AMR Chowdhury Publications Volume V: 2002-2008 (July)
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Item Transforming health systems to improve the lives of women and children(The Lancet, 2005) Chowdhury, A.M.RItem The wider impacts of BRAC poverty alleviation programme in Bangladesh(Journal of International Development, 2004) Chowdhury, A.M.R; Bhuiya, AbbasOver the decades of the 1980s and 90s, many poverty alleviation programmes have been implemented in developing countries. Evaluations of such programmes have traditionally looked at their success in increasing the income levels of participants, but less at the wider goals of human well-being. This paper l(x)ks at the poverty alleviation program of BRAC. a large non-governmental organization in Bangladesh. and, based on carefully designed studies, presents its impact on selected components of 'human well-being'. This study found better child survival and nutritional status in households served by the programme. Simulated impacts were also observed in other areas, such as expenditure patterns. family planning practices and children's education. The studies also looked at the impact on the rural power structure and found a substantial change in the networking relationship of health providers. The likely influence of 'selectivity bias' on the above results is abo discussed.Item Sustainable safe water options in Bangladesh experiences from the Arsenic Project at Matlab (AsMat)(BRAC, 2005) Rahman, Md. Jakariya, Mizanur; Rahman, Mahfuzar; Yunus, Md.; Bhattacharya, Prosun; Jacks, Gunnar; Vahter, Marie; Persson, Lars-Ake; Chowdhury, A.M.RItem Strengthening public health education and training to improve global health(Bulletin of the Worfd Health Organization, 2008) Sadana, Ritu; Chowdhury, A.M..R.; Petrakova, AlenaItem Searching for a sustainable arsenic mitigation strategy in Bangladesh experience from two upazilas(International Journal oof Environment Pollution, 2007) Jakariya, Md.; Bromssen, M. von; Chowdhury, A.M.R; Ahmed, K.M.; Bhattacharya, P.Item Rethinking interventions for women's health(The Lancet, 2007) Chowdhury, A.M..R.Item Public health education: a Bangladeshi approach(Bulletin of the Worfd Health Organization, 2007) Chowdhury, A.M..R.Item Promoting maternal health gender equity in Bangladesh(British Journal Of Midwifery, 2007) Afsana, Kawsar; Rashid, Sabina Falz; Theobald, Sally; Chowdhury, A.M..R.Item Producing effective knowledge agents in a pluralistic environment what future for community health workers(Social Science & Medicine, 2008) Standing, H.; Chowdhury, A.M..R.This paper is concerned with how poor populations can obtain access to trusted, competent knowledge and services in increasingly pluralistic health systems where unregulated markets for health knowledge and services dominate. The term "unregulated" here derives from the literature on the development of markets in low-income countries and refers to the lack of state enforcement of formal laws and regulations. We approach this question of access through the changing roles and fortunes of community health workers over the last few decades and ask what kind of role they can be expected to play in the future. Community-based health agents have been used in many settings as a way of filling gaps in service provision where more skilled personnel are not available. They have also fulfilled a more transformative role in broad-based community development. We explore the reasons for the decline of programmes from the 1980s onwards. Using the specific experience of Bangladesh, the paper considers what lessons can be learned from past successes and failures, and what needs to change to meet the challenges of 21st-century health systems. These challenges are those of establishing credibility and legitimacy in a pluralistic environment and creating a sustainable livelihood strategy. 1be article concludes with a discussion of four potential models of community-based health 1 dgents which are not necessarily exclusive: a generic agent that is closely linked to a reputable supervisory agency; a specialist cadre working with particular health conditions; an expert advocate; and a mobiliser or facilitator who can mediate between users and health markets.Item Pieter Streefland: A friend(Medische Antropologie, 2008) Chowdhury, A.M..R.