A&T Bangladesh Urban Maternal Nutrition Baseline Survey 2020: Health Facility Assessment

This dataset is the result of the health facility assessment survey that was conducted to gather data for the baseline part of the impact evaluation study of the Alive & Thrive (A&T) interventions delivered through the Urban Maternal, Neonatal and Child Health (MNCH) Services in Bangladesh. These include building capacity for health providers and nutritional counselors in urban health clinics, creating a friendly environment for maternal infant, and young child nutrition (MIYCN) counseling in clinic settings, community mobilization for demand creation of MIYCN services, interpersonal counseling on diet during pregnancy and consumption of iron folic acid (IFA) and calcium, promotion of adequate weight-gain monitoring during pregnancy, and counseling on breastfeeding and complementary feeding practices. 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. Using a quasi-experimental design, the primary objectives of the A&T evaluation study in Bangladesh are to answer the following questions: Is it feasible to standardize the delivery of MIYCN counseling services in existing urban health facilities? Can the quality of MIYCN counseling services be improved by upgrading and standardizing existing MIYCN counseling services in urban health facilities? What are the impacts of standardized and upgraded MIYCN counseling services on the utilization of MIYCN services? What are the impacts of standardized and upgraded MIYCN counseling service on the knowledge and behaviors of clients including: Pregnant women: 1) consumption of diversified foods; 2) intake of IFA and calcium supplements during pregnancy Mothers of children <1 y: age-appropriate infant feeding The baseline survey used 24 facilities in Dhaka, Bangladesh, with a non-random assignment of facilities to the intervention and control groups. Eight facilities from two NGOs of Radda and Marie Stopes received the intervention, while sixteen facilities operated by Nari Maitree and Shimantik served as the comparison group. The survey took place in October 2019 and February-March 2020 by the team from International Food Policy Research Institute (IFPRI), in collaboration with the survey firm, DATA (Data Management and Technical Assistance). The baseline survey comprised four questionnaires: 1) health facility assessment; 2) provider survey; 3) case observations and 4) client interviews. The health facility assessment contained modules related to facility infrastructure, services provided to women and children, service readiness, caseload, and availability of trained providers.

本数据集为孟加拉国城市孕产妇、新生儿与儿童健康（Maternal, Neonatal and Child Health，简称MNCH）服务框架下，“生机与成长”（Alive & Thrive，简称A&T）干预措施影响评估研究基线数据收集工作所开展的卫生机构评估调查成果。

该干预措施涵盖以下内容：提升城市卫生诊所内医护人员与营养咨询师的专业能力；为诊所内的孕产妇、婴儿及幼儿营养（Maternal, Infant and Young Child Nutrition，简称MIYCN）咨询服务打造友好服务环境；开展社区动员以推动MIYCN服务的需求增长；针对孕期饮食、叶酸铁（Iron Folic Acid，简称IFA）与钙剂摄入开展人际咨询；推广孕期体重增长监测规范；并提供母乳喂养与辅食喂养相关咨询指导。

“生机与成长”是一项全球性倡议，旨在通过优化孕产妇营养、母乳喂养及辅食喂养实践，推广营养干预措施以挽救生命、预防疾病，助力健康成长与发育。

本次孟加拉国A&T评估研究采用类实验设计，核心研究目标为解答以下问题：
1. 现有城市卫生机构内的MIYCN咨询服务是否可实现标准化交付？
2. 对现有城市卫生机构的MIYCN咨询服务进行升级与标准化，能否提升其服务质量？
3. 标准化升级后的MIYCN咨询服务对MIYCN服务的使用情况存在何种影响？
4. 标准化升级后的MIYCN咨询服务对服务对象的知识与行为存在何种影响，具体包括：
- 孕妇群体：① 多样化食物摄入情况；② 孕期叶酸铁与钙剂补充摄入情况
- 1岁以下儿童的母亲：符合年龄适配要求的婴儿喂养行为

本次基线调查共纳入孟加拉国达卡市的24家卫生机构，以非随机方式将机构分配至干预组与对照组：来自Radda与玛丽斯特普（Marie Stopes）两家非政府组织（Non-Governmental Organization，简称NGO）的8家机构纳入干预组；由Nari Maitree与Shimantik运营的16家机构作为对照群组。调查于2019年10月及2020年2—3月开展，由国际食物政策研究所（International Food Policy Research Institute，简称IFPRI）团队联合调研机构DATA（数据管理与技术援助服务机构）完成。

本次基线调查包含四类问卷：1. 卫生机构评估问卷；2. 医护人员调查问卷；3. 服务案例观察问卷；4. 服务对象访谈问卷。其中卫生机构评估问卷涵盖机构基础设施、妇幼服务内容、服务准备就绪情况、服务量以及受训医护人员配备情况等相关模块。