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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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