1. Child bearing and sexual and reproductive health and rights in Dhaka slums SAFE baseline survey findings
Sajeda Amin, Laila Rahman and Md. Irfan Hossain
Population Council
12 July 2012, icddr,b Sasakawa Auditorium, Dhaka

2. Sexual and reproductive health (SRH) rights- basic human rights
Responsible, satisfying, safe sex life
Freedom to decide if, when, how often to bear children
Information and access to safe, effective, affordable and acceptable methods of fertility regulation of choice
Health care services enabling women to go safely through pregnancy and childbirth
Provide couples best chance of having a healthy infant

3. Currently married and non-pregnant
Objective
Explore factors associated with SRH rights related practices, attitudes, and knowledge of ever married15-29 years females of Dhaka slums
Sample
Ever married
Currently married and non-pregnant
2,989
2,542

4. Conceptual framework Personal characteristics Spousal characteristics
Age, education, marital and work status, orphan hood, home division, migration status, wealth quintiles
3 or more births
Menstruation regulation (MR), ANC, Delivery, PNC
Current FP use; STIs
Spousal characteristics
Education, extra-marital relationship, child with other women, alcohol consumption, violent behavior
SRHR awareness
Attitude towards condom use by unmarried males
Marriage characteristics
Timing, number, registration, love marriage, girls’ consent, dowry demand
Never heard of MR
Do not know of STIs
Adverse effect of teenage pregnancy

5. FINDINGS

6. High risk childbearing & SRH practices

7. Childbearing by age group

8. Challenging attitude towards SRH rights
All should be able to enjoy sex lives that are safe and satisfying with dignity, equality, responsibility and mutual respect

9. Inadequate awareness on SRH issues

10. Current non-use of any modern contraceptive (odds ratios)* * * * **
*Significant at p≤.05; **p≤.01; ***p≤.001. (r)- Reference category.

11. Risk and protective factors for having an MR (odds ratios)** *
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*Significant at p≤.05; **p≤.01; ***p≤.001. (r)- Reference category.

12. Inequality in wealth and age matter in accessing non-medical or no care for delivery (odds ratios)*
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All couples should have best chance of having a healthy infant
*Significant at p≤.05; **p≤.01; ***p≤.001. (r)- Reference category.

13. Factors associated with receiving non-medical or no assistance for post natal care by 42 days of delivery (odds ratios)
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*Significant at p≤.05; **p≤.01; ***p≤.001. (r)- Reference category.

14. Correlates of inadequate STI knowledge (odds ratios)
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*Significant at p≤.05; **p≤.01; ***p≤.001. (r)- Reference category.

15. Early marriage and husband’s violence behavior tend to contribute to three or more live births (odds ratios) *
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*Significant at p≤.05; **p≤.01; ***p≤.001. (r)- Reference category.

16. Conclusions
Young, poor & less educated females are more likely to be vulnerable to SRHR violation
Women’s current work status contribute to their positive attitudes and behaviors, but the inverse relationship with MR and work may indicate challenges faced by pregnant working women
Association of SRHR with early marriage and spousal characteristics indicate importance of involving males and early marriage prevention interventions
Educated girls in slums may be used as role models and peer promoters to improve SRHR

17. Thank You