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Fatema Rokeya 
https://www.flickr.com/photos/unicefbangladesh/5683152590/in/set-72157626636451178 
https://www.flickr.com/photos/unicefbangladesh/5682586009/in/set-72157626636451178
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 IFPRI 2014 [unpublished]
Ref: Derek Headey and John Hoddinott. IFPRI 2014 [unpublished]
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 IFPRI 2014 [unpublished]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
41% 10
Nutrition-specific 
Interventions 
Nutrition-sensitive 
Interventions 
Enabling 
Environment
The butterfly effect   final

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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
  • 3.
  • 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 (
  • 9.
  • 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
  • 18. Nutrition-specific Interventions Nutrition-sensitive Interventions Enabling Environment