresduringthelast (*) Figuresthatarebasedonfewerthan25unweightedcases Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary incomplete Primary complete Primary incomplete No education 10-14 5-9 3-4 1-2 Female Male Secondary incomplete Primary complete Primary incomplete No education 10-14 5-9 Female Male Other municipalities/urban City Corporationnon-slum City CorporationSlum

Only non-violent discipline 10.6 14.9 11.0 11.6 10.6 8.3 9.3 6.0 7.4 5.7 7.3 6.6 5.3 6.9 8.2 8.8 (*) (*) Percentage ofchildrenage5-14due Percentage ofchildrenage1-14yearswhoexperienced: Psychological to engagedinchildlabour aggression 82.0 83.2 72.9 83.9 85.7 85.2 86.3 80.6 88.1 85.6 81.4 90.8 81.4 68.4 83.9 82.2 (*) (*) 4.7 7.9 3.5 7.9 5.2 5.8 7.3 7.1 5.6 6.8 6.5 (*) 60.6 62.3 47.3 60.9 65.1 65.8 69.4 46.1 65.1 72.1 50.4 69.1 73.6 62.4 61.0 62.9 Any Physical punishment (*) (*) Severe 10.2 15.9 12.4 16.3 16.8 21.8 11.3 18.1 18.8 13.0 19.9 16.6 14.3 16.3 9.3 8.0 (*) (*) Number ofchildren(5-14)years discipline method Any violent 87.7 88.8 80.4 89.2 91.8 90.6 90.3 86.9 91.8 90.9 86.8 93.8 89.1 79.5 89.3 88.1 (*) (*) aged 1803 549 987 258 898 905 883 920 702 557 544 8 children age1-14 Number of Child years 2446 1130 1001 1022 1368 1390 284 484 647 588 512 527 609 623 349 386 28 9 Wealth indexquintile Education Age Total Area Religion Wealth indexquintile Table 8.7:Earlymarriageandpolygyny(women):Rajshahidivision Table 8.6a:continued Bangladesh, CWS2016. who areinapolygynousmarriageorunionbyselectedcharacteristics, birthdays, percentageofwomenage15-19yearscurrentlymarriedorinunion,andthe percentages ofwomenage20-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thand18th Percentage ofwomenage15-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thbirthday, (*) Figuresthatarebasedonfewerthan25unweightedcases Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 45-49 40-44 35-39 30-34 25-29 20-24 Other municipalities/urban 15-19 City Corporationnon-slum City Corporationslum Buddhist Hindu Islam Highest Fourth Middle Second Lowest

married Percen- age 15 before Women age15-49 tage 18.5 27.0 30.0 32.3 33.8 20.2 39.6 46.5 49.2 45.2 38.2 35.5 35.0 27.6 13.4 25.0 23.7 27.6 35.3 6.5 7.6 years of women age 15-49 Number years 1027 1719 1312 1382 3831 1137 829 822 644 663 509 371 426 652 599 382 467 512 594 584 693 Percentage ofchildrenage5-14due married to engagedinchildlabour Percen- age 15 before tage 20.9 32.0 35.8 38.0 36.4 25.9 40.6 48.8 49.6 45.2 38.2 35.5 35.0 27.6 13.4 28.8 28.2 32.0 40.5 7.6 Women age20-49years Percentage before age married 45.2 63.9 70.6 69.1 21.5 74.2 65.0 75.2 79.8 81.4 80.5 71.7 66.0 66.4 57.1 43.0 63.2 56.9 63.5 72.2 10.1 3.3 6.6 3.1 5.4 4.9 9.1 18 (*) of women age 20-49 Number years 1186 1099 1131 3138 690 812 670 524 564 442 347 400 641 599 382 467 512 594 584 908 0 Child Well-beingSurveyinUrbanAreas, married/in currently Percen- union Women age15-19 tage 32.4 41.4 31.6 41.7 44.4 47.8 34.3 70.8 53.8 54.5 38.0 38.1 34.7 38.1 41.9 years Number ofchildren(5-14)years of women age 15-19 Number years 139 215 152 120 533 213 693 251 693 229 99 67 24 26 11 0 0 0 0 0 0 aged marriage/ 1596 Women age15-49years 184 325 405 365 361 347 polygy- Percen- tage in 23 union nous 0.9 2.7 2.6 4.6 0.9 9.1 1.4 3.4 5.8 5.7 8.9 3.9 3.7 3.0 4.3 1.8 3.2 1.0 2.9 3.6 4.9 women age 15-49 years Number of married/in currently union 1346 1136 1097 3191 635 847 687 548 445 474 355 413 596 632 380 458 497 532 438 290 958 111 Child Well-being Survey in Urban Areas of Bangladesh 112 Child Well-being Survey in Urban Areas of Bangladesh Religion Table 8.7:continued ( )Figuresthatarebasedon25-49unweightedcases na: notapplicable Christian Hindu Islam

married Percen- age 15 before (10.4) Women age15-49 tage 21.4 28.5 years of women age 15-49 Number years 3413 (48) 370 married Percen- age 15 before (12.5) tage 24.0 33.2 Women age20-49years Percentage before age married (40.0) 61.5 64.1 18 of women age 20-49 Number years 2786 312 40 married/in currently Percen- union (25.0) Women age15-19 tage 34.5 38.6 years of women age 15-19 Number years 627 58 8 marriage/ Women age15-49years polygy- Percen- tage in union nous (2.9) 0.3 4.0 women age 15-49 years Number of married/in currently union 2839 318 34 RANGPUR DIVISION 113 Child Well-being Survey in Urban Areas of Bangladesh 114 Child Well-being Survey in Urban Areas of Bangladesh Nutritional status Child Health • • • • • • • • • • • • • • • • • • • • • • • • Key Results acceptable diet. acceptable diet,whileonly0.4percentchildrenwithilliteratemotherreceivedminimum percent childrenwhosemotherhavesecondaryorhighereducationreceivedminimum IYCF practicesaresignificantlyassociatedwithmothereducation.Aboutsixty-four only 38.8percentreceivedminimumacceptablediet. Forty-six percentofchildrenage6-23monthshavehadminimumdietarydiversity.But Only 20.3percentofchildrenreceivedapre-lactealfeed. breastfed withonedayofbirth. breastfed forthefirsttimewithinonehourofbirth,while94.5percentnewbornstarted breastfed atsomepointoftheirlife,and74.1percentbabiesinRangpurdivisionwere Almost allofthechildren(99.4percent)bornintwoyearsprecedingsurveyever- 10.3 percent)thanchildrenofpooresthouseholds. percent), wasted(13.3percentversus11.1percent)andunderweight(32.8 Children ofwealthiesthouseholdwereleastlikelytobestunted(43.4percentversus16.0 percent). Overweight waslessprevalentamongchildrenage0-59monthsinRangpurdivision(1.8 more likelytobeunderweight(18.7percent)thanboys(16.2percent). Boys weremorelikelytobestunted(27.5percent)thangirls(24.8and percent) wereunderweight,andone-tenthwasted(9.4percent). younger thanfiveyearsinRangpurdivisionwerestunted,lessone-fifth(17.5 By theChildWell-beingSurvey2016(CWS2016),one-fourth(26.1percent)ofchildren least twodosesduringtheirlastpregnancy. received fiveormoretetanusduringthelifetime. But only21.8percentwerereceivedat past twoyearswereprotectedagainstneonatal/maternal tetanus,and57.1percentwere Eighty-six percentofwomenage15-49yearsinKhulna divisionwhohadalivebirthinthe measles at15months. Seventy-six percentofchildrenage12-23months inRangpurdivisionwhoreceived socioeconomic status(99.8percent). EPI programme,lesslikelytobefullyimmunizedthanchildrenwiththehighest Children withthelowestsocioeconomicstatus(84.6percent),despitehighpriority card amongchildrenunder-twoyearswas92.7percent. at 9months)inRangpurdivisioneitherreportedbythemotherorrecordedfromvaccine The coverageoffullimmunization(BCG,3dosesPentavalent,OPVandMR Water andSanitation Reproductive Health • • • • • • • • • • • • • • • • • • • • • • • • shown (40.9percent)inabout95.6percentcases. could beobserved,soaporothercleansingagents wereeitherobserved(54.7percent)or somewhere inthedwelling.Amonghouseholds wheretheplaceofhandwashing In Rangpur,97.7percentofhouseholdshadsoap or othercleansingagentsavailable disposed safely. About fifty-sixpercentofchildren’sfaeces(age0-23months)whoselaststoolswere sanitation facility,useofpitlatrinewithslabwasmorecommon(61.8percent). facilities whicharenotsharedwiththemembersofotherhouseholds.Inimproved Nearly ninety-sixpercenturbanhouseholdsinRangpurdivisionusedimprovedsanitation percent) thatistheyhavingwaterfrompipe,tubewell/borehole,bottleandprotectedwell. Access toimprovedsourcesofdrinkingwaterinRangpurdivisionwasuniversal(99.1 within twodaysofbirth. About eighty-fivepercent(85.4percent)ofnewbornreceivedpostnatalhealthchecks and birthsdeliveredinprivatefacilities(77.5percent) likelihood ofcaesareandeliverywasmuchhigheramongwealthiestwomen(79.2percent) Less thanhalf(43.9percent)ofdeliveriesweredeliveredascaesareansection.The low comparedotherdivision. division inthetwoyearsprecedingsurvey.Birthsattendantbyskilledpersonnelis The skilledpersonneldeliveredaboutseventypercentofbirthsinRangpur women whoneverattendantanyformaleducation(29.3percent),respectively. (60.3 percent)andhighereducated(60.8thanpoorestwomen(33.0 The likelihoodofreceivingfourormoreANCvisitswashigheramongrichestwomen percent. recommended fourormoreANCwaslowintheurbanareasofRangpurdivisiononly48.3 the surveyhavevisitedahealthcareproviderduringtheirpregnancy.Coverageof Ninety-two percentofwomenage15-49yearswhogavebirthinthetwopreceding 27.6 percent. The proportionofwomenage20-24yearswhohavehadalivebirthbefore18was None ofthewomeninRangpurdivisionhashadalivebirthbeforeage15. begun tochildbearing. a birth,4.8percentwerepregnantwiththeirfirstchildandone-fourth(24.8percent)had One infivewomen(19.9percent)age15-19yearsRangpurdivisionhavealreadyhad 115 Child Well-being Survey in Urban Areas of Bangladesh 116 Child Well-being Survey in Urban Areas of Bangladesh Child Protection Child Development,LiteracyandEducation • • • • • • • • • • • • • • • • • • • • than girls(8.8percent) Like primarylevel,boys(19.7percent)weremorelikelytobedroppedfromtheschoolout was lower(63.8percent)thanthefemaleratio(75.1percent). the rateismoredramaticthaninprimaryschool.Themaleadjustednetattendanceratio The secondaryadjustednetattendanceratio(NAR)was69.3percentinRangpurdivision; girls (11.1percent)andboys(11.6percent). However, 11.3percentofchildrenwereoutschoolwithasimilarproportionamong About eighty-fivepercentchildrenofprimaryschoolagewereattendedattheirfirstgrade. than boys(19.0percent). programme. Thelikelihoodofattendingpre-schoolwashigheramonggirls(34.2percent) were attendingapre-schoolaspartoforganizedearlychildhoodeducation(ECE) More thanone-fourth(26.7percent)ofchildrenage36-59monthsinRangpurdivision Bangladesh isonly2.3percent. Polygynous marriage/unionarerareinRangpurdivision,likeotherurbanareasof reached their18thbirthday. Nearly sixty-twopercentofwomenage20-49yearswereinunionbeforetheyhave and 29.0percentweremarriedattheiradolescentage(15-19years). One-quarter (25.3percent)womenofchildbearingageweremarriedbeforethe15, (16.5 percentversus1.6percent) poorest householdsweretentimesmorelikelytobeachildlabourthantheircounterparts One intenchildrenage5-14yearsRangpurdivisionwerechildlabour.Childrenfrom used methodandphysicalpunishmentwerethesecondmost(43.2percent). discipline method,whilepsychologicalaggression(72.2percent)wasthemostcommonly Four infivechildrenage1-14yearsRangpurdivisionwereexperiencedanyviolent huge gapbetweenknowledgeandpracticesinregisteringabirth. children’s mothersorcaretakerswereawareofhowtoregisterabirth.Thisindicatesthe been registered,thoughthecertificatecouldbeseenfor13.8percent,while99.6percent About one-fifth(25.3percent)ofbirthschildrenage0-59monthsinRangpurdivisionhave Rangpur DivisionTables Religion Wealth indexquintile Mother’s education Age Area Sex Total

Table 3.2:Nutritionalstatusofchildren:Rangpurdivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, CWS2016. for age,heightandweightbyselectedcharacteristics, Percentage ofchildrenunderage5yearsbynutritionalstatusaccordingtothreeanthropometricindices:weight Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorabove Secondary incomplete Primary complete Primary incomplete No education 48-59 months 36-47 months 24-35 months 18-23 months 12-17 months 6-11 months 0-5 months Other municipalities/urban City Corporationnon-slum City CorporationSlum Girl Boy Buddhist - 2SD Percent below 15.4 17.7 10.3 11.7 17.5 32.8 19.6 22.4 18.9 19.7 15.5 25.3 14.6 20.0 11.6 23.8 17.6 15.3 25.4 18.7 16.2 17.5 Underweight 8.3 6.1 8.9 (*) Weight forage - 3SD 3.1 2.8 3.1 0.8 0.2 2.9 6.1 1.7 2.9 6.6 1.7 0.5 0.7 3.8 1.7 6.6 2.1 2.6 3.5 2.7 3.2 5.4 2.3 3.3 2.8 (*) Z-Score Mean (SD) -1.1 -1.1 -0.7 -0.8 -1.0 -1.2 -1.5 -0.8 -1.1 -1.2 -1.4 -1.3 -1.0 -1.3 -1.1 -1.3 -0.9 -1.0 -1.2 -1.1 -0.9 -1.3 -1.1 -1.1 -1.1 (*) children No. of under age 5 399 100 115 217 383 226 219 445 65 80 85 80 52 59 36 78 87 96 49 51 42 43 55 39 7 6 - 2SD Percent below 26.1 16.0 14.8 21.8 26.2 43.4 11.3 22.8 41.4 43.1 28.5 21.0 34.2 31.3 32.3 21.3 14.5 17.8 26.4 23.6 30.8 24.8 27.5 26.1 28.0 (*) Stunted Height forage - 3SD 10.8 12.2 16.9 6.4 1.6 3.2 3.4 9.2 3.0 3.6 1.8 4.7 7.3 8.1 9.5 4.3 0.1 5.9 6.4 4.1 5.4 4.6 7.6 6.1 3.6 (*) Z-Score Mean (SD) -1.2 -0.7 -1.0 -1.1 -1.5 -1.7 -0.8 -1.1 -1.6 -1.9 -1.3 -1.0 -1.3 -1.4 -1.6 -1.1 -1.2 -1.0 -1.3 -1.0 -1.3 -1.2 -1.3 -1.2 -1.2 (*) Child Well-beingSurveyinUrbanAreas, children No. of under age 5 399 100 115 217 383 226 219 445 65 80 85 80 52 59 36 78 87 96 49 51 42 43 55 39 7 6 - 2SD 10.1 11.1 13.5 10.6 15.5 12.8 12.9 10.5 11.8 11.8 5.1 9.7 6.5 8.1 7.4 5.0 6.2 7.1 5.9 8.6 9.1 9.0 9.9 9.4 3.9 (*) Wasted Percent below - 3SD 2.3 6.2 0.2 0.2 0.2 3.9 3.8 1.5 2.3 2.6 0.0 1.8 1.2 0.3 6.3 2.4 0.1 4.7 2.1 1.5 1.2 1.1 3.0 2.0 0.0 (*) Weight forheight Overweight Percent + 2SD above 1.9 3.6 4.4 1.2 0.2 0.6 3.0 1.8 0.4 2.0 0.9 5.5 0.2 0.5 0.7 4.0 0.4 1.2 1.6 3.2 1.5 1.0 2.7 1.8 1.2 (*) Z-Score Mean (SD) -0.6 -0.5 -0.4 -0.6 -0.5 -0.7 -0.5 -0.6 -0.5 -0.4 -0.8 -0.6 -0.8 -0.5 -0.6 -0.5 -0.3 -0.6 -0.6 -0.5 -0.8 -0.7 -0.5 -0.6 -0.5 (*)

children No. of under age 5 399 100 115 217 383 226 219 445 65 80 85 80 52 59 36 78 87 96 49 51 42 43 55 39

7 6 117 Child Well-being Survey in Urban Areas of Bangladesh 118 Child Well-being Survey in Urban Areas of Bangladesh Place ofdelivery Assistance atdelivery Months sincelastbirth Area Total Religion Wealth indexquintile Mother’s education Table 3.3:Initialbreastfeeding:Rangpurdivision according toselectedcharacteristics, breastfed withinonehourofbirth,anddaypercentagewhoreceivedapre-lactealfeed, Percentage oflastlive-bornchildreninthetwoyearsprecedingsurvey,whowereeverbreastfed, ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Health facility Home Others Traditional birthattendant Skilled attendant 12-23 months 0-11 months Other municipalities/urban City Corporationnon-slum City Corporationslum Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Other/ DK/Missing Private Public

who wereever Percentage Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. breastfed (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 99.9 97.1 99.1 98.8 99.4 95.4 99.4 99.3 96.7 99.9 99.9 99.9 97.7 99.8 99.9 (*) (*) Within onehour Percentage whowerefirst of birth (96.3) (60.4) 60.8 72.0 64.8 69.3 73.8 66.4 71.4 86.4 84.2 73.5 55.6 73.1 68.2 69.2 64.4 80.7 63.5 70.8 76.8 72.1 72.5 85.1 (*) (*) breastfed: Withinoneday of birth (98.2) (96.9) 92.6 91.7 92.5 92.4 95.1 90.1 94.5 99.1 99.2 96.6 91.0 94.2 88.1 92.1 92.4 99.7 92.6 99.8 98.3 98.3 93.0 98.3 (*) (*) pre-lacteal feed who receiveda Percentage (18.6) (5.3) 23.1 24.9 23.1 22.2 20.1 20.6 20.3 13.8 16.0 18.5 21.5 20.7 21.2 26.3 17.9 14.0 26.3 17.3 22.2 19.5 29.5 8.3 (*) (*) the lasttwoyears born childrenin No. oflastlive- 137 171 198 101 174 95 39 97 11 62 50 24 32 44 35 46 47 20 22 21 40 96 13 3 2 2 Religion Wealth indexquintile Mother’s education Area Age Sex Total Table 3.7:Infantandyoungchildfeeding(IYCF)practices:Rangpurdivision ( ) (*) c b a Urban Areas,Bangladesh,CWS2016. minimum numberoftimesormoreduringthepreviousday,bybreastfeedingstatus, Percentage ofchildrenage6-23monthswhoreceivedappropriateliquidsandsolid,semi-solid,orsoftfoodsthe Hindu Islam highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban City Corporationnon-slum City Corporationslum 18-23 months 12-17 months 9-11 months 6-8 months Female Male Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases minimum dietarydiversity(excludingmilkfeedsandmealfrequency ,Non-breastfedchildren). Minimum acceptablediet:Childrenage6-23monthswithminimumdietarydiversity andminimummealfrequency(Breastfedchildren) the minimumof7(ormore)times Minimum mealfrequency:Childrenage6-23monthswhoreceivedsolid,semi-solid orsoftfood(plainmilkfeedsfornon-breastfedchildren) vegetables, and7)otherfruitsvegetables. 3) dairyproducts(milk,yogurt,cheese),4)fleshfoods(meat,fish,poultryandliver/organmeats),5)eggs,6)vitamin-Arichfruits Minimum dietarydiversityisdefinedasreceivingfoodsfromatleast4of7foodgroups:1)Grains,rootsandtubers,2)legumesnuts,

dietary a Percent ofchildrenwho diver- (63.0) (57.7) (32.5) (35.0) (24.7) (22.6) mum Mini- 45.1 58.7 43.0 32.8 42.5 71.7 43.2 46.0 56.0 33.3 68.4 48.5 21.5 42.6 51.0 47.0 sity Currently breastfeeding received: frequ- b (64.0) (88.0) (66.9) (81.6) (35.2) (72.3) mum meal ency Mini- 75.3 84.9 75.3 69.8 55.8 90.0 71.1 74.3 75.8 47.6 82.5 70.4 68.4 78.2 70.4 74.1 accep- c (54.2) (57.7) (30.7) (34.7) (22.6) mum table Mini- (0.5) 39.2 54.3 39.0 22.1 31.2 68.5 35.9 39.8 50.5 21.4 59.7 39.5 21.5 40.5 41.0 40.8 diet children months No. of 6-23 age 121 118 135 14 19 32 33 22 30 33 65 11 17 10 15 44 51 14 26 64 70 2 dietary Percent ofchildrenwhoreceived: a diver- mum Mini- sity (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) Currently notbreastfeeding frequ- b mum meal ency Mini- (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) accep- c mum table Mini- diet (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) At least 2 milk feeds (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) age 6-23 children months No. of 1 6 0 2 3 1 1 2 3 1 1 6 1 1 4 2 1 1 2 3 7 Child Well-beingSurveyin dietary a Percent ofchildrenwho diver- (58.7) (57.7) (32.4) (34.9) (22.3) mum Mini- 44.4 55.1 43.4 32.7 41.0 67.4 43.4 44.9 56.0 32.2 62.4 49.5 22.6 21.6 42.8 48.8 45.9 sity received: frequ- b (66.5) (88.0) (65.0) (81.4) (41.5) mum meal ency Mini- 74.4 85.5 71.6 69.8 56.6 87.2 70.9 73.9 73.4 47.8 81.8 69.4 72.1 67.6 78.9 70.2 73.5 All accep- c (50.5) (57.7) (29.7) (34.6) mum table Mini- (0.4) 37.4 50.7 35.6 22.0 29.9 64.2 34.2 37.8 48.9 21.1 54.5 37.8 22.5 21.3 39.2 39.3 38.8 diet age 6-23 children months No. of 128 125 143 15 20 34 36 22 31 36 68 11 17 11 16 48 53 14 28 67 74 2 119 Child Well-being Survey in Urban Areas of Bangladesh 120 Child Well-being Survey in Urban Areas of Bangladesh Religion Mother’s education Area Wealth indexquintile Total Area Sex: Total Table 4.2:Vaccinationbybackgroundcharacteristics:Rangpurdivision Table 4.3:Neonataltetanusprotection:Rangpurdivision Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. (vaccination cardormother’sreport,andvaccinationseen),byspecificbackgroundcharacteristics, Percentage ofchildrenage12-23monthswhoreceivedspecificvaccinesatanytimebeforethesurvey ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, CWS2016. protected againstneonataltetanusbyselectedcharacteristics, Percentage ofwomanage15-49yearswithalivebirthinthelast twoyearsprecedingthesurveywhowere Hindu Primary complete Islam Primary incomplete Highest No education Fourth urban Other municipalities/ Middle non-slum City Corporation Second slum City Corporation Lowest Female or above Secondary complete City Corporationslum Male Secondary incomplete City Corporationnon-slum Other municipalities/urban characteristics Background (100.0) (100.0) (100.0) (100.0) (100.0) 100.0 100.0 100.0 100.0 BCG 99.8 98.3 99.2 99.7 99.8 (*) (*) (*) (*) (100.0) (100.0) (100.0) (100.0) (100.0) 100.0 100.0 100.0 100.0 99.8 98.3 99.2 99.7 99.8 (*) (*) (*) (*) 1 received atleast Pentavalent 2 dosesduring last pregnancy Percentage of women who (100.0) (100.0) (99.9) (98.9) (99.5) 100.0 100.0 99.6 96.7 98.1 99.2 99.6 99.6 99.6 (*) (*) (*) (*) 2 21.8 20.6 12.5 23.2 (100.0) (95.6) (99.9) (98.9) (99.5) 98.2 98.8 95.0 96.2 99.1 99.6 97.3 97.1 98.4 (*) (*) (*) (*) 3 prior 3years 2 doses,the (100.0) (100.0) (100.0) (100.0) (100.0) last within 100.0 100.0 100.0 99.8 98.3 98.1 99.1 99.6 99.8 Percentage ofwomenwhodidnotreceivetwoormore (*) (*) (*) (*) 1 0.6 1.5 0.7 0.6 doses duringlastpregnancybutreceived: (100.0) (100.0) (99.9) (98.9) (99.5) 100.0 100.0 OPV 99.6 96.7 96.2 99.1 99.6 99.6 99.6 (*) (*) (*) (*) 2 prior 5years 3 doses,the last within (100.0) (95.6) (99.9) (98.9) (99.5) 98.2 98.8 95.0 96.2 99.1 99.6 97.3 97.1 98.4 (*) (*) (*) (*) 3 1.6 4.6 4.2 1.2 Child Well-beingSurveyinUrbanAreas, MR at9 months (99.8) (91.7) (95.2) (97.8) (99.4) 92.0 92.9 93.3 86.8 84.6 92.4 93.3 90.0 92.9 (*) (*) (*) (*) prior 10years 4 doses,the last within (99.8) (91.1) (95.2) (97.8) (99.4) 5.1 5.3 6.9 4.9 91.8 92.9 91.7 86.8 84.6 92.4 93.0 89.6 92.7 Full (*) (*) (*) (*) None (0.0) (0.0) (0.0) (0.0) (0.0) 0.2 0.0 1.7 0.0 0.8 0.0 0.3 0.0 0.2 (*) (*) (*) (*) doses during 5 ormore lifetime 57.1 57.3 55.6 57.3 vaccina- Percen- (87.6) (78.5) (95.3) (91.8) (80.6) seen card tage with 84.0 85.9 83.3 84.9 78.9 86.9 84.5 93.3 85.6 tion (*) (*) (*) (*) children No. of tetanus [1] 100 Protected 12 88 11 12 27 89 23 10 15 22 47 30 53 42 9 7 1 against 86.3 89.3 79.9 87.2 Measles at 15 months received measlesat children age15- (92.8) (84.6) (66.2) (44.4) (93.5) 23 monthswho 75.0 76.9 69.4 67.6 78.1 74.2 78.8 76.0 Percentage of (*) (*) (*) (*) (*) Child 15 months women with in thelast2 a livebirth No. of years 198 171 24 children 3 No. of 69 10 10 21 68 15 12 18 35 24 42 31 77 8 7 5 8 1 Mother’ education Total Area Education Wealth indexquintile Wealth indexquintile Religion Religion Table 5.2:Earlychildbearing:Rangpurdivision Table 4.3:continued had alivebirthbeforeage18, childbearing, andwhohavehadalivebirthbeforeage15,percentageofwomen20-24years Percentage ofwomenage15-19yearswhohavehadalivebirth,arepregnantwiththefirstchild,begun ( )Figuresthatarebasedon25-49unweighted cases (*) Figuresthatarebasedonfewerthan 25unweightedcases ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases No education Primary incomplete City Corporationslum Primary complete City Corporationnon-slum Secondary incomplete Other municipalities/urban Secondary completeorabove Primary complete Primary incomplete No education Secondary incomplete Lowest Secondary completeorhigher Second Poorest Middle Second Fourth Middle Highest Fourth Islam Islam Richest Hindu Christian Hindu Christian

Have hada live birth (24.6) (5.7) 19.9 28.7 30.1 17.9 25.0 20.3 14.4 34.5 13.2 20.4 received atleast (*) (*) (*) (*) 2 dosesduring last pregnancy Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage of women who (15.6) 34.5 36.1 31.1 18.2 15.2 15.0 39.5 15.5 15.4 28.9 22.9 (*) with firstchild Percentage ofwomenage15-19who: Are pregnant (1.9) 12.8 (.2) 4.8 4.6 6.8 4.5 5.0 7.6 5.6 4.7 4.9 (*) (*) (*) (*) prior 3years 2 doses,the last within Percentage ofwomenwhodidnotreceivetwoormore (4.8) 0.0 0.0 0.1 1.1 0.4 0.0 0.0 2.8 0.0 0.0 0.1 (*) childbearing Have begun doses duringlastpregnancybutreceived: (26.4) (5.9) 24.8 33.3 37.0 37.8 22.4 25.3 22.0 40.1 17.9 25.2 (*) (*) (*) (*) prior 5years 3 doses,the last within (1.6) 1.3 0.2 0.9 2.6 0.7 0.7 1.9 2.4 3.0 0.0 1.7 (*) birth beforeage15 Have hadalive (0.0) (0.0) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 (*) (*) (*) (*) prior 10years 4 doses,the last within (5.6) 10.3 8.2 1.0 6.7 0.7 8.0 3.9 2.8 3.1 8.1 5.1 (*) of women age 15-19 Number doses during 84 12 70 52 12 21 19 26 11 80 2 6 4 9 7 4 5 ormore lifetime (67.4) 30.7 50.7 32.9 60.7 70.4 61.1 41.1 63.5 61.4 54.8 55.3 (*) who havehadalive birth beforeage18 women age20-24 Percentage of tetanus [1] (24.9) (27.1) Protected 27.6 46.3 18.8 25.5 35.1 28.2 32.9 32.2 28.4 26.1 21.2 27.8 2.1 (*) (*) against (95.1) 74.8 87.9 75.3 89.3 87.4 84.9 86.4 87.0 82.9 91.8 85.1 (*) women with in thelast2 a livebirth women age Number of No. of years 20-24 174 13 22 20 96 47 46 35 44 40 32 21 210 184 124 189 2 22 23 26 33 65 42 44 27 31 20 4 4 1 121 Child Well-being Survey in Urban Areas of Bangladesh 122 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Education Mother’s age atbirth Mother’s ageatbirth Area Total Area Total Table 5.7:Numberofantenatalcarevisitsandtimingfirstvisit:Rangpurdivision Table 5.9:Assistanceduringdeliveryandcaesareansection:Rangpurdivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, 2016. visits byanyproviderandthetimingoffirstantenatalcarevisits, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobynumberantenatalcare Bangladesh, 2016. assistance atdelivery,andpercentageofbirthsdeliveredbyC-section, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobypersonproviding Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 35-49 35-49 20-34 20-34 Less than20 Other municipalities/urban Less than20 Other municipalities/urban City Corporationnon-slum City Corporationslum City Corporationnon-slum City Corporationslum

Medical doctor 60.2 42.4 49.4 60.4 38.2 50.6 (*) No antenatal care visits (32.5) Midwife (6.7) 21.2 12.9 16.0 13.0 Nurse/ 8.2 3.8 1.2 4.4 6.6 4.4 5.7 6.5 6.4 9.4 6.7 7.9 (*) (*) 18.6 18.0 20.1 22.1 18.7 8.3 (*) Percentage ofwomenwhohad: FWA HA/ 0.0 0.0 0.0 0.0 0.8 0.0 (*) One visit Person assistingatdelivery (0.1) (9.7) 10.7 5.9 0.5 3.8 5.1 9.4 6.6 2.2 6.0 3.0 7.5 2.7 7.6 4.9 6.9 5.2 (*) (*) worker NGO 0.0 2.4 1.2 1.4 2.3 1.3 (*) (26.8) visits (0.9) Two 10.8 16.0 10.3 19.3 10.9 12.2 14.3 10.4 13.5 12.4 12.6 12.8 13.7 12.4 TTBA 5.4 9.7 (*) (*) 6.1 5.0 4.9 9.7 4.6 5.5 (*) UTBA 13.8 23.7 18.9 17.4 29.8 18.9 Three (30.9) (27.6) (*) visits 25.8 29.9 15.4 30.0 26.8 28.4 20.4 25.0 44.0 25.2 29.1 23.6 26.8 20.8 25.2 26.1 (*) (*) Unqua- doctor lified 1.1 2.0 1.8 0.0 0.0 1.6 (*) 4 ormore (35.5) (29.3) visits 49.3 60.3 63.6 50.2 37.9 33.0 60.8 49.0 29.6 47.3 49.4 46.9 48.8 46.5 37.4 48.3 (*) (*) Child Well-beingSurveyinUrbanAreas, friends Child Well-beingSurveyinUrbanAreas, Rela- tive/ 0.2 6.6 3.7 2.8 2.3 3.5 (*) (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) live birthinthe women witha last twoyears Number of assisted by any skilled attendant Delivery 174 103 171 198 78.8 60.4 69.5 68.8 60.3 69.3 21 32 40 44 35 46 47 96 20 22 13 94 24 (*) 2 1 3 delivered C-section Percent a livebirthinthelasttwo Number ofwomenwith 54.5 34.6 43.3 50.0 26.7 43.9 years whohadatleast (*) by one ANCvisit a livebirthinthe women whohad last twoyears 160 159 182 20 31 40 42 33 36 45 91 18 21 88 93 20 2 9 1 3 Number of 103 171 198 94 24 1 3 Religion Wealth indexquintile Place of delivery Mother’s age atbirth Education Area Total

Place ofdelivery Table 5.12:Post-natalhealthchecksfornewborns:Rangpurdivision Table 5.9:continued ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases natal healthchecksbyselectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. post-natal care(PNC)visitsfromanyhealthproviderafterbirth,bytimingofvisit,andpercentagewhoreceivedpost birth receivedhealthcheckswhileinfacilityorathomefollowingbirth,percentagewhoselastlive Percentage ofwomenage15-49yearswithalivebirthinthelasttwoprecedingsurveywhose Christian Hindu Islam Highest Fourth Middle Second Lowest higher Secondary completeor Secondary incomplete Primary complete Health facility Home 35-49 Primary incomplete 20-34 Less than20 Other municipalities/urban No education City Corporationnon-slum City Corporationslum Health facility Home Other/DK/Missing Private Public Other/DK/Missing Private Public

Medical doctor (46.9) (28.0) 50.4 62.3 69.5 51.2 50.1 25.4 79.0 48.8 25.7 33.9 86.4 46.3 0.6 (*) (*) birth whilein Health check facility orat following home 98.9 99.5 99.1 58.9 92.5 78.7 84.1 93.1 91.6 85.3 Midwife (*) (*) Nurse/ (31.0) (3.3) 17.4 23.0 11.5 15.9 10.2 31.4 14.1 19.6 22.1 30.4 13.6 53.7 5.5 (*) (*) a FWA (0.0) (0.0) HA/ 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 (*) (*) Same 24.1 27.4 25.0 21.0 13.5 17.7 12.5 13.0 17.0 Person assistingatdelivery day 0.3 (*) (*) worker NGO (0.0) (0.2) 1.4 0.0 0.4 4.7 0.5 0.1 0.4 2.2 0.9 0.0 0.0 0.0 4.0 (*) (*) following 1 day birth 0.2 0.4 0.3 0.0 0.0 0.3 0.0 1.4 0.0 0.2 (*) (*) (16.6) TTBA (4.8) 11.1 17.3 5.6 4.3 4.3 7.4 4.9 5.8 4.4 4.0 1.6 0.0 0.0 (*) (*) following 2 days PNC visitfornewborns birth UTBA 0.0 0.0 0.0 0.3 0.2 0.0 0.0 0.7 0.0 0.1 (12.3) (42.2) (*) (*) 19.9 14.2 20.3 30.8 22.9 20.6 34.2 19.1 59.8 3.8 2.2 0.0 0.0 (*) (*) Unqua- doctor week following lified (4.8) (0.0) After thefirst 1.2 0.0 0.0 0.0 0.0 6.8 0.0 1.1 5.1 4.7 0.0 0.0 5.0 (*) (*) birth 3.0 0.0 2.2 1.9 2.7 1.5 1.2 8.3 0.0 2.1 (*) (*) friends Rela- (0.0) (9.7) tive/ 10.2 4.0 6.5 0.1 0.4 3.5 7.6 0.0 3.6 0.8 0.0 0.0 7.9 (*) (*) b natal care (100.0) (100.0) No post- 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) 72.7 72.2 72.5 97.5 76.1 84.7 81.1 77.1 87.0 80.7 visit (*) (*) assisted by any skilled attendant Delivery (78.0) (31.3) 100.0 100.0 67.8 85.3 81.1 67.1 60.3 56.8 93.0 68.4 47.9 64.3 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total 6.0 (*) (*) (*) (*) health check delivered C-section Post-natal newborn Percent (46.1) (11.2) 43.5 50.4 68.6 50.0 40.6 14.0 77.5 40.9 24.0 22.3 79.2 30.5 for the 0.0 (*) (*) by 98.9 99.5 99.1 58.9 92.5 78.7 84.1 93.1 92.4 85.4 (*) (*) c a livebirthinthe women whohad last twoyears Number of the last two of lastlive births in Number 174 21 32 40 44 35 46 47 96 20 22 13 95 39 62 2 2 years 133 103 171 198 95 39 62 94 24 2 1 3 123 Child Well-being Survey in Urban Areas of Bangladesh 124 Child Well-being Survey in Urban Areas of Bangladesh Religion Area Total Education Wealth indexquintile Education ofhousehold head

Table 6.1:Useofimprovedwatersources:Rangpurdivision Table 5.12:continued c b a Survey inUrbanAreas,Bangladesh,CWS2016. household populationusingimproveddrinkingwatersources,byselectedcharacteristics, Percent distributionofhouseholdspopulationaccordingtomainsourcedrinkingwaterandpercentage ( ) (*) Christian Hindu Islam Highest Secondary incomplete Fourth Primary complete Middle Primary incomplete Second City Corporationslum Other municipalities/urban City Corporationnon-slum No education Lowest No education Secondary incomplete Primary complete Primary incomplete higher Secondary completeor Missing/DK Secondary complete or higher Post-natal healthchecksincludeanycheckperformedwhileinthefacilityorathomefollowingbirth(seenote services. PNCvisitsdonotincludehealthchecksfollowingbirthwhileinfacilityorathome(seenoteaabove). Post-natal carevisits(PNC)refertoaseparatevisitbyanyhealthprovidercheckontheofnewbornandprovidepreventive provider fromhome). Health checksbyanyhealthproviderfollowingfacilitybirths(beforedischargefromfacility)orhome(beforedepartureof Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases PNC visits(seenote

b above)withintwodaysofdelivery. dwelling birth whilein Health check facility orat 11.7 18.1 Into following 4.9 1.1 3.9 0.2 4.6 0.0 0.9 (*) home (95.2) (63.8) 84.0 89.7 85.1 89.2 78.7 89.8 79.3 89.6 71.4 97.4 (*) a Into yard/ plot 1.8 0.3 1.7 3.1 1.3 1.8 2.1 0.3 3.8 (*) Piped water Same (21.8) (8.9) 16.0 16.8 15.3 24.5 15.4 16.0 13.5 14.7 27.5 day 7.0 (*) To neigh- Improved sources bour following 0.1 Main sourceofdrinkingwater 0.1 0.1 0.1 0.0 0.0 0.0 0.1 0.4 (*) 1 day birth (0.0) (0.0) 0.2 0.0 0.2 0.8 0.8 0.0 0.0 0.0 0.0 0.0 (*) stand-pipe Public tap/ following 0.6 0.1 0.6 0.9 0.5 0.7 0.3 0.9 0.6 (*) 2 days PNC visitfornewborns birth (0.0) (0.0) 0.1 0.0 0.2 0.0 0.0 0.4 0.0 0.0 0.0 0.0 (*) bore-hole Tube- week following well/ 92.5 98.2 93.6 84.3 98.0 92.9 97.5 97.4 77.1 After thefirst (*) (10.9) birth (3.9) 1.9 3.7 0.5 3.4 0.0 0.4 0.0 0.0 3.0 4.7 (*) tected well Pro- 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 (*) b natal care No post- Unimproved (74.3) (80.2) tected well 81.9 79.5 83.8 71.3 92.2 83.9 84.0 86.5 82.3 visit 67.8 (*) sources Unpro- 0.1 0.2 0.1 0.0 0.0 0.0 0.0 0.5 0.0 (*) (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) Child Well-being 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) health check Post-natal newborn for the (95.2) (63.8) Percentage 84.0 89.7 85.1 89.2 78.7 89.8 79.3 89.6 71.4 97.4 sources of improved (*) drinking a water using 100.0 100.0 100.0 100.0 100.0 above), aswell 99.9 99.8 99.9 99.5 (*) c the last two of lastlive births in Number members of house- Number years 174 5554 4739 1317 1685 1024 hold 21 32 96 40 20 44 22 35 13 46 47 734 855 667 2 81 6 Religion Wealth indexquintile Education ofhouseholdhead Area Total Wealth indexquintile Religion Table 6.1:continued Table 6.3:Typesofsanitationfacilities:Rangpurdivision (*) Figuresthatarebasedonfewerthan25 unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases characteristics, ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdpopulationaccordingtotypetoiletfacilityusedbythehousehold,selected Christian Hindu Islam Highest Fourth Middle Second Lowest Missing/DK higher Secondary completeor Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban City Corporationnon-slum City Corporationslum Highest Fourth Middle Second Lowest Christian Hindu Islam

system sewer Piped Flush/Pour flushto: 0.0 0.0 0.6 3.2 0.1 0.0 0.0 0.1 2.2 0.4 0.0 0.0 0.1 0.5 0.8 0.1 0.5 (*) dwelling 21.6 Into 6.0 0.4 0.4 0.1 0.0 5.1 5.0 Improved sanitationfacility Septic tank 25.4 19.3 30.7 0.0 7.6 7.2 9.3 1.6 2.7 1.1 8.1 1.3 3.3 1.8 3.4 7.7 7.1 (*) Into yard/ latrine plot 3.6 3.9 1.7 0.2 0.1 0.0 0.1 2.0 0.0 1.2 1.4 1.6 0.6 1.4 1.3 1.9 1.6 1.5 0.9 1.9 0.9 0.3 8.4 0.0 1.4 (*) Pit Piped water ved pit impro- latrine Venti- lated 39.1 21.9 22.9 32.7 30.0 23.1 17.3 13.9 32.4 25.1 22.1 13.8 19.6 25.0 11.0 16.9 23.0 To neigh- (*) Type oftoiletfacilityusedbyhousehold Improved sources bour Main sourceofdrinkingwater 0.0 0.0 0.0 0.4 0.1 0.0 0.0 0.1 latrine with 59.4 64.3 61.6 35.5 59.1 69.9 73.1 65.6 41.3 61.8 67.6 72.3 67.7 64.4 44.0 68.8 61.8 slab (*) Pit stand-pipe Public tap/ 0.6 1.4 0.4 0.5 0.3 0.0 0.0 0.7 Pour flush to somewhere Flush/ else 0.0 0.3 0.2 0.2 0.1 0.0 0.5 0.0 0.2 0.1 0.1 0.1 0.3 0.0 1.3 0.0 0.2 (*) bore-hole Tube- 100.0 Unimproved sanitationfacility well/ 74.2 88.7 97.5 98.4 99.2 94.7 92.1 open pit without latrine slab/ 1.6 3.2 3.1 0.0 0.5 2.9 4.1 7.1 1.9 2.2 5.3 3.0 4.2 3.3 1.5 3.9 3.1 (*) Pit tected well Pro- 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Bucket 0.0 0.0 0.1 0.0 0.0 0.3 0.0 0.0 0.0 0.2 0.0 0.0 0.0 0.1 0.0 0.0 0.1 (*) Unimproved Hanging tected well latrine toilet/ sources Unpro- 0.0 0.0 0.6 0.0 0.0 0.6 0.9 1.2 0.0 0.0 0.9 0.5 1.6 0.6 0.2 0.0 0.6 (*) 0.0 0.0 0.0 0.0 0.3 0.0 0.0 0.1 Missing/ 0.0 0.3 0.4 1.3 0.3 0.1 0.2 0.3 1.1 0.3 0.0 0.3 0.1 0.2 1.8 0.0 0.4 (*) Dk 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total facility, cation bush, Open defe- field) (no 0.0 1.3 2.0 0.0 0.0 0.0 0.0 8.8 0.0 0.1 1.9 4.9 3.8 2.2 0.2 2.5 1.9 (*) Percentage sources of improved drinking water using 100.0 100.0 100.0 100.0 100.0 100.0 99.7 99.9 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) members of house- Number members of house- Number 1198 1150 1284 1028 4988 hold holds 894 501 4988 1150 1284 1028 1198 1024 1685 1317 4739 5554 65 501 894 667 855 734 65 81 6 125 Child Well-being Survey in Urban Areas of Bangladesh 126 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Mother’s education Area Area Total Type of sanitation facility used byhousehold members Total Table 6.8:Availabilityofsoaporothercleansingagent:Rangpurdivision Table 6.6:Disposalofchild’sfaeces:Rangpurdivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases being SurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdsbyavailabilitysoaporothercleansingagentinthedwelling, being SurveyinUrbanAreas,Bangladesh,CWS2016. of childrenage0-2yearswhosestoolsweredisposedsafelythelasttimechildpassedstools, Percent distributionofchildrenage0-2yearsaccordingtoplacedisposalchild’sfaeces,andthepercentage Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban Other municipalities/urban City Corporationnon-slum City Corporationnon-slum Open defecation City Corporationslum City Corporationslum Unimproved Improved

Child used cleansing observed Soap or latrine toilet/ (10.4) agent other (4.8) (0.0) 53.8 62.9 54.7 31.4 2.2 0.0 3.0 0.8 2.9 5.0 4.9 0.5 0.0 2.5 2.9 0.0 2.7 2.5 (*) (*) (*) Place forhandwashingobserved cleansing Put/rinsed into toilet Soap or or latrine shown agent other observed atplaceforhandwashing (53.3) (39.6) (22.1) 41.2 36.1 40.9 64.5 Soap orothercleansingagentnot 54.5 74.8 80.6 54.5 36.8 28.6 85.6 49.3 38.4 54.3 52.1 37.1 56.3 53.8 (*) (*) (*) Place ofdisposalchild’sfaeces household Put/rinsed cleansing into drain No soap agent in or other or ditch (20.7) (27.5) (33.4) 24.6 23.0 13.3 19.3 30.1 38.0 31.2 30.2 23.5 33.6 43.5 24.7 25.0 2.6 0.2 1.3 2.3 6.0 (*) (*) (*) other cleansing Not able/Does garbage show soapor Thrown not wantto (12.1) (27.8) (5.8) 11.6 13.0 21.3 16.1 10.9 21.0 11.1 16.1 10.9 into 1.6 0.5 0.7 8.6 9.3 (*) (*) (*) agent 0.0 0.1 0.0 0.0 Buried (0.0) (0.0) (0.0) 0.7 0.5 0.0 2.4 0.0 0.0 0.4 0.0 4.7 0.6 0.7 0.0 0.7 0.6 (*) (*) (*) Place forhandwashing cleansing Soap or shown agent other 2.3 0.7 2.5 2.1 not observed in the (15.3) (10.4) (16.8) open 10.0 12.3 Left 6.3 0.0 2.6 8.9 2.3 8.1 5.6 8.0 2.1 3.2 6.4 7.2 (*) (*) (*) household cleansing No soap agent in or other (100.0) (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total 0.0 0.0 0.2 0.0 (*) (*) (*) stools weredisposed children whoselast 100.0 100.0 100.0 100.0 Total Percentage of of safely (58.2) (50.0) (22.1) 56.7 74.8 83.6 55.2 39.7 33.6 90.6 49.9 38.4 56.8 55.0 37.1 58.9 56.3 (*) (*) (*) anywhere in the dwelling households Percentage with soap cleansing or other agent Child Well- 97.4 99.7 98.5 97.7 of Child Well- children age Number of households Number of 0-2 years 171 169 182 195 1055 1238 21 31 40 43 35 45 46 95 20 22 13 23 10 165 2 2 3 19 Religion Wealth indexquintile Education ofhousehold head Mother’s education Age ofchild Area Sex Total Table 7.1:Attendancetoearlychildhoodeducation:Rangpurdivision Table 6.8:continued (*) Figuresthatarebasedonfewerthan25unweightedcases by selectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage36-59monthswhoareattendinganorganizedearlychildhoodeducationprogramme Christian Hindu Islam Highest Fourth Middle Second Lowest Missing/DK Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 48-59 months 36-47 months Other municipalities/urban City Corporationnon-slum City Corporationslum Female Male

cleansing observed Soap or agent other 53.7 54.8 93.3 79.2 53.5 42.3 27.3 87.0 55.9 52.8 46.4 33.9 (*)` (*) Place forhandwashingobserved cleansing Soap or Percentage ofchildrenage36-59months shown agent other observed atplaceforhandwashing 42.7 40.7 19.5 42.6 49.9 66.2 11.2 41.0 43.5 48.3 58.3 Soap orothercleansingagentnot 6.1 (*) (*) attending earlychildhoodeducation household cleansing No soap agent in or other 1.8 2.3 0.6 0.4 1.5 5.2 3.0 0.4 1.9 1.5 2.7 4.2 (*) (*) other cleansing 36.6 30.3 15.3 28.6 44.0 26.2 28.9 34.6 34.2 19.0 26.7 Not able/Does show soapor 6.5 9.2 not wantto

agent 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.0 (*) (*) Place forhandwashing cleansing Soap or shown agent other 1.9 2.2 0.0 0.9 2.3 2.6 3.5 1.4 1.2 2.2 2.5 3.5 (*) (*) not observed household cleansing No soap agent in or other 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 (*) (*) Number ofchildrenage36-59 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) months anywhere in the dwelling households Percentage 152 181 with soap cleansing 26 92 22 23 18 88 91 25 92 89 or other

agent 98.2 97.7 99.4 99.6 98.5 94.8 97.0 99.6 98.1 98.5 97.2 95.7 (*) (*) of households Number of 1108 118 160 242 278 238 321 235 373 140 189 301 13 1 127 Child Well-being Survey in Urban Areas of Bangladesh 128 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Mother’s education Sex Area Total Religion Wealth indexquintile Table 7.3:Schoolreadiness:Rangpurdivision Table 7.1:continued ( )Figuresthatarebasedon25-49 unweightedcases (*) Figuresthatarebasedonfewer than25unweightedcases (2015) byselectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage of children attending first grade of primary school (in 2016) who attended pre-school the previous year Children attendingearlychildhoodeducation:EC5=1 ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Christian Hindu Islam Highest Fourth Middle Second Lowest higher Secondary completeor Secondary incomplete Primary complete Primary incomplete No education Female Male Other municipalities/urban City Corporationnon-slum City Corporationslum Christian Hindu Islam Highest Fourth Middle Second Lowest Characteristics

Percentage ofchildrenattendingfirstgrade who attendedpreschoolinpreviousyear Percentage ofchildrenage36-59months attending earlychildhoodeducation (25.2) (58.2) (70.8) (69.1) (45.7) (64.5) (62.7) 69.0 71.4 59.7 71.4 66.7 66.3 65.0 62.5 84.0 64.2 65.6 (*) (42.8) 25.3 40.1 30.7 28.1 14.4 25.8 (*)

Number ofchildrenattendingfirst Number ofchildrenage36-59 grade ofprimaryschool months 107 118 170 10 16 21 25 14 14 15 22 34 49 25 58 59 98 17 22 34 46 36 44 10 1 3 1 Total Age atbeginningofschool Mother’s education Area Wealth indexquintile Religion Table 7.5:Primaryschoolattendanceandoutofchildren:Rangpurdivision Bangladesh, 2016. ratio), percentageattendingpreschool,andoutofschool, Percentage ofchildrenprimaryschoolageattendingorsecondary(adjustednetattendance (*) a urban municipalities/ Other non-slum City Corporation 10 9 8 7 6 Christian Hindu higher complete or Secondary incomplete Secondary Primary complete incomplete Primary No education slum City Corporation Highest Fourth Middle Second Lowest Islam Figures thatarebasedonfewerthan25unweightedcases The percentageofchildrenprimaryschoolageoutarethosenotattending schoolandthoseattendingpreschool

(adjus- dance atten- ratio 85.1 82.2 84.7 89.3 96.7 92.0 82.7 57.2 89.2 85.5 80.5 91.8 92.1 83.3 82.6 87.5 90.1 80.0 84.2 83.6 84.0 ted) Net (*) or preschool school atten- Percentage ofchildren: ding Not 1.9 5.0 2.3 6.7 2.3 0.4 0.8 0.4 0.0 4.3 1.3 3.3 1.5 3.5 3.2 1.3 5.3 2.0 0.0 3.3 2.6 (*) school Atten- ding 14.4 31.1 10.8 10.2 15.2 11.1 11.3 11.8 10.0 pre- Male 9.1 9.9 9.3 0.0 0.6 5.0 0.5 0.2 7.7 4.1 8.8 9.2 (*) school Out of 11.1 14.9 11.6 15.2 31.5 10.8 14.5 16.4 11.2 14.2 12.5 13.8 10.0 12.0 11.8 6.8 3.0 5.4 3.9 1.8 9.5 (*) a children No. of 212 249 107 224 32 57 51 45 57 40 22 31 31 36 44 37 41 50 56 64 3 4 (adjus- dance atten- ratio 84.7 93.7 85.9 94.8 97.5 93.5 78.1 60.2 84.3 80.3 85.6 87.6 88.3 80.1 84.9 80.7 90.5 91.5 73.7 90.3 87.0 ted) Net (*) or preschool school atten- Percentage ofchildren: ding Not 1.2 1.7 1.3 3.6 0.3 1.7 0.3 0.0 2.0 0.2 0.0 1.2 0.4 0.5 2.9 0.4 0.0 1.8 4.0 0.3 1.5 (*) school Atten- Female ding 10.7 13.4 32.5 19.6 14.4 10.9 16.5 16.6 13.3 pre- 3.8 9.8 1.6 2.2 4.5 9.6 8.6 8.3 6.2 9.5 5.1 7.4 (*) school Out of Child Well-beingSurveyinUrbanAreas, 12.0 11.1 13.7 32.5 11.6 19.7 10.0 14.4 11.3 17.0 17.0 17.2 5.5 5.2 2.5 6.2 9.5 9.1 9.5 6.9 7.7 (*) a children No. of 247 290 258 109 38 63 45 63 48 69 27 31 39 37 72 45 57 47 67 74 4 5 (adjus- dance atten- ratio 84.9 83.5 88.4 85.3 80.3 58.8 92.2 97.1 92.9 84.3 85.6 85.6 89.8 86.0 84.1 84.3 83.8 78.9 90.3 86.6 87.2 ted) Net (*) or preschool school atten- Percentage ofchildren: ding Not (*)` 1.6 3.2 2.6 1.8 5.1 1.4 1.2 0.6 0.2 0.1 2.0 2.2 1.2 1.7 1.0 3.2 0.8 2.5 1.9 2.0 1.7 school Atten- ding 10.0 10.3 13.9 31.9 15.6 12.3 11.7 14.2 11.7 pre- Total 6.6 9.6 0.9 1.4 4.7 8.9 6.3 8.5 6.7 7.0 8.0 8.0 (*) school Out of 11.6 12.9 11.3 14.4 32.1 15.7 10.9 14.4 13.0 15.0 13.7 9.8 5.9 2.8 5.8 8.0 9.5 9.9 9.5 9.9 9.7 (*) a children No. of 459 539 120 115 120 481 216 116 117 113 139 71 99 85 49 62 69 74 82 88 9 8 129 Child Well-being Survey in Urban Areas of Bangladesh 130 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Mother’s education Age atbeginningofschoolyear Area Total Table 7.6:Secondaryschoolattendanceandoutofchildren:Rangpurdivision (*) a Areas, Bangladesh,CWS2016. ratio), percentageattendingprimaryschool,andoutof Percentage ofchildrensecondaryschoolageattendingorhigher(adjustednetattendance Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 17 16 15 14 13 12 11 Other municipalities/urban City Corporationnon-slum City Corporationslum Figures thatarebasedonfewerthan25unweightedcases The percentageofchildrensecondaryschoolageoutarethosewhonotattendingprimary,secondary,orhighereducation

(adjus- dance atten- ratio 53.5 64.7 88.6 83.4 66.6 51.4 40.4 82.5 69.6 65.4 46.2 43.0 64.8 64.8 77.5 68.9 78.1 54.8 33.7 63.9 65.5 46.7 63.8 ted) Net (*) primary school Atten- Percentage of ding 24.1 14.0 18.7 17.0 19.0 16.1 26.0 11.8 44.8 21.7 10.4 26.3 58.5 14.6 16.4 18.5 14.9 7.9 8.2 0.0 0.1 1.7 5.1 (*) children: Male school Out of 19.1 19.9 14.3 29.9 36.9 19.2 33.1 33.1 32.9 18.2 25.9 17.2 20.0 16.4 29.0 19.7 3.6 7.0 1.4 4.3 9.0 9.6 7.7 (*) a Number children 362 342 397 31 51 80 96 81 89 23 88 29 30 66 49 49 62 51 71 59 56 49 of 3 6 (adjus- dance atten- ratio 78.4 74.6 78.9 87.6 80.3 65.3 65.1 78.1 81.3 75.5 65.6 54.8 72.3 85.2 86.9 85.2 85.9 69.6 40.6 75.6 73.5 63.7 75.1 ted) Net (*) primary school Atten- Percentage of ding 15.0 10.0 23.7 20.1 16.4 12.6 20.7 28.0 38.1 27.6 53.7 14.5 14.8 14.2 14.5 9.9 9.5 7.3 0.0 0.0 5.5 3.8 9.8 (*) children: Female school Out of 11.1 12.8 25.0 10.8 21.0 8.7 9.2 4.7 8.6 8.5 5.5 4.7 3.8 6.4 4.7 7.0 7.2 4.0 2.7 5.7 8.4 9.8 (*) 8.8 Child Well-beingSurveyinUrban a Number children 335 318 374 32 50 72 93 83 77 22 73 27 40 57 50 53 52 58 53 54 54 51 of 7 6 (adjus- dance atten- ratio 66.0 69.4 83.8 85.4 73.4 58.4 51.8 80.4 74.9 70.2 57.3 48.5 68.6 75.4 81.8 77.5 81.4 61.9 37.1 69.5 69.6 55.3 69.3 ted) Net (*) primary school Atten- Percentage of 16.9 ding 14.4 14.4 20.4 19.5 16.2 19.9 16.1 35.2 29.3 10.1 26.9 56.1 14.6 15.6 16.3 14.7 8.7 7.8 0.0 0.1 3.5 4.4 (*) children: Total school Out of 15.1 14.5 11.5 19.1 25.7 11.9 19.9 29.0 21.4 13.1 16.0 10.3 14.4 13.0 24.9 14.4 6.3 5.9 3.4 4.5 7.5 7.2 6.7 (*) a Number children 697 101 152 188 164 165 160 124 102 114 109 124 112 110 660 100 771 10 63 45 56 71 99 12 of Sex Area Total Area Total Sex Mother’s education Wealth indexquintile Religion Table 7.7:Primaryschoolcompletionandtransitiontosecondaryschool:Rangpurdivision Table 8.1:Birthregistration:Rangpurdivision Areas, Bangladesh,CWS2016. mothers/caretakers knowhowtoregisterbirthbyselectedcharacteristics, Percentage ofchildrenunderage5bywhetherbirthisregisteredandpercentagenotwhose being SurveyinUrbanAreas,Bangladesh,CWS2016. Primary schoolcompletionratesandtransitioneffectivetosecondaryschool, ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases completion ageatthebeginningofschoolyear). completion rate= 100 * (number ofchildren attending the last grade of primary school - repeaters) / (number ofchildrenprimaryschool time, tothenumberofchildrenprimarygraduationageatbeginningcurrent(ormostrecent)schoolyear,calculatedas:Primary The primarycompletionrateistheratiooftotalnumberstudents,regardlessage,enteringlastgradeschoolforfirst Female Male Other municipalities/urban City Corporationnon-slum City Corporationslum City Corporationnon-slum Other municipalities/urban Male Female No education Primary incomplete Secondary incomplete Primary complete Secondary completeor higher Missing/DK Lowest Middle Second Islam Highest Fourth Christian Hindu

completion Primary (100.0) (100.0) school (72.4) (66.1) (97.6) (71.0) Has birthcertificate 86.2 95.3 84.3 72.9 99.4 87.1 Seen 98.9 81.7 rate 15.0 12.6 13.4 15.3 23.7 13.8 (*) (*) (*) Children underage5whosebirthis registered withcivilauthorities Not seen completion age primary school 12.0 10.0 10.5 13.5 18.9 11.0 Number of children of 74 13 61 37 37 30 15 13 13 22 11 69 10 18 8 8 0 0 4 certificate No birth 1.0 0.0 0.5 0.8 0.9 0.5 secondary Transition school (100.0) (100.0) (100.0) (100.0) (100.0) rate to (95.3) 100.0 100.0 100.0 99.3 99.1 98.6 97.6 99.2 (*) (*) (*) (*) (*) registered Total 28.1 22.6 24.4 29.6 43.4 25.3 2 Number ofchildren primary schoolthe who wereinthe previous year last gradeof under age5 of children Number 244 243 419 487 78 13 64 37 41 12 33 12 15 10 14 15 24 69 61 8 8 1 8 1 8 Child Well-beingSurveyinUrban Children underage5whosebirthisnotregistered Percent ofchildrenwhose mother/caretaker knows how toregisterbirth transition rate to secondary Effective (100.0) (100.0) (100.0) (100.0) (100.0) school (95.3) 100.0 100.0 100.0 99.3 99.1 98.6 97.6 99.2 (*) (*) (*) (*) (*) 100.0 99.2 99.7 99.2 99.5 99.6 are notrepeatingthatgradein school thepreviousyearand in thelastgradeofprimary No. ofchildrenwhowere the currentschoolyear Child Well- under age5without Number ofchildren birth registration 78 13 64 37 41 12 33 12 10 15 14 15 24 69 8 8 1 8 1 176 188 317 364 43 4 131 Child Well-being Survey in Urban Areas of Bangladesh 132 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Mother’s education Area Total Age Sex Age Education ofhousehold head Table 8.2:Childdiscipline:Rangpurdivision Table 8.1:continued (*) Figuresthatarebasedonfewerthan25unweightedcases selected characteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage1-14yearsbychilddiscipliningmethodsexperiencedduringthelastonemonth Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 48-59 months 36-47 months 24-35 months 12-23 months City Corporationnon-slum City Corporationslum 0-11 months Male Other municipalities/urban Female 1-2 3-4 5-9 10-14 No education Primary incomplete Primary complete Secondary incomplete

Has birthcertificate Seen 14.6 13.9 19.8 14.3 15.5 15.1 14.7 14.3 14.7 11.7 10.4 29.7 18.2 15.8 4.9 5.6 2.4 (*) Children underage5whosebirthis registered withcivilauthorities Only non-violent Not seen discipline 11.2 10.5 14.5 14.1 14.2 11.1 10.4 11.1 14.6 14.7 13.4 7.7 7.6 8.3 6.4 7.6 5.1 (*) 15.2 16.8 14.4 17.2 18.8 14.4 11.7 11.6 23.8 12.6 12.7 29.2 5.3 (*) Percentage ofchildrenage1-14yearswhoexperienced: certificate No birth 0.0 0.6 0.0 0.4 1.1 1.2 0.0 0.0 0.6 1.9 0.0 0.5 1.5 0.0 0.0 0.0 1.2 (*) Psychological aggression 85.7 74.1 72.0 74.5 71.5 70.0 56.0 78.5 79.7 69.9 80.2 77.7 65.5 (*) registered Total 22.3 25.8 30.3 29.2 30.7 13.7 23.5 28.9 26.0 27.0 18.1 22.0 45.8 32.9 23.4 19.1 8.7 (*) Physical punishment under age5 of children 55.2 50.4 43.2 43.9 42.0 42.7 54.8 63.9 45.4 29.4 54.7 42.6 24.0 Any Number (*) 441 109 122 242 102 107 41 73 92 91 92 55 61 38 88 92 99 6 Severe Children underage5whosebirthisnotregistered Percent ofchildrenwhose mother/caretaker knows 15.4 16.6 7.6 8.0 6.1 7.2 3.6 7.6 9.1 7.9 7.9 9.8 5.7 (*) how toregisterbirth 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 discipline method 99.6 99.4 98.4 99.3 99.7 98.7 (*) Any violent 90.0 81.2 80.0 82.6 79.7 77.9 79.0 86.6 86.8 72.6 86.0 83.9 68.8 (*) under age5without Number ofchildren Number ofchildren birth registration age 1-14years 327 179 32 51 65 76 79 94 65 40 50 30 48 62 78 86 90 1356 1167 5 168 618 737 211 190 428 527 327 504 308 21 6 Wealth indexquintile Religion Religion Wealth indexquintile Education ofhouseholdhead Age Sex Area Total Table 8.6a:Childlabour:Rangpurdivision Table 8.2:continued (*) Figuresthatarebasedonfewer than25unweightedcases Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. week, andpercentageengagedinchildlabourduringthelastweekaccordingtoselectedcharacteristics, Percentage ofchildrenage5-14yearsbyinvolvementineconomicactivitiesorhouseholdchoresduringthelast (*) Figuresthatarebasedonfewerthan25unweightedcases Second Lowest Middle Fourth Highest Hindu Islam Christian Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary incomplete Primary complete Primary incomplete No education 10-14 5-9 Female Male Other municipalities/urban City Corporationnon-slum City CorporationSlum

Only non-violent discipline 15.8 16.8 25.6 21.2 26.4 16.1 9.0 (*) Percentage ofchildrenage5-14dueto Percentage ofchildrenage1-14yearswhoexperienced: Psychological aggression engaged inchildlabour 77.1 73.9 73.6 66.5 64.9 60.1 72.7 (*) (21.4) (18.5) 15.2 10.4 16.5 12.0 11.1 13.0 10.7 9.1 1.6 6.9 8.6 8.0 6.1 8.2 7.1 4.4 9.9 9.9

Physical punishment 53.2 44.3 41.9 36.0 35.0 38.5 43.5 Any (*) Severe 10.7 8.5 8.1 2.3 6.6 9.0 7.5 (*) discipline method Any violent Number ofchildren(5-14) 84.9 81.4 82.2 71.7 76.7 69.1 80.8 (*) years aged 762 111 145 183 186 224 285 435 121 476 372 454 394 725 110 848 14 72 13 6

Number ofchildren age 1-14years Child 1219 346 276 297 244 192 118 19 133 Child Well-being Survey in Urban Areas of Bangladesh 134 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Education Age Area Total Table 8.7:Earlymarriageandpolygyny(women):Rangpurdivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases na: notapplicable union byselectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. women age15-19yearscurrentlymarriedorinunion,andthepercentageofwhoareapolygynousmarriage of womenage20-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thand18thbirthdays,percentage Percentage ofwomenage15-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thbirthday,percentages Christian Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 45-49 40-44 35-39 30-34 25-29 20-24 15-19 Other municipalities/urban City Corporationnon-slum City Corporationslum

married Percen- Women age15-49 age 15 before tage 17.9 26.3 16.3 19.9 29.0 27.4 32.4 18.5 42.9 42.2 46.7 45.2 36.5 35.4 33.1 27.7 11.5 25.8 21.8 27.1 25.3 4.0 3.0 (*) years 49 years Number women age 15- 1467 1384 1637 149 267 369 379 291 331 295 749 149 168 276 201 186 201 212 254 300 283 228 (*) 24 of married Percen- age 15 before tage 21.0 31.2 18.8 24.0 35.1 32.2 37.8 25.4 44.7 45.9 47.6 45.2 36.5 35.4 33.1 27.7 11.5 30.4 26.4 32.5 29.9 Women age20-49years 4.4 (*) na married Percen- age 18 before tage 55.9 62.9 43.9 54.2 63.9 67.7 77.4 16.7 65.4 79.2 75.8 82.9 79.4 71.1 69.8 62.0 59.0 41.1 62.3 57.7 71.6 61.8 (*) na 49 years Number women age 20- 1212 1151 1354 126 231 300 303 244 277 267 529 137 152 268 201 186 201 212 254 300 185 na 16 19 of currently married/ in union Percen- Women age15-19 (83.1) (45.3) tage 19.2 30.5 19.2 16.0 32.9 39.3 37.8 42.2 23.3 38.4 29.0 29.3 26.7 37.3 29.0 (*) na na na na na na years 19 years Number women age 15- 255 220 283 234 283 na na na na na na 22 36 69 77 47 54 28 11 16 44 of 5 8 5 polygynous Percentage marriage/ union Women age15-49years 0.1 2.6 0.6 1.0 1.2 4.9 3.8 0.6 1.7 0.6 2.3 5.8 3.7 3.0 1.5 2.9 1.7 2.4 0.0 2.2 2.7 4.0 2.3 (*) in married/in union women age 15-49 years Number of currently 1213 1146 1350 123 211 277 316 251 294 207 570 147 158 268 200 186 198 206 242 225 184 13 93 20 SYLHET DIVISION 135 Child Well-being Survey in Urban Areas of Bangladesh 136 Child Well-being Survey in Urban Areas of Bangladesh Nutritional status Reproductive health Child health • • • • • • • • • • • • • • • • • • • • • • • • • • • • Key Results However, only34.3percentofthemwerereceivedtheminimumacceptablediet. Sixty-one percentofchildreninSylhetdivisionwerereceivedminimummealfrequency. of lowestcomparedtootherurbanpartsthecountry. food withminimumdiversityinthelast24hoursprecedingsurveywhichimpliesone About forty-onepercentofurbanchildrenage6-23monthsinSylhetdivisionhadreceived within oneday. were puttothebreastwithinonehourofbirth,and95.9percent Regarding earlybreastfeeding,73.4percentchildrenage0-23monthsinSylhetdivision education andtheirhouseholdssocioeconomicposition. Child stunting,wastingandunderweightweresignificantlycorrelatedwithmother’s underweight whichisoneofthehighestindivisionallevel. The resultshowedthat25.8percentofchildrenage0-59monthsinSylhetdivisionwere (2.7 percent). division wasrecordedat3.1percentwhichisslightlyhigherthanthenationalestimates Prevalence ofoverweightamongchildrenyoungerthanfiveyearsinurbanareasSylhet and oneinten(11.6percent)childrenweremoderateorseverelywasted. More thanthirteenpercentofchildrenageunder-5inSylhetdivisionwasseverelystunted Sylhet divisionwasmuchhigherthanother(35.5percent). prevalence ofstunting(moderateorsevere)amongurbanchildrenagebelowfive According totheChildWell-beingSurvey2016(CSW2016)inUrbanareasofBangladesh, percent inSylhetdivision, against0.5percentintheentireurbanareasof Bangladesh. The percentageofwomen aged15-19yearswhohadalivebirthbeforeage 15was1.4 of 18. Nearly oneinfivewomen(19percent)age20-24years havehadalivebirthbeforetheage high at22.1percent. Early childbearingamongtheurbanwomenofage 15-19yearsofSylhetdivisionpersists last pregnancy Only 17.4percentofwomeninthesamedivision who receivedatleasttwodosesduring live birthinthelasttwoyearswereprotectedagainst neonatal/maternaltetanus. Eighty-four percentwomenage15-49yearsinurbanareasofSylhetdivisionwhohada administered atorafter15monthsofage. of childrenage15-23monthsreceivedmeaslesvaccineseconddose,supposedtobe at 9months)amongchildrenage12-23monthswas80.3percent.About62.6percent Coverage withfullimmunization(BCG,3dosesofPentavalent,OPVandMR Child development,LiteracyandEducation Water andsanitation • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • The effectivetransitionrate tosecondaryschoolwas98.4percentinSylhet division. attendance ratio(NAR)infavourofgirlsSylhet division. Gender ParityIndex(GPI)showforbothprimaryand secondaryschooladjustednet Primary schoolcompletionratewasfoundtobe92.5 percent. boys (87.1percent). school. Thenetadjustedration(NAR)wasslightly higheramonggirls(88.8percent)than Eighty-eight percentchildrenofprimaryschoolage inSylhetdivisionwereattending attendant anearlychildhoodeducation(ECE)program orpre-school. One-fifth (20.1percent)ofurbanchildreninSylhet divisionage36-59monthswere shown (32.1percent)inabout86.0percentcases. could beobserved,soaporothercleansingagentswereeitherobserved(54.9percent) somewhere inthedwelling.Amonghouseholdswhereplaceofhandwashing In Sylhet,96.2percentofhouseholdshadsoaporothercleansingagentsavailable they passedstool. For 58.2percentof children aged0-2years,thestools were disposed of safelythelasttime sanitation facility,theuseofpitlatrinewithslabwasmostcommon(36.8percent) facilities whichdidnotsharewithmembersoftheotherhouseholds.Inimproved Overall, 89.1percentoftheurbanpeopleinSylhetdivisionusedimprovedsanitation from improvedwatersources. Ninety-eight percentofhouseholdsinurbanareasSylhetdivisionuseddrinkingwater days ofbirth. About seveninten(69.3percent)ofthenewbornreceivedpost-natalcheckswithintwo as acaesareanoutcome. and highereducated(7-foldgreater)womenwerethegreaterlikelihoodofbirthdelivered compared tootherdivisionsisstands28.2percentonly.However,richest(8-foldgreater) Caesarean sectiondeliveryamongwomenage15-49yearsinSylhetdivisionwaslowest were assistedduringthedeliverybyaskilledbirthattendant. Among thosewhohadalivebirthinthelastyearsprecedingsurvey,50.9percent and secondaryorhighereducated(58.4percent)women. among poorest(6.9percent)andilliterate(5.9womenthanrichest(62.3 The likelihoodofreceivingrecommendedfourormoreantenatalwassignificantlylower healthcare personnel,whichislowestamongthedivisionallevel. two yearsprecedingthesurveyreceivedrecommendedfourormoreantenatalcarebya Only 28.9percentofwomenage15-49yearsinSylhetdivisionwhogavebirththe divisional level. (ANC) visitsduringthelastpregnancywhichappearedtobeoneofhighestratesin About twentypercentofwomeninSylhetdivisiondidnotreceiveanyantenatalcare 137 Child Well-being Survey in Urban Areas of Bangladesh 138 Child Well-being Survey in Urban Areas of Bangladesh Child protection • • • • • • • • • • division wereinpolygynousmarriage/union. Polygyny isnotcommon,andonly2.7percentofurbanwomenage15-49yearsSylhet 40.4 percent. Among thewomenage20-49years,proportionwhomarriedbeforeof18was About 12.3percentofwomenage15-49yearswere(first)marriedbeforethe15. About eightpercentofchildreninSylhetdivisionwaschildlabour. educate achildproperly. percent womeninSylhetdivisiondisapprovedphysicalpunishmenttobring,raiseor discipline appliedbyhouseholdmembersforchild(82.9percent),only13.5 While violentmethods(psychologicalorphysicalpunishment)werecommonformsof birth registration. registered. Thisindicatesahugegapbetweenknowledgeandutilizationinrelationto division wereawareofhowtoregisterabirth,whileonly31.0percentbirthshavebeen Almost allthemothersorcaretakes(99.6percent)ofchildrenage0-5yearsinSylhet Sylhet DivisionTables Age Wealth indexquintile Religion Mother’s education Area Sex Total Total Area Table 3.2:Nutritionalstatusofchildren:Sylhetdivision Table 3.3:Initialbreastfeeding:Sylhetdivision Bangladesh, CWS2016. for age,heightandweightbyselectedcharacteristics, Percentage ofchildrenunderage5yearsbynutritionalstatusaccordingtothreeanthropometricindices:weight according toselectedcharacteristics, breastfed withinonehourofbirth,andday andpercentagewhoreceivedapre-lactealfeed, Percentage oflastlive-bornchildreninthetwoyearspreceding thesurvey,whowereeverbreastfed, Hindu above Secondary completeor Highest Fourth Middle Second 48-59 months 36-47 months 24-35 months 18-23 months 12-17 months 6-11 months 0-5 months Lowest Islam Secondary incomplete Primary complete Primary incomplete No education Other municipalities/urban City Corporation Girl Boy City Corporation Other municipalities/urban

- 2SD Underweight 26.0 11.7 11.0 23.0 27.7 39.5 32.2 24.0 26.0 27.6 24.5 23.6 16.8 33.1 25.8 20.5 29.3 29.6 43.4 27.4 22.7 24.6 27.0 25.8 Percent below Weight forage - 3SD 10.2 10.0 12.9 3.3 2.7 1.7 3.1 6.3 4.9 5.5 6.9 7.6 4.6 7.4 7.3 6.6 4.3 5.4 7.3 6.2 5.8 7.1 5.1 6.1 Z-Score Mean who wereever (SD) -1.0 -0.5 -0.6 -1.1 -1.3 -1.6 -1.4 -1.3 -1.2 -1.3 -1.2 -1.1 -0.7 -1.6 -1.2 -1.1 -1.3 -1.5 -1.9 -1.3 -1.1 -1.2 -1.2 -1.2 Percentage Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. breastfed 99.2 98.5 99.5

children No. of under age 5 262 122 206 103 148 161 309 47 41 78 56 52 49 67 59 63 26 38 27 30 74 48 48 49 - 2SD 32.5 14.8 15.4 26.5 40.0 54.5 37.7 37.8 38.1 46.8 44.2 21.1 12.3 47.4 37.1 46.0 54.4 36.0 30.1 37.6 31.3 31.6 39.0 35.5 Within onehour Percentage whowerefirstbreastfed: Stunted Percent below Height forage of birth - 3SD 73.4 68.5 75.9 15.6 23.5 14.4 13.3 14.6 22.6 13.4 20.1 14.9 15.1 28.4 14.1 14.7 10.4 10.5 15.9 13.3 8.8 5.3 4.5 5.5 8.2 4.4 8.6

Z-Score Mean (SD) -1.2 -0.6 -1.6 -2.0 -1.5 -1.5 -1.5 -1.8 -1.7 -0.7 -1.1 -1.1 -0.3 -1.9 -1.5 -1.9 -2.1 -1.5 -1.5 -1.2 -1.3 -1.3 -1.5 -1.4 Withinoneday children No. of under age 5 of birth 262 206 122 103 148 161 309 Child Well-beingSurveyinUrbanAreas, 47 41 52 49 67 59 63 26 38 78 56 27 30 74 48 48 49 95.9 94.9 96.4

- 2SD 10.6 11.3 11.1 10.7 15.1 12.3 10.4 13.6 13.9 17.5 12.0 13.0 12.0 11.4 14.2 10.8 12.4 10.8 11.6 7.4 9.3 9.3 8.7 8.9 Wasted Percent below - 3SD Percentage who received apre- 0.9 3.2 2.9 2.7 2.0 2.6 3.1 1.7 0.6 3.0 2.2 2.7 1.6 8.0 2.6 2.9 2.0 2.2 3.7 3.5 2.9 2.8 2.6 2.7 lacteal feed Weight forheight 12.1 10.7 12.8 Overweight

Percent + 2SD above 3.7 6.9 2.5 3.1 3.3 1.5 5.9 4.2 0.6 3.0 5.9 2.0 0.8 4.4 3.4 1.5 3.0 3.2 2.8 0.4 2.5 2.5 3.7 3.1 No. oflastlive-born children inthelast Z-Score Mean (SD) -0.5 -0.3 -0.6 -0.7 -0.7 -0.6 -0.6 -0.5 -0.5 -0.6 -0.3 -0.6 -0.5 -0.7 -0.6 -0.8 -0.5 -0.6 -0.6 -0.9 -0.6 -0.7 -0.5 -0.6 two years 128 43 85

children No. of under age 5 262 206 122 103 148 161 309 47 41 52 49 67 59 63 26 38 78 56 27 30 74 48 48 49

139 Child Well-being Survey in Urban Areas of Bangladesh 140 Child Well-being Survey in Urban Areas of Bangladesh Age Sex Total Place of delivery Assistance atdelivery Months sincelast birth Religion Wealth indexquintile Mother’s education Table 3.3:continued Table 3.7:Infantandyoungchildfeeding(IYCF)practices:Sylhetdivision Urban Areas,Bangladesh,CWS2016. minimum numberoftimesormoreduringthepreviousday,bybreastfeedingstatus, Percentage ofchildrenage6-23monthswhoreceivedappropriateliquidsandsolid,semi-solid,orsoftfoodsthe 18-23 months 12-17 months 9-11 months 6-8 months Female Male Home Skilled attendant 0-11 months Health facility Others Traditional birthattendant 12-23 months Islam Second Lowest Primary incomplete No education Hindu Highest Fourth Middle Secondary completeorhigher Secondary incomplete Primary complete Public Private Other/ DK/Missing

dietary a Percent ofchildrenwho diver- (43.2) mum Mini- 55.3 45.1 14.2 40.9 42.4 41.6 sity Currently breastfeeding received: frequ- b (52.2) mum meal ency Mini- 66.9 60.4 74.0 63.8 63.8 63.8 who wereever Percentage breastfed accep- c (38.6) mum table Mini- 47.5 39.5 14.2 32.8 40.8 36.6 diet 100.0 100.0 100.0 100.0 100.0 100.0 100.0 98.6 98.6 98.5 99.7 99.0 99.3 99.5 99.0 99.4 97.9 98.0 98.2 99.0

children months No. of 6-23 age 22 39 10 17 46 42 87 Within onehour Percentage whowerefirstbreastfed: dietary Percent ofchildrenwhoreceived: a diver- mum Mini- sity of birth (*) (*) (*) (*) (*) (*) (*) 87.3 85.1 91.1 60.9 72.3 74.6 63.2 57.9 83.5 81.0 71.7 73.8 56.5 71.1 81.9 79.4 60.7 70.9 80.4 77.8

Currently notbreastfeeding frequ- b mum meal ency Mini- (*) (*) (*) (*) (*) (*) (*) accep- c mum table Mini- diet Withinoneday (*) (*) (*) (*) (*) (*) (*) of birth 96.6 96.4 95.6 95.6 95.3 96.5 95.9 94.9 96.6 94.1 94.6 96.2 92.8 96.9 97.9 96.9 94.4 95.5 98.9 97.0 At least 2 milk

feeds (*) (*) (*) (*) (*) (*) (*) children months No. of 6-23 age 3 1 1 2 2 1 7 Percentage who received apre- Child Well-beingSurveyin lacteal feed 13.0 15.4 10.7 14.7 12.7 20.0 15.5 15.2 11.5 13.7 13.5 10.3 12.0 12.1 dietary 7.4 9.4 8.2 9.3 4.3 8.2 a Percent ofchildrenwho diver- mum

Mini- 52.6 44.2 44.4 13.9 40.0 41.6 40.8 sity received: frequ- b mum meal ency Mini- 62.5 60.9 46.9 67.0 63.0 63.4 61.0 No. oflastlive-born children inthelast All accep- c mum table two years Mini- 42.6 38.9 34.7 12.9 31.9 39.5 34.3 diet 108 15 63 64 48 65 65 21 43 32 18 21 21 21 20 34 19 49 20 22

age 6-23 children months No. of 25 40 11 19 48 43 95 Religion Wealth indexquintile Area Mother’s education Sex: Area Total Background characteristics Table 3.7:continued Table 4.2:Vaccinationbybackgroundcharacteristics:Sylhetdivision ( ) (*) c b a Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. (vaccination cardormother’sreport,andvaccinationseen),byspecificbackgroundcharacteristics, Percentage ofchildrenage12-23monthswhoreceivedspecificvaccinesatanytimebeforethesurvey Hindu Islam highest Fourth Middle Second Lowest urban Other municipalities/ Secondary completeorhigher City Corporation Secondary incomplete Primary complete Female Primary incomplete No education Male Other municipalities/urban City Corporation Figures thatarebasedon25-49unweightedcases Figures thatarebasedonfewerthan25unweightedcases minimum dietarydiversity(excludingmilkfeedsandmealfrequency,Non-breastfedchildren). Minimum acceptablediet:Childrenage6-23monthswithminimumdietarydiversityandmealfrequency(Breastfedchildren) minimum of7(ormore)times Minimum mealfrequency:Childrenage6-23monthswhoreceivedsolid,semi-solidorsoftfood(plainmilkfeedsfornon-breastfedchildren)the fruits andvegetables. products (milk,yogurt,cheese),4)fleshfoods(meat,fish,poultryandliver/organmeats),5)eggs,6)vitamin-Arichfruitsvegetables,7)other Minimum dietarydiversityisdefinedasreceivingfoodsfromatleast4of7foodgroups:1)Grains,rootsandtubers,2)legumesnuts,3)dairy

BCG 97.0 92.5 96.2 94.9 95.6 dietary a Percent ofchildrenwho diver- (50.7) (36.8) (37.3) (36.5) (65.4) (31.3) (36.6) (24.1) mum Mini- 39.8 62.5 29.4 46.2 35.9 52.5 sity 97.0 92.5 96.2 94.9 95.6 Currently breastfeeding 1 received: Pentavalent frequ- b (72.2) (56.8) (70.1) (47.6) (82.7) (47.7) (53.5) (46.5) mum meal ency Mini- 62.2 82.7 54.8 75.5 58.0 74.8 96.0 89.2 93.7 94.2 93.9 2 accep- c (44.5) (33.7) (31.3) (25.4) (65.4) (22.3) (28.1) (24.1) mum table Mini- 35.1 59.6 25.5 40.8 29.8 49.6 diet 87.1 88.2 85.4 89.8 87.5 3 children months No. of 6-23 age 14 73 23 14 15 14 22 13 32 15 16 13 57 30 97.0 92.5 96.2 94.9 95.6 1 dietary OPV Percent ofchildrenwhoreceived: a diver- mum 96.0 89.2 93.7 94.2 93.9 Mini- sity (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) 2 Currently notbreastfeeding 87.1 88.2 85.4 89.8 87.5 frequ- b mum meal ency Mini- 3 (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) MR at9 months accep- c 82.2 78.5 77.9 84.7 81.0 mum table Mini- diet (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) At least 81.2 78.5 76.6 84.7 80.3 2 milk Full feeds (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) (*) None 3.0 7.5 3.8 5.1 4.4 children months No. of 6-23 age 1 6 1 1 2 3 3 1 1 1 5 2 vaccina- Percen- seen card tage with 77.2 66.7 75.4 72.3 73.9 tion dietary a Percent ofchildrenwho diver- (50.7) (36.7) (36.2) (35.3) (66.0) (30.4) (37.0) (24.2) mum Mini- 38.9 62.8 28.4 44.2 34.3 53.1 sity children No. of 44 20 34 30 64 received: frequ- b (69.1) (56.0) (68.0) (42.2) (83.0) (45.0) (51.3) (43.6) mum meal ency Mini- 59.5 81.3 52.1 71.4 54.9 72.8 Measles at 15 months received measlesat All children age15- 23 monthswho 64.7 58.2 55.1 75.0 62.6 Percentage of accep- c (42.6) (33.2) (29.1) (22.5) (66.0) (21.1) (26.3) (21.9) mum table Mini- 32.7 58.8 22.6 37.2 27.5 47.6 Child 15 months diet age 6-23 children children months No. of No. of 15 80 24 15 16 16 25 13 36 15 17 14 63 32 30 14 28 16 44 141 Child Well-being Survey in Urban Areas of Bangladesh 142 Child Well-being Survey in Urban Areas of Bangladesh Religion Religion Wealth indexquintile Wealth indexquintile Mother’ education Area Total Mother’s education Background characteristics Table 4.2:continued Table 4.3:Neonataltetanusprotection:Sylhetdivision ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Bangladesh, CWS2016. protected againstneonataltetanusbyselectedcharacteristics, Percentage ofwomanage15-49yearswithalivebirthinthelasttwoprecedingsurveywhowere Hindu Islam Highest Fourth Middle Second Hindu Islam Highest Fourth Lowest Middle Second above Secondary completeor Lowest Secondary completeorabove Secondary incomplete Secondary incomplete Primary complete Primary incomplete Primary complete No education Other municipalities/urban City Corporation Primary incomplete No education (100.0) (98.4) (93.9) (96.4) (97.6) (98.0) (92.5) BCG 95.1 90.9 96.2 93.6 (*) (100.0) (98.4) (93.9) (96.4) (97.6) (98.0) (92.5) 95.1 90.9 96.2 93.6 (*) received atleast 1 2 dosesduring last pregnancy Percentage of women who Pentavalent 30.4 14.9 20.8 12.4 10.6 21.7 18.6 25.8 10.8 21.7 21.2 16.6 14.9 22.3 17.4 (96.8) (96.0) (93.9) (96.4) (97.6) (98.0) (86.8) 93.0 88.3 95.3 91.5 ((*) 2 (93.7) (90.0) (89.8) (89.3) (97.6) (96.0) (79.3) 86.1 77.9 91.4 70.1 (*) 3 prior 3years 2 doses,the Percentage ofwomenwhodidnotreceivetwoormoredoses last within (100.0) (98.4) (93.9) (96.4) (97.6) (98.0) (92.5) 95.1 90.9 96.2 93.6 0.0 0.2 0.6 0.0 0.0 0.0 0.0 1.1 0.0 0.0 0.0 0.0 0.0 0.5 0.2 (*) 1 (96.8) (96.0) (93.9) (96.4) (97.6) (98.0) (86.8) OPV 93.0 88.3 95.3 91.5 during lastpregnancybutreceived: (*) 2 prior 5years 3 doses,the last within (93.7) (90.0) (89.8) (89.3) (97.6) (96.0) (79.3) 1.1 5.4 5.2 5.1 0.0 5.1 6.9 1.1 5.8 6.5 6.1 2.4 3.1 8.1 4.8 86.1 77.9 91.4 70.1 (*) 3 Child Well-beingSurveyinUrbanAreas, MR at9 months (95.3) (80.0) (77.6) (80.4) (97.6) (83.7) (71.7) 78.3 72.8 85.7 63.8 (*) prior 10years 4 doses,the last within 10.1 3.3 6.7 5.8 8.3 5.3 6.2 5.5 8.5 2.2 4.0 2.4 4.6 9.1 6.1 (92.1) (80.0) (77.6) (80.4) (97.6) (83.7) (71.7) 77.5 72.8 83.8 63.8 Full (*) None (2.4) (2.0) (7.5) 4.9 1.6 0.0 6.1 3.6 9.1 3.8 6.4 (*) 5 ormoredoses during lifetime vaccina- Percen- 58.7 55.2 59.2 58.8 62.8 50.6 49.1 51.7 63.3 47.9 51.6 53.7 63.6 40.1 55.8 (63.5) (80.0) (93.9) (73.2) (68.3) (83.7) (68.0) seen card tage with 74.2 66.3 73.4 76.6 tion (*) children No. of 11 53 14 11 11 12 17 23 11 12 10 9 tetanus [1] Protected against 93.5 82.4 91.6 84.6 78.7 83.6 80.0 89.9 88.4 78.3 82.8 75.1 86.2 80.2 84.2 Measles at 15 months received measlesat children age15- (88.7) (54.8) (48.0) 23 monthswho 57.7 64.5 Percentage of (*) (*) (*) (*) (*) (*) (*) 15 months women with in thelast2 a livebirth No. of years 108 128 children 20 34 21 21 21 32 19 49 20 22 18 85 43 No. of 37 10 10 17 7 8 7 9 6 7 7 7 Total Mother’s age atbirth Area Total Education Area Education Wealth indexquintile Religion Table 5.7:Numberofantenatalcarevisitsandtimingfirstvisit:Sylhetdivision Table 5.2:Earlychildbearing:Sylhetdivision Bangladesh, 2016. visits byanyproviderandthetimingoffirstantenatalcarevisits, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobynumberantenatalcare had alivebirthbeforeage18, childbearing, andwhohavehadalivebirthbeforeage15,percentageofwomen20-24years Percentage ofwomenage15-19yearswhohavehadalivebirth,arepregnantwiththefirstchild,begun ( )Figuresthatarebasedon25-49unweightedcases 35-49 20-34 Less than20 Other municipalities/urban City Corporation Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education City Corporation Other municipalities/urban No education Primary incomplete Primary complete Secondary incomplete Secondary completeorhigher Poorest Second Middle Fourth Richest Islam Hindu

Have hada live birth No antenetal (57.1) (26.7) (0.0) 22.1 28.8 18.5 22.7 24.5 32.3 19.9 24.9 19.5 16.1 21.7 25.0 care visits Child Well-beingSurveyinUrbanAreas,Bangladesh,CWS2016. (100.0) (50.0) 19.3 18.3 19.9 22.1 13.7 21.8 31.3 4.5 7.2 Percentage ofwomenwhohad: Percentage ofwomenage15-19who: with firstchild Are pregnant (13.9) (19.0) (0.0) (0.0) (0.0) (0.0) 16.7 (0.0) 15.7 11.7 20.6 17.4 12.2 13.0 22.8 22.2 visit One 5.4 1.7 7.4 0.0 9.2 0.0 0.0 0.0 6.1 4.5 (13.1) visits (0.0) Two 17.2 17.6 16.8 17.4 16.8 18.8 18.5 21.2 11.2 childbearing Have begun (57.1) (26.7) (33.4) (25.0) (0.0) 27.5 30.5 25.9 22.7 33.7 32.3 19.9 41.6 16.1 27.9 Three (11.9) visits (0.0) 18.9 16.7 21.7 20.0 16.8 22.5 18.4 15.2 21.4 birth beforeage15 4 ormore Have hadalive visits (0.0) (5.9) 28.9 35.8 21.0 23.1 40.6 38.5 18.5 10.1 58.4 (14.3) (6.6) (0.0) (0.0) (0.0) Child Well-beingSurveyinUrbanAreas, 1.2 3.4 0.0 0.0 0.0 5.4 0.0 0.0 0.0 1.4 (100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total of women age 15-19 Number live birthinthe women witha last twoyears 36 13 24 21 11 32 Number of 2 3 5 5 8 4 5 8 4 128 69 58 85 43 49 20 22 18 19 who havehadalive birth beforeage18 women age20-24 Percentage of (16.2) (22.0) (10.3) years whohadatleastone (9.5) (4.3) 19.0 13.3 21.7 26.7 22.2 18.3 20.5 25.6 10.8 19.8 a livebirthinthelasttwo Number ofwomenwith ANC visit 103 57 47 67 37 18 45 16 15 18 9 women age Number of 20-24 99 32 67 16 16 47 10 24 19 18 16 22 90 9 9 143 Child Well-being Survey in Urban Areas of Bangladesh 144 Child Well-being Survey in Urban Areas of Bangladesh Religion Wealth indexquintile Religion Wealth indexquintile Education Place of delivery Mother’s age atbirth Area Total Table 5.9:Assistanceduringdeliveryandcaesareansection:Sylhetdivision Table 5.7:continued ( )Figuresthatarebasedon25-49unweightedcases Bangladesh, 2016. assistance atdelivery,andpercentageofbirthsdeliveredbyC-section, Percent distributionofwomenage15-49yearswithalivebirthinthelasttwobypersonproviding (*) Figuresthatarebasedonfewerthan 25unweightedcases Hindu Islam Highest Fourth Middle Second Lowest Islam Highest Fourth Middle Second Lowest higher Secondary completeor Secondary incomplete Primary complete Primary incomplete No education Health facility Home 35-49 20-34 Less than20 urban Other municipalities/ City Corporation Hindu Private Public

Medical doctor 30.5 69.4 42.2 24.4 14.4 10.3 75.2 42.1 19.5 11.1 11.9 70.1 63.2 45.2 21.0 27.7 46.7 34.0 53.2 0.0 (*) Midwife No antenetal Nurse/ care visits 17.2 17.6 19.6 21.3 12.3 14.4 16.9 19.7 22.8 17.2 26.9 36.8 17.9 15.7 16.4 17.8 16.9 15.2 2.4 3.4 (*) (19.6) (42.8) 14.2 20.2 19.2 6.5 4.1 FWA Percentage ofwomenwhohad: HA/ Person assistingatdelivery 0.4 1.3 0.0 0.0 0.0 0.0 0.0 0.9 0.0 0.0 0.0 0.0 0.0 0.7 0.6 0.0 0.5 0.0 0.3 0.0 (*) (24.8) (20.7) 17.0 17.6 12.7 visit One 8.7 5.9 worker NGO 0.8 0.6 1.0 0.0 0.0 1.4 0.0 0.9 0.0 0.0 2.4 1.5 0.0 0.3 0.9 0.4 0.0 2.0 0.7 0.0 (*) (23.7) (17.3) visits Two 15.2 17.6 26.8 17.0 TTBA 7.1 11.9 17.0 15.4 13.8 11.2 17.4 10.1 13.1 21.9 16.5 11.8 10.7 11.4 6.5 6.2 5.6 1.5 0.0 7.2 8.7 (*) UTBA Three 34.6 25.8 35.1 49.6 53.1 19.3 35.9 56.6 64.3 64.4 23.6 41.6 37.4 21.3 32.1 18.5 (10.3) (12.4) visits 3.3 2.3 0.0 0.0 (*) 19.6 18.8 30.0 27.7 18.2 Unqua- doctor lified 4 ormore 0.4 1.3 0.0 0.0 0.0 0.0 0.0 0.9 0.0 0.0 0.0 0.0 0.0 0.7 0.6 0.0 0.5 0.0 0.3 0.0 (*) (21.7) visits (6.9) 42.3 26.4 21.6 23.4 62.3 Relative/ friends 4.3 0.0 5.2 2.1 8.3 6.9 0.0 4.9 4.4 5.1 6.0 0.0 0.0 8.6 3.8 4.9 5.6 1.5 4.3 4.4 (*) Child Well-beingSurveyinUrbanAreas, )100.0) (100.0) 100.0 100.0 100.0 100.0 100.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) live birthinthe women witha last twoyears Number of assisted by any skilled attendant Delivery 108 20 21 21 21 32 34 100.0 47.6 87.0 61.8 45.7 26.8 24.8 92.1 61.8 42.3 28.3 14.3 97.0 63.1 36.7 44.1 64.5 50.9 68.4 3.4 (*) delivered C-section Percent years whohadatleastone a livebirthinthelasttwo 24.6 61.0 33.0 22.3 65.1 33.6 18.5 62.5 38.0 16.9 23.6 37.6 28.2 47.8 43.8 Number ofwomenwith 8.3 7.6 8.1 9.5 0.0 (*) by ANC visit a livebirthinthe women whohad last twoyears 20 31 20 17 17 17 86 Number of 108 128 34 21 21 21 32 19 49 20 22 18 43 64 69 58 85 43 20 21 Total Area Mother’s age atbirth Place of delivery Education Wealth indexquintile Religion Table 5.12:Post-natalhealthchecksfornewborns:Sylhetdivision natal healthchecksbyselectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. post-natal care(PNC)visitsfromanyhealthproviderafterbirth,bytimingofvisit,andpercentagewhoreceivedpost birth receivedhealthcheckswhileinfacilityorathomefollowingbirth,percentagewhoselastlive Percentage ofwomenage15-49yearswithalivebirthinthelasttwoprecedingsurveywhose (*) c b a City Corporation 20-34 Less than20 Other municipalities/urban Health facility Home 35-49 No education Secondary incomplete Primary complete Primary incomplete Secondary completeorhigher Second Lowest Fourth Middle Highest Islam Hindu Figures thatarebasedonfewerthan25unweightedcases as PNCvisits(seenotebabove)withintwodaysofdelivery. Post-natal healthchecksincludeanycheckperformedwhileinthe facilityorathomefollowingbirth(seenoteaabove),aswell services. PNCvisitsdonotincludehealthchecksfollowingbirthwhileinfacilityorathome(seenoteaabove). Post-natal carevisits(PNC)refertoaseparatevisitbyanyhealthprovidercheckontheofnewbornandprovidepreventive provider fromhome). Health checksbyanyhealthproviderfollowingfacilitybirths(beforedischargefromfacility)orhome(beforedepartureof Public Private

Health check in facilityor birth while following at home 68.5 71.1 78.0 56.9 67.2 93.6 43.2 90.8 94.9 52.4 76.7 58.7 51.5 92.1 52.6 54.5 73.2 63.8 91.5 66.0 81.5 (*) a Same 14.1 24.9 17.8 26.7 27.5 26.3 18.8 26.8 12.4 13.3 27.2 12.7 21.7 day 9.7 8.7 1.4 3.6 7.6 7.1 5.5 8.5 (*) 1 day following birth 1.2 0.8 1.0 1.5 0.3 1.6 2.0 2.0 2.0 1.2 2.2 0.0 1.8 1.4 0.0 1.1 0.0 2.1 1.3 1.4 0.0 (*) 2 days following birth 0.5 0.8 0.5 0.5 0.0 0.3 1.0 2.0 0.5 2.4 0.0 0.0 0.4 0.0 0.0 2.1 0.0 0.0 0.6 0.4 1.1 (*) PNC visitfornewborns 3-6 days following birth 0.2 0.0 0.0 0.5 0.0 0.3 0.3 0.0 0.5 0.0 0.0 0.0 0.0 0.0 1.1 0.0 0.0 0.0 0.6 0.2 0.0 (*) first week following After the birth 1.2 1.5 1.5 0.5 0.0 0.9 2.4 0.0 3.6 0.0 2.2 0.0 2.2 0.0 0.0 1.1 0.0 2.1 2.6 1.4 0.0 (*) b No post- natal care 82.8 visit 87.3 88.2 72.1 98.3 79.0 67.5 68.4 67.1 92.9 88.0 92.9 76.7 93.1 72.0 87.3 87.6 82.5 67.6 83.9 77.3 (*) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) health check Post-natal newborn for the 69.3 57.7 67.7 72.6 43.9 78.9 94.6 92.8 95.4 52.4 58.7 53.5 78.0 55.9 92.1 63.8 53.6 75.3 91.5 66.9 82.6 (*) c live birthsinthe Number oflast last twoyears 128 108 58 85 43 64 69 64 21 43 18 20 22 49 32 19 21 21 21 34 20 145 Child Well-being Survey in Urban Areas of Bangladesh 146 Child Well-being Survey in Urban Areas of Bangladesh Area Total Area Total Wealth indexquintile Education ofhouseholdhead Religion Table 6.1:Useofimprovedwatersources:Sylhetdivision Table 6.3:Typesofsanitationfacilities:Sylhetdivision Survey inUrbanAreas,Bangladesh,CWS2016. household populationusingimproveddrinkingwatersources,byselectedcharacteristics, Percent distributionofhouseholdspopulationaccordingtomainsourcedrinkingwaterandpercentage characteristics, ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdpopulationaccordingtotypetoiletfacilityusedbythehousehold,selected (*) Figuresthatarebasedonfewerthan25unweightedcases Other municipalities/urban City Corporation urban Other municipalities/ City Corporation Lowest No education Second Secondary incomplete Primary complete Primary incomplete Middle higher Secondary completeor Fourth Missing/DK Highest Christian Hindu Buddhist Islam

system sewer Piped 10.2 3.3 5.5 Flush/Pour flushto: dwelling 27.9 17.4 50.2 37.7 18.3 13.6 69.4 27.0 66.0 28.9 27.9 Into 0.1 6.5 3.5 8.0 (*) (*) (*)

Septic yard/ 22.8 18.4 11.4 10.1 14.5 20.7 10.2 tank plot Into 15.7 24.4 18.5 9.6 3.4 7.8 6.6 2.2 8.5 1.8 6.7 (*) (*) (*)

Piped water Improved sanitationfacility neigh- bour latrine 0.2 0.1 0.5 0.0 0.6 0.4 0.3 0.0 0.0 0.0 0.0 0.2 0.0 0.2 To (*) (*) (*) .2

1.3 1.4 1.3 Pit Improved sources stand-pipe Public tap/ ved pit impro- latrine Venti- lated 30.5 19.2 26.9 1.0 0.8 1.5 1.4 0.1 0.7 1.1 0.9 1.9 0.8 0.4 1.7 0.5 1.2 1.0 (*) (*) (*) Type oftoiletfacilityusedbyhousehold

Main sourceofdrinkingwater latrine with 37.2 35.9 36.8 slab bore-hole Pit Tube- well/ 58.1 73.5 25.2 73.8 65.0 72.6 71.5 68.2 51.1 83.6 27.5 58.6 30.4 62.8 57.0 (*) (*) (*)

ting toilet Compos- 0.1 0.0 0.1 collec- water Rain- tion 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.3 0.2 0.0 0.0 0.0 (*) (*) (*)

Bottled water flush to where some- Flush/ 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.1 0.0 0.0 (*) (*) (*) Pour else

2.3 6.9 3.8 Unimproved sanitationfacility a open pit without latrine drum tank/ with Cart slab/ 0.1 0.1 0.0 0.0 0.0 0.1 0.0 0.0 0.1 0.1 0.0 0.0 0.1 0.1 0.0 (*) (*) (*) 7.0 0.4 4.9 Pit Unimproved sources

Surface water Hanging 3.0 4.5 0.0 5.8 4.9 2.3 5.9 6.4 1.3 0.6 0.2 3.9 0.7 0.0 3.5 (*) (*) (*) latrine toilet/

2.2 0.0 1.5 Bottled water 0.1 0.1 0.1 0.0 0.3 0.0 0.0 0.0 0.0 0.3 0.1 0.0 0.1 0.3 0.0 (*) (*) (*) Missing/

0.3 1.5 0.7 Dk a Child Well-being 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) (*)

tion (no defeca- facility, bush, Open field) 0.1 0.0 0.1 Percentage sources of improved drinking water using 96.8 95.4 99.9 94.2 94.8 97.6 94.1 93.6 98.6 99.0 99.7 96.1 99.1 99.6 96.5 (*) (*) (*)

100.0 100.0 100.0 Total Number of household members members of house- Number 3385 2304 1081 1060 2826 holds 2304 1081 3385 614 503 481 902 470 981 573 514 668 533

Type of sanitation facility used byhousehold members Total Religion Wealth indexquintile Education ofhouseholdhead Area Mother’s education Table 6.3:continued Table 6.6:Disposalofchild’sfaeces:Sylhetdivision being SurveyinUrbanAreas,Bangladesh,CWS2016. of childrenage0-2yearswhosestoolsweredisposedsafelythelasttimechildpassedstools, Percent distributionofchildrenage0-2yearsaccordingtoplacedisposalchild’sfaeces,andthepercentage (*) Figuresthatarebasedonfewerthan25unweightedcases Improved Unimproved Buddhist Christian Hindu Islam Highest Fourth Middle Second Lowest Missing/DK higher Secondary completeor Secondary incomplete Primary complete Primary incomplete No education Open defecation City Corporation Other municipalities/urban No education Primary incomplete Primary complete Secondary incomplete Secondary completeorhigher

system sewer Piped 14.8 15.9 8.3 5.0 3.8 0.6 0.0 0.0 8.4 1.4 1.4 0.8 (*) (*) (*) Flush/Pour flushto: toilet/latrine Child used Septic tank 16.3 19.1 14.7 25.5 10.4 47.5 44.1 3.5 1.1 0.1 9.3 5.7 (*) (*) (*) (2.5) 2.1 2.1 3.1 1.6 1.2 4.4 2.2 1.4 2.3 (*) Improved sanitationfacility latrine 0.8 1.4 1.0 1.3 2.1 3.0 0.3 0.7 0.1 3.6 0.1 0.3 (*) (*) (*) Pit Put/rinsed into toilet or latrine (32.4) ved pit impro- latrine 56.0 60.2 71.7 48.1 39.0 30.7 56.6 64.9 76.1 Venti- lated (*) 29.4 26.6 34.5 26.2 27.2 15.4 38.9 26.4 27.7 15.8 37.1 28.5 (*) (*) (*) Type oftoiletfacilityusedbyhousehold Place ofdisposalchild’sfaeces latrine with 36.8 36.6 39.2 31.2 46.8 48.7 58.4 53.7 11.7 38.1 50.8 slab 9.5 (*) (*) (*) Pit Put/rinsed into drain or ditch (25.0) 18.8 17.8 15.7 20.3 30.5 20.9 13.3 17.3 14.8 (*) ting toilet Compos- (*)` (*)` (*)` 0.0 0.1 0.0 0.0 0.3 0.0 0.0 0.3 0.0 0.0 0.0 0.0 garbage Thrown (20.0) 19.3 18.9 24.6 24.4 33.0 22.3 15.5 into 8.9 6.8 (*) flush to where some- Flush/ Pour else 3.8 3.8 4.2 4.9 3.2 0.4 1.1 0.0 8.2 2.5 1.2 8.8 (*) (*) (*) Unimproved sanitationfacility Left inthe (17.5) open open pit 3.4 1.0 0.5 4.8 4.9 8.8 5.6 0.9 0.0 (*) without latrine slab/ 11.8 3.6 5.0 1.0 1.4 6.2 7.5 9.3 0.0 8.7 8.7 0.0 (*) (*) (*) Pit Other (2.5) Hanging 0.4 0.0 0.0 0.5 0.0 2.2 0.0 0.0 0.0 (*) latrine toilet/ 1.0 1.6 0.0 0.0 1.5 0.0 2.9 5.9 0.0 2.5 3.4 0.0 (*) (*) (*) (100.0) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) Missing/ 0.0 0.8 1.5 1.0 0.9 0.2 0.1 0.0 0.8 0.3 0.4 1.1 (*) (*) (*) Dk last stoolswere children whose Percentage of disposed of safely (34.9) tion (no defeca- facility, 58.2 62.3 74.9 49.7 40.2 35.1 58.8 66.3 78.3 bush, Open field) (*) 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.3 0.0 0.0 0.2 0.0 (*) (*) (*) Child Well- 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) (*) children age Number of 0-2 years members of house- 123 105 Number 17 41 82 18 20 20 47 19 holds 2826 1060 533 668 981 503 573 470 614 514 481 902 4 1 147 Child Well-being Survey in Urban Areas of Bangladesh 148 Child Well-being Survey in Urban Areas of Bangladesh Wealth indexquintile Area Education ofhousehold head Total Religion Wealth indexquintile Religion Table 6.8:Availabilityofsoaporothercleansingagent:Sylhetdivision Table 6.6:continued being SurveyinUrbanAreas,Bangladesh,CWS2016. Percent distributionofhouseholdsbyavailabilitysoaporothercleansingagentinthedwelling, ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Lowest Second Middle Fourth Other municipalities/urban City Corporation Highest No education Islam Primary incomplete Hindu Primary complete Missing/DK Secondary completeorhigher Secondary incomplete Lowest Second Middle Christian Buddhist Hindu Islam Highest Fourth

toilet/latrine cleansing Child used observed Soap or agent other 49.5 65.7 54.9 25.2 34.4 42.7 93.9 73.1 15.1 40.2 64.8 53.1 97.0 82.6 7.2 (*) (*) (*) 0.7 6.7 0.0 2.1 2.0 2.5 0.0 Place forhandwashingobserved Soap orother observed atplaceforhandwashing agent shown Soap orothercleansingagentnot cleansing Put/rinsed into toilet or latrine 37.7 20.8 32.1 52.6 47.8 39.5 18.9 61.2 64.5 46.0 29.2 32.7 11.5 27.7 46.6 54.9 75.2 76.0 53.9 67.4 5.5 2.2 (*) (*) (*) Place ofdisposalchild’sfaeces Put/rinsed into drain cleansing agentin or ditch No soaporother 31.4 13.3 14.3 16.5 14.7 20.2 11.2 household 2.2 5.5 3.3 5.7 4.0 3.5 0.2 2.6 7.2 5.8 2.8 0.4 3.8 0.3 2.1 (*) (*) (*) garbage Thrown 32.2 26.8 26.4 19.4 19.1 into 6.2 7.3 cleansing Place forhandwashing Soap or shown agent other 10.1 14.8 13.9 13.6 22.8 14.6 10.1 7.6 9.3 0.4 5.4 Left inthe 5.6 9.9 0.5 3.5 (*) (*) (*) not observed open 6.6 6.7 4.4 0.0 0.0 3.6 2.3 household cleansing No soap agent in or other Other 0.4 0.5 0.6 1.7 0.0 0.0 0.0 0.7 1.6 0.0 0.0 0.5 0.0 0.3 0.8 1.5 0.0 0.0 0.0 0.0 0.4 0.0 (*) (*) (*) 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Total (*) (*) (*) last stoolswere children whose Percentage of disposed of Percentage of anywhere in the dwelling households safely with soap cleansing 28.4 53.2 54.9 77.3 78.0 56.4 67.4 or other agent 94.1 96.2 97.3 92.6 96.0 99.8 97.4 95.8 91.2 94.2 99.6 95.7 99.7 97.6 96.4 (*) (*) (*) Child Well- children age Number of households Number of 0-2 years 104 30 20 20 21 33 19 219 658 439 163 113 192 137 108 546 198 123 106 91 98 93 Mother’s education Sex Total Sex Religion Wealth indexquintile Mother’s education Age ofchild Area Area Total Table 7.1:Attendancetoearlychildhoodeducation:Sylhetdivision Table 7.3:Schoolreadiness:Sylhetdivision Children attendingearlychildhoodeducation:EC5=1 (2015) byselectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage of children attending first grade of primary school (in 2016) who attended pre-school the previous year by selectedcharacteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage36-59monthswhoareattendinganorganizedearlychildhoodeducationprogramme Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Female Male Male Other municipalities/urban City Corporation Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 48-59 months 36-47 months Other municipalities/urban City Corporation Female Characteristics

Percentage ofchildrenage36-59months Percentage ofchildrenattendingfirst attending earlychildhoodeducation grade whoattendedpreschoolin previous year (71.8) (54.0) (56.4) 76.6 49.1 58.7 64.4 61.7 61.2 61.5 19.8 20.1 26.1 18.8 32.2 27.6 15.2 17.8 10.3 40.0 23.6 11.0 24.5 31.8 21.7 17.1 20.5 8.0 7.2

Number ofchildrenattendingfirst Number ofchildrenage36-59 grade ofprimaryschool months 140 119 28 24 16 17 46 46 66 26 92 71 27 66 19 30 25 25 22 38 14 52 25 22 74 93 47 69

149 Child Well-being Survey in Urban Areas of Bangladesh 150 Child Well-being Survey in Urban Areas of Bangladesh Wealth indexquintile Mother’s education Religion Age atbeginningofschool Area Religion Total Wealth indexquintile Table 7.5:Primaryschoolattendanceandoutofchildren:Sylhetdivision Table 7.3:continued a Thepercentageofchildrenprimaryschool ageoutofschoolarethosenotattendingandpreschool ( )Figuresthatarebasedon25-49unweightedcases attending preschool,andpercentageoutofschool, Percentage ofchildrenprimaryschoolageattendingorsecondary(adjustednetattendanceratio),percentage Lowest higher complete or Secondary Middle Second incomplete Secondary Primary complete incomplete Primary No education 10 9 8 7 6 Islam urban municipalities/ Other Hindu City Corporation Hindu Islam Highest Fourth Highest Fourth Middle Second Lowest

Characteristics (adjus- dance atten- ratio 75.5 96.3 90.8 84.5 93.0 88.0 87.3 75.8 91.0 92.9 89.0 89.7 70.3 86.2 88.1 92.2 84.9 92.5 87.1 93.1 ted) Net

or preschool school atten- Percentage ofchildren: ding Not 7.3 0.0 0.7 1.6 0.4 2.8 1.9 7.2 5.7 4.9 1.6 0.0 0.7 2.7 2.4 2.6 3.4 0.9 2.7 1.7

Male school Atten- ding 21.0 pre- 6.4 3.7 8.5 5.7 5.3 7.4 8.2 6.3 0.0 1.1 4.7 7.1 6.4 6.1 5.2 6.4 5.6 6.2 5.2

Out of 13.7 10.2 10.1 13.5 21.6 school 3.7 9.2 7.3 5.6 5.7 6.0 6.3 7.1 9.2 8.5 7.8 9.8 6.6 8.9 6.9

Percentage ofchildrenattendingfirst a grade whoattendedpreschoolin No. of dren chil- 157 127 184 44 18 31 26 61 23 34 48 38 40 41 34 32 25 57 46 37

Child Well-beingSurveyinUrbanAreas,Bangladesh,2016. (adjus- previous year dance atten- ratio 92.7 82.5 94.0 80.5 89.0 93.2 82.6 86.1 96.0 95.3 96.3 83.5 71.9 88.0 95.0 83.7 91.1 92.4 96.2 88.8 ted) Net

(67.2) (73.5) 59.9 66.0 61.5 57.3 51.8

or preschool school atten- Percentage ofchildren: ding Not 1.2 0.0 1.4 3.2 0.0 0.0 2.1 1.2 2.0 2.9 0.6 0.6 0.0 1.3 1.0 1.9 1.0 0.9 0.0 1.3

Female school Atten- ding 16.4 pre- 5.5 7.5 4.3 4.5 9.8 3.9 4.5 6.7 0.0 0.6 0.6 9.4 5.5 2.0 5.9 5.0 6.2 3.2 5.3

Out of 10.0 16.4 school 6.7 7.5 5.7 7.7 9.8 3.9 6.6 7.9 2.0 3.5 1.2 6.8 3.0 7.8 6.0 7.1 3.2 6.5

a No. of dren chil- 164 130 188 35 26 61 48 18 22 52 35 43 37 35 37 37 22 58 45 34

Number ofchildrenattendingfirst (adjus- dance atten- ratio 93.5 92.7 91.9 83.5 78.1 90.5 79.3 86.7 93.6 94.1 92.3 86.5 71.1 93.5 84.3 87.1 92.4 89.6 94.6 88.0 ted) Net grade ofprimaryschool

or preschool school atten- Percentage ofchildren: ding Not 0.9 0.0 0.8 5.2 1.4 4.5 1.5 3.7 4.0 1.1 0.3 0.3 1.9 2.6 2.0 0.9 1.7 0.9 1.0 2.0

78 13 20 14 18 23 18

Total school Atten- ding 18.5 pre- 4.8 6.7 6.6 5.4 5.7 5.4 7.4 0.0 0.8 2.8 8.3 3.7 6.2 6.0 5.9 5.5 4.2 6.8 5.7

Out of 10.6 18.8 school 5.7 6.7 7.4 7.1 9.9 9.0 3.7 4.8 4.0 8.6 5.6 8.8 8.0 6.9 7.2 5.1 7.8 7.7

a No. of dren chil- 122 100 116 321 256 372 35 52 45 91 69 81 76 76 70 69 46 91 71 66

Religion Wealth indexquintile Mother’s education Age atbeginningofschoolyear Area Total Table 7.6:Secondaryschoolattendanceandoutofchildren:Sylhetdivision (*) a Areas, Bangladesh,CWS2016. ratio), percentageattendingprimaryschool,andoutof Percentage ofchildrensecondaryschoolageattendingorhigher(adjustednetattendance Christian Buddhist Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education 17 16 15 14 13 12 11 Other municipalities/urban City Corporation Figures thatarebasedonfewerthan25unweightedcases The percentageofchildrensecondaryschoolageoutarethosewhonotattendingprimary,secondary,orhighereducation

(adjus- dance atten- ratio 70.4 58.3 87.5 73.6 52.6 40.8 27.8 94.6 84.1 53.8 43.3 32.0 63.0 65.7 69.3 67.4 70.4 47.2 35.3 60.1 59.7 60.0 ted) Net (*) (*) primary school Atten- Percentage of ding 17.0 15.6 10.6 21.1 28.8 19.8 10.9 33.3 30.8 39.3 11.1 34.7 56.3 16.3 14.3 15.7 6.0 5.4 0.0 0.0 1.4 7.7 (*) (*) children: Male school Out of 12.6 21.9 13.0 23.5 27.9 40.3 11.1 20.8 23.9 34.7 26.5 26.0 24.9 13.2 13.1 20.3 21.5 20.6 6.8 0.0 3.5 6.6 (*) (*) a Number children 238 193 274 34 79 53 46 43 53 43 25 26 53 37 36 46 36 41 43 36 81 of 1 1 8 (adjus- dance atten- ratio 73.2 65.7 80.9 78.2 70.1 51.8 37.5 82.2 78.6 70.7 57.0 50.6 66.5 70.7 71.2 74.7 77.5 54.8 53.9 67.1 66.2 66.9 ted) Net primary school Atten- Percentage of ding 14.1 14.7 15.2 22.3 30.0 13.0 25.0 33.7 32.1 11.5 34.7 41.6 16.2 10.3 14.6 5.3 9.2 3.2 0.0 1.9 4.1 5.9 children: Female school Out of 10.1 17.4 10.7 10.7 14.7 24.1 28.6 14.5 32.4 26.1 20.0 17.7 15.8 17.9 16.4 9.7 7.0 4.4 7.5 9.2 6.7 3.9 Child Well-beingSurveyinUrban a Number children 230 191 264 32 77 56 50 36 46 13 46 20 23 54 38 34 37 40 37 45 34 73 of (adjus- dance atten- ratio 71.7 61.9 84.2 76.0 61.7 45.8 32.3 86.9 81.2 61.2 49.8 41.3 64.7 68.1 70.1 71.3 73.8 51.1 44.3 63.6 62.8 63.4 ted) Net (*) (*) primary school Atten- Percentage of ding 15.6 15.2 18.0 25.9 24.5 12.0 29.7 32.2 35.7 11.3 34.7 49.2 16.2 12.4 15.1 5.7 9.8 4.0 0.0 0.9 2.6 6.8 (*) (*) children: Total school Out of 11.4 19.7 11.8 18.9 26.2 34.9 14.5 19.2 33.5 26.3 23.4 21.1 11.3 18.0 19.8 18.5 8.7 6.1 5.3 8.1 9.8 5.3 (*) (*) a Number children 469 156 109 107 383 155 538 66 95 79 99 21 89 45 49 74 69 83 76 78 88 69 of 1 1 151 Child Well-being Survey in Urban Areas of Bangladesh 152 Child Well-being Survey in Urban Areas of Bangladesh Area Total Area Total Sex Mother’s education Sex Wealth indexquintile Religion Table 7.7:Primaryschoolcompletionandtransitiontosecondaryschool:Sylhetdivision Table 8.1:Birthregistration:Sylhetdivision being SurveyinUrbanAreas,Bangladesh,CWS2016. Primary schoolcompletionratesandtransitioneffectivetosecondaryschool, Areas, Bangladesh,CWS2016. mothers/caretakers knowhowtoregisterbirthbyselectedcharacteristics, Percentage ofchildrenunderage5bywhetherbirthisregisteredandpercentagenotwhose ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases completion ageatthebeginningofschoolyear). completion rate= 100 * (number ofchildren attending the last grade ofprimary school - repeaters) / (number ofchildren primary school time, tothenumberofchildrenprimarygraduationageatbeginningcurrent(ormostrecent)schoolyear,calculatedas:Primary The primarycompletionrateistheratiooftotalnumberstudents,regardlessage,enteringlastgradeschoolforfirst Other municipalities/urban City Corporation City Corporation Female Male Other municipalities/urban Secondary completeorhigher Secondary incomplete Primary complete Primary incomplete No education Male Highest Fourth Middle Second Lowest Female Hindu Islam

Children underage5whosebirthisregistered completion Has birthcertificate Primary Seen (100.0) (100.0) (100.0) school 19.5 18.8 19.8 19.7 19.2 (83.6) (90.0) (95.7) 100.0 100.0 92.5 77.2 88.5 97.1 94.8 85.9 55.3 93.1 rate (*) Not seen with civilauthorities completion age primary school 10.8 16.0 10.7 11.0 8.3 Number of children of 81 55 27 43 38 21 17 29 16 15 17 11 22 10 69 6 9 certificate No birth 0.7 0.6 0.8 0.5 0.9 secondary Transition school (100.0) rate to (97.5) (97.4) 100.0 100.0 100.0 98.4 99.1 96.6 98.2 98.6 97.9 96.1 98.2 registered (*) (*) (*) Total 31.0 35.4 28.9 30.9 31.2 2 primary schoolthe in thelastgradeof children whowere f children of previous year Number Number of under age 5 337 110 227 174 162 67 48 19 37 30 20 11 16 18 17 15 59 6 8 9 8 7 Child Well-beingSurveyinUrban mother/caretaker knowshow Children underage5whosebirthisnotregistered Percent ofchildrenwhose to registerbirth secondary transition Effective (100.0) school rate to (97.5) (97.4) 100.0 100.0 100.0 98.4 99.1 96.6 98.2 98.6 97.9 96.1 98.2 (*) (*) (*) 100.0 100.0 99.6 99.5 99.3 No. ofchildrenwhowereinthe the previousyearandarenot last gradeofprimaryschool repeating thatgradeinthe current schoolyear Child Well- under age5without Number ofchildren birth registration 67 48 19 37 30 20 11 16 18 17 15 59 6 8 9 8 7 232 161 121 112 71 Total Age Area Sex Mother’s education Age Wealth indexquintile Education ofhousehold head Religion Table 8.2:Childdiscipline:Sylhetdivision Table 8.1:continued selected characteristics,ChildWell-beingSurveyinUrbanAreas,Bangladesh,CWS2016. Percentage ofchildrenage1-14yearsbychilddiscipliningmethodsexperiencedduringthelastonemonth 0-11 months 12-23 months City Corporation 24-35 months Other municipalities/urban 36-47 months 48-59 months No education Male Primary incomplete Female Primary complete Secondary incomplete Secondary completeorhigher 1-2 Lowest 10-14 5-9 3-4 Second Middle Fourth Primary complete Primary incomplete No education Highest Secondary incomplete Islam Hindu

Children underage5whosebirthisregistered Has birthcertificate Seen 14.8 20.0 24.1 31.5 21.7 22.1 19.4 16.8 22.1 15.5 19.6 26.1 15.5 21.4 20.1 15.7 5.2 Only non-violent discipline Not seen (29.4) with civilauthorities 13.5 16.0 12.4 14.4 12.5 14.4 18.7 27.6 9.4 9.5 9.4 9.1

11.6 13.8 15.7 11.2 16.8 14.9 13.7 10.7 11.6 5.2 7.3 8.1 9.7 8.6 8.9 8.6 7.1 Percentage ofchildrenage1-14yearswhoexperienced: certificate No birth Psychological 0.7 0.6 1.0 0.3 0.9 0.8 0.9 0.0 1.1 0.0 0.8 0.0 0.0 1.9 0.7 0.8 0.0 aggression (70.6) 76.2 71.9 78.2 74.4 78.2 84.2 79.6 57.5 73.9 84.4 82.8 62.2

registered Total 11.1 22.7 32.6 38.2 48.0 30.6 32.6 28.0 29.1 38.9 25.2 28.2 33.2 32.2 35.9 31.7 27.3 Physical punishment (47.0) 58.4 57.8 58.7 61.1 55.5 69.0 70.8 47.2 47.5 65.6 71.4 33.9 Any

f children of Number under age 5 134 288 63 68 68 64 74 54 50 53 46 81 53 55 59 88 49 Severe (20.6) mother/caretaker knowshow 18.6 16.7 19.5 18.9 18.4 19.9 20.7 14.4 18.1 20.5 21.4 13.6 Children underage5whosebirthisnotregistered Percent ofchildrenwhose

to registerbirth discipline method 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 98.4 98.8 98.4 99.3 98.8 99.8 98.8 Any violent (70.6) 82.9 79.8 84.3 82.1 83.8 90.0 88.2 69.8 78.7 89.5 89.3 69.0

under age5without Number ofchildren Number ofchildren birth registration age 1-14years 940 293 647 492 447 339 129 125 346 422 211 174 197 56 53 46 40 38 37 34 38 95 28 60 38 37 40 57 35

7 153 Child Well-being Survey in Urban Areas of Bangladesh 154 Child Well-being Survey in Urban Areas of Bangladesh Wealth indexquintile Religion Religion Wealth indexquintile Education ofhouseholdhead Age Sex Area Total Table 8.6a:Childlabour:Sylhetdivision Table 8.2:continued (*) Figuresthatarebasedonfewer than25unweightedcases Well-being SurveyinUrbanAreas,Bangladesh,CWS2016. week, andpercentageengagedinchildlabourduringthelastweekaccordingtoselectedcharacteristics, Percentage ofchildrenage5-14yearsbyinvolvementineconomicactivitiesorhouseholdchoresduringthelast ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases Middle Second Lowest Fourth Highest Islam Hindu Buddhist Buddhist Hindu Islam Lowest Highest Fourth Middle Second Secondary incomplete Primary complete Primary incomplete No education 10-14 5-9 Female Male City Corporation Other municipalities/urban

Only non-violent discipline Percentage ofchildrenage5-14dueto 10.9 17.6 21.7 14.1 10.8 8.7 6.8 (*)

Percentage ofchildrenage1-14yearswhoexperienced: engaged inchildlabour Psychological aggression 77.6 86.2 81.0 72.5 65.0 76.0 76.4 (*)

13.3 11.7 10.2 5.2 7.9 4.5 1.0 9.4 9.3 4.3 7.9 8.3 2.7 5.9 8.8 6.2 7.5 (*) (*)

Physical punishment 66.7 69.6 66.2 50.4 42.9 58.7 54.0 Any (*)

Severe 17.6 26.0 19.6 14.5 14.4 18.6 18.9 (*)

Number ofchildren(5-14)yearsaged discipline method Any violent 86.6 90.3 86.5 79.6 73.3 82.4 84.9 (*)

505 141 152 110 106 161 352 312 276 271 317 182 406 588 74 78 70

Number ofchildren age 1-14years Child 140 226 168 172 234 808 122

1 Education Religion Wealth indexquintile Age Area Total Table 8.7:Earlymarriageandpolygyny(women):Sylhetdivision Bangladesh, CWS2016. who areinapolygynousmarriageorunionbyselectedcharacteristics, birthdays, percentageofwomenage15-19yearscurrentlymarriedorinunion,andthe percentages ofwomenage20-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thand18th Percentage ofwomenage15-49yearswhofirstmarriedorenteredamaritalunionbeforetheir15thbirthday, ( )Figuresthatarebasedon25-49unweightedcases (*) Figuresthatarebasedonfewerthan25unweightedcases na: notapplicable Secondary incomplete Primary complete Primary incomplete No education 45-49 Buddhist Hindu Islam Highest Fourth Middle Second Lowest Secondary completeorhigher 40-44 35-39 30-34 25-29 20-24 15-19 Other municipalities/urban City Corporation

married Percen- Women age15-49 age 15 before tage 17.5 16.3 25.9 26.4 13.9 12.1 13.7 15.5 17.6 18.9 19.9 15.0 10.9 12.2 12.4 12.3 7.9 4.0 7.8 2.3 5.5 1.7 (*) years age 15-49 Number women years 411 121 117 165 114 160 805 322 201 163 126 159 157 113 123 166 168 195 651 321 971 92 of 1 married Percen- age 15 before tage 11.1 20.4 18.2 27.0 26.4 18.9 17.1 15.3 17.5 18.9 20.4 19.9 15.0 10.9 15.0 14.8 14.9 4.8 9.1 2.4 5.5 (*) na Women age20-49years married Percen- age 18 before tage 37.7 47.4 49.8 60.9 60.8 51.7 27.9 43.1 29.0 39.6 44.9 49.1 52.6 10.2 46.1 40.0 30.2 26.8 41.3 38.7 40.4 (*) na 49 years Number women age 20- 279 104 100 156 114 135 637 259 156 128 103 131 137 113 123 166 168 515 262 777 na 92 of 1 Child Well-beingSurveyinUrbanAreas, currently married/ in union Percen- Women age15-19 tage 15.9 27.5 16.3 15.8 18.1 17.4 18.4 16.7 17.1 14.8 18.7 26.5 27.5 17.1 20.5 18.1 na na na na na na years age 15-19 Number women years 132 195 169 136 195 na na na na na na 17 17 25 63 45 35 23 28 20 59 of 0 8 Percentage in polygynous marriage/ union Women age15-49years 3.5 8.4 2.5 3.0 0.0 3.2 2.3 2.6 2.8 6.5 0.0 5.0 3.1 1.9 1.6 2.9 2.3 2.7 (*) .6 .8 .9 .5 women age15-49 married/in union years currently Number of 104 154 114 119 601 233 141 117 101 133 272 112 119 143 105 487 237 724 97 92 97 40 155 Child Well-being Survey in Urban Areas of Bangladesh 156 Child Well-being Survey in Urban Areas of Bangladesh CWS 2016,DivisionalIndicators:NumeratorsandDenominators ANNEX 2 1 S. N 1. 7. 6. 5. 4. 3. 2. 8. 9. NUTRITION meats), 5)eggs,6)vitamin-Arichfruits andvegetables,7)otherfruitsvegetables and tubers,2)legumesnuts,3) dairyproducts(milk,yogurt,cheese),4)fleshfoods(meat,fish,poultry andliver/organ The indicatorisbasedonconsumption ofanyamount offoodfromatleast4outthe7followinggroups:1)grains, roots months; Non-breastfeedingchildren: Solid,semi-solid,orsoftfoods,milkfeeds,fourtimesforchildren age6-23months Breastfeeding children:Solid,semi-solid, orsoftfoods,twotimesforinfantsage6-8 months, andthreetimesforchildren9-23 reference Table 3.2 3.7 3.3 3.3 3.2 3.2 3.2 3.7 3.7 prevalence Underweight frequency Minimum meal breastfeeding initiation of Early breastfed Children ever prevalence Overweight prevalence Wasting prevalence Stunting diversity dietary Minimum acceptable diet Minimum Indicators Module MN MN AN AN AN AN BD BD BD Number ofchildrenunderage5whofallbelow minimum numberoftimes milk feedsfornon-breastfedchildren)the received solid,semi-solidandsoftfoods(plus Number ofchildrenage6-23monthswho within onehourofbirth whoputtheirlastnewborntothebreast years 2 Number of women with alive birth inthelast any time years whobreastfedtheirlastlive-bornchildat Number ofwomenwithalivebirthinthelast2 height oftheWHOstandard two standarddeviationsofthemedianweightfor Number ofchildrenunderage5whoareabove Number ofchildrenunderage5whofallbelow Number ofchildrenunderage5whofallbelow previous day received foodsfrom4ormorefoodgroups Number ofchildrenage6–23monthswho (b) (a) (b) (a) (b) (a) (b) (a) during thepreviousday frequency duringthepreviousday not includingmilkfeedsandtheminimummeal and hadatleasttheminimumdietarydiversity months whoreceivedatleast2milkfeedings Number ofnon-breastfedchildrenage6–23 previous day and theminimummealfrequencyduring who hadatleasttheminimumdietarydiversity Number ofbreastfedchildrenage6–23months median weightforheightoftheWHOstandard minus threestandarddeviations(severe)ofthe severe) minus twostandarddeviations(moderateand standard of themedianheightforageWHO below minusthreestandarddeviations(severe) severe) minus twostandarddeviations(moderateand median weightforageoftheWHOstandard minus threestandarddeviations(severe)ofthe severe) minus twostandarddeviations(moderateand Numerator 1 ormoreduringthe 2

(b) (a) years birth inthelast2 women withalive Total numberof years birth inthelast2 women withalive Total numberof children underage5 Total numberof children underage5 Total numberof children underage5 Total numberof children underage5 Total numberof months children age6-23 Total numberof months children age6–23 Total numberof Denominator age 6–23months breastfed children Number ofnon- age 6–23months breastfed children Number of S. N 13. 14. 22. 21. 20. 19. 12. 11. 10. 18. 17. 16. 15. WATER ANDSANITATION REPRODUCTIVE HEALTH CHILD HEALTH reference Table 5.12 5.2 5.7 6.8 6.6 6.3 6.1 5.2 4.2 4.2 5.9 5.9 5.9 childbearing Early coverage Antenatal care cleansing agent soap orother Availability of child’s faeces Safe disposalof sanitation improved Use of sources drinking water improved Use of birth Adolescent coverage immunization Measles protection tetanus Neonatal the newborn health checkfor Post-natal section Caesarean deliveries Institutional delivery attendant at Skilled Indicators CM -BH CM -BH Module MN HW MN MN MN MN WS WS CA PN IM least onelivebirthbeforeage18 Number ofwomenage20-24yearswhohadat during theirlastpregnancythatledtoalivebirth birth inthelast2yearswhowereattended Number ofwomenage15-49yearswithalive cleansing agent Number ofhouseholdswithsoap orother stools weredisposedofsafely Number ofchildrenage0-2yearswhoselast sanitation facilitieswhicharenotshared Number ofhouseholdmembersusingimproved sources ofdrinkingwater Number ofhouseholdmembersusingimproved birthday national immunizationschedulebytheirfirst received allvaccinationsrecommendedinthe Number ofchildrenage12-23monthswho or 5dosesduringlifetime appropriate intervalpriortothemostrecentbirth two dosesoftetanustoxoidvaccinewithinthe birth inthelast2yearswhoweregivenatleast Number ofwomenage15-49yearswithalive women age15-19yearswhohavehadalivebirth within 2daysafterdelivery home followingdelivery,orapost-natalcarevisit received ahealthcheckwhileinfacilityorat Number oflastlivebirthsinthe2yearswho by caesareansection recent livebirthinthelast2yearswasdelivered Number ofwomenage15-49yearswhosemost birth wasdeliveredinahealthfacility birth inthelast2yearswhosemostrecentlive Number ofwomenage15-49yearswithalive live birth skilled healthpersonnelduringtheirmostrecent birth inthelast2yearswhowereattendedby Number ofwomenage15-49yearswithalive (b) (a) at leastfourtimesbyanyprovider at leastoncebyskilledhealthpersonnel Numerator years women age20-24 Total numberof households Total numberof years children age0-2 Total numberof household members Total numberof household members Total numberof months children age12-23 Total numberof years birth inthelast2 years withalive women age15-49 Total numberof 2 years live birthsinthelast Total numberoflast years birth inthelast2 years withalive women age15-49 Total numberof years birth inthelast2 years withalive women age15-49 Total numberof years birth inthelast2 years withalive women age15-49 Total numberof years birth inthelast2 years withalive women age15-49 Total numberof Denominator 157 Child Well-being Survey in Urban Areas of Bangladesh 158 Child Well-being Survey in Urban Areas of Bangladesh S. N 29. 24. 23. 30. 35. 34. 33. 32. 31. 25. 26. 27. 28. CHILD PROTECTION LITERACY ANDEDUCATION reference Table 8.6a 8.1 7.3 7.1 8.2 8.7 8.7 8.7 8.7 7.5 7.6 7.7 7.8 registration Birth readiness School education early childhood Attendance to discipline Violent (5-14 years) Child labour Polygyny union married orin years currently age 15-19 Young women before age18 Marriage before age15 Marriage ratio (adjusted) net attendance Primary school ratio (adjusted) attendance school net Secondary completion rate Primary school to secondary Transition rate Indicators Module MA MA MA MA CD BR ED ED ED ED ED EC CL programme are attendinganearlychildhoodeducation Number ofchildrenage36-59monthswho reported registered Number ofchildrenunderage5whosebirthsare physical punishmentduringthelastonemonth experienced psychologicalaggressionor Number ofchildrenage1-14yearswho polygynous union Number ofwomenage15-49yearswhoareina married orinunion Number ofwomenage15-19yearswhoare first marriedorinunionbeforeage18 Number ofwomenage20-49yearswhowere first marriedorinunionbeforeage15 Number ofwomenage15-49yearswhowere chores forbothgroups activities andmorethan28hoursinhousehold than 14hoursfor12-14yearsineconomic involved morethan1hourperweekand Number ofchildrenage5-11yearswhoare previous schoolyear school whoattendedpre-schoolduringthe Number ofchildreninfirstgradeprimary currently attendingprimaryorsecondaryschool Number ofchildrenprimaryschoolage currently attendingsecondaryschoolorhigher Number ofchildrensecondaryschoolage primary school(excludingrepeaters) Number ofchildrenattendingthelastgrade during thecurrentschoolyear who areinthefirstgradeofsecondaryschool primary schoolduringthepreviousyear Number ofchildrenattendingthelastgrade Numerator months children age36-59 Total numberof children underage5 Total numberof years children age1-14 Total numberof married orinunion 49 yearswhoare women age15- Total numberof years women age15-19 Total numberof years women age20-49 Total numberof years women age15-49 Total numberof years children age1-14 Total numberof primary school the firstgradeof children attending Total numberof school age children ofprimary Total numberof age secondary school of children Total number primary school) to finalgradeof age (ageappropriate school completion children ofprimary Total numberof school year during theprevious primary school the lastgradeof children attending Total numberof Denominator

160 Child Well-being Survey in Urban Areas of Bangladesh