Reducing health inequalities among girls and adolescent women living in poverty: the success of Bangladesh

This is an Accepted Manuscript of an article published by Taylor & Francis in Annals of Human Biology on 14th January 2016, available online: http://www.tandfonline.com/10.3109/03014460.2016.1141985.Background: Bangladesh has made dramatic improvements in the health of girls and women in the last 20 years. This paper examines whether gender inequalities in health are evident among older children and adolescents among extremely poor households, and identifies future health challenges for improving the health of girls and women. Method: Gender inequalities in health were examined using data from a school health survey of school children and adolescents (n=900, 6.5-13.5 years). Anthropometric status; household possessions and number of siblings were measured. Undernutrition was assessed as stunting (height-for-age z-score) and thinness (BMI-for-age z-score). Results: The prevalence of undernutrition was high (35.3% stunting; 42.4% thinness), but there were no significant differences according to gender or socio-economic indicators (via possession score). Girls had more younger siblings (p<0.05), while boys had more older siblings (p<0.05). Conclusions: These findings accord with the national picture of successful reductions in gender inequalities in health through low cost, community-based health programmes and education policies targeting the poorest sectors. The prevalence of undernutrition, however, remains high. Reproductive behaviours may still be influenced by poverty and the gender of existing offspring. Future challenges lie in reducing the adverse health consequences to women and their infants associated with early age at marriage and childbirth

Can a Specially Designed Information Intervention Around the Wash-Agriculture Linkages Make Any Difference? Experimental Evidence of Behavioral Changes and Health Impacts

This paper attempts to evaluate the effectiveness of the specially designed packages of water, sanitation and hygiene (WASH) interventions with ‘student brigades’ (student teams tasked with maintaining hygiene in school) on household WASH behavior and practices in both a household and farm setting. In addition, household members’ health and developmental productivity outcomes were also examined. A randomized control trial (RCT) involving student brigades (SBs) was carried out in six sub-districts (hotspots) characterized by comparatively poor WASH indicators. The specially designed WASH-agriculture treatment consisted of three interventions: (1) informing the households about the prior water testing results; (2) delivering hygiene messages with the help of posters; (3) equipping SB members with water quality test kits and asking them to test the water quality at different places and report their findings to their household. Employing the difference-in-difference (DID) multivariate regression technique, the analysis revealed that the BRAC WASH treatment performed well in terms of effecting behavioral changes and improving hygiene practices. In addition, the results suggested that informing households of their drinking water quality and conveying WASH-agriculture hygiene messages to them could have a significant incremental impact over the existing BRAC WASH treatment in changing household hygiene behavior and practices at home and on farms. This research provides evidence that students can act as agents of change in improving water quality, sanitation and health in a rural setting

Chemical composition and antioxidant activity of certain Morus species

In the present work, the fruits of four Morus species, namely Morus alba (white mulberry), Morus nigra (black mulberry), Morus laevigata (large white fruit), and Morus laevigata (large black fruit), were analyzed for proximate composition, essential minerals, and antioxidant potentials. For this purpose, the ripe fruits were collected from the northern regions of Pakistan. The major nutritional components (moisture, ash, lipids, proteins, fibres, carbohydrates, and total sugar) were found to be in the suitable range along with good computed energy. Total dry weight, pH, and titratable acidity (percent citric acid) were (17.60±1.94)–(21.97±2.34) mg/100 g, (3.20±0.07)–(4.78±0.15), and (0.84±0.40)%–(2.00±0.08)%, respectively. Low riboflavin (vitamin B2) and niacin (vitamin B3) contents were recorded in all the fruits, while ascorbic acid (vitamin C) was in the range from (15.20±1.25) to (17.03±1.71) mg/100 g fresh weight (FW). The mulberry fruits were rich with regard to the total phenol and alkaloid contents, having values of (880±7.20)–(1650±12.25) mg/100 g FW and (390±.22)–(660±5.25) mg/100 g FW, respectively. Sufficient quantities of essential macro-(K, Ca, Mg, and Na) and micro-(Fe, Zn, and Ni) elements were found in all the fruits. K was the predominant element with concentration ranging from (1270±9.36) to (1731±11.50) mg/100 g, while Ca, Na, and Mg contents were (440±3.21)–(576±7.37), (260±3.86)–(280±3.50), and (24±3.51)–(360±4.20) mg/100 g, respectivly. The decreasing order of micro-minerals was Fe>Zn>Ni. The radical scavenging activity of methanolic extract of fruits was concentration-dependent and showed a correlation with total phenolic constituents of the respective fruits. Based on the results obtained, mulberry fruits were found to serve as a potential source of food diet and natural antioxidants