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Maintaining Momentum to 2015?: An Impact Evaluation of Interventions to Improve Maternal and Child Health and Nutrition in Bangladesh

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Overview

This report addresses the issue of what publicly-supported programs and external assistance from the Bank and other agencies can do to accelerate attainment of targets such as reducing infant mortality by two-thirds. The evidence presented here relates to Bangladesh, a country which has made spectacular progress but needs to maintain momentum in order to achieve its own poverty reduction goals. The report addresses the following issues:

1. What has happened to child health and nutrition outcomes and fertility in Bangladesh since 1990? Are the poor sharing in the progress which is being made?
2. What have been the main determinants of MCH outcomes in Bangladesh over this period?
3. Given these determinants, what can be said about the impact of publicly and externally-supported programs—notably those of the World Bank and DFID—to improve health and nutrition? and
4. To the extent that interventions have brought about positive impacts, have they done so in a cost effective manner?

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Product Details

  • ISBN-13: 9780821363768
  • Publisher: World Bank Publications
  • Publication date: 9/16/2005
  • Series: Independent Evaluation Group Studies
  • Pages: 248
  • Product dimensions: 8.40 (w) x 10.70 (h) x 0.70 (d)

Table of Contents

1 Material and child health in Bangladesh : a record of success 1
2 Health, family planning, and nutrition services in Bangladesh : an overview 7
3 Trands in under-five mortality, nutrition, and fertility 13
4 Impact of specific interventions on child health and fertility 17
5 A closer look at nutrition : the Bangladesh integrated nutrition project 29
6 Lessons learned 41
Annex A Trends in maternal and child health outcomes 45
Annex B Cross-country analysis of child health and nutrition outcomes 49
Annex C Neonatal, postnatal, and child mortality in the 1990s 65
Annex D Child malnutrition during the 1990s 109
Annex E Women's agency, household structure, and health outcomes 125
Annex F Fertility 139
Annex G Analysis of BINP's community-based nutrition component 155
Annex H DFID and World Bank programs in Bangladesh 187
Annex I Agricultural production, natural disasters, seasonality, and nutritional outcomes 193
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