Bangladesh Alive & Thrive Process Evaluation Survey 2013: Shasthya Shebika (SS)

This dataset is the result of the frontline health worker (FLW) survey conducted to gather data for a process evaluation 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. The objective of the impact evaluation study is to evaluate the synergistic impact of A&T’s community component along with media communications and private sector activities such as the promotion and integration of micronutrient powders. A&T is a six-year initiative to facilitate change for improved infant and young child feeding (IYCF) practices at scale in Bangladesh, Ethiopia, and Viet Nam. The goal of A&T is to reduce avoidable death and disability due to suboptimal IYCF in the developing world by increasing exclusive breastfeeding (EBF) until 6 months of age and reducing stunting of children 0-24 months of age. In Bangladesh, A&T is working with the government, nongovernmental organizations, and private initiatives to support the implementation of the National IYCF Strategy and Action Plan. The BRAC organization is delivering A&T’s community interventions within its EHC Program and its Maternal, Neonatal, and Child Health (MNCH) Program. BRAC’s frontline health workers, known as Shasthya Shebika and Shasthya Kormi, delivered age-appropriate IYCF counseling and support services during home visits, antenatal and postnatal sessions, and health forums. The process evaluation survey conducted as part of the impact evaluation of A&T interventions delivered through BRAC’s EHC platform had two components—(i) household survey, and (ii) frontline health workers survey. The household survey captured the main impact indicators for A&T (WHO-recommended IYCF indicators and child anthropometry), use 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 IYCF practices, challenges experienced in relation to IYCF practices, caregiver resources (such as education, childcare knowledge, and experience, and physical and mental health) and household resources (such as household composition, socioeconomic status, and food security). The frontline health worker survey gathered data on service provision by BRAC frontline health workers, traditional birth attendants (TBA), and village doctors. Data were also gathered on health worker time commitment, knowledge and attitude and training related to IYCF, complementary feeding, sanitation and hygiene practices, and their job supervision and contact with other workers; their knowledge and skills about Pustikona. Three questionnaires were developed for frontline health workers survey—(i) Shasthya Shebika (SS) questionnaire, (ii) Shasthya Kormi (SK) questionnaire, and (iii) Pushti Kormi questionnaire. The data included here are from the survey of Shasthya Shebika. The survey was conducted in the 25 upazilas across 13 districts in Bangladesh between April and August 2013 by the IFPRI team in collaboration with Data Analysis and Technical Assistance, Ltd. (DATA).本数据集为一线卫生工作者（frontline health worker, FLW）调研成果，该调研旨在为流程评估收集数据，而流程评估是“生命与成长”（Alive & Thrive, A&T）干预项目影响评估研究的组成部分，该项目通过孟加拉国社区资源建设组织（Building Resources Across Communities, BRAC）的基本卫生保健（Essential Health Care, EHC）项目实施。本次影响评估研究的目标为评估A&T社区项目与媒体传播、私营部门活动（如微量营养素粉剂的推广与整合）之间的协同效应。A&T是一项为期六年的倡议，旨在在孟加拉国、埃塞俄比亚与越南大规模推动改善婴幼儿喂养（infant and young child feeding, IYCF）行为的变革。其核心目标是通过提高6月龄以内婴儿的纯母乳喂养（exclusive breastfeeding, EBF）率，降低0-24月龄儿童发育迟缓率，从而减少发展中国家因非最优婴幼儿喂养行为导致的可避免死亡与残疾。在孟加拉国，A&T与政府、非政府组织及私营机构开展合作，支持《国家婴幼儿喂养战略与行动计划》的落地实施。BRAC组织在其EHC项目与母婴新生儿儿童健康（Maternal, Neonatal and Child Health, MNCH）项目中推进A&T的社区干预措施。BRAC的一线卫生工作者分为“健康服务助理”（Shasthya Shebika）与“健康干事”（Shasthya Kormi）两类，他们通过入户随访、产前产后咨询及健康论坛等场景，提供符合年龄段的婴幼儿喂养咨询与支持服务。依托BRAC的EHC平台开展的A&T干预项目影响评估流程调研包含两大模块：其一为家庭调研，其二为一线卫生工作者调研。家庭调研采集了A&T的核心影响指标（世界卫生组织推荐的婴幼儿喂养指标与儿童人体测量数据）、A&T干预平台的使用与接触情况，以及与干预措施使用相关的各类其他数据，包括照护者对婴幼儿喂养行为的认知与看法、践行婴幼儿喂养时遇到的挑战、照护者资源（如受教育程度、育儿知识与经验、身心健康状况）及家庭资源（如家庭结构、社会经济地位、粮食安全状况）。一线卫生工作者调研则收集了BRAC一线卫生工作者、传统助产士（traditional birth attendant, TBA）及乡村医生的服务提供相关数据，同时采集了卫生工作者的时间投入、与婴幼儿喂养、辅食喂养、卫生清洁实践相关的知识态度与培训情况、工作督导及与其他工作人员的联络情况，以及他们关于Pustikona的知识与技能。本次一线卫生工作者调研共设计三类问卷：其一为健康服务助理（Shasthya Shebika, SS）问卷，其二为健康干事（Shasthya Kormi, SK）问卷，其三为营养干事（Pushti Kormi）问卷。本数据集收录的调研数据来自健康服务助理（Shasthya Shebika）的调研结果。本次调研由国际食物政策研究所（IFPRI）团队与数据分析与技术援助有限公司（Data Analysis and Technical Assistance, Ltd., DATA）合作完成，于2013年4月至8月间在孟加拉国13个县的25个乌帕齐拉范围内开展。