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）调查成果，该调查旨在为过程评估收集数据，作为“生机与成长（Alive & Thrive, A&T）”干预措施影响评估研究的一部分，相关干预措施由跨社区资源建设组织（Building Resources Across Communities, BRAC）在孟加拉国实施的基本卫生保健（Essential Health Care, EHC）项目推行。本次影响评估研究的目标，是评估A&T社区项目与媒体传播、私营部门活动（如推广并整合微量营养素粉剂）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、埃塞俄比亚和越南大规模推动婴幼儿喂养（infant and young child feeding, IYCF）实践改善，促成行为变革。A&T的目标是，通过提高6月龄前纯母乳喂养（exclusive breastfeeding, EBF）率、降低0~24月龄儿童生长迟缓率，减少发展中地区因婴幼儿喂养不当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组织通过其EHC项目及孕产妇、新生儿与儿童健康（Maternal, Neonatal, and Child Health, MNCH）项目，推行A&T的社区干预措施。BRAC的一线卫生工作者，即被称为“Shasthya Shebika”与“Shasthya Kormi”的人员，会通过家庭访视、产前及产后咨询、健康论坛等形式，提供符合适龄阶段的婴幼儿喂养咨询与支持服务。本次依托BRAC的EHC平台开展的A&T干预措施影响评估过程评估调查，包含两个组成部分：（一）家庭调查；（二）一线卫生工作者调查。家庭调查采集了A&T的核心影响指标（世界卫生组织推荐的婴幼儿喂养实践指标与儿童人体测量数据）、对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，其中包括照护者对婴幼儿喂养实践的认知与看法、践行婴幼儿喂养时遇到的困难、照护者资源（如教育程度、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）。一线卫生工作者调查则收集了BRAC一线卫生工作者、传统接生员（traditional birth attendant, TBA）及乡村医生的服务提供相关数据。同时还采集了卫生工作者的时间投入、与婴幼儿喂养、辅食喂养、环境卫生与个人卫生习惯相关的知识、态度与培训情况，以及其工作督导与同事协作情况，还有他们关于Pustikona的知识与技能。本次一线卫生工作者调查共设计了三份问卷：（一）Shasthya Shebika（SS）问卷；（二）Shasthya Kormi（SK）问卷；（三）Pushti Kormi问卷。本次公开的数据来自针对Shasthya Shebika的调查。本次调查于2013年4月至8月间，由国际粮食政策研究所（International Food Policy Research Institute, IFPRI）团队与数据分析与技术援助有限公司（Data Analysis and Technical Assistance, Ltd., DATA）合作开展，覆盖孟加拉国13个县下辖的25个乌帕齐拉。