The large‐scale community‐based programme ‘<i>Suchana’</i> improved maternal healthcare practices in north‐eastern Bangladesh: Findings from a cluster randomized pre‐post study

Haque, Md. Ahshanul; Choudhury, Nuzhat; Ahmed, Saeed; Farzana, Fahmida Dil; Ali, Mohammad; Naz, Farina; Raihan, Mohammad Jyoti; Rahman, Sheikh Shahed; Siddiqua, Towfida Jahan; Faruque, Abu Syed Golam; Ahmed, Tahmeed

doi:10.1111/mcn.13258

Cited by 8 publications

(16 citation statements)

References 21 publications

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“…A secure web‐based data management system was used to manage the data. When data collection was complete, the data were transferred into Stata software release 14 (StataCorp) to define the variable and value labels (Haque et al, 2022 ).…”

Section: Methodsmentioning

confidence: 99%

Does a child's mid‐upper arm circumference‐for‐age z‐score represent another nutritional indicator of childhood malnutrition status?

Haque

Choudhury

Ahmed

et al. 2022

Maternal & Child Nutrition

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Child wasting is defined as a weight‐for‐height/length z‐score (WLZ/WHZ) < −2, and this indicator of nutritional status is used worldwide. However, a precise measurement is required for the assessment of a child's nutritional status, which may not always be possible due to expensive instruments, especially in poor resource settings. In some instances, mid‐upper arm circumference‐for‐age z‐score (MUACZ) is also being used for screening purposes, which is a simple and useful nutritional indicator. The objective of this paper is to identify the optimal cut‐off point for the MUACZ to identify wasted children, and also to determine if the same factors are associated with MUACZ and wasting. Data were derived from the Suchana evaluation data. The optimal cut‐off value was estimated via receiver operating characteristic (ROC) curve analysis using acute malnutrition as a gold standard with maximum sensitivity and specificity. Multiple logistic regression was used to assess the associated factors with the MUACZ. Using the gold standard indicator of nonwasting (WLZ ≥ −2), a positive outcome, the optimal cut‐off point for the MUACZ was −1.27. The area under the ROC curve was 0.88, indicating that the model had a power of 88% to differentiate between the positive and negative classes. It implies that a child's MUACZ was correlated with WLZ, and a MUACZ below −1.27 appeared to accurately identify wasting among children aged 3–23 months. MUACZ < −1.27 might be another useful indicator of childhood wasting than a WLZ < −2.

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Section: Methodsmentioning

confidence: 99%

Does a child's mid‐upper arm circumference‐for‐age z‐score represent another nutritional indicator of childhood malnutrition status?

Haque

Choudhury

Ahmed

et al. 2022

Maternal & Child Nutrition

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“…The vulnerable villages in each union were chosen by the programme staff based on their vulnerability (e.g., poverty or household living conditions, geographic isolation or difficulty in reaching the household, other development initiatives providing low or no interventions, flooding or submerging, and prevailing superstitions or strong social stigmas). This selection process was conducted after meetings and discussions with elected councils, local leaders, local government officials, and field visits ( 16 ). Once the villages were identified, wealth-ranking sessions were completed in each village.…”

Section: Methodsmentioning

confidence: 99%

“…The sample sizes were estimated based on Suchana 's primary outcome of childhood stunting and secondary outcomes of children exclusively breastfed and the minimum acceptable diet ( 15 ). Data from 5,440 households from the baseline survey and 10,722 households from the endline survey were included in this analysis ( 16 ).…”

Section: Methodsmentioning

confidence: 99%

“…Ownership of household assets, floor material, main roof material, external wall material, number of dwelling rooms, type of latrine, and sources of drinking water was assessed as key indicators of socioeconomic status (SES). Using this information, factor analysis based on the principal factor method was used to create an asset index for SES ( 16 ).…”

Section: Methodsmentioning

confidence: 99%

“…During the data entry period, activities such as editing (after receiving any feedback from field staff members), updates, range checks, duplication checks, consistency checks, frequency checks, and cross-tabulation were performed regularly. In the case of any unusual observations, the issues were discussed and resolved ( 16 ).…”

Section: Methodsmentioning

confidence: 99%

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Food security status of Suchana-participating households in north-eastern rural Bangladesh

Haque

Choudhury

Ahmed

et al. 2022

Front. Public Health

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Despite achieving remarkable progress, food insecurity remains a major public health challenge in Bangladesh, and severe food insecurity status has not been reduced in susceptible areas and vulnerable regions in Bangladesh. Wetlands that are susceptible to flooding can be found in Bangladesh's north-eastern Sylhet division. Suchana, a large-scale nutrition programme, implemented nutrition-specific and sensitive interventions in poor and very poor households in Sylhet and Moulvibazar districts in the north-eastern region of Bangladesh. The aim of this article is to assess the association between the Suchana intervention and household food security status among poor and very poor households in north-eastern rural Bangladesh using the Suchana baseline and endline survey databases. The baseline survey was conducted between November 2016 and February 2017, while the endline survey was undertaken 3 years later, during the same months. The outcome variable in this analysis was household food security status, which was measured using the Food and Nutrition Technical Assistance's Guideline. Descriptive statistics were used to summarize the data; after controlling for the union as a cluster and relevant covariates, a multiple multinomial logistic regression model was used to estimate the independent effect of the Suchana intervention as an exposure. Overall, 14.0% of households were food secure at the baseline survey (intervention: 14.1%, control: 14.0%) and 22.0% were food secure (intervention: 26.6%, control: 20.2%) at the endline survey. For households in the intervention area in comparison to the control area, the odds of being moderately food insecure [aOR: 1.36 (1.05, 1.76), p < 0.05], mildly food insecure [aOR: 1.83 (1.33, 2.51), p < 0.001], or food secure [aOR: 2.21 (1.47, 3.33), p < 0.001] compared to being severely food insecure was significantly higher. Thus, we infer that the 3 years of Suchana intervention marginally increased household food security status among the socio-economically disadvantaged population in north-eastern rural Bangladesh. If concerns regarding gender equity, women's education, and income-generating activities are addressed, the population could experience even greater benefits in food security. In order to overcome these challenges, all stakeholders including programme implementers and policymakers should work together to implement the appropriate measures.

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Maternal dietary diversity increases with women's high decision-making autonomy in Northwest Ethiopia, 2022

Mekonen,

Endalifer,

Assaye

2024

Heliyon

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The large‐scale community‐based programme ‘Suchana’ improved maternal healthcare practices in north‐eastern Bangladesh: Findings from a cluster randomized pre‐post study

Cited by 8 publications

References 21 publications

Does a child's mid‐upper arm circumference‐for‐age z‐score represent another nutritional indicator of childhood malnutrition status?

Does a child's mid‐upper arm circumference‐for‐age z‐score represent another nutritional indicator of childhood malnutrition status?

Food security status of Suchana-participating households in north-eastern rural Bangladesh

Maternal dietary diversity increases with women's high decision-making autonomy in Northwest Ethiopia, 2022

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