Kaosar Afsana
http://hdl.handle.net/10361/7417
2024-03-28T12:39:18Z
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A controlled before-and-after perspective on the improving maternal, neonatal, and child survival program in rural Bangladesh: an impact analysis
http://hdl.handle.net/10361/9721
A controlled before-and-after perspective on the improving maternal, neonatal, and child survival program in rural Bangladesh: an impact analysis
Rahman, Mahfuzar T.; Yunus, Fakir Md; Yunus, Fakir Md; Shah, Rasheduzzaman; Jhohura, Fatema Tuz; Mistry, Sabuj Kanti; Quayyum, Tasmeen; Aktar, Bachera; Afsana, Kaosar
Objectives We evaluated the impact of the Improving Maternal, Neonatal, and Child Survival (IMNCS) project, which is being implemented by BRAC in rural communities in Bangladesh. Methods Four districts received program intervention i.e. trained community health workers to deliver essential maternal, neonatal, and child healthcare and nutrition services while two districts were treated as comparison group. A quasi-experimental study design (compared beforeand-after) was undertaken. Baseline survey was conducted in 2008 among 7200 women followed by end line in 2012 among 4800 women with similar characteristics in the same villages. We evaluated maternal antenatal and post natal checkup, birth plans and delivery, complication and referred cases during antenatal checkup and post natal period, and child health indicators such as birth asphyxia, neonatal sepsis, and its management by the medically trained provider. Findings Increased number (four or more) antenatal visits, skill-birth attended delivery and postnatal visits (three or more) in the intervention group preceding four-year intervention period were observed compare to their counterpart. We noted negative difference-in-difference estimator (-5.0%, P = 0.159) regarding to the all major birth plans i.e. delivery place, birth attendant, and saved money in the comparison areas. Significant reduction of ante-partum and intra-partum complications occurred in the intervention group, contrary complications of such event increased in the comparison areas (-6.3%, P<0.05 and-20.5%, P<0.001 respectively). Referral case to the health centers due to these complications boosted significantly in intervention group than comparison group (2.3%, P<0.01 and 6.6%, P<0.001 respectively). Mother's knowledge of breastfeeding initiation and the practice of initiating breastfeeding within an hour of birth amplified significantly (14.6%, P<0.001 and 8.3%, P<0.001 respectively). We did not find any significant difference regards to the management of low birth weight by the medically trained health care provider and complete vaccination between the intervention and comparison arm. Conclusion Medically trained health care provider assisted community based public health intervention could increase number of antenatal and postnatal visit, thereby could decrease pregnancy associated complications. These interventions may be considered for further up scaling when resources are limited.
This article was published in the PLoS ONE [© 2016 Rahman et al.] and the definitive version is available at: http://doi.org/10.1371/journal.pone.0161647 The Journal's website is at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0161647
2016-09-01T00:00:00Z
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Mental illness and injuries: emerging health challenges of urbanisation in South Asia
http://hdl.handle.net/10361/9683
Mental illness and injuries: emerging health challenges of urbanisation in South Asia
Nambiar, Devaki; Razzak, Junaid Abdul; Afsana, Kaosar; Adams, Alayne M.; Hasan, Arif; Mohan, DInesh; Patel, Vikram H.
This article was published in the BMJ (Online) [© 2017 BMJ Publishing Group] and the definitive version is available at: http://doi.org10.1136/bmj.j1126 The Journal's website is at: http://www.bmj.com/content/357/bmj.j1126
2017-01-01T00:00:00Z
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Health care for poor people in the urban slums of Bangladesh
http://hdl.handle.net/10361/7640
Health care for poor people in the urban slums of Bangladesh
Afsana, Kaosar; Wahid, Syed Shabab
This note was published in The Lancet [© 2013 The Lancet] and the definite version is available at: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)62295-3/abstract
2013-01-01T00:00:00Z
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From joint thinking to joint action: a call to action on improving water, sanitation and hygiene for maternal and newborn health
http://hdl.handle.net/10361/7633
From joint thinking to joint action: a call to action on improving water, sanitation and hygiene for maternal and newborn health
Campbell, Oona M R; Afsana, Kaosar; Hounton, Sennen; Benova, Lenka; Wijesekera, Sanjay; Mason, Elizabeth; Magoma, Moke; Graham, Wendy; Esteves Mills, Joanna; Cumming, Oliver; Curtis, Val; Velleman, Yael; Boisson, Sophie; Cairncross, Sandy; Chopra, Mickey; Gordon, Bruce
This paper, authored by scientists and technical experts from leading universities and international agencies, outlines the importance of water, sanitation and hygiene (WASH) for maternal and newborn health (MNH) outcomes and calls for greater inter-sectoral collaboration. It was launched at LSHTM on 15th December 2014.
This article was published in the PLoS Medicine [© 2014Public Library of Science] and The Journal's website is at: http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001771
2014-12-01T00:00:00Z