A&T Bangladesh Urban Maternal Nutrition Baseline Survey 2019-2020: Integrated Management of Childhood Illness (IMCI) Client Interview

This dataset is the result of the health facility assessment 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 Integrated Management of Childhood Illness (IMCI) 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 counseling, consumption of supplements, dietary intake, infant and young child feeding practices, current MIYCN knowledge and perceptions, food security, decision-making power, and mental health.

本数据集为孟加拉国城市孕产妇、新生儿与儿童健康（Urban Maternal, Neonatal and Child Health, MNCH）服务框架下，针对“生机与发展（Alive & Thrive, A&T）”干预措施开展的影响评估研究基线数据收集工作所形成的卫生设施评估调查成果。该干预措施具体涵盖以下内容：为城市卫生诊所的医护人员与营养咨询师开展能力建设；在诊所场景中营造友好环境，以支持孕产妇、婴幼儿营养（Maternal, Infant, and Young Child Nutrition, MIYCN）咨询服务开展；开展社区动员以提升MIYCN服务的需求；针对孕期饮食、叶酸铁（Iron Folic Acid, IFA）与钙剂摄入提供人际咨询指导；推广孕期体重增长监测服务；以及母乳喂养与辅食喂养实践咨询。

“生机与发展”是一项全球性倡议，旨在通过优化孕产妇营养、母乳喂养与辅食喂养实践，推动营养干预措施规模化落地，以挽救生命、预防疾病并助力健康成长与发育。

孟加拉国的A&T评估研究采用准实验设计，核心研究目标为解答以下四类问题：其一，能否在现有城市卫生设施中标准化开展MIYCN咨询服务？其二，通过升级并标准化现有城市卫生设施的MIYCN咨询服务，能否提升其服务质量？其三，标准化升级后的MIYCN咨询服务对MIYCN服务的使用率有何影响？其四，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，具体覆盖：孕妇群体：1）多样化食物摄入情况；2）孕期叶酸铁与钙剂补充剂摄入情况；以及<1岁儿童的母亲群体：符合年龄要求的婴幼儿喂养行为。

本次基线调查共纳入孟加拉国达卡市的24家卫生设施，以非随机方式将设施分配至干预组与对照组：来自Radda与玛丽斯特普（Marie Stopes）两家非政府组织的8家设施作为干预组，而由Nari Maitree与Shimantik运营的16家设施作为对照组。

本次调查由国际粮食政策研究所（International Food Policy Research Institute, IFPRI）团队联合调研机构DATA（数据管理与技术援助机构）于2019年10月及2020年2-3月共同实施。

本次基线调查包含四类问卷：1）卫生设施评估问卷；2）医护人员调查问卷；3）案例观察问卷；4）服务对象访谈问卷。其中儿童疾病综合管理（Integrated Management of Childhood Illness, IMCI）服务对象访谈采用结构化问卷，在服务对象家中开展。问卷涵盖的模块包括：背景与人口统计学特征、产科病史、产前保健（Antenatal Care, ANC）服务与咨询、补充剂摄入情况、膳食摄入、婴幼儿喂养实践、当前MIYCN相关知识与认知、粮食安全状况、决策权力以及心理健康状况。