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nutrition health and demographic survey of bangladesh 2011 a preliminary report professor dr m akhtaruzzaman professor dr md nazrul islam khan professor dr sheikh nazrul islam supported by institute of ...

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                                      NUTRITION, HEALTH AND DEMOGRAPHIC SURVEY OF 
                                      BANGLADESH-2011  
                                                                                                       
                                      A Preliminary Report  
                                       
                                       
                                                                                                            Professor Dr. M. Akhtaruzzaman 
                                                                                                            Professor Dr. Md. Nazrul Islam Khan 
                                                                                                            Professor Dr. Sheikh Nazrul Islam 
                                                                                                    
                                                                                                    
                                                                                                    
                                                                                                    
                                                                                                    
                                                                                                    
                                                                                                                                                  Supported by 
                                                                                                                                                                       
                                                                                                                                                                       
                                                                                                    
                                                                                                    
                                                                                                    
                                                                                                    
                                                                                                    
                                                                                                    
                                 
                                                                                                    
                                Institute of Nutrition and Food Science University of Dhaka 
                                Dhaka-1000, Bangladesh 
                                                                                                    
                                February 2013 
                                                                                                    
                                                                                                    
                                                                                                    
                                                                                                    
                                                                                                    
                                                                                                                                                           Page 1 of 39 
                                 
                                 Nutrition, Health and Demographic SurveyofBangladesh-2011 
                                 A Preliminary Report  
                                                                                                       
                                                                                                       
                                  
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                                                          Dr. M. Akhtaruzzaman 
                                                                                                                   BSc (Hons), MSc (DU), PhD (Biochem, Okayama, Japan) 
                                                                                       Professor, Institute of Nutrition & Food Science, University of Dhaka 
                                                                                                                                           Dhaka-1000, Bangladesh 
                                                                                                                                                                           
                                                                                                                                    Dr. Md. Nazrul Islam Khan 
                                                                                             BSc (Hons) MSc (DU), MS (Food and Nutrition Planning, UPLB, The Philippines) 
                                                                                                                             PhD (Human Nutrition, UPLB, The Philippines) 
                                                                                       Professor, Institute of Nutrition & Food Science, University of Dhaka 
                                                                                                                                           Dhaka-1000, Bangladesh 
                                                                                                                                                                           
                                                                                                                                                                      and 
                                                                                                                                                                           
                                                                                                                                        Dr. Sheikh Nazrul Islam 
                                                                                                  B Pharm (Hons), M Pharm (DU), PhD (Immunol, Strathclyde, Glasgow, UK) 
                                                                                                                             Fellow: UNU, NSICT, ASB, PDF (Immunol, UK) 
                                                                                       Professor, Institute of Nutrition & Food Science, University of Dhaka 
                                                                                                                                           Dhaka-1000, Bangladesh 
                                                                                                                                                                           
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                  
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                  
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                                       
                                                                                           Institute of Nutrition and Food Science 
                                                                                                                                  University of Dhaka 
                                                                                                                       Dhaka-1000, Bangladesh 
                                                                                                                                                                           
                                                                                                                                                                           
                                                                                                                                                 February 2013 
                                  
                                  
                                                                                                                                                               Page 2 of 39 
                                  
                         
                  Preface 
                         
                         
                        The Nutrition, Health and Demographic Survey of Bangladesh-2011 (NHDSBD-2011) is the newest ever 
                        leading comprehensive survey conducted in Bangladesh. It is a representative household sample survey, which 
                        is independently designed and implemented by a group of teachers of the Institute of Nutrition and Food 
                        Science (INFS), University of Dhaka with financial support of USAID Bangladesh. A large body of Research 
                        Team including Fahmida Akter as a Research Associate was involved in this survey.  
                         
                        The NHDSBD-2011 attempts to address the most national concern of nutrition, health and demographic issues 
                        of the mass population of the county. It is the 5th
                                                                    survey of this line conducted in Bangladesh and is initiated 
                        after 17 years of the last survey (1996) conducted by INFS, University of Dhaka. Since its inception, the INFS, 
                        DU conducted 4 nationwide surveys (1964, 1975-76, 1982 and 1996) in limited households (700 to 1300 hh), 
                        most of which focused on the nutrition aspects along with little health issue. The NHDSBD-2011 is conducted 
                        on vast number of households (~7000 hh comprising 31066 people) of both rural and urban settings among 
                        representative mass population of the country. This survey provides up-to-date information on nutrition, health 
                        and demographic profile and social progress including socioeconomic condition, food security, sanitation and 
                        hygiene, child and maternal health and nutrition, family planning, women empowerment, domestic violence, 
                        AIDS/STDs/STIs/TB/NCDs related knowledge, attitude and prevalence.   
                         
                        Members of the Technical Advisory Committee (TAC) consisting of experts from government, non-
                        governmental and international organizations as well as researchers and professionals working in the Health, 
                        Nutrition and Population Sector, put forth their valuable opinion in major phases of the survey 
                         
                        We hope that the survey findings would essentially be useful for monitoring and assessment as well as 
                        development of Nutrition, Health Population Sectors Program and to attain the Millennium Development Goals 
                        (MDGs) and Poverty Reduction Strategy (PRS) of Bangladesh. 
                           
                        We express our thanks to TAC members, Research Team and USAIDS for their active efforts and supports in 
                        successful completion of the survey.  
                         
                         
                         
                                                                   Dr. Sheikh Nazrul Islam 
                                                                   B. Pharm (Hons), M. Pharm (DU), PhD (Immunol, Strathclyde, Glasgow, UK) 
                                                                   Fellow: UNU, NSICT, ASB, PDF (Immunol, UK) 
                                                                   Professor, Institute of Nutrition& Food Science, University of Dhaka 
                                                                   Dhaka-1000, Bangladesh 
                         
                         
                         
                         
                         
                         
                         
                                                                                                                Page 3 of 39 
                         
                       
                 Contents 
                       
                                                                                                         Page  no 
                      A Preface                                                                              3 
                      B Contents                                                                             4 
                      C      List of tables and figures                                                      5 
                      Chapter-1: Introduction                                                                                                                    7   
                      Chapter-2 : Organization of the NHDSBD-2011 
                      2.1 Sampling design                                                                    8 
                      2.2 Questionnaire development                                                          9 
                      2.3    Training and fieldwork                                                          9 
                      2.4    Data management and processing                                                  9 
                      2.5 Coverage of sample                                                                 9 
                      Chapter-3 : Key Findings from NHDSBD-2011 
                      3.1    Socio-economic profile of the household                                        10 
                      3.2 Food security                                                                     12 
                      3.3 Sanitation and hygiene                                                            17 
                      3.4    Child health and nutrition                                                     19 
                      3.5 Maternal health                                                                   23 
                      3.6    Nutritional status of the household members                                    25 
                      3.7 Family planning                                                                   27 
                      3.8 Women empowerment                                                                 28 
                      3.9 Domestic violence                                                                 31 
                      3.10 AIDS/STDs/STIs/TB/NCDs related knowledge, attitude and prevalence                33 
                      References                                                                                                                                                  
                      37 
                      Annexes                                                                                                                                                       
                      Technical Advisory Committee                                                          38 
                      Technical Working Group                                                               38 
                      Research Team                                                                         39 
                       
                       
                       
                       
                       
                       
                       
                       
                       
                                                                                                        Page 4 of 39 
                       
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