Research Reports (2003): Health Studies, Vol - XXXV

Permanent URI for this collectionhttps://hdl.handle.net/10361/13080

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Now showing 1 - 12 of 12

Costing report of SAFE study in Bangladesh
(BRAC Research and Evaluation Division (RED), 2003) Mahbub, Amina; Kamal, Faiza Ela
Socioeconomic and regional disparity in the utilization of reproductive health services in Bangladesh
(BRAC Research and Evaluation Division (RED), 2003) Hadi, Abdullahel; Gani, Md. Showkat
Although the health care system has significantly expanded in Bangladesh during the last two decades, the health status of the population has remained very poor because of the uneven distribution of services. Inequality in health exists in many forms and multiple dimensions such as age, sex, education, income, ethnicity, etc. Using data from a nationally representative sample, this study attempts to improve our understanding about the socioeconomic and regional disparity in the utilization of reproductive health services in Bangladesh. Data for this study came from the demographic and health surveillance system of BRAe which provided the updated information of the ownership of household asset and the use of reproductive health services. Socioeconomic disparity was measured by constructing a wealth index using compound assets and possessions of a set of household wealth. The surveillance areas were categorized into four regions as urban slum, rural under-served, other rural and the hill tracts. The utilization of reproductive health services was measured by the use of ante and postnatal care, maternal immunization coverage, and the use of safe delivery. A total of 1,182 randomly selected women, who gave birth in 200 I, were interviewed. Findings revealed significant socioeconomic and regional differentials in the use of reproductive health services. The use of services was much lower among the extreme poor than the non-poor and among the ethnic minorities in the hill and rural under-served than the other regions. The region specific inequalities, which were greater than the socioeconomic inequalities, may be reduced by expanding outreach health programs to bring services closer to the disadvantaged. The study concludes that much of these inequalities are social constructs that can be reduced by prioritizing the needs of the disadvantaged and adopting appropriate policy change options.
Women focused development intervention reduces neonatal mortality in rural Bangladesh: a study of the pathways of influence
(BRAC Research and Evaluation Division (RED), 2003-05) Hashima-E-Nasreen; Bhuiya, Abbas; Ahmed, Syed Masud; Chowdhury, Mushtaque
Background: There has been a substantial reduction in hazard of childhood death in Bangladesh over the last decade. The reduction was much greater in case of infants whose mothers participated in the development program. However, the pathways through which development interventions influence neonatal survival remain to be explored. Objective: Study the impact of BRAC's women focused development interventions on neonatal mortality in Matlab. Methods: A case-control study comprising 117 cases (died within 28 days) and 351 controls (live children taken from the nearest door of cases) born during the year 1999- 2000 was employed. Twelve case studies from both cases and controls were done to complement the quantitative data. ICDDR, B surveillance database provided the sampling frame. The risk ratio was estimated to see how BRAC program participation reduces risk of mortality, and stratified analysis was done to see the effects of third variables over the association. Finally, log regression was done to see the net effect of variables on neonatal death. Results: Neonates of BRAC non-members were at 1.9 times increased risk (CL; 1.09- 3.25) of dying compared to neonates of BRAC members. This association works through two intermediate variables including antenatal care and family planning. Mothers' age and fathers' occupation acted as confounders over this association. Physical violence against mothers and psychological stress, pre-maturity and low-birth-weight had respectively 2.2, 1.7, 13 and 2 times increased risk of neonatal death. However, BRAe membership did not have any influence over these factors. When simultaneously accounting for all variables in a multivariate log regression, a dose response association was maintained for antenatal care, family planning, physical violence and pre-maturity. Conclusion: There has been a substantial reduction of neonatal morality among mothers who participated in BRAC intervention. For an effective reduction of these deaths, program planners should think about ways to address all risk factors together rather than antenatal care and family planning alone. Acknowledgements: The financial support of the Ford Foundation and Aga Khan Foundation is acknowledged.
Risk factors of violent death in rural Bangladesh, 1990-1999
(BRAC Research and Evaluation Division (RED), 2003) Hadi, Abdullahel
Quality of clinical care in Bangladesh: skilled attendance index
(BRAC Research and Evaluation Division (RED), 2003-07) Mahbub, Amina; Kamal, Faiza Ela
The study was conducted to assess the quality of clinical care regarding skilled attendance in Bangladesh. The information was extracted from the delivery records in the facility with the aim of establishing a baseline regarding the situation at the facility and track progress towards achieving skilled attendance. In the study data was mainly collected from the last 6 month's case reports of District Hospital and Govt. MCWC of Kurigram district. Thus the study mainly dealt with 300 case reports of the facilities, but information was also taken from the delivery book, admission book and operation book of the facility. Among the cases 43% were complicated and 57% were uncomplicated. The delivery records clearly reflected poor record keeping system in the facilities. Study results revealed that at the facility level most of the key information was not recorded. No record was found about discharge diagnosis, duration of gestation at admission, presentation of foetus, time between delivery of baby and placenta, urine albumin and sugar. In some cases it was found that information regarding clinical status of woman at start of labour i.e. pulse, temperature, most recent haemoglobin level was recoded but was not compatible with the condition of the women. The limited availability of environmental factor like manpower were likely responsible for poor care records in the facility. Situation at Govt. MCWC, the obstetric service focused facility was found as better.
Monitoring the status of health equity in Bangladesh: the BHEW Survey 2002
(BRAC Research and Evaluation Division (RED), 2003-03)
An exploratory study of selected NGO health centers in Bangladesh
(BRAC Research and Evaluation Division (RED), 2003) Ahmed, Syed Masud; Khan, Shamsher Ali; Haque, Mohammad Raisul
Evaluation of advocacy projects of UNFPA's Fifth Country Programme: summary report
(BRAC Research and Evaluation Division (RED), 2003-02) Hadi, Abdullahel; Matin, Ehsan; Gani, Md. Showkat; Mahbub, Amina
Evaluation of advocacy project of UNFPA through the Training Institutes of Ministry of Home Affairs
(BRAC Research and Evaluation Division (RED), 2003-02) Hadi, Abdullahel; Matin, Ehsanul; Gani, Md. Showkat; Mahbub, Amina
Evaluation of advocacy project of UNFPA through the Ministry of Religious Affairs
(BRAC Research and Evaluation Division (RED), 2003-02) Hadi, Abdullahel; Matin, Ehsanul; Gani, Md. Showkat; Mahbub, Amina
Evaluation of advocacy project of UNFPA through the IEM unit of family planning directorate
(BRAC Research and Evaluation Division (RED), 2003-02) Hadi, Abdullahel; Matin, Ehsanul; Gani, Md. Showkat; Mahbub, Amina
Evaluation of advocacy for reproductive health education and services for garment factory workers
(BRAC Research and Evaluation Division (RED), 2003-02) Hadi, Abdullahel; Matin, Ehsanul; Gani, Md. Showkat; Mahbub, Amina

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