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.

本数据集为近期分娩妇女（recently delivered women, RDW）家庭调查的成果，该调查旨在为孕产妇营养基线（Maternal Nutrition Baseline）调研收集数据，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）计划实施。

A&T是一项全球性倡议，旨在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、预防疾病并促进健康成长与发育。

在本研究阶段为孟加拉国制定国家项目目标时，A&T决定聚焦于验证将一系列孕产妇营养干预措施整合入大规模孕产妇、新生儿与儿童健康（Maternal, Newborn, and Child Health, MNCH）计划的可行性。孕产妇营养应与儿童营养享有同等优先级，而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传播（behavior change communication, BCC，包含人际咨询与大众传播）及社区动员整合入BRAC农村MNCH计划后，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）孕妇与产后妇女多样化且足量的食物及微量营养素摄入情况；3）早期母乳喂养实践。此外，本次研究还探讨了通过一线卫生工作者与社会动员，将营养干预整合入成熟的社区型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查。研究从BRAC已开展农村MNCH项目的4个县（迈门辛、朗布尔、库里格拉姆与拉尔莫尼哈德）中随机抽取10个乡作为干预组，实施强化孕产妇营养干预；同时从同一4个县中另选取10个乡/乌帕齐拉作为评估对照组。

基线调查于2015年7月至8月在孟加拉国20个乡开展，包含三部分：1）近期分娩妇女（RDW）及其丈夫的家庭调查；2）孕妇（pregnant women, PW）家庭调查（含详细膳食回顾内容）；3）一线卫生工作者调查，涉及沙斯塔亚·舍比卡（Shasthya Shebika, SS）与沙斯塔亚·科尔米（Shasthya Kormi, SK）。

针对近期分娩妇女及其丈夫的家庭调查，采集了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、膳食数量与质量、母乳喂养实践及功能结局；产前检查（antenatal care, ANC）服务的使用情况；接触A&T干预平台的情况，以及与干预措施使用相关的各类其他数据。此类数据涵盖照护者对孕产妇营养的认知与看法、照护者相关资源（如教育水平、身心健康状况、决策权力及家庭暴力情况），以及家庭资源（如家庭结构、社会经济地位与粮食安全状况）。

丈夫调查问卷则采集了丈夫对妻子孕期孕产妇营养的认知，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。