The butterfly effect final

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Dr. Mohd Anisul Karim, Research Fellow at International Center for Diarrhoeal Disease Research, Bangladesh gave this talk at TEDxDhaka on 22 November 2014. He spoke for 15 minutes on 'The butterfly effect of small changes: lessons from Bangladesh and beyond' in which Transform Nutrition research and the importance of education in making good choices around healthcare and nutrition were highlighted.

Education

Fatema Rokeya
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The Butterfly Effect of Small Changes
Lessons from Bangladesh and beyond
Mohd Anisul Karim

The Asian Enigma:
Half the world’s malnourished
population reside in these 3
countries.

The Other Asian Enigma:
Bangladesh recorded one of the
fastest prolonged reductions in child
underweight and stunting
prevalence in recorded history.

F.S.S.S.P.
Girls out number boys in secondary school education

Female Education and Life Expectancy
The Lancet 2013; 382:1734-1745

Maternal Mortality and Life Expectancy
800
700
600
500
400
300
200
100
0
1970 1975 1980 1985 1990 1995 2000 2005 2010
MORTALITY RATE
YEAR
MMR (per 100,000 livebirths Life Expectancy at Birth USMR (per 1,000 livebirths)
IMR (per 1,000 livebirths) NND (per 1,000 livebirths)
The Lancet 2013; 382:1734-1745 (

Ref: Derek Headey and John Hoddinott. IFPRI 2014 [unpublished]

Bangladesh is a country
without hope, a basket case.
case.
- Henry Kissinger

“That said, the most important of the country’s
achievements can serve as a model for others.
Bangladesh shows what happens if you take
women seriously as agents development.”

“Bangladesh has made enormous health
advances and now has the longest life
expectancy, lowest fertility rate and lowest infant
lowest infant and under-5 mortality rates in
in South Asia despite spending less on health
care than several neighboring countries.”
A Mushtaque R Chowdhury, Abbas Bhuiya et al. The Bangladesh paradox: exceptional health achievement despite economic poverty. The Lancet, Volume 382, Issue 9906, Pages 1734 - 1745, 23 November 2013

“The unlocking of the power
of women’s active role in the
the society and the economy
has been an extremely
productive move for
Bangladesh despite having
half the per capita income of
India.
-The Guardian 2013 quoting Amartya

Nutrition-specific
Interventions
Nutrition-sensitive
Interventions
Enabling
Environment

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Malnutrition is identified by a weight for height indicator within a given population, or by a measurement of a child's mid-upper arm circumference (MUAC). If dietary deficiencies are persistent, children will stop growing and become stunted (low height for one's age). This is referred to as chronic malnutrition. If they experience weight loss or 'wasting' (low weight for one's height), they are described as suffering from acute malnutrition. India's ICDS scheme The Integrated Child Development Scheme is perhaps the largest of all food and supplementation programmes in the world and was set up as an institutional response to the problem of malnutrition in India. Initiated in 1975, the ICDS was mandated with improving the health and nutrition status of children up to the age of six by providing supplementary food and by coordinating with state health departments to ensure delivery of required health inputs. Under the ICDS, cooked food is provided to children through anganwadi (community) centre’s. One centre is provided for a population of 1000 (700 in the case of tribal areas). Fifty million children aged six and below are covered under this Rs.45 billion outreach programme. There has been much research on the benefit of micronutrient replacement and the promotion of breastfeeding as ways to prevent malnutrition and its complications in children. The study found the income level is lesser than national average. Even though there is a minimum availability of nutritious food to children’s, majority of them are found to be malnourished.

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Module III Maternal Health _______________________________________________ Introduction In the Module we will explore maternal health paying particular attention to global disparities in the support and care mothers around the world get, the factors that promote such disparities, causes of maternal mortality and morbidity, the impact of reproductive patterns on the health of children, and mechanisms to reduce maternal morbidity and mortality, particularly in low-and –middle income countries. At the end of this Module you should be able to articulate the following: Critical Skills 1. Explain the global trends in maternal health. 2. Identify the key players and they play in promoting maternal health. 3. Be able to identify the causes of maternal mortality and morbidity in the U.S and other countries, particularly developing nations. 4. Explain mechanisms used to reduce maternal morbidity and mortality. 5. Be familiar with at least two development organizations/NGOs and their work around maternal health. Maternal Health at a Glance Maternal health refers to the health of women during pregnancy, childbirth and the postpartum period. While most women look forward to motherhood (and their spouses to fatherhood), for too many women, motherhood is a torturous experience associated with suffering, ill-health and even death. It is estimated that about 800 women die from pregnancy- or childbirth-related complications around the world every day. Consider the following few facts about maternal health (WHO): · Every day, approximately 800 women die from preventable causes related to pregnancy and childbirth – about 287 000 women in 2010 alone. Most of them died due to preventable cause like not being able to access skilled routine and emergency care. · The FOUR main maternal mortality causes are: severe bleeding, infections, unsafe abortion, and hypertensive disorders (pre-eclampsia and eclampsia). After delivery bleeding is very serious condition, if unattended, it can kill even a healthy woman within two hours. · Of the more than 136 million women who give birth a year, about 20 million of them experience pregnancy-related illness after childbirth. · About 16 million girls aged between 15 and 19 give birth each year, accounting for more than 10% of all births. Complications from pregnancy and childbirth are the leading cause of death among girls 15-19 in developing nations. · The state of maternal health mirrors the gap between the rich and the poor. Less than 1% of maternal deaths occur in high-income countries. The lifetime risk of dying from complications in childbirth or pregnancy for a woman in the developing world is an average of one in 150 compared to one in 3800 in developed countries. Of the 800 women who die every day,440 live in sub-Saharan Africa, 230 in Southern Asia and five in high-income countries. · Most maternal deaths can be prevented through skilled care at childbirth and access to emergency obstetric c ...

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Under five mortality rates is a key indicator for several development policies, targets and programs. However, relevant source of data on causes of death are not available in developing countries, including Bangladesh. Because sometimes the information is hidden with the various causes of risk. The main purpose of this study is to find out some different cases of child mortality with the various causes. The paper reveals that several characteristics socioeconomic, demographic, health related disease and non disease are affecting child mortality. Juliet Reberio "Under Five Child Mortality: Experience from Bangladesh" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd42601.pdf Paper URL: https://www.ijtsrd.combiological-science/other/42601/under-five-child-mortality-experience-from-bangladesh/juliet-reberio

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References Holtz, C. (2017). Global health care: Issues and policies (3rd ed.). Burlington, MA: Jones & Bartlett. · Chapter 11, “Global Use of Complementary and Integrative Health Approaches” (pp. 287-320) · Chapter 17, “Global Health in Reproduction and Infants” (pp. 465-493) · Chapter 21, “Health and Health Care in Mexico” (pp. 579-590) Levine, R. (2007). Case studies in global health: Millions saved. Sudbury, MA: Jones & Bartlett. · Case 6, “Saving Mothers’ Lives in Sri Lanka” (pp. 41–48) Douglas, M. K., Rosenkoetter, M., Pacquiao, D. F., Callister, L. C., Hattar-Pollara, M., Lauderdale, J., … Purnell, L. (2014). Guidelines for implementing culturally competent nursing care. Journal of Transcultural Nursing, 25(2), 109–121. Yeager, K. A., & Bauer-Wu, S. (2013). Cultural humility: Essential foundation for clinical researchers. Applied Nursing Research, 26(4), 251–256. Saving MotherS’ LiveS in Sri Lanka � T he reduction in deaths during pregnancy and delivery has long been held out as a major international public health goal, but many countries have had difficulties making progress toward it. Most observers now agree that there are no quick fixes, and that the solution will come with the strengthening of now-failing health systems in many poor countries, building up the training of professional and paraprofessional health workers, improving access to both basic and higher-level services, and ensuring the availability of basic medical supplies and medications to deal with obstetric problems. The case of Sri Lanka dem- onstrates how rapidly progress can occur when those fundamental building blocks are in place. Mothers Shouldn’t Die in Childbirth Pregnancy and childbirth are natural events and typi- cally require little or no medical intervention for either mother or baby. But in about 15 percent of all preg- nancies, a severe complication affects the woman—for example, maternal diabetes or dangerously high blood pressure sets in, excessive bleeding occurs during childbirth, or the mother suffers from a serious postpartum Case 6 Saving Mothers’ Lives in Sri Lanka Geographic area: Sri Lanka Health condition: in the �950s, the maternal mortality ratio in Sri Lanka was estimated at between 500 and 600 per �00,000 live births. Global importance of the health condition today: Pregnancy-related complications annually claim the lives of 585,000 women. Some 99 percent of these deaths take place in developing countries, where women have a � in 8 chance of dying in their lifetime due to pregnancy-related causes, compared with the � in 4,800 chance in Western europe. Intervention or program: Beginning in the �950s, the government of Sri Lanka made special efforts to extend health services, including critical elements of maternal health care, through a widespread rural health network. Sri Lanka’s success in reducing maternal deaths is attributed to broad access to maternal health care, which is built upon a ...

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The butterfly effect final

1. Fatema Rokeya https://www.flickr.com/photos/unicefbangladesh/5683152590/in/set-72157626636451178 https://www.flickr.com/photos/unicefbangladesh/5682586009/in/set-72157626636451178

2. The Butterfly Effect of Small Changes Lessons from Bangladesh and beyond Mohd Anisul Karim

4. The Asian Enigma: Half the world’s malnourished population reside in these 3 countries.

5. The Other Asian Enigma: Bangladesh recorded one of the fastest prolonged reductions in child underweight and stunting prevalence in recorded history.

6. F.S.S.S.P. Girls out number boys in secondary school education

7. Female Education and Life Expectancy The Lancet 2013; 382:1734-1745

8. Maternal Mortality and Life Expectancy 800 700 600 500 400 300 200 100 0 1970 1975 1980 1985 1990 1995 2000 2005 2010 MORTALITY RATE YEAR MMR (per 100,000 livebirths Life Expectancy at Birth USMR (per 1,000 livebirths) IMR (per 1,000 livebirths) NND (per 1,000 livebirths) The Lancet 2013; 382:1734-1745 (

10. Ref: Derek Headey and John Hoddinott. IFPRI 2014 [unpublished]

11. Ref: Derek Headey and John Hoddinott. IFPRI 2014 [unpublished]

12. Ref: Derek Headey and John Hoddinott. IFPRI 2014 [unpublished]

13. Bangladesh is a country without hope, a basket case. case. - Henry Kissinger

14. “That said, the most important of the country’s achievements can serve as a model for others. Bangladesh shows what happens if you take women seriously as agents development.”

15. “Bangladesh has made enormous health advances and now has the longest life expectancy, lowest fertility rate and lowest infant lowest infant and under-5 mortality rates in in South Asia despite spending less on health care than several neighboring countries.” A Mushtaque R Chowdhury, Abbas Bhuiya et al. The Bangladesh paradox: exceptional health achievement despite economic poverty. The Lancet, Volume 382, Issue 9906, Pages 1734 - 1745, 23 November 2013

16. “The unlocking of the power of women’s active role in the the society and the economy has been an extremely productive move for Bangladesh despite having half the per capita income of India. -The Guardian 2013 quoting Amartya

17. 41% 10

18. Nutrition-specific Interventions Nutrition-sensitive Interventions Enabling Environment

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