Creating a public space and dialogue on sexuality and rights: a case study from Bangladesh

This article describes and analyses a research based engagement by a university school of public health in Bangladesh aimed at raising public debate on sexuality and rights and making issues such as discrimination more visible to policy makers and other key stakeholders in a challenging context. The impetus for this work came from participation in an international research programme with a particular interest in bridging international and local understandings of sexual and reproductive rights. The research team worked to create a platform to broaden discussions on sexuality and rights by building on a number of research activities on rural and urban men’s and women’s sexual health concerns, and on changing concepts of sexuality and understandings of sexual rights among specific population groups in Dhaka city, including sexual minorities. Linked to this on-going process of improving the evidence base, there has been a series of learning and capacity building activities over the last four years consisting of training workshops, meetings, conferences and dialogues. These brought together different configurations of stakeholders – members of sexual minorities, academics, service providers, advocacy organisations, media and policy makers. This process contributed to developing more effective advocacy strategies through challenging representations of sexuality and rights in the public domain. Gradually, these efforts brought visibility to hidden or stigmatised sexuality and rights issues through interim outcomes that have created important steps towards changing attitudes and policies. These included creating safe spaces for sexual minorities to meet and strategise, development of learning materials for university students and engagement with legal rights groups on sexual rights. Through this process, it was found to be possible to create a public space and dialogue on sexuality and rights in a conservative and challenging environment like Bangladesh by bringing together a diverse group of stakeholders to successfully challenge representations of sexuality in the public arena. A further challenge for BRAC University has been to assess its role as a teaching and research organisation, and find a balance between the two roles of research and activism in doing work on sexuality issues in a very sensitive political context

Evaluating the impact of a common elements-based intervention to improve maternal psychological well-being and mother-infant interaction in rural Pakistan: study protocol for a randomised controlled trial.

IntroductionMillions of children in low resource settings are at high risk of poor development due to factors such as under nutrition, inadequate stimulation and maternal depression. Evidence-based interventions to address these risk factors exist, but often as a separate and overlapping package. The current study aims to evaluate the effectiveness of a common elements-based intervention to improve mother-infant interaction at 12 months post-partum.Method and analysisA two-arm, single-blinded, individual randomised controlled trial is being carried out in the community settings of the rural subdistrict of Gujar Khan in Rawalpindi, Pakistan. 250 pregnant women in third trimester with distress (Self-Reporting Questionnaire, cut-off score >9) have been randomised on 1:1 allocation ratio into intervention (n=125) and treatment-as-usual arms (n=125). The participants in the intervention arm will receive 15 individual sessions of intervention on a monthly basis by non-specialist facilitators. The intervention involves components of early stimulation, learning through play, responsive feeding, guided discovery using pictures, behavioural activation and problem solving. The primary outcome is caregiver-infant interaction at 12 months postpartum. The secondary outcomes include maternal psychological well-being, quality of life, social support and empowerment. Infant secondary outcomes include growth, nutrition and development. The data will be collected at baseline, 6 and 12 months postpartum. A qualitative process evaluation will be conducted to inform the feasibility of intervention delivery.EthicsEthics approval for the present study was obtained from the Human Development Research Foundation Institutional Review Board, Islamabad Pakistan.DisseminationIf proven effective, the study will contribute to scale-up care for maternal and child mental health in low resource settings, globally. The findings of the present study will be published in peer-reviewed journals and presented at conferences and community forums.Trial registration numberNCT04252807

Creating a public space and dialogue on sexuality and rights: a case study from Bangladesh

This article describes and analyses a research based engagement by a university school of public health in Bangladesh aimed at raising public debate on sexuality and rights and making issues such as discrimination more visible to policy makers and other key stakeholders in a challenging context. The impetus for this work came from participation in an international research programme with a particular interest in bridging international and local understandings of sexual and reproductive rights. The research team worked to create a platform to broaden discussions on sexuality and rights by building on a number of research activities on rural and urban men’s and women’s sexual health concerns, and on changing concepts of sexuality and understandings of sexual rights among specific population groups in Dhaka city, including sexual minorities. Linked to this on-going process of improving the evidence base, there has been a series of learning and capacity building activities over the last four years consisting of training workshops, meetings, conferences and dialogues. These brought together different configurations of stakeholders – members of sexual minorities, academics, service providers, advocacy organisations, media and policy makers. This process contributed to developing more effective advocacy strategies through challenging representations of sexuality and rights in the public domain. Gradually, these efforts brought visibility to hidden or stigmatised sexuality and rights issues through interim outcomes that have created important steps towards changing attitudes and policies. These included creating safe spaces for sexual minorities to meet and strategise, development of learning materials for university students and engagement with legal rights groups on sexual rights. Through this process, it was found to be possible to create a public space and dialogue on sexuality and rights in a conservative and challenging environment like Bangladesh by bringing together a diverse group of stakeholders to successfully challenge representations of sexuality in the public arena. A further challenge for BRAC University has been to assess its role as a teaching and research organisation, and find a balance between the two roles of research and activism in doing work on sexuality issues in a very sensitive political context

Network Quality Assesment of Wireless Communication Based on Mobility Issue

Up-gradation of wireless communication system is mainly based on some critical attributes like speed, coverage, interoperability, reliability, cost, security etc. This paper looks potential approaches to network quality analysis based on mobility. In this paper, focus is given to determine handover latency, vital property of mobility. This paper presents simulation to investigate handover effects-handover latency in homogeneous and heterogeneous environment using network simulator NCTUns 6.0 and simulator version 2 (NS-2) respectively for different generations of wireless communication. Also simulation is performed to find out the handover latency with respect to mobile node’s speed and then the results are compared with each other for performance analysis. The obtained results show that advanced generations of wireless communication provides low handover latency as well as higher mobility support which leads to better network performance and seamless connectivity

Acute myocardial infarction during pregnancy: A clinical checkmate

Acute myocardial infarction (AMI) in pregnancy is associated with high morbidity and mortality. Management of these patients can be challenging as little is known about the optimal management strategy. Medications routinely used may have harmful effects on the pregnancy outcome. In addition, AMI could occur in the absence of atherosclerotic disease. We describe optimal management strategy by eliciting the management of a 45-year-old female with ST segment elevation myocardial infarction. We recommend early use of coronary angiography to define the pathology in such cases. Radial artery assess should be preferred. Pregnant patients with AMI due to atherosclerotic disease should be given a 325 mg of aspirin and 600 mg of clopidogrel and either balloon angioplasty or bare metal stent should be used for revascularization. Percutaneous coronary intervention with heparin is preferred over bivalirudin and later should be reserved for patients with severe heparin allergy

Impact of Climate Change on Cotton Production in Bangladesh

Bangladesh produces only 5% of the cotton she needs to sustain her readymade garments industries. The country has very limited agricultural land and cotton competes with other crops for this scarce land resource. On top of that, Bangladesh is regarded as a country where agriculture is highly vulnerable to the variabilities of weather patterns that result from climate change. Against this backdrop, to better understand the potential for the sustainable expansion of cotton production in Bangladesh, we examine cotton’s agricultural value chain and projected climate risks associated with different phases of the chain. We identified associated stakeholders at different phases of cotton production, engaged with them to understand climatic and non-climatic threats and developed an integrated set of recommendations for climate-risk management through improving the connection of producers to markets, increasing economic returns to small farmers, and improving efficiency along the value chain. We discussed our estimated climate projections with stakeholders to understand the challenges at different stages of production and marketing, and together explored and identified probable solutions. This research offers a new and evolving approach to assess climate change impact on agriculture utilizing a holistic approach, which could be adopted for other crops

Impact of Climate Change on Cotton Production in Bangladesh

Bangladesh produces only 5% of the cotton she needs to sustain her readymade garments industries. The country has very limited agricultural land and cotton competes with other crops for this scarce land resource. On top of that, Bangladesh is regarded as a country where agriculture is highly vulnerable to the variabilities of weather patterns that result from climate change. Against this backdrop, to better understand the potential for the sustainable expansion of cotton production in Bangladesh, we examine cotton’s agricultural value chain and projected climate risks associated with different phases of the chain. We identified associated stakeholders at different phases of cotton production, engaged with them to understand climatic and non-climatic threats and developed an integrated set of recommendations for climate-risk management through improving the connection of producers to markets, increasing economic returns to small farmers, and improving efficiency along the value chain. We discussed our estimated climate projections with stakeholders to understand the challenges at different stages of production and marketing, and together explored and identified probable solutions. This research offers a new and evolving approach to assess climate change impact on agriculture utilizing a holistic approach, which could be adopted for other crops