Research Reports (1995): Health Studies, Vol- XVIII

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    Verbal autopsy as a tool of identifying the causes of childhood death: assessing the BRAC system
    (BRAC Research and Evaluation Division (RED), 1995) Kamal, Firoz Mahboob; Hadi, Abdullahel
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    The health situation of adolescents: a literature review
    (BRAC Research and Evaluation Division (RED), 1995-07) Ali, Ahmed; Mabmud, Shah Noor
    This review paper adresses the health situation of the adolescents. Most of the studies we found were conducted in countries olher than Banglndesh. The medical care of the adolescent has always been neglected in the developing world until recently. While their medical needs are now being considered with an increased emphasis, their phychosocial needs, which are so important have not been adequately addressed. A few studies have been conducted in Bangladesh on issues of reproductive health. These studies suggests that early marriage is a serious problem for adolescenf girls resulting in early pregnancy and thu~ enhances other reproductive health problems.
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    Quality of care an overview
    (BRAC Research and Evaluation Division (RED), 1995-06) Afsana, Kaosar; Hashima-E-Nasreen
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    Poverty alleviation programmes in Bangladesh and their impact on nutritional status of the vulnerable groups
    (BRAC Research and Evaluation Division (RED), 1995-06) Hyder, S.M. Ziauddin
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    Pilot study on intrahousehold food distribution in a rural area of Bangladesh
    (BRAC Research and Evaluation Division (RED), 1995) Roy, Rita Das; Hyder, SM Ziauddin
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    Perception of the IGVGD programme participants on the effects of the programme on socioeconomic and nutritional well-being
    (BRAC Research and Evaluation Division (RED), 1995-12) Tarannum, Sabah; Ahmed, Farid; Hyder, SM Ziauddin
    Income Generation for the Vulnerable Group Development (IGVGD) Program is one of the main development initiatives of BR.A..C targeted to the poorest rural women. The IGVGD programme was launched in 1987 in collaboration with the World Food Programme (WFP) and the Government of Bangladesh. The Programme includes activities such as credit, savings, training, poultry rearing, health and nutrition education, and general awareness. The major objective of the programme is to increase real income of the rural destitute women through high yield variety (H1:'V) poultry rearing and other income generating activities. The objectives of this study are to examine the perception of the programme participants on the impact of the IGVGD programme on nutritional status particularly of the women and children as well as the perception of the IGVGDP women on their well-being. Data were collected through focus group discussions (FGDs). Six villages of Tangail thana were randomly selected and 6 FGDs were conducted with IGVGDP participants in September and October 1995. j\_,fajor issues discussed during the FGDs were: training of the poultry workers and key rearers, credit schemes for poultry rearing, vaccine/drugs, issue-based meetings, wheat distribution food availability, control over household resomces, women's status within the household and community, health and nutritional status and the sanitary conditions of the households. The study revealed that the participating women had a great deal of interest in poultry rearing because the technology was traditionally known to them which could also integTate with their normal household activities. Poultry workers had many responsibilities to prevent poultry mortality and they were highly respected by the villagers. Majority of the women were economically self-supportive and they vvere not dependent on the male members for poultry rearing. They could improve the socioeconomic conditions through skill development training and other awareness programmes. Most IGVGDP women came to know about the common diseases (diarrhoea. common cold, nightblindness, anaemia, etc.) through attending the bimonthly issue-based meetings. The study also shows that the participating women were more conscious about health and nulrition-related issues and problems. The study further reveals that the women's mobility such as day to day contact with local Union Parishad . 40 u members and the development workers had been increased. They could gradually overcome the problems which restricted their involvement into development activities and their attitudes had begun to change. The IGVGD programme reached the target population successfully and helped improve their socioeconomic conditions and nutritional status.
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    Nutritional impact study of the income generation for vulnerable group development program: report of July 1995
    (BRAC Research and Evaluation Division (RED), 1995-10) Hyder, S.M. Ziauddin
    BRAC through its collaborative effort with the Government of Bangladesh has been implementing the Income Generation for Vulnerable Group Development Programme (IGVGDP) with the aim of improving the destitute rural women's 1 i fe through involving them into income generating and other development activities. The participating women receive 31.25 kg wheat per month as food aid for a set period of two years along with other development inputs from BRAC and the GOB. Nutrition and other health messages are imparted in the regularly held issue based meetings and through home visits by the para-professionals and programme field staff. Nutritional status indicators have been considered as a proxy of overall development of the programme participating households. The aim of this study is to see if the programme after about a year of postimplementation has made any impact on the nutritional status of the pre-school children. This study is based on data collected in July 1995 on 202 Households participated In the IGVGD programme from Tanga i 1 Sadar than a, 17 2 non-programme con t ro 1 househo Ids from within the programme area and 164 non-programme control households from outside the programme area (Kalihati thana). The study children's anthropometric and household's socioeconomic data were collected by the RED interviewers through home visits using structured pre-tested questionnaire. The data suggest positive changes for some selected socioeconomic indicators of the households participated in the IGVGD programme compared to the control households. Sanitary and hygiene practice were also found to be better among the IGVGD households. A decreased trend was found in the proportion of severely malnourished children (according to Gomez classification) in the programme househo Ids. Wasting as defined by reduced weight for height was significantly lower in the IGVGD households ( 7. 8%) ' compared to the non-programme households from within (12.1%) and outside (18.9%) the programme area. The proportion of the underweight children was also lower in the programme children (63.8%) than both the non-programme children (69.6% and 78.1% respectively). Examining the results of this study it may be concluded that the IGVGD programme in addition to socioeconomic upl i ftment of the rural destitute women is able to improve nutritional status of the vulnerable groups such as the pre-school children.
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    Nutritional impact study of the income generation for vulnerable group development program: report of January 1995
    (BRAC Research and Evaluation Division (RED), 1995-06) Hyder, S.M. Ziauddin
    This report is a part of the longitudinal study titled "Nutritional Impact study of the Income Generation for the Vulnerable Group Development Programme'' launched in Tangail district in January 1993. The data has been collected every six months on a cohort of population. Data for this study was collected in January 1995 on the three types of the study population: lGVGDP participants, non-lGVGDP from within the programme area and non-lGVGDP from outside the programme area. The study compares nutritional and other socioeconomic variables between the population groups to assess impact of the programme on nutritional status of the target populations. lt may be concluded from the study that the programme could bring about positive impact on pre-school children's nutritional status through increasing socio-economic and hygiene status of the programme participating households.
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    Health seeking behavior and growth of adolescent girls
    (BRAC Research and Evaluation Division (RED), 1995-02) Hyder, S.M. Ziauddin
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    Effects of EPI on nutrition of under-five children In rural Bangladesh: the Matlab experience
    (BRAC Research and Evaluation Division (RED), 1995-12) Ahmed, Syed Masud; Bhuiya, Abbas; Chowdhury, AMR
    Objectives: This study was done to explore the effect of immunization (as specified in EPI) on under-five children's nutritional status in a rural area of Bangladesh. Methods: The data for this study originated from a sub-sample of a baseline survey conducted in 60 DSS villages of Matlab thana during 1992. :MUAC, height and weight of 992 children between the age of one to five years were measured using standard technique and socioeconomic information were collected from their mothers using a set of pre-tested structured questionnaire. The level '-2 Z score ' was taken as the cut-off point for "stunting" and the value of less than 125 mm of MUAC for "severely malnourished" children. Results: Both bi-variate and multi-variate analyses revealed the significant role of immunization status in affecting less severe acute malnutrition (NillAC) in poor households which was not seen in the better-off households. Again, immunization status appeared not to have any effect on 'stunting' i.e., long-term nutrition. Wnen considering long-term nutrition (Ht/age), both bi-variate and multi-variate analyses identified mother's education and number of dwellings in the household to be significant influencing factors for the BRAC eligible children. Also, completely immunized children from BRAC non-eligible households were found to have significantly better anthropometric indices than their counterparts . . .<\nother interesting finding was the sex difference seen among the better-off households. Girls in these households were much less likely to be completely immunized, and more likely to be acutely malnourished. This issue needs further exploration for a better understanding of the households' gender dynamics. Conclusions: EPI immunization has some beneficial, if only margina~ impact on the acute nutritional status of the poor children only. It has no effect on chronic nutrition, for which socioeconomic factors seems to play a greater role. Differences exist across socioeconomic status of the household and sex of the children.