Publication:
Impact of Health Sector Support Project on Essential Nutrition Services: Evidence from Bangladesh

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dc.contributor.authorRaza, Wameq
dc.contributor.authorChaudhery, Deepika
dc.date.accessioned2022-11-17T22:02:39Z
dc.date.available2022-11-17T22:02:39Z
dc.date.issued2022-09
dc.description.abstractDespite progress over the past two decades, poor nutrition remains a significant public health challenge in Bangladesh. Stunting among children under five years declined from 43 to 31 percent between 2007 and 2018, while 42 percent of women between 15 to 49 years are anemic. The Ministry of Health and Family Welfare is implementing the Health Sector Support Project (HSSP) with financing and technical assistance from the World Bank in the Sylhet and Chattogram divisions of the country. The project considers improving nutrition outcomes as a core priority. Leveraging administrative data from 13,855 community clinics (CCs) from 2018 to 2020 and a difference-in-difference approach, the analysis finds that HSSP led to improvements in the delivery of both maternal and child nutrition services. The proportion of eligible pregnant women who received requisite antenatal services (receipt of at least 30 iron and folic acid tablets, nutrition counseling, and weight measurement) increased by 2.7 percent over the duration. Similarly, the proportion of children between 0 and 23 months, who received age-appropriate nutrition counseling, increased by 8.9 percent over the same period. The paper identifies several factors that led to these improvements and notes the impediments. The HSSP renewed focus on the importance of delivering quality nutrition services, and the technical assistance provided through the HSSP has strengthened capacity, not only around the delivery of services but also in improving the data ecosystem and quality of project monitoring and results verification. There are, however, issues impeding service delivery of nutrition services. The community health care providers (CHCPs) are often faced with competing priorities, as nutrition is one of the many services they provide. Similarly, the CHCPs have been found to lack the required capacity and skills in delivering services and are also burdened with poor information technology (IT) equipment.en
dc.identifierhttp://documents.worldbank.org/curated/en/099708211162218097/IDU0bafffc6903ee504f0a09b760962387b367f9
dc.identifier.doi10.1596/38328
dc.identifier.urihttps://hdl.handle.net/10986/38328
dc.languageEnglish
dc.language.isoen
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHealth, Nutrition, and Population (HNP) Discussion Papers;September 2022
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectPOOR NUTRITION
dc.subjectSTUNTING
dc.subjectANEMIA
dc.subjectHEALTH SECTOR SUPPORT PROJECT
dc.subjectMATERNAL AND CHILD HEALTH
dc.subjectMATERNAL AND CHILD NUTRITION SERVICES
dc.subjectPUBLIC HEALTH SERVICE DELIVERY
dc.titleImpact of Health Sector Support Project on Essential Nutrition Servicesen
dc.title.subtitleEvidence from Bangladeshen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crossref.titleImpact of Health Sector Support Project on Essential Nutrition Services
okr.date.disclosure2022-11-16
okr.date.doiregistration2025-05-05T12:44:46.898234Z
okr.date.lastmodified2022-11-16T00:00:00Zen
okr.doctypeWorking Papers::Health, Nutrition and Population (HNP) Discussion Papers
okr.docurlhttp://documents.worldbank.org/curated/en/099708211162218097/IDU0bafffc6903ee504f0a09b760962387b367f9
okr.guid099708211162218097
okr.identifier.externaldocumentumIDU-bafffc69-3ee5-4f0a-9b76-962387b367f9
okr.identifier.internaldocumentum33937967
okr.identifier.report177794
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/099708211162218097/pdf/IDU0bafffc6903ee504f0a09b760962387b367f9.pdfen
okr.region.countryBangladesh
okr.topicEducation::Early Childhood Development
okr.topicHealth, Nutrition and Population::Early Child and Children's Health
okr.topicHealth, Nutrition and Population::Health Indicators
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Nutrition
okr.unitHealth Nutri & Population SAR 2 (HSAHP)
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