Role of internet use, mobile phone, media exposure and domestic migration on reproductive health service use in Bangladeshi married adolescents and young women

Article

Pickard, Anita, Islam, Md Irteja, Ahmed, Md Sabbir and Martiniuk, Alexandra. 2024. "Role of internet use, mobile phone, media exposure and domestic migration on reproductive health service use in Bangladeshi married adolescents and young women." PLoS Global Public Health. 4 (3). https://doi.org/10.1371/journal.pgph.0002518
Article Title

Role of internet use, mobile phone, media exposure and domestic migration on reproductive health service use in Bangladeshi married adolescents and young women

Article CategoryArticle
AuthorsPickard, Anita, Islam, Md Irteja, Ahmed, Md Sabbir and Martiniuk, Alexandra
Journal TitlePLoS Global Public Health
Journal Citation4 (3)
Article Numbere0002518
Number of Pages15
Year2024
PublisherPublic Library of Science (PLoS)
Place of PublicationUnited States
ISSN2767-3375
Digital Object Identifier (DOI)https://doi.org/10.1371/journal.pgph.0002518
Web Address (URL)https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0002518
AbstractNumerous studies have identified factors that are associated with increased access to reproductive health services in lower-middle-income countries (LMICs). However, limited studies examined the influence of access to internet or a mobile phone, media exposure and domestic migration on reproductive health services use in LMICs like Bangladesh. This study investigated the role of such factors on the use of contraceptives, antenatal care (ANC) and postnatal care (PNC) by married adolescents and young women in Bangladesh and whether it was varied by area. Secondary data for 1665 married women aged 15-24 years, sourced from the 2019 Multiple Indicator Cluster Surveys, were included in both bivariate analyses and logistic regression modelling to examine the role of access to internet and/or mobile phone, media exposure and domestic migration on the outcome variables (contraceptive, ANC and PNC). All regression models were controlled for age, wealth, education and number of existing children. Among all participants, 69.8% were aged 20-24 years and 85.6% lived in rural areas. Of the total sample, 67.5% used contraceptives, 75.7% utilised ANC and 48.7% accessed PNC. Domestic migration significantly increased contraceptive use, with women who had moved locally within the last five years 1.84 times more likely to use contraception than those who had never moved (95% CI: 1.41-2.41, p<0.001). Women with internet or mobile phone access were more likely to receive ANC (aOR: 1.57, 95% CI: 1.22-2.00, p<0.001) compared to those without internet/mobile phone access. Media exposure was found to increase the likelihood of receiving ANC in urban areas. No significant influence was found on the use of PNC. Internet/mobile-based platforms are promising avenues for public health messaging regarding ANC in Bangladeshi married adolescents and young women. Further research is required into determinants of PNC service use in low-resource settings. © 2024 Pickard et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420311. Health systems
Byline AffiliationsUniversity of Sydney
Centre for Health Research
School of Mathematics, Physics and Computing
Research, Innovation and Grants, Spreeha Bangladesh, Bangladesh
Daffodil International University, Bangladesh
University of Saskatchewan, Canada
George Institute for Global Health, Australia
University of Toronto, Canada
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