A&T Bangladesh Maternal Nutrition Baseline Survey 2015: Households - Recently Delivered Women

This dataset is the result of the household/recently delivered women (RDW) survey conducted to gather data for the Maternal Nutrition Baseline as a part of an impact evaluation study of Alive & Thrive (A&T) interventions delivered through Building Resources Across Communities' (BRAC) Essential Health Care (EHC) Program in Bangladesh. A&T is a global initiative that supports the scaling up of nutrition interventions to save lives, prevent illnesses, and contribute to healthy growth and development through improved maternal nutrition, breastfeeding and complementary feeding practices. In setting its country program goal for Bangladesh in this phase of its study, A&T decided to focus on demonstrating the feasibility of integrating a package of maternal nutrition interventions in a large-scale Maternal, Newborn, and Child Health (MNCH) program. Maternal nutrition should receive equal priority as child nutrition and the A&T program of BRAC already have developed an effective strategy through improving IYCF practices. The objective of this impact evaluation is to assess the impact of integrating nutrition-focused behavior change communication (BCC- interpersonal counselling and mass communication) and community mobilization into BRAC's rural MNCH program on: 1) coverage and utilization of key maternal nutrition interventions; 2) consumption of diversified and adequate amount of foods and micronutrients by pregnant and postpartum women; and 3) early breastfeeding practices. In addition, factors affecting integration of nutrition interventions into a well-established community-based MNCH program platform through frontline health workers and social mobilization were examined. The study used a cluster-randomized design with repeated cross-sectional surveys at baseline and endline. Ten subdistricts from four districts (Mymensingh, Rangpur, Kurigram, and Lalmonirhat) in which BRAC's existing rural MNCH project is in place have been selected randomly to provide intensified maternal nutrition interventions. Another 10 subdisctricts/upazilas from the same four districts have been selected as comparison for the evaluation. The baseline survey was conducted in 20 upazilas in Bangladesh between July and August 2015, and had three components: 1) Household survey for recently delivered women (RDW) and their husbands, 2) Household survey for pregnant women (PW) (with detailed dietary recall), and 3) a Frontline health workers survey (Shasthya Shebika (SS) and Shasthya Kormi (SK)). The household survey for recently delivered women (RDW) and their husbands captured the main impact indicators for A&T (consumption of iron and folic acid (IFA) and calcium, maternal dietary diversity, quantity and quality of diet, breastfeeding practices, and functional outcomes), use of antenatal care services (ANC) and exposure to A&T’s intervention platforms, and a variety of other data related to the use of the interventions. This included data on caregiver knowledge and perceptions about maternal nutrition, caregiver resources (such as education, physical and mental health, decisionmaking power and domestic violence) and household resources (such as household composition, socioeconomic status, and food security). The husband questionnaire provided data on husband’s knowledge of maternal nutrition during wife’s pregnancy, and husband’s practices to support his wife to have optimal nutrition during pregnancy.

本数据集为母婴营养基线数据（Maternal Nutrition Baseline）相关调研的成果，该调研旨在为“茁壮成长（Alive & Thrive, A&T）”项目的影响评估研究收集数据。A&T是一项全球倡议，通过改善孕产妇营养、母乳喂养及辅助喂养实践，助力推广营养干预措施以挽救生命、预防疾病并促进健康成长与发育。本次研究在孟加拉国开展，A&T与社区资源建设组织（Building Resources Across Communities, BRAC）的基本卫生保健（Essential Health Care, EHC）项目合作，A&T在孟加拉国本阶段的国家项目目标聚焦于论证：在大规模孕产妇、新生儿与儿童健康（Maternal, Newborn, and Child Health, MNCH）项目中整合一系列孕产妇营养干预措施的可行性。

孕产妇营养应与儿童营养享有同等优先级，BRAC的A&T项目已通过优化婴幼儿喂养（Infant and Young Child Feeding, IYCF）实践形成了一套有效策略。本次影响评估的目标为：评估将以营养为核心的行为改变沟通（behavior change communication, BCC，含人际咨询与大众传播）及社区动员工作融入BRAC农村MNCH项目后，对以下三方面的影响：1）关键孕产妇营养干预措施的覆盖与使用情况；2）孕产妇与产后妇女摄入多样化、足量食物及微量营养素的状况；3）早期母乳喂养实践。此外，本研究还探讨了通过一线卫生工作者与社会动员，将营养干预措施整合至成熟的社区型MNCH项目平台的影响因素。

本研究采用整群随机设计，在基线与终线阶段开展重复横断面调研。研究从BRAC已开展农村MNCH项目的4个区县（迈门辛、朗布尔、库里格拉姆与拉尔莫尼哈德）中随机选取10个乡作为干预组，实施强化孕产妇营养干预；从同一4个区县中另选取10个乡/乌帕齐拉（upazilas）作为对照组。基线调研于2015年7月至8月在孟加拉国20个乡开展，包含三部分内容：1）针对近期分娩妇女（recently delivered women, RDW）及其丈夫的家庭调研；2）针对孕妇（pregnant women, PW）的家庭调研（含详细膳食回忆）；3）一线卫生工作者调研（含卫生服务助理Shasthya Shebika (SS)与卫生工作者Shasthya Kormi (SK)）。

针对近期分娩妇女及其丈夫的家庭调研，收集了A&T项目的核心影响指标数据，包括铁叶酸（iron and folic acid, IFA）与钙的摄入情况、孕产妇膳食多样性、膳食的数量与质量、母乳喂养实践及功能结局，产前保健（antenatal care, ANC）服务的使用情况，以及对A&T干预平台的接触情况；同时收集了与干预措施使用相关的各类其他数据，包括照护者对孕产妇营养的认知与看法、照护者资源（如教育水平、身心健康状况、决策权力与家庭暴力情况）及家庭资源（如家庭构成、社会经济地位与粮食安全状况）。丈夫问卷则收集了丈夫对妻子孕期孕产妇营养的认知数据，以及丈夫在妻子孕期支持其获得最优营养的相关行为数据。