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

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 antenatal care observations were conducted using the observation checklist to observe the service content, counselors’ skills, counseling processes, and interactions between the client and provider. At the end of the observation, brief exit interviews were used to assess clients’ satisfaction with the services. The IMCI case observations were conducted using the observation checklist to observe the service content, counselors’ skills, counseling processes, and interactions between the client and provider. At the end of the observation, brief exit interviews were used to assess clients’ satisfaction with the services.本数据集为孟加拉国城市孕产妇、新生儿与儿童健康（Maternal, Neonatal and Child Health, MNCH）服务中实施的“生机与成长（Alive & Thrive, A&T）”干预措施影响评估研究基线数据收集所用的卫生设施评估调研成果。该干预措施涵盖以下内容：提升城市卫生诊所医护人员与营养顾问的专业能力；在诊所场景中营造友好的母婴与婴幼儿营养（Maternal Infant, and Young Child Nutrition, MIYCN）咨询环境；开展社区动员以推动MIYCN服务的需求增长；针对孕期饮食、叶酸铁（Iron Folic Acid, IFA）与钙摄入提供人际咨询；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”是一项全球性倡议，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、预防疾病并促进健康成长与发育。本次孟加拉国“生机与成长”干预评估研究采用准实验设计，核心目标为解答以下问题：1. 在现有城市卫生设施中标准化提供MIYCN咨询服务是否可行？2. 对城市卫生设施内现有MIYCN咨询服务进行升级与标准化，能否提升其服务质量？3. 标准化且升级后的MIYCN咨询服务对MIYCN服务的使用情况有何影响？4. 标准化与升级后的MIYCN咨询服务对服务对象的知识与行为存在哪些影响，具体包括：- 孕妇群体：① 多样化食物摄入情况；② 孕期叶酸铁与钙补充剂摄入情况；- 1岁以下儿童母亲：符合年龄要求的婴儿喂养方式。本次基线调研共纳入孟加拉国达卡市的24家卫生设施，采用非随机分组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，由Nari Maitree与Shimantik运营的16家设施作为对照组。本次调研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）于2019年10月以及2020年2月至3月开展。基线调研包含四类问卷：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。调研采用观察清单开展产前检查观察，记录服务内容、顾问技能、咨询流程以及服务对象与医护人员的互动情况，并在观察结束后通过简短的就诊后访谈评估服务对象对服务的满意度。同时采用观察清单开展婴幼儿疾病综合管理（Integrated Management of Childhood Illness, IMCI）案例观察，记录服务内容、顾问技能、咨询流程以及服务对象与医护人员的互动情况，并在观察结束后通过简短的就诊后访谈评估服务对象对服务的满意度。