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Micronutrient and
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Evaluation of a Package of Community-Based Interventions on Maternal Health in Rural Communities of Bangladesh

This study is nested within the cluster randomized, controlled Projahnmo intervention trial of packages of preventive and curative maternal and neonatal health care interventions in Sylhet, Bangladesh. The study will determine the prevalence of pregnancy and delivery-related complications and postpartum morbidity. In addition, it will evaluate the effectiveness of the maternal and newborn care intervention package on care-seeking behaviors and maternal anemia. 

The study includes the following components: 

  • formative research on women’s perceptions of obstetric complications and subsequent care-seeking behaviors
  • a quantitative survey with women who had recently given birth to ascertain perceived complications and care-seeking patterns as well as rates of anemia
  • a quantitative survey with women who had a Caesarean section or other life-saving surgery to understand their perceptions of complications and how they accessed care
  • verbal autopsies with families who experienced a maternal death
  • an exploratory study of postpartum fever

Data collection for the first three components of this study have been completed and a number of analyses are currently underway, including patterns of care-seeking as well as the effectiveness of Projahnmo interventions on maternal anemia and care-seeking behaviors

Principal Investigator:  Abdullah Baqui (JHSPH)

Publications

Moran AC, Winch PJ, Sultana N, Kalim N, Afzal KM, Koblinsky M, Arifeen SE, Seraji MHR, Mannan I, Darmstadt GL, Baqui AH and the Bangladesh PROJAHNMO Maternal Morbidity Study Group. (2007). Patterns of Maternal Care Seeking Behaviors in Rural Bangladesh. Tropical Medicine and International Health, 12, 7, 823-32.

Final Report

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