Key Results November, 2016

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3 Child Well-Being Survey in Urban s of Bangladesh Key Results November, 2016 Government of the People s Republic of Bangladesh Bangladesh Bureau of Statistics (BBS) Statistics and Informatics (SID) Ministry of Planning United Nations Children s Fund

4 The Child Well-Being Survey 2016 (CWS 2016) was conducted to measure the level of child well-being in urban areas of Bangladesh in terms of nutrition, health, education, protection and access to water and sanitation. As consequence of rapid urbanization, urban cities are experiencing extreme pressure on housing, growth of slums and pressure on urban services. It is known that one-third of the City Corporations population lives in slums, which are areas of dense concentration of people and of conditions that affect health negatively. It is, therefore, of a great concern to know the situation of urban children and their mothers, especially those living in slums. To understand the situation of children and women in urban context Bangladesh Bureau of Statistics (BBS) with support from UNICEF, commissioned this CWS Associates for Community and Population Research (ACPR) implemented the survey. Results presented in this report are not expected to change and are considered final unless otherwise mentioned. For electronic copy of the report please go to bbs.gov.bd and unicef.org/bangladesh. Suggested citation: Child Well-Being Survey 2016, Key Results. Bangladesh Bureau of Statistics and UNICEF Bangladesh 2016, Dhaka, Bangladesh

5 Contents CHILD WELL-BEING SURVEY 2016 AT A GLANCE... 1 NUTRITION... 2 CHILD HEALTH... 9 WATER AND SANITATION REPRODUCTIVE HEALTH CHILD DEVELOPMENT, LITERACY AND EDUCATION CHILD PROTECTION... 23

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7 CHILD WELL-BEING SURVEY 2016 AT A GLANCE Survey implementation Sample frame Population and Housing Census, 2011, and Census of Slum areas and Floating Population 2014 Questionnaires Household Women (age 15-49) Children under five Interviewer training January 21 February 3, 2016 Fieldwork February April 2016 Survey sample Households Sampled Occupied Interviewed Response rate (Per cent) 20,134 19,187 18, Children under five Eligible Mothers/caretakers interviewed Response rate (Per cent) 7,736 7, Women Eligible for interviews Interviewed Response rate (Per cent) 20, , Strata/domains All urban City Corporation Slum City Corporation Non-slum Other Municipalities/Urban areas Survey population Average household size All urban 4.3 Percentage of population under: All urban Age Age Percentage of women age years with at least one live birth in the last 2 years All Urban City Corporation Slum City Corporation Non-slum Other Municipalities/Urban Percentage of population with source of livelihood All Urban Self-employment Manufacturing sector Service sector Remittance From rent Other Proportion of household having at least one member employed in garment sector All Urban City Corporation Slum City Corporation Non-Slum Other Municipalities/Urban Housing characteristics Percentage of households with Electricity Finished floor Finished roofing Finished walls Household or personal assets Percentage of households that own A television A refrigerator Electric fan Almirah / Wardrobe Agricultural land Farm animals/livestock Mean number of persons per room used for sleeping All Urban City Corporation Slum City Corporation Non-slum Other Municipalities/Urban Percentage of households where at least a member has or owns a Watch Mobile phone Bicycle Computer Car or truck P a g e 1

8 NUTRITION Nutritional status P a g e a Underweight prevalence (a) Moderate and severe 1.1 b Underweight prevalence (b) Severe 1.2.a Stunting prevalence (a) Moderate and severe 1.2b Stunting prevalence (b) Severe Percentage of children under age 5 who fall below minus two standard deviations (moderate and severe) of the median weight for age of the WHO standard National 20.4 City Corporation Slum 30.8 Barisal 18.7 City Corporation Non-slum 17.7 Chittagong 23.7 Other Municipalities/Urban 20.9 Dhaka 18.8 Khulna 21.0 Rajshahi 21.5 Rangpur 17.5 Sylhet 25.8 Percentage of children under age 5 who fall below minus two standard deviations (severe) of the median weight for age of the WHO standard National 4.0 City Corporation Slum 7.9 Barisal 3.6 City Corporation Non-slum 2.7 Chittagong 5.3 Other Municipalities/Urban 4.3 Dhaka 3.3 Khulna 3.4 Rajshahi 4.6 Rangpur 2.8 Sylhet 6.1 Percentage of children under age 5 who fall below minus two standard deviations (moderate and severe) of the median height for age of the WHO standard National 26.3 City Corporation Slum 40.4 Barisal 25.6 City Corporation Non-slum 25.2 Chittagong 30.4 Other Municipalities/Urban 25.9 Dhaka 24.5 Khulna 20.5 Rajshahi 27.1 Rangpur 26.1 Sylhet 35.5 Percentage of children under age 5 who fall below minus two standard deviations (severe) of the median height for age of the WHO standard National 7.8 City Corporation Slum 15.4 Barisal 7.5 City Corporation Non-slum 7.3 Chittagong 8.6 Other Municipalities/Urban 7.5 Dhaka 7.6 Khulna 5.1 Rajshahi 7.6 Rangpur 6.1 Sylhet 13.3

9 Nutritional status 1.3a Wasting prevalence (a) Moderate and severe 1.3b Wasting prevalence (b) Severe 1.4 Overweight prevalence Percentage of children under age 5 who fall below minus two standard deviations (moderate and severe) of the median weight for height of the WHO standard National 9.9 City Corporation Slum 11.6 Barisal 8.2 City Corporation Non-slum 7.3 Chittagong 10.6 Other Municipalities/Urban 11.0 Dhaka 9.4 Khulna 10.2 Rajshahi 10.7 Rangpur 9.4 Sylhet 11.6 Percentage of children under age 5 who fall below minus two standard deviations (severe) of the median weight for height of the WHO standard National 2.2 City Corporation Slum 2.1 Barisal 1.8 City Corporation Non-slum 2.1 Chittagong 2.7 Other Municipalities/Urban 2.3 Dhaka 2.1 Khulna 2.4 Rajshahi 1.2 Rangpur 2.0 Sylhet 2.7 Percentage of children under age 5 who are above two standard deviations of the median weight for height of the WHO standard National 2.7 City Corporation Slum 2.7 Barisal 2.0 City Corporation Non-slum 4.1 Chittagong 1.9 Other Municipalities/Urban 2.1 Dhaka 3.3 Khulna 3.2 Rajshahi 2.2 Rangpur 1.8 Sylhet 3.1 P a g e 3

10 Per cent F i g u r e 1 : N u t r i t i o n s t a t u s o f u n d e r - f i v e c h i l d r e n ( m o d e r a t e a n d s e v e r e ), B a n g l a d e s h U r b a n C W S Age in months Underweight Stunted Wasted Overweight Breastfeeding and infant feeding 1.5 Children ever breastfed 1.6 Early initiation of breastfeeding Percentage of women with a live birth in the last 2 years who breastfed their last live-born child at any time National 98.2 City Corporation Slum 97.8 Barisal 99.2 City Corporation Non-slum 97.2 Chittagong 98.6 Other Municipalities/Urban 98.7 Dhaka 97.3 Khulna 99.6 Rajshahi 99.2 Rangpur 99.4 Sylhet 99.2 Percentage of women with a live birth in the last 2 years who put their last newborn to the breast within one hour of birth National 63.3 City Corporation Slum 66.9 Barisal 71.1 City Corporation Non-slum 58.2 Chittagong 57.5 Other Municipalities/Urban 65.2 Dhaka 63.2 Khulna 62.3 Rajshahi 64.0 Rangpur 71.4 Sylhet 73.4 P a g e 4

11 CC slum CC non-slum Other muni/urban Chittagong Khulna Dhaka Rajshahi Barisal Rangpur Sylhet F i g u r e 2 : S t a t u s o f i n i t i a l b r e a s t f e e d i n g w i t h i n o n e h o u r o f b i r t h, B a n g l a d e s h U r b a n C W S Per cent All urban CC: City Corporation; muni: Municipalities Breastfeeding and infant feeding 1.7 Exclusive breastfeeding under 6 months 1.8 Predominant breastfeeding under 6 months Percentage of infants under 6 months of age who are exclusively breastfed 1 National 52.7 City Corporation Slum 62.3 Barisal 64.2 City Corporation Non-slum 57.5 Chittagong 62.0 Other Municipalities/Urban 50.0 Dhaka 49.4 Khulna 32.7 Rajshahi 43.6 Rangpur 66.4 Sylhet 56.1 Percentage of infants under 6 months of age who received breast milk as the predominant source of nourishment 2 during the previous day National 72.5 City Corporation Slum 83.0 Barisal 77.1 City Corporation Non-slum 72.0 Chittagong 78.4 Other Municipalities/Urban 72.1 Dhaka 66.9 Khulna Infants receiving breast milk, and not receiving any other fluids or foods, with the exception of oral rehydration solution, vitamins, mineral supplements and medicines 2 Infants receiving breast milk and certain fluids (water and water-based drinks, fruit juice, ritual fluids, oral rehydration solution, drops, vitamins, minerals, and medicines), but do not receive anything else (in particular, non-human milk and food-based fluids) P a g e 5

12 Breastfeeding and infant feeding 1.9 Continued breastfeeding at 1 year 1.10 Continued breastfeeding at 2 years 1.11 Age-appropriate breastfeeding 1.12 Introduction of solid, semi-solid or soft foods Percentage of children age months who received breast milk during the previous day Rajshahi 74.3 Rangpur 86.9 Sylhet 82.9 National 96.9 City Corporation Slum 92.3 Barisal 98.0 City Corporation Non-slum 98.7 Chittagong 98.2 Other Municipalities/Urban 96.4 Dhaka 97.8 Khulna 91.6 Rajshahi 94.0 Rangpur 96.7 Sylhet 96.7 Percentage of children age months who received breast milk during the previous day National 87.0 City Corporation Slum 90.7 Barisal 95.8 City Corporation Non-slum 80.3 Chittagong 89.8 Other Municipalities/Urban 89.7 Dhaka 83.7 Khulna 91.3 Rajshahi 88.2 Rangpur 93.4 Sylhet 89.2 Percentage of children age 0-23 months appropriately fed 3 during the previous day National 60.3 City Corporation Slum 60.2 Barisal 71.0 City Corporation Non-slum 59.8 Chittagong 66.8 Other Municipalities/Urban 60.5 Dhaka 55.7 Khulna 56.2 Rajshahi 51.7 Rangpur 71.0 Sylhet 72.2 Percentage of infants age 6-8 months who received solid, semi-solid or soft foods during the previous day National 75.7 City Corporation Slum 75.1 Barisal 78.3 City Corporation Non-slum 68.1 Chittagong 78.7 Other Municipalities/Urban 78.4 Dhaka 72.2 Khulna 92.0 Rajshahi 77.8 Rangpur 67.2 Sylhet Infants age 0-5 months who are exclusively breastfed, and children age 6-23 months who are breastfed and ate solid, semi-solid and soft foods P a g e 6

13 Breastfeeding and infant feeding 1.13 Milk feeding frequency for nonbreastfed children 1.14 Minimum meal frequency 1.15 Minimum dietary diversity 1.16 Minimum acceptable diet Milk feeding frequency for non-breastfed children (6-23 months) during the previous day National 2.9 City Corporation Slum 2.7 Barisal 2.0 City Corporation Non-slum 2.5 Chittagong 2.1 Other Municipalities/Urban 3.1 Dhaka 2.8 Khulna 3.8 Rajshahi 4.7 Rangpur 1.2 Sylhet 1.7 Percentage of children age 6-23 months who received appropriate liquids and solid, semisolids or soft foods the minimum number of times or more during the previous day National 72.2 City Corporation Slum 64.5 Barisal 70.8 City Corporation Non-slum 76.2 Chittagong 54.5 Other Municipalities/Urban 71.0 Dhaka 81.9 Khulna 84.3 Rajshahi 66.4 Rangpur 73.5 Sylhet 61.0 Percentage of children age 6-23 months who received food 4 or more groups among 7 groups during the previous day National 45.1 City Corporation Slum 36.3 Barisal 52.4 City Corporation Non-slum 52.0 Chittagong 41.1 Other Municipalities/Urban 43.0 Dhaka 49.1 Khulna 41.9 Rajshahi 36.1 Rangpur 47.0 Sylhet 41.6 Percentage of children age 6-23 months with minimum dietary diversity and minimum meal frequency (breastfed children) and minimum dietary diversity (excluding milk feeds and minimum meal frequency (Non-breastfed children)) National 38.0 City Corporation Slum 29.7 Barisal 45.3 City Corporation Non-slum 44.4 Chittagong 31.7 Other Municipalities/Urban 36.0 Dhaka 42.8 Khulna 37.5 Rajshahi 29.4 Rangpur 38.8 Sylhet 34.3 P a g e 7

14 Breastfeeding and infant feeding 1.17 Bottle feeding Percentage of children age 0-23 months who were fed with a bottle during the previous day Low-birth Weight National 21.4 City Corporation Slum 20.6 Barisal 18.7 City Corporation Non-slum 26.3 Chittagong 12.9 Other Municipalities/Urban 19.4 Dhaka 28.3 Khulna 20.8 Rajshahi 23.5 Rangpur 9.6 Sylhet Low-birthweight infants 4 Percentage of most recent live births in the last 2 years weighing below 2,500 grams at birth National 13.7 City Corporation Slum 15.8 Barisal 11.7 City Corporation Non-slum 11.1 Chittagong 16.5 Other Municipalities/Urban 15.1 Dhaka 13.0 Khulna 14.5 Rajshahi 12.0 Rangpur 13.9 Sylhet Infants weighed at birth Percentage of most recent live births in the last 2 years weighing below 2,500 grams at birth National 64.6 City Corporation Slum 60.5 Barisal 63.1 City Corporation Non-slum 78.7 Chittagong 49.9 Other Municipalities/Urban 59.0 Dhaka 70.6 Khulna 72.5 Rajshahi 68.1 Rangpur 71.4 Sylhet Low- birthweight for children is estimated from the mother s assessment of the child s size at birth and their recall of the child s weight or the weight as recorded on a health card P a g e 8

15 CHILD HEALTH Tetanus 2.1 Neonatal tetanus protection Diarrhoea Percentage of women age years with a live birth in the last 2 years who received at least two doses of tetanus toxoid vaccine prior to the most recent birth or 5 doses during lifetime National 86.8 City Corporation Slum 83.4 Barisal 90.5 City Corporation Non-slum 83.6 Chittagong 90.6 Other Municipalities/Urban 88.3 Dhaka 83.6 Khulna 85.1 Rajshahi 93.7 Rangpur 86.3 Sylhet Children with diarrhea Percentage of children under age 5 with diarrhoea in the last 2 weeks 2.3 Diarrhoea treatment with oral rehydration therapy (ORT) and continued feeding National 6.1 City Corporation Slum 9.2 Barisal 5.0 City Corporation Non-slum 5.9 Chittagong 9.1 Other Municipalities/Urban 6.0 Dhaka 5.1 Khulna 5.7 Rajshahi 6.2 Rangpur 5.9 Sylhet 4.7 Percentage of children under age 5 with diarrhoea in the last 2 weeks who received ORT (ORS packet, pre-packaged ORS fluid, recommended homemade fluid or increased fluids) and continued feeding during the episode of diarrhoea National 70.0 City Corporation Slum 60.9 Barisal 62.8 City Corporation Non-slum 72.8 Chittagong 70.1 Other Municipalities/Urban 69.6 Dhaka 71.7 Khulna 68.5 Rajshahi 74.6 Rangpur 51.0 Sylhet 79.2 P a g e 9

16 Acute Respiratory Infection (ARI) symptoms 2.4 Children with ARI symptoms 2.5 Care-seeking for children with ARI symptoms Percentage of children under age 5 with ARI symptoms in the last 2 weeks National 7.1 City Corporation Slum 7.5 Barisal 8.0 City Corporation Non-slum 6.7 Chittagong 6.1 Other Municipalities/Urban 7.2 Dhaka 6.8 Khulna 8.3 Rajshahi 10.2 Rangpur 6.6 Sylhet 6.2 Percentage of children under age 5 with ARI symptoms in the last 2 weeks for whom advice or treatment was sought from a health facility or provider 2.6 Antibiotic treatment for children with ARI symptoms National 81.2 City Corporation Slum 78.5 Barisal 86.9 City Corporation Non-slum 79.4 Chittagong 75.9 Other Municipalities/Urban 82.1 Dhaka 80.6 Khulna 79.4 Rajshahi 89.5 Rangpur 81.7 Sylhet 80.2 Percentage of children under age 5 with ARI symptoms in the last 2 weeks who received antibiotics National 80.7 City Corporation Slum 76.8 Barisal 86.9 City Corporation Non-slum 79.2 Chittagong 73.7 Other Municipalities/Urban 81.5 Dhaka 80.4 Khulna 79.4 Rajshahi 89.5 Rangpur 81.7 Sylhet 79.2 P a g e 10

17 Solid fuel use 2.7 Use of solid fuels for cooking Percentage of household members in households that use solid fuels as the primary source of domestic energy to cook National 48.6 City Corporation Slum 44.5 Barisal 82.9 City Corporation Non-slum 15.2 Chittagong 45.2 Other Municipalities/Urban 64.3 Dhaka 29.1 Khulna 79.1 Rajshahi 78.9 Rangpur 88.9 Sylhet 47.7 Immunization 2.8 Measles immunization coverage 2.9 Full immunization coverage Percentage of children age months who received the coverage of measles immunization National 89.7 City Corporation Slum 76.3 Barisal 90.0 City Corporation Non-slum 92.6 Chittagong 91.7 Other Municipalities/Urban 89.3 Dhaka 88.3 Khulna 93.8 Rajshahi 91.5 Rangpur 92.9 Sylhet 81.0 Percentage of children age months who received the coverage of full immunization National 88.0 City Corporation Slum 72.1 Barisal 88.0 City Corporation Non-slum 92.1 Chittagong 89.4 Other Municipalities/Urban 87.3 Dhaka 86.0 Khulna 93.7 Rajshahi 91.5 Rangpur 92.7 Sylhet 80.3 P a g e 11

18 WATER AND SANITATION Water and Sanitation 3.1 Use of improved drinking water sources Percentage of household members using improved sources of drinking water National 99.2 City Corporation Slum 98.0 Barisal 98.8 City Corporation Non-slum 99.0 Chittagong 99.0 Other Municipalities/Urban 99.3 Dhaka 99.6 Khulna 97.0 Rajshahi Rangpur 99.9 Sylhet Water treatment Percentage of household members in households using unimproved drinking water who use an appropriate treatment method 3.3 Use of improved sanitation 3.4 Safe disposal of child s faeces National 39.7 City Corporation Slum 25.9 Barisal 45.8 City Corporation Non-slum 25.6 Chittagong 37.7 Other Municipalities/Urban 51.4 Dhaka 16.1 Khulna 56.7 Rajshahi Rangpur 0.0 Sylhet 46.1 Percentage of household members using improved sanitation facilities which are not shared National 57.3 City Corporation Slum 18.9 Barisal 80.7 City Corporation Non-slum 51.3 Chittagong 63.6 Other Municipalities/Urban 62.4 Dhaka 47.1 Khulna 65.2 Rajshahi 66.5 Rangpur 65.4 Sylhet 66.7 Percentage of children age 0-2 years whose last stools were disposed of safely National 66.2 City Corporation Slum 58.0 Barisal 57.5 City Corporation Non-slum 81.9 Chittagong 61.7 Other Municipalities/Urban 60.2 Dhaka 76.7 Khulna 62.8 Rajshahi 43.7 Rangpur 56.3 Sylhet 58.2 P a g e 12

19 CC slum CC non-slum Other muni/urban Barisal Sylhet Khulna Chittagong Rangpur Rajshahi Dhaka Water and Sanitation 3.5 Place for handwashing Percentage of households with a specific place for hand washing where water and soap or other cleansing agent are present National Availability of soap or other cleansing agent City Corporation Slum 35.4 Barisal 43.9 City Corporation Non-slum 67.1 Chittagong 53.9 Other Municipalities/Urban 51.1 Dhaka 55.4 Khulna 57.6 Rajshahi 61.6 Rangpur 54.5 Sylhet 54.8 Percentage of households with soap or other cleansing agent anywhere in the dwelling National 97.3 City Corporation Slum 93.9 Barisal 99.1 City Corporation Non-slum 96.4 Chittagong 97.6 Other Municipalities/Urban 98.0 Dhaka 96.7 Khulna 97.2 Rajshahi 99.1 Rangpur 97.7 Sylhet 96.2 F i g u r e 3 : H o u s e h o l d s w h o s h a r e d s a n i t a t i o n f a c i l i t i e s ( I m p r o v e d ), B a n g l a d e s h U r b a n C W S Per cent All urban CC: City Corporation; muni: Municipalities P a g e 13

20 REPRODUCTIVE HEALTH Fertility, contraception and unmet need 4.1 Adolescent birth Percentage of women age years who have had a live birth National 13.3 City Corporation Slum 29.9 Barisal 16.0 City Corporation Non-slum 10.4 Chittagong 10.6 Other Municipalities/Urban 13.4 Dhaka 11.2 Khulna 16.3 Rajshahi 18.6 Rangpur 19.9 Sylhet Early childbearing Percentage of women age years who had at least one live birth before age 18 National 22.9 City Corporation Slum 31.9 Barisal 23.1 City Corporation Non-slum 17.1 Chittagong 24.2 Other Municipalities/Urban 24.9 Dhaka 20.7 Khulna 27.0 Rajshahi 25.7 Rangpur 27.6 Sylhet Contraceptive prevalence rate Percentage of women age years currently married who are using (or whose partner is using) a (modern or traditional) contraceptive method National 67.3 City Corporation Slum 73.8 Barisal 71.1 City Corporation Non-slum 66.6 Chittagong 64.7 Other Municipalities/Urban 67.2 Dhaka 66.6 Khulna 69.3 Rajshahi 73.0 Rangpur 69.0 Sylhet 59.3 P a g e 14

21 Fertility, contraception and unmet need 4.4 Unmet need Percentage of women age years who are currently married or in union who are fecund and want to space their births or limit the number of children they have and who are not currently using contraception National 7.8 City Corporation Slum 5.9 Barisal 5.1 City Corporation Non-slum 7.8 Chittagong 11.5 Other Municipalities/Urban 7.9 Dhaka 7.9 Khulna 5.6 Rajshahi 4.6 Rangpur 5.3 Sylhet 9.5 Maternal and newborn health 4.5 Antenatal care coverage (at least once) Percentage of women age years with a live birth in the last 2 years who were attended during their last pregnancy that led to a live birth at least once by skilled health personnel National Antenatal care coverage (at least four times) City Corporation Slum 67.7 Barisal 78.3 City Corporation Non-slum 84.1 Chittagong 75.6 Other Municipalities/Urban 80.7 Dhaka 83.9 Khulna 87.2 Rajshahi 80.4 Rangpur 83.0 Sylhet 72.0 Percentage of women age years with a live birth in the last 2 years who were attended during their last pregnancy that led to a live birth at least four times by any provider National 45.9 City Corporation Slum 35.8 Barisal 37.3 City Corporation Non-slum 60.8 Chittagong 35.5 Other Municipalities/Urban 40.4 Dhaka 52.0 Khulna 54.1 Rajshahi 45.8 Rangpur 48.3 Sylhet 28.9 P a g e 15

22 Maternal and newborn health 4.7 Content of antenatal care Percentage of women age years with a live birth in the last 2 years who had their blood pressure measured and gave urine and blood samples during the last pregnancy that led to a live birth National Skilled attendant at delivery City Corporation Slum 52.2 Barisal 62.3 City Corporation Non-slum 76.8 Chittagong 57.4 Other Municipalities/Urban 57.9 Dhaka 69.3 Khulna 63.9 Rajshahi 50.3 Rangpur 59.6 Sylhet 56.3 Percentage of women age years with a live birth in the last 2 years who were attended by skilled health personnel during their most recent live birth National 64.2 City Corporation Slum 55.5 Barisal 68.2 City Corporation Non-slum 73.6 Chittagong 54.2 Other Municipalities/Urban 60.9 Dhaka 66.8 Khulna 80.3 Rajshahi 65.5 Rangpur 69.3 Sylhet Institutional deliveries Percentage of women age years with a live birth in the last 2 years whose most recent live birth was delivered in a health facility National 62.0 City Corporation Slum 57.1 Barisal 63.2 City Corporation Non-slum 75.5 Chittagong 48.1 Other Municipalities/Urban 56.7 Dhaka 66.5 Khulna 76.9 Rajshahi 63.9 Rangpur 67.4 Sylhet 50.2 P a g e 16

23 CC slum CC non-slum Other muni/urban Sylhet Chittagong Barisal Rajshahi Rangpur Dhaka Khulna Maternal and newborn health 4.10 Caesarean section Percentage of women age years whose most recent live birth in the last 2 years was delivered by caesarean section National 39.9 City Corporation Slum 23.9 Barisal 39.5 City Corporation Non-slum 46.6 Chittagong 26.1 Other Municipalities/Urban 38.1 Dhaka 44.5 Khulna 57.2 Rajshahi 40.8 Rangpur 43.9 Sylhet 28.2 F i g u r e 4 : P e r c e n t a g e o f w o m e n y e a r s w h o w e r e a t t e n d e d d u r i n g t h e i r l a s t p r e g n a n c y 4 o r m o r e t i m e s b y a n y p r o v i d e r, B a n g l a d e s h U r b a n C W S Per cent All urban CC: City Corporation; muni: Municipalities P a g e 17

24 Post-natal health checks 4.11 Post-partum stay in health facility Percentage of women age years who stayed in the health facility for 12 hours or more after the delivery of their most recent live birth in the last 2 years National Post-natal health check for the newborn 4.13 Post-natal health check for the mother City Corporation Slum 70.9 Barisal 88.3 City Corporation Non-slum 83.3 Chittagong 86.2 Other Municipalities/Urban 86.0 Dhaka 83.5 Khulna 88.2 Rajshahi 80.5 Rangpur 85.6 Sylhet 83.1 Percentage of last live births in the last 2 years who received a health check while in facility or at home following delivery, or a post-natal care visit within 2 days after delivery National 79.9 City Corporation Slum 64.8 Barisal 93.3 City Corporation Non-slum 83.9 Chittagong 73.4 Other Municipalities/Urban 79.2 Dhaka 79.3 Khulna 95.2 Rajshahi 82.8 Rangpur 85.4 Sylhet 69.3 Percentage of women age years who received a health check while in facility or at home following delivery, or a post-natal care visit within 2 days after delivery of their most recent live birth in the last 2 years National 77.5 City Corporation Slum 61.4 Barisal 88.5 City Corporation Non-slum 80.3 Chittagong 72.9 Other Municipalities/Urban 77.4 Dhaka 76.2 Khulna 96.0 Rajshahi 78.8 Rangpur 82.5 Sylhet 65.4 P a g e 18

25 CHILD DEVELOPMENT, LITERACY AND EDUCATION Literacy and Education 5.1 Attendance to early childhood education Percentage of children age months who are attending an early childhood education programme National Literacy rate among young people City Corporation Slum 23.8 Barisal 23.8 City Corporation Non-slum 30.4 Chittagong 23.9 Other Municipalities/Urban 24.2 Dhaka 27.7 Khulna 31.5 Rajshahi 21.7 Rangpur 26.7 Sylhet 20.1 Percentage of young women age years who are able to read a short simple statement about everyday life or who attended secondary or higher education National 82.6 City Corporation Slum 59.0 Barisal 87.6 City Corporation Non-slum 83.7 Chittagong 79.8 Other Municipalities/Urban 83.8 Dhaka 80.9 Khulna 91.8 Rajshahi 88.8 Rangpur 81.9 Sylhet School readiness Percentage of children in first grade of primary school who attended pre-school during the previous school year National 68.0 City Corporation Slum 56.1 Barisal 64.3 City Corporation Non-slum 59.1 Chittagong 80.5 Other Municipalities/Urban 72.7 Dhaka 60.2 Khulna 86.9 Rajshahi 73.7 Rangpur 65.6 Sylhet 61.5 P a g e 19

26 Literacy and Education 5.4 Net intake rate in primary education Percentage of children of school-entry age who enter the first grade of primary school National Primary school net attendance ratio (adjusted) City Corporation Slum 40.5 Barisal 68.7 City Corporation Non-slum 66.9 Chittagong 57.5 Other Municipalities/Urban 61.5 Dhaka 65.2 Khulna 57.1 Rajshahi 58.6 Rangpur 57.6 Sylhet 70.5 Percentage of children of primary school age currently attending primary or secondary school National Secondary school net attendance ratio (adjusted) City Corporation Slum 69.4 Barisal 89.5 City Corporation Non-slum 85.0 Chittagong 82.9 Other Municipalities/Urban 86.8 Dhaka 84.7 Khulna 90.0 Rajshahi 88.7 Rangpur 85.3 Sylhet 88.0 Percentage of children of secondary school age currently attending secondary school or higher National 63.1 City Corporation Slum 33.3 Barisal 74.4 City Corporation Non-slum 62.0 Chittagong 60.9 Other Municipalities/Urban 65.5 Dhaka 59.4 Khulna 71.4 Rajshahi 70.3 Rangpur 69.3 Sylhet 63.4 P a g e 20

27 CC slum CC non-slum Other muni/urban Barisal Chittagong Dhaka Khulna Rajshahi Rangpur Sylhet CC slum CC non-slum Other muni/urban Barisal Chittagong Dhaka Khulna Rajshahi Rangpur Sylhet F i g u r e 5 : N e t a t t e n d a n c e r a t i o ( N A R ) - P r i m a r y a n d s e c o n d a r y s c h o o l, B a n g l a d e s h U r b a n C W S Net attendance ratio (NAR)- Primary Per cent Net attendance ratio (NAR)- Secondary Per cent All urban All urban CC: City Corporation; muni: Municipalities Literacy and Education 5.7 Children reaching last grade of primary 5.8 Primary completion rate Percentage of children entering the first grade of primary school who eventually reach last grade National 94.7 City Corporation Slum 82.6 Barisal 95.4 City Corporation Non-slum 92.4 Chittagong 97.7 Other Municipalities/Urban 96.3 Dhaka 92.1 Khulna 98.0 Rajshahi 97.1 Rangpur 93.8 Sylhet 98.6 Number of children attending the last grade of primary school (excluding repeaters) divided by number of children of primary school completion age (age appropriate to final grade of primary school) National 87.5 City Corporation Slum 73.1 Barisal 86.2 City Corporation Non-slum 77.4 Chittagong 94.4 Other Municipalities/Urban 92.8 Dhaka 81.8 Khulna 88.8 Rajshahi 99.4 Rangpur 86.9 Sylhet 92.5 P a g e 21

28 Literacy and Education 5.9 Transition rate to secondary school Number of children attending the last grade of primary school during the previous school year who are in the first grade of secondary school during the current school year divided by number of children attending the last grade of primary school during the previous school year National Gender parity index (primary school) 5.11 Gender parity index (secondary school) City Corporation Slum 92.5 Barisal 99.3 City Corporation Non-slum 98.5 Chittagong 98.5 Other Municipalities/Urban 96.8 Dhaka 95.8 Khulna 95.2 Rajshahi 99.8 Rangpur 98.0 Sylhet 98.4 Primary school net attendance ratio (adjusted) for girls divided by primary school net attendance ratio (adjusted) for boys National 1.05 City Corporation Slum 1.01 Barisal 1.10 City Corporation Non-slum 1.05 Chittagong 1.09 Other Municipalities/Urban 1.06 Dhaka 1.06 Khulna 0.98 Rajshahi 1.06 Rangpur 1.01 Sylhet 1.02 Secondary school net attendance ratio (adjusted) for girls divided by secondary school net attendance ratio (adjusted) for boys National 1.18 City Corporation Slum 1.14 Barisal 1.10 City Corporation Non-slum 1.22 Chittagong 1.19 Other Municipalities/Urban 1.17 Dhaka 1.24 Khulna 1.07 Rajshahi 1.15 Rangpur 1.18 Sylhet 1.11 P a g e 22

29 CHILD PROTECTION Birth registration 6.1 Birth registration Percentage of children under age 5 whose births are reported registered Child discipline National 29.3 City Corporation Slum 32.9 Barisal 26.3 City Corporation Non-slum 33.2 Chittagong 34.3 Other Municipalities/Urban 27.2 Dhaka 29.3 Khulna 24.5 Rajshahi 24.5 Rangpur 25.3 Sylhet Violent discipline Percentage of children age 1-14 years who experienced psychological aggression or physical punishment during the last one month National 82.4 City Corporation Slum 84.9 Barisal 80.6 City Corporation Non-slum 81.9 Chittagong 83.6 Other Municipalities/Urban 82.5 Dhaka 81.6 Khulna 83.3 Rajshahi 85.6 Rangpur 80.0 Sylhet 82.9 F i g u r e 6 : C h i l d d i s c i p l i n e m e t h o d s, c h i l d r e n a g e y e a r s, B a n g l a d e s h U r b a n C W S Physical punishment Other 38 Severe 17.6 Per cent Psychological aggression 72 Any violent discipline 82 Only non-violent discipline 13 P a g e 23

30 Child labour 6.3 Child labour (5-14 years) Percentage of children age 5-11 years who are involved more than 1 hour per week and more than 14 hours for years in economic activities and more than 28 hours in household chores for both groups National Child labour (5-17 years) City Corporation Slum 14.3 Barisal 5.4 City Corporation Non-slum 7.0 Chittagong 6.1 Other Municipalities/Urban 8.2 Dhaka 9.3 Khulna 7.7 Rajshahi 7.0 Rangpur 9.9 Sylhet 7.5 Percentage of children age 5-11 years who are involved more than 1 hour per week and more than 14 hours for years in economic activities and more than 28 hours in household chores for both groups and more than 43 hours for years involved in economic activities and household chores National 12.9 City Corporation Slum 23.1 Barisal 8.1 City Corporation Non-slum 12.0 Chittagong 11.3 Other Municipalities/Urban 12.6 Dhaka 14.0 Khulna 12.8 Rajshahi 11.5 Rangpur 15.4 Sylhet 12.0 F i g u r e 7 : C h i l d l a b o u r, c h i l d r e n a g e y e a r s, B a n g l a d e s h U r b a n C W S Per cent CC slum CC non-slum Other muni/urban Barisal Chittagong Rajshahi Sylhet Khulna Dhaka Rangpur All urban CC: City Corporation; muni: Municipalities P a g e 24

31 Early marriage and polygyny 6.5 Marriage before age 15 Percentage of women age years who were first married or in union before age 15 National 22.5 City Corporation Slum 28.1 Barisal 22.7 City Corporation Non-slum 20.0 Chittagong 18.7 Other Municipalities/Urban 23.4 Dhaka 22.6 Khulna 30.2 Rajshahi 25.0 Rangpur 25.3 Sylhet Marriage before age 18 Percentage of women age years who were first married or in union before age 18 National 59.7 City Corporation Slum 66.4 Barisal 61.9 City Corporation Non-slum 53.3 Chittagong 56.2 Other Municipalities/Urban 62.3 Dhaka 60.3 Khulna 65.9 Rajshahi 62.6 Rangpur 61.8 Sylhet Young people age years currently married or in union Percentage of young women age years who are married or in union National 32.9 City Corporation Slum 34.8 Barisal 31.9 City Corporation Non-slum 32.9 Chittagong 23.5 Other Municipalities/Urban 32.7 Dhaka 36.4 Khulna Polygyny Percentage of women age years who are in a polygynous union Rajshahi 37.6 Rangpur 29.0 Sylhet 18.1 National 2.8 City Corporation Slum 4.4 Barisal 1.8 City Corporation Non-slum 2.4 Chittagong 1.8 Other Municipalities/Urban 3.0 Dhaka 3.3 Khulna 3.0 Rajshahi 3.2 Rangpur 2.3 Sylhet 2.7 P a g e 25

32 Children s living arrangements 6.9 Children s living arrangements Percentage of children age 0-17 years living with neither biological parent National Prevalence of children with one or both parents dead City Corporation Slum 4.4 Barisal 5.5 City Corporation Non-slum 4.4 Chittagong 2.5 Other Municipalities/Urban 4.9 Dhaka 5.2 Khulna 5.2 Rajshahi 5.9 Rangpur 6.1 Sylhet 4.2 Percentage of children age 0-17 years with one or both biological parents dead National Children with at least one parent living abroad City Corporation Slum 6.2 Barisal 4.1 City Corporation Non-slum 4.8 Chittagong 4.7 Other Municipalities/Urban 3.7 Dhaka 4.0 Khulna 3.2 Rajshahi 3.1 Rangpur 4.2 Sylhet 6.3 Percentage of children 0-17 years with at least one biological parent living abroad National 4.9 City Corporation Slum 1.1 Barisal 3.7 City Corporation Non-slum 3.1 Chittagong 9.2 Other Municipalities/Urban 5.9 Dhaka 4.2 Khulna 3.6 Rajshahi 2.8 Rangpur 0.7 Sylhet 5.8 P a g e 26

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