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Journal of Emerging Global Health

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Assessing the Effectiveness of Community Clinics in Maternal and Child Nutrition in Sylhet and Chattogram Divisions, Bangladesh

Original Article | Published: 30 January 2025 | Volume: 11 Issue: 2

Sazzadur Rahman Sagor

Department of Nutrition and Food Engineering, Faculty of Health and Life Sciences, Daffodil International University, Daffodil Smart City, Birulia, Savar, Dhaka-1216, Bangladesh.

Sumia Binta Mizan

Department of Nutrition and Food Engineering, Faculty of Health and Life Sciences, Daffodil International University, Daffodil Smart City, Birulia, Savar, Dhaka-1216, Bangladesh.

Arif Chowdhury Apou

Department of Public Health, Faculty of Health and Life Sciences, Daffodil International University, Daffodil Smart City, Birulia, Savar, Dhaka-1216, Bangladesh

Abstract

Despite progress in reducing infant and maternal mortality rates, Bangladesh faces challenges in child nutrition, marked by suboptimal feeding practices and high stunting rates. This study evaluates maternal and child nutrition services in Sylhet and Chattogram divisions to inform strategies for combating malnutrition. Using secondary data from the District Health Information System 2 (DHIS2) spanning January to October 2023, a survey covered 3,179 community clinics. The analysis focused on nutrition services for women and children aged two years and above, including iron and folic acid (IFA) supplementation, weight monitoring, and counseling on exclusive breastfeeding and complementary feeding. 80% of registered pregnant women received maternal nutrition services, with rates of 82% and 79% in Sylhet and Chattogram, respectively. In February 2023, the majority of enrolled children received counseling, but fewer did so in May. Enrollment of pregnant women and children aged two years and above decreased from May to July 2023. Advancements in maternal and child nutrition services are evident in Chattogram and Sylhet divisions, but challenges remain in practitioner training and data reporting. Continuous improvement in healthcare infrastructure and training program is vital for better health outcomes.

Keywords

Child nutrition, community clinics, maternal and child mortality rate, maternal services, nutritional interventions.

Reference

Maternal and Perinatal Death Surveillance and Response (MPDSR) in Bangladesh. (2022). Progress and highlights in 2022. United Nations Population Fund. [Retrieved May 28, 2024] from https://bangladesh.unfpa.org/sites/default/files/pub_pdf/mpdsr_report_2022_final_version_dghs.pdf
Bangladesh Bureau of Statistics (BBS). (2019). Bangladesh Demographic and Health Survey 2017–18: Key indicators. Dhaka, Bangladesh, and Rockville, Maryland, USA: BBS and ICF. [Retrieved May 29, 2024] from https://dhsprogram.com/pubs/pdf/PR104/PR104.pdf
Directorate General of Health Services (DGHS). (2020). Health Bulletin 2019. Dhaka, Bangladesh: Management Information System (MIS), DGHS. [Retrieved June 1, 2024] from https://old.dghs.gov.bd/index.php/en/publications/health-bulletin/dghs-health-bulletin
Ministry of Health and Family Welfare, Government of Bangladesh (MOHFW). (2017). National Nutrition Services Operational Plan 2017–2022. [Retrieved June 1, 2024] from http://hospitaldghs.gov.bd/wp-content/uploads/2020/01/HSM_OP_2017-22.pdf
Black, R. E., et al. (2008). Maternal and child undernutrition: Global and regional exposures and health consequences. The Lancet, 371(9608), 243–260.
The World Bank. (2017). Bangladesh: Fourth Health, Population and Nutrition Sector Program (HPNSP) (2017–2022) (Report No: PAD2217). [Retrieved May 30, 2024].
Bhutta, Z. A., et al. (2013). Evidence-based interventions for improvement of maternal and child nutrition: What can be done and at what cost? The Lancet, 382(9890), 452–477.
World Health Organization (WHO). (2014). Global nutrition targets 2025: Stunting policy brief. [Retrieved June 1, 2024] from https://www.who.int/publications/i/item/WHO-NMH-NHD14.2
World Bank. (2021). Bangladesh – Maternal mortality ratio (modeled estimate, per 100,000 live births). [Retrieved May 27, 2024] from https://data.worldbank.org/indicator/SH.STA.MMRT?locations=BD
Nguyen, P. H., Kim, S. S., Sanghvi, T., et al. (2017). Integrating nutrition interventions into an existing maternal, neonatal, and child health program increased maternal dietary diversity, micronutrient intake, and exclusive breastfeeding practices in Bangladesh. The Journal of Nutrition, 147(12), 2326–2337.
Phuong, H. N., et al. (2021). Effective coverage of nutrition interventions across the continuum of care in Bangladesh: Insights from nationwide cross-sectional household and health facility surveys. BMJ Open, 11(1), 3–18.
Biswas, A., Halim, A., Abdullah, A. S., Rahman, F., & Doraiswamy, S. (2020). Factors associated with maternal deaths in a hard-to-reach marginalized rural community of Bangladesh: A cross-sectional study. International Journal of Environmental Research and Public Health, 17(4), 1184.
Haque, S., et al. (2023). Nutritional status of under-five aged children of ready-made garment workers in Bangladesh: A cross-sectional study. PLoS One, 18(13), e0284325.
Machin, D., Campbell, M. J., Tan, S. B., & Tan, S. H. (2008). Sample size tables for clinical studies (3rd ed.). John Wiley & Sons.