A&T Bangladesh Urban Maternal Nutrition Baseline Survey 2019-2020: Antenatal Care Client Interview

This dataset is the result of the client interview 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 antenatal care client interviews were conducted in clients’ homes using the structured questionnaire. The questionnaires included modules on the background and demographic characteristics, obstetric history, ANC care and counselling, consumption of supplements, dietary intake, current MIYCN knowledge and perceptions, food security, decision-making power and mental health.

本数据集为针对孟加拉国通过城市母婴健康（Maternal, Neonatal and Child Health, MNCH）服务开展的“生机与成长（Alive & Thrive, A&T）”干预项目影响评估研究基线部分所收集的客户访谈调查结果。该干预措施包括：为城市卫生诊所的医护人员与营养咨询师开展能力建设；在诊所场景中营造母婴与幼儿营养（Maternal Infant, and Young Child Nutrition, MIYCN）咨询的友好环境；开展社区动员以提升MIYCN服务的需求；针对孕期饮食、铁叶酸（Iron Folic Acid, IFA）与钙摄入开展人际咨询；推广孕期体重增长监测；以及提供母乳喂养与辅食喂养实践指导。“生机与成长”是一项全球倡议，旨在通过改善孕产妇营养、母乳喂养与辅食喂养实践，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评估研究采用准实验设计，核心目标为解答以下问题：一是能否在现有城市卫生机构中标准化开展MIYCN咨询服务？二是通过升级与标准化现有城市卫生机构的MIYCN咨询服务，能否提升其服务质量？三是标准化升级后的MIYCN咨询服务对MIYCN服务利用率有何影响？四是标准化升级后的MIYCN咨询服务对服务对象的知识与行为有何影响，具体包括：孕妇群体：1）多样化食物摄入情况；2）孕期IFA与钙补充剂摄入情况；1岁以下儿童母亲群体：符合年龄要求的婴儿喂养行为。本次基线调查选取孟加拉国达卡的24家卫生机构，采用非随机分组方式将机构划分为干预组与对照组：来自Radda与玛丽·斯特普斯（Marie Stopes）两家非政府组织的8家机构纳入干预组，而由Nari Maitree与Shimantik运营的16家机构作为对照组。本次调查由国际食物政策研究所（International Food Policy Research Institute, IFPRI）联合调研机构DATA（数据管理与技术援助团队）于2019年10月及2020年2-3月开展。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）案例观察记录；4）客户访谈问卷。产前保健客户访谈采用结构化问卷在服务对象家中进行，问卷模块涵盖背景与人口特征、产科病史、产前保健与咨询、补充剂摄入情况、饮食摄入、当前MIYCN知识与认知、粮食安全、决策权力与心理健康状况。