Health scenario in BD improves

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UNB, Dhaka :
The overall health scenario in the country’s urban areas has improved, according to the Bangladesh Urban Health Survey (UHS) 2013.
The survey shows that the fertility rate is considerably below the replacement level in all urban areas, indicating that the goal of Health, Population and Nutrition Development Programme’s ‘Total Fertility Rate-TFR’ (to be reached by 2016) of 2.0 births per woman has already been achieved in 2010-2013 in the urban areas.
The Bangladesh Urban Health Survey 2013 was conducted by the National Institute of Population Research and Training (NIPORT) under the Ministry of Health and Family Welfare with technical support from Measure Evaluation and icddr,b. The US Agency for International Development (USAID) and UK’s Department for International Development (DFID) provided financial assistance in conducting the survey.
The survey finds that about 95 percent of the communities in slums and non-slums and about 90 percent in other urban areas have a health facility available within two kilometers. About two-thirds
of slum communities and about half of non-slum and other urban communities report having a community health worker.
The Total Fertility Rate (TFR) is lowest (1.7 births per woman) in the City Corporation non-slums, highest (2.0 births per woman) in City Corporation slums and 1.9 births per woman in other urban areas.
A pattern of early childbearing is observed with almost one in five women began bearing child before the age of 20 in the slums and other urban areas compared to about one in eight in the non-slums.
There has been no change in the incidence of teenage pregnancy over the period of seven years between 2003-2006 and 2010-2013 in the slums and non-slums.
The survey shows that contraceptive prevalence rate (CPR) is highest (70%) in the urban slums and lowest in non-slums (65%) in 2013. Couples in slums have almost achieved the HPNSDP goal of reaching CPR of 72 percent by 2016.
Pill is the most widely used contraception method (27%-33%) in all three urban domains. The next most common method is injectables (18%) in the slums, condom (16%) in the non-slums and both injectables and condoms (9% each) in other urban areas.
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