Comparison of Socio-economic and Health Status in Rural Primary School Students: A Case of Bangladesh

Main Article Content

Md. Abdullah Al Farooq
Mohammad Nazmul Haq
Tania Tajreen
Md. Minhajuddin Sajid
Tanvir Kabir Chowdhury


Objective: Although Bangladesh is rapidly gaining economic development, education and health related indices are not equally developed in all parts of the country. The objective of the study was to compare the socio-economic and health status of students in public and private primary schools.

Methods: This was a cross sectional study conducted among 99 public and 128 private primary school children during 2018. Two public and two private primary schools were selected purposively from 2 villages of Chandpur. Subjects were divided into 2 groups: public primary school students and private primary school students. During a ‘free health check-up and treatment program’, guardians were asked to participate in the study. After taking informed written consent, students and guardians were asked about demographic, socioeconomic (such as, education, occupation, monthly income), and health related factors (such as, antenatal checkup, mode of delivery, immunization, deworming); then, anthropometric measurements (height, weight) and physical examinations of the children were done. Comparison was done between groups.

Results: On socioeconomic status, monthly family income was more and paternal education was higher in private-school students than the public-school students. On health indices, antenatal care (ANC), Caesarian section (CS), living standard, use of sanitary latrine, and nutritional status of private school students were significantly better than public-school students. However, Public school students had higher deworming rate.

Conclusion: Students in private schools had better socio-economic and health status in Bangladesh. Health-related indices are comparable to national parameters. It is recommended that socio-economic and education status needs further improvements for sustainable health and well-being.

Socio-economic status, health, nutrition, primary school, children, public, private

Article Details

How to Cite
Farooq, M. A. A., Haq, M. N., Tajreen, T., Sajid, M. M., & Chowdhury, T. K. (2020). Comparison of Socio-economic and Health Status in Rural Primary School Students: A Case of Bangladesh. Asian Journal of Pediatric Research, 4(2), 27-36.
Original Research Article


Kuate-Defo, Barthelemy, Fotso J-C. Measuring socioeconomic status in health research in developing countries: Should we be focusing on households, communities or both? Soc Indic Res. 2005; 72:189–237.

Pollack CE, Chideya S, Cubbin C, Williams B, Dekker M, Braveman P. Should health studies measure wealth? a systematic review craig. Am J Prev Med. 2007;33: 250–65. Available:

The World Bank. World Bank Bangladesh 2020. Available: growth enabled Bangladesh to,track for graduation in 2024.

(Accessed July 12, 2020)

Current Population 2020.


(Accessed July 12, 2020)

Reuters. UN to Award Bangladesh Reducing Child Mortal 2010.


(Accessed July 12, 2020)

Bangladesh again honored with GAVI award 2012.


(Accessed July 12, 2020)

GAVI 2019.


(Accessed July 12, 2020)

Health Bulletin. 2018:4–6.

Available: 2018 final.pdf.

DGHS. Health Bulletine; 2018.

Haque M, Islam K. Socio-economic condition, dietary pattern and nutritional status of pre-school ethnic children in Bandarban district of Bangladesh. J Nutr Heal Food Eng Res. 2020;8:395–402.


Chowdhury TR, Chakrabarty S, Rakib M, Saltmarsh S, Davis KA. Socio-economic risk factors for early childhood underweight in Bangladesh. 2018;1–12.

Mohsena M, Mascie-taylor CGN, Goto R. Association between socio-economic status and childhood undernutrition in Bangladesh; a comparison of possession score and poverty index. Public Heal Nutr. 2010;13:1498–504.


Hossain S, Ahmed F, Hossain S. Hygiene Practices of Rural School Practices of Rural School Age. 2018;7.


Sultana N, Afroz S, Tomalika N, Momtaz H. Prevalence of childhood obesity and undernutrition among urban school. 2018; 1–10. Available:

Nordstrand MA, Saxe DS, Abdirizak M, Adam MB, Andreas M, Saxe DS, et al. Health and disease among Somali primary school children in Hargeisa Health and disease among Somali primary school children in Hargeisa. Glob Health Action. 2019;12. Available:

Population & Housing Census 2011 Zila Report: Chandpur; 2015.

Pasricha S, Biggs B. Undernutrition among children in South and South-East Asia. J Paediatr Child Heal. 2010;46:497–503.


Bhattacharyya K, Sarkar TK. Nutritional profile of children under 5 years of age in a tribal community in the District of Maldah, West Bengal. J Prim Care Community Health. 2010;1:184–6.


Wolde M, Berhan Y, Chala A. Determinants of underweight, stunting and wasting among schoolchildren. BMC Public Heal. 2015;15:1–9.


Bangladesh Demographic and Health Survey. 2019;5–7.

Available: (Accessed July 10, 2020)

Devkota S, Panda B. Socioeconomic gradients in early childhood health: Evidence from Bangladesh and Nepal. Int J Equity Health; 2016.


Srinivasan CS, Zanello G, Shankar B. Rural-urban disparities in child nutrition in Bangladesh and Nepal. BMC Public Health. 2013;13:1–15.

Ahsan KZ, Arifeen S El, Al-mamun A, Khan SH, Chakraborty N. Effects of individual, household and community characteristics on child nutritional status in the slums of urban. Arch Public Heal. 2017;75:1–13.


Das S, Gulshan J. Different forms of malnutrition among under five children in Bangladesh: A cross sectional study on prevalence and determinants. BMC Nutr. 2017;1–12. Available:

Siddiqi MNA, Haque MN, Goni M. Malnutrition of under-five children: evidence from Bangladesh. Asian J Med Sci. 2011;2:113–9.

Rahman MM, Saima, Umme, Goni MA. Impact of Maternal household decision-making autonomy on child nutritional status in. Asia-Pacific J Public Heal. 2015; 27:509–20.


Kamal SMM, Hashim C, Kabir MA. Inequality of the use of skilled birth assistance among rural women in Bangladesh: Facts and factors. Asia-Pacific J Public Heal. 2015;27:1321–32. Available:

Kamal SMM, Hassan CH, Alam GM. Determinants of institutional delivery among women in. Asia-Pacific J Public Heal. 2015;27:1372–88.


BBS. Population and Housing Census: Socio- economic and demographic report; 2015.

DGHS. Health Bulletin; 1997.

Banu T, Chowdhury TK, Kabir M, Talukder R, Lakhoo K. Bringing surgery to rural children: Chittagong, Bangladesh experience. World J Surg. 2013;37.


Chowdhury AMR, Bhuiya A, Chowdhury ME, Rasheed S, Hussain Z, Chen LC. The Bangladesh paradox: Exceptional health achievement despite economic poverty. Lancet. 2013;382: 1734–45.