A&T Bangladesh Maternal Nutrition Baseline Survey 2015: Shasthya Shebika (SS)

This dataset is the result of the frontline health worker (FHW) 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 frontline health worker (FHW) survey gathered data on service provision by BRAC frontline health workers and other healthcare providers. Data were also gathered on health workers’ time commitment, knowledge and attitude and training related to maternal nutrition, and their job motivation, satisfaction, and supervision. In addition, questions on household assets and mass media habits were included. Two questionnaires were developed for frontline health workers survey—(i) Shasthya Shebika (SS) questionnaire, and (ii) Shasthya Kormi (SK) questionnaire. The data included here are from the survey of Shasthya Shebika (SS).

本数据集为一线卫生工作者（frontline health worker, FHW）调研的成果，该调研旨在为孕产妇营养基线（Maternal Nutrition Baseline）收集数据，作为“茁壮成长（Alive & Thrive, A&T）”干预项目影响评估研究的一部分。该干预项目由孟加拉国跨社区资源建设组织（Building Resources Across Communities, BRAC）的基本卫生保健（Essential Health Care, EHC）项目落地实施。“茁壮成长”是一项全球性倡议，致力于通过推广孕产妇营养、母乳喂养及辅食喂养实践，扩大营养干预覆盖范围，以挽救生命、预防疾病并助力健康成长与发育。在本研究阶段为孟加拉国制定国家项目目标时，“茁壮成长”项目决定聚焦于验证：将一系列孕产妇营养干预措施整合至大规模孕产妇、新生儿与儿童健康（Maternal, Newborn, and Child Health, MNCH）项目中的可行性。孕产妇营养应与儿童营养享有同等优先级，而BRAC旗下的“茁壮成长”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的干预策略。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）及社区动员整合至BRAC农村孕产妇、新生儿与儿童健康项目后，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利用情况；2. 孕产妇及产后妇女的多样化充足食物与微量营养素（micronutrients）摄入情况；3. 早期母乳喂养实践。此外，本次研究还考察了通过一线卫生工作者与社会动员，将营养干预整合至成熟的社区型孕产妇、新生儿与儿童健康项目平台的影响因素。本研究采用整群随机试验设计，在基线与终线阶段开展重复横断面调研。研究从BRAC已落地农村孕产妇、新生儿与儿童健康项目的4个县（迈门辛、朗布尔、库里格拉姆、拉尔莫尼哈德）中，随机抽取10个乡（乌帕齐拉，upazila）作为强化孕产妇营养干预的实施区域。从上述同一4个县中再遴选10个乡（乌帕齐拉）作为本次评估的对照组区域。基线调研于2015年7-8月在孟加拉国的20个乡（乌帕齐拉）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. 针对孕产妇（pregnant women, PW）的家庭调研（含详细膳食回顾）；3. 一线卫生工作者调研，对象为卫生助理（Shasthya Shebika, SS）与卫生员（Shasthya Kormi, SK）。本次一线卫生工作者调研收集了BRAC一线卫生工作者及其他医疗服务提供者的服务供给相关数据，同时收集了卫生工作者在孕产妇营养相关领域的时间投入、知识态度、培训情况，以及其工作动机、职业满意度与督导情况相关数据。此外，调研还包含了家庭资产与大众媒体接触习惯相关的问题。本次一线卫生工作者调研共设计了两份问卷：（1）卫生助理（Shasthya Shebika, SS）问卷；（2）卫生员（Shasthya Kormi, SK）问卷。本次公开的数据集即来自卫生助理（Shasthya Shebika, SS）的调研数据。