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- Title
An evaluation of the impact of a US$60 million nutrition programme in Bangladesh.
- Authors
S M Moazzem Hossain; Arabella Duffield; Anna Taylor
- Abstract
Objective: To compare levels of childhood malnutrition in areas where the Bangladesh Integrated Nutrition Project had been operational for over 5 years with matched non-project areas, with the purpose of evaluating whether the project had achieved its objective of reducing the prevalence of underweight among children <24 months.Methods: The study involved an ex-post cross-sectional survey in six thanas (a locality with a population of approximately 200?000450?000 people) in Bangladesh. Participants were 6820 households (4554 in the project areas and 2266 in the non-project areas) including 7183 children aged 659 months selected using a two-stage stratified cluster sampling frame. Main outcome measures were moderate and severe underweight, wasting and stunting reported using z scores, and indicators of mothers' reported nutritional knowledge and practice.Results: 2388 children aged 623 months and 6815 children aged 659 months had clean anthropometric data. No significant difference was found between the socio-economic variables of households in the project and non-project areas. No significant difference was found in the prevalence of either severe or moderate underweight (weight-for-age) in children aged 623 months in the project and non-project areas: 183 (11.4%, 95% confidence interval 9.913.2%) children in project areas and 96 (12.2%, 95% confidence interval 9.914.8%) children in non-project areas. Mothers in project areas reported significantly better caring practices than in non-project areas.Conclusion: There is no evidence that the Bangladesh Integrated Nutrition Project has achieved its objectives to reduce severe underweight by 40% if project areas are compared ex-post with non-project areas. There is urgent need to review the evidence behind investments based on growth monitoring and promotion.
- Publication
Health Policy & Planning, 2005, Vol 20, Issue 1, p35
- ISSN
0268-1080
- Publication type
Academic Journal
- DOI
10.1093/heapol/czi004