Browsing by Author "Adams, Alayne"
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Item Chronic energy deficiency in women from rural Bangladesh: some socioeconomic determinants(Cambridge University Press, 1998) Ahmed, Syed Masud; Adams, Alayne; Bhuiya, Abbas; Chowdhury, A.M..R.Item Chronic energy deficiency in women from rural Bangladesh: some socioeconomic determinants(1998-07) Ahmed, Syed Masud; Adams, Alayne; Chowdhury, A.M.R.; Bhuiya, AbbasItem Does involvement of women in BRAC influence ses bias in intra-household food distribution(Dhaka: BRAC-ICDDR,B Joint Research Project, 1998. ii, 19 p., 1998) Roy, Rita Das; Hyder, SM Ziauddin; Chowdhury, Mushtaque; Adams, AlayneItem Does involvement of women in BRAC influence sex bias in intra-household food distribution?(BRAC Research and Evaluation Division (RED), 1997) Roy, Rita Das; Hyder, SM Ziauddin; Chowdhury, AMR; Adams, AlayneThis study aimed to assess the sex preference in intra-household food distribution among school going siblings in a rural area of Bangladesh. The study also examines the effect of women's involvement in BRAC's rural development programme in reducing gender gaps in intrahousehold food allocation. The study was conducted in 14 villages of :Matlab thana as one of the sub-studies of the BRAC-ICDDR,B joint research project. A total of 376 school-going siblings (188 brothers and 188 sisters) aged 10-14 years from BRAC member and no~-member households were included in this study. Both quantitative and qualitative research methods were used for data collection. One of the villages was chosen for direct observation of food distnoution behaviour of the food servers. The methodology also included six focus group discussions with mothers of the siblings in two selected villages; this helped to have further understanding of the issue. The survey found no significant sex bias in food distribution for 3 major daily meals. However, boys were given preference in distributing special foods such as meat, fish and milk products. Brothers conswned higher amount of special foods compared to their sisters (p<0.001). Direct observation of food distribution and focus group discussions indicated that preferential food distribution pattern favouring sons, which existed in the rural community irrespective of social classes. It was also found that food was more equitably distributed between sons and daughters within BRAC member households compared to non-member households.Item Effects of socio-economic development on health status and human well-being : determining impact and exploring pathways of change; proposal for phase II of BRAC-ICDDR,B Matlab Joint Project, 1996-2000 AD.(1995) Chowdhury, Mushtaque; Bhuiya, Abbas; Vaughan, Patrick; Adams, Alayne; Mahmud, SimeenItem Harnessing social capital for health, security, and development in Bangladesh(Global Health Challenges for Human Security, 2004) Adams, Alayne; Chowdhury, A.M..R.Item Health facility mapping, in Jessore municipality, Bangladesh : Jessore municipality(Health Systems and Population Studies Division, icddr,b, 2018) Hasan, Mehdi; Ahmed, Shakil; Sultana, Fayeza; Shankar, Dipika; Mehjabin, Nushrat; Islam, Rahenul; Rakib, Nibras; Shafique, Sohana; Adams, AlayneItem Impact of low-cost bidding on a Contracted-Out (CO) : urban primary health care project in Bangladesh: Implications for change(Health Systems & Population Studies Division, icddr,b, 2018-05) Khan, Shaan Muberra; Islam, Rubana; Hossain, Shahed; Bashar, Farzana; Yusuf, Sifat S; Sikder, Adel A. S.; Adams, AlayneItem Income-earning women from rural Bangladesh changes in attitude and knowledge(Women for women, 1997) Bhuiya, Abb; Chowdhury, A.M..R.; Ahmed, Syed Masud; Adams, AlayneItem Income-earning women from rural Bangladesh: changes in attitude and knowledge(1998) Ahmed, Syed Masud; Adams, Alayne; Chowdhury, A.M.R.; Bhuiya, AbbasItem Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh(© 2016 Oxford University Press, 2016) Adams, Alayne; Sedalia, Saroj; McNab, Shanon; Sarker, MalabikaRealist evaluation furnishes valuable insight to public health practitioners and policy makers about how and why interventions work or don't work. Moving beyond binary measures of success or failure, it provides a systematic approach to understanding what goes on in the 'Black Box' and how implementation decisions in real life contexts can affect intervention effectiveness. This paper reflects on an experience in applying the tenets of realist evaluation to identify optimal implementation strategies for scale-up of Maternal and Newborn Health (MNH) programmes in rural Bangladesh. Supported by UNICEF, the three MNH programmes under consideration employed different implementation models to deliver similar services and meet similar MNH goals. Programme targets included adoption of recommended antenatal, post-natal and essential newborn care practices; health systems strengthening through improved referral, accountability and administrative systems, and increased community knowledge. Drawing on focused examples from this research, seven steps for operationalizing the realist evaluation approach are offered, while emphasizing the need to iterate and innovate in terms of methods and analysis strategies. The paper concludes by reflecting on lessons learned in applying realist evaluation, and the unique insights it yields regarding implementation strategies for successful MNH programming.Item Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh(Health Policy and Planning, 6/22/2015) Adams, Alayne; Sedalia, Saroj; McNab, Shanon; Sarker, MalabikaRealist evaluation furnishes valuable insight to public health practitioners and policy makers about how and why interventions work or don’t work. Moving beyond binary measures of success or failure, it provides a systematic approach to understanding what goes on in the ‘Black Box’ and how implementation decisions in real life contexts can affect intervention effectiveness. This paper reflects on an experience in applying the tenets of realist evaluation to identify optimal implementation strategies for scale-up of Maternal and Newborn Health (MNH) programmes in rural Bangladesh. Supported by UNICEF, the three MNH programmes under consideration employed different implementation models to deliver similar services and meet similar MNH goals. Programme targets included adoption of recommended antenatal, post-natal and essential newborn care practices; health systems strengthening through improved referral, accountability and administrative systems, and increased community knowledge. Drawing on focused examples from this research, seven steps for operationalizing the realist evaluation approach are offered, while emphasizing the need to iterate and innovate in terms of methods and analysis strategies. The paper concludes by reflecting on lessons learned in applying realist evaluation, and the unique insights it yields regarding implementation strategies for successful MNH programming.Item Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh(© 2016 Oxford University Press, 2016) Adams, Alayne; Sedalia, Saroj; McNab, Shanon; Sarker, MalabikaRealist evaluation furnishes valuable insight to public health practitioners and policy makers about how and why interventions work or don't work. Moving beyond binary measures of success or failure, it provides a systematic approach to understanding what goes on in the 'Black Box' and how implementation decisions in real life contexts can affect intervention effectiveness. This paper reflects on an experience in applying the tenets of realist evaluation to identify optimal implementation strategies for scale-up of Maternal and Newborn Health (MNH) programmes in rural Bangladesh. Supported by UNICEF, the three MNH programmes under consideration employed different implementation models to deliver similar services and meet similar MNH goals. Programme targets included adoption of recommended antenatal, post-natal and essential newborn care practices; health systems strengthening through improved referral, accountability and administrative systems, and increased community knowledge. Drawing on focused examples from this research, seven steps for operationalizing the realist evaluation approach are offered, while emphasizing the need to iterate and innovate in terms of methods and analysis strategies. The paper concludes by reflecting on lessons learned in applying realist evaluation, and the unique insights it yields regarding implementation strategies for successful MNH programming.Item Participatory methods to assess change in health and women's lives: an exploratory study [book](Dhaka:BRAC-ICDDR,B Joint Research Project, 1995.27 p., 1997) Adams, Alayne; Roy, Rira Das; Mahbub, AminaItem Roles and retention of Doctors under the Urban Primary Health Care Project in Bangladesh(Health Systems & Population Studies Division, icddr,b, 2018-05) Bashar, Farzana; Islam, Rubana; Hossain, Shahed; Khan, Shaan Muberra; Sikder, Adel A. S.; Yusuf, Sifat S; Adams, AlayneItem Socioeconomic development and human well-being BRAC-ICDDR, B Joint Research Project, Matlab (Repeat survey 1999)(BRAC Research and Evaluation Division (RED), 2000-10) Ahmed, Syed Masud; Fusillo, Lauren; Rana, AKM Masud; Adams, Alayne; Chowdhury, Mushtaque; Bhuiya, AbbasItem Socioeconomic development and human well-being: seasonal survey on nutrition: first round(BRAC Research and Evaluation Division (RED), 1996-12) Khatun, Masuma; MCkim, Andrew; Tarannum, Sabah; Hyder, SM Ziauddin; Chowdhury, Mushtaque; Bhuiya, Abbas; Khan, Monirul Islam; Adams, AlayneItem Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014(© 2016 International Journal for Equity in Health, 11/16/2016) Rabbani, Atonu; Khan, Akib; Yusuf, Sifat; Adams, AlayneBackground We explore long-term trends and determinants of socioeconomic inequities in chronic childhood undernutrition measured by stunting among under-five children in Bangladesh. Given that one in three children remain stunted in Bangladesh, the socioeconomic mapping of stunting prevalence may be critical in designing public policies and interventions to eradicate childhood undernutrition. Methods Six rounds of Bangladesh Demographic and Health Survey data are utilized, spanning the period 1996/97 to 2014. Using recognized measures of absolute and relative inequality (namely, absolute and relative difference, concentration curve and index), we quantify trends, and decompose changes in the concentration index to identify factors that best explain observed dynamics. Results Despite remarkable improvements in average nutritional status over the last two decades, socio-economic inequalities have persisted, and according to some measures, even worsened. For example, expressed as rate-ratios, the relative inequality in under-five stunting increased by 56% and the concentration index more than doubled between 1996/97 and 2014. Decomposition analyses find that wealth and maternal factors such as mothers’ schooling and short stature are major contributors to observed socio-economic inequalities in child undernutrition and their changes over time. Conclusions Reflecting on recent success around socioeconomic and gender equity in child mortality, and the weak legacy of nutrition policy in Bangladesh, we suggest that nutrition programming energies be focused specifically on the most disadvantaged and applied at scale to close socioeconomic gaps in stunting prevalence.