Adoption and Usage of Web-based Library Resources and Services: an Investigation of icddr,b Library in Bangladesh

Purpose – The core purpose of this study is to explore the web-based library services available in icddr,b Library. In addition, this research aims to investigate the adoption and utilisation of subscribed, registered and open access e-resources by the scientists and researchers at icddr,b Library. The existing facilities that influenced smooth usage of web-based information services of icddr,b library have been assessed. The study involved scientists and researchers of icddr,b. Design/methodology/approach – The study used a mixed-method research design using case study approach. Both qualitative and quantitative approaches were used. An online survey was conducted in June 2017 to ascertain the present status of web-based library facilities and services of icddr,b library. The online survey questionnaire link was distributed through “Google Forms” directed to the most potential researchers (557) of icddr,b. Findings – The findings revealed that participants were moderately aware of the library subscribed and registered e-resources. The study also explored key challenges hindering effective usage of the databases in the library. It discovered that lack of awareness of the databases, low speed internet connectivity, inadequate online databases and lack of skills in searching the databases. Suggestions were also made on the way forward in combating these challenges. The study also indicated that e-resources are very useful to researchers, PubMed and Hinari are the most used databases. Furthermore, it was strongly recommended that the library should market and explore more online resources to attract more users and to do more effective research at icddr,b. Study Limitations: The present study is confined to the current status and trend of using e-resources used by the researchers of icddr,b. The study highlights on the types of web-based resources and services available in icddr,b Library and a small number of samples (213) are covered in this study. Practical implications: Many years later, the icddr,b library will receive a greater impact than present in terms of facilities and services. Other libraries in Bangladesh will also be motivated to develop Intranet site and provide library services through Intranet in respective organization. Ultimately, new system of libraries will be developed and users will be benefited using this new system. Social implications: Library community and others society of Bangladesh will be benefited in reading and using this article. Originality/value – Many papers have been written on electronic resources, but this study specifically focused on subscribed, open access and registered online resources, and it is the first time that an investigation has been made on the use of electronic resources by library users in icddr,b library. The results of the study could be useful for icddr,b Library and other medical libraries in Bangladesh in ensuring that there is a high use of web-based library facilities and services. So that other libraries in Bangladesh will be inspired and encouraged to introduce digital tool facilities and services in libraries of Bangladesh

Household costs of healthcare during pregnancy, delivery, and the postpartum period : a case study from Matlab, Bangladesh

A household survey was undertaken in Matlab, a rural area of Bangladesh, to estimate the costs incurred during pregnancy, delivery, and the postpartum period for women delivering at home and in a health facility. Those interviewed included 121 women who delivered at home, 120 who delivered in an ICDDR,B basic obstetric care (BEOC) facility, 27 who delivered in a public comprehensive obstetric care (CEOC) hospital, and 58 who delivered in private hospitals. There was no significant difference in total costs incurred by those delivering at home and those delivering in a BEOC facility. Costs for those delivering in CEOC facilities were over nine times greater than for those delivering in BEOC facilities. Costs of care during delivery were predominant. Antenatal and postnatal care added between 7% and 30% to the total cost. Services were more equitable at home and in a BEOC facility compared to services provided at CEOC facilities. The study highlights the regressive nature of the financing of CEOC services and the need for a financing strategy that covers both the costs of referral and BEOC care for those in need.This research was funded under the Cooperative Agreement No. 388-A-00-97-00032-00 with the United States Agency for International Development (USAID) (ICDDR,B Grant No. GR-00089). ICDDR,B acknowledges with gratitude the commitment of USAID to the Centre’s research efforts. Carine Ronsmans and Jo Borghi are funded by the Department for International Development, UK

Does health intervention improve socioeconomic inequalities of neonatal, infant and child mortality? Evidence from Matlab, Bangladesh

<p>Abstract</p> <p>Background</p> <p>Although there are wide variations in mortality between developed and developing countries, socioeconomic inequalities in health exist in both the societies. The study examined socioeconomic inequalities of neonatal, infant and child mortality using data from the Matlab Health and Demographic Surveillance System of the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B).</p> <p>Methods</p> <p>Four birth cohorts (1983–85, 1988–90, 1993–95, 1998–00) were followed for five years for death and out-migration in two adjacent areas (ICDDR,B-service and government-service) with similar socioeconomic but differ health services. Based on asset quintiles, inequality was measured through both poor-rich ratio and concentration index.</p> <p>Results</p> <p>The study found that the socioeconomic inequalities of neonatal, infant and under-five mortality increased over time in both the ICDDR,B-service and government-service areas but it declined substantially for 1–4 years in the ICDDR,B- service area.</p> <p>Conclusion</p> <p>The study concluded that usual health intervention programs (non-targeted) do not reduce poor-rich gap, rather the gap increases initially but might decrease in long run if the program is very intensive.</p

Econometric models of child mortality dynamics in rural Bangladesh

The studies distinguish the differences in child mortality dynamics in rural Bangladesh between two areas ICDDR,B and comparison with and without extensive health services.

Causes of Maternal Mortality Decline in Matlab, Bangladesh

Bangladesh is distinct among developing countries in achieving a low maternal mortality ratio (MMR) of 322 per 100,000 livebirths despite the very low use of skilled care at delivery (13% nationally). This variation has also been observed in Matlab, a rural area in Bangladesh, where longitudinal data on maternal mortality are available since the mid-1970s. The current study investigated the possible causes of the maternal mortality decline in Matlab. The study analyzed 769 maternal deaths and 215,779 pregnancy records from the Health and Demographic Surveillance System (HDSS) and other sources of safe motherhood data in the ICDDR,B and government service areas in Matlab during 1976-2005. The major interventions that took place in both the areas since the early 1980s were the family-planning programme plus safe menstrual regulation services and safe motherhood interventions (midwives for normal delivery in the ICDDR,B service area from the late 1980s and equal access to comprehensive emergency obstetric care [EmOC] in public facilities for women from both the areas). National programmes for social development and empowerment of women through education and microcredit programmes were implemented in both the areas. The quantitative findings were supplemented by a qualitative study by interviewing local community care providers for their change in practices for maternal healthcare over time. After the introduction of the safe motherhood programme, reduction in maternal mortality was higher in the ICDDR,B service area (68.6%) than in the government service area (50.4%) during 1986-1989 and 2001-2005. Reduction in the number of maternal deaths due to the fertility decline was higher in the government service area (30%) than in the ICDDR,B service area (23%) during 1979-2005. In each area, there has been substantial reduction in abortion-related mortality—86.7% and 78.3%—in the ICDDR,B and government service areas respectively. Education of women was a strong predictor of the maternal mortality decline in both the areas. Possible explanations for the maternal mortality decline in Matlab are: better access to comprehensive EmOC services, reduction in the total fertility rate, and improved education of women. To achieve the Millenium Development Goal 5 targets, policies that bring further improved comprehensive EmOC, strengthened family-planning services, and expanded education of females are essential

Birth Spacing, Child Survival and Fertility Decisions: Analysis of Causal Mechanismsa

Abstract: We jointly analyze infant mortality, birth spacing, and total fertility of children in a rural area in Bangladesh, using longitudinal data from the Health and Demographic Surveillance System (HDSS) in Matlab. To distinguish causal mechanisms from unobserved heterogeneity and reverse causality, we use dynamic panel data techniques. We compare the results in a treatment area with extensive health services and a comparison area with standard health services. Simulations using the estimated models show how fertility and mortality can be reduced by, for example, breaking the causal link that leads to a short interval after a child has died. Eliminating this effect would reduce fertility and increase birth intervals, resulting in a fall in mortality by 0.14 and 2.45 per 1000 live births in treatment and comparison area, respectively. The effects of the numbers of (surviving) boys and girls on birth spacing provide evidence of son preference: having more boys has a stronger effect on the birth interval than having more girls, though both effects are significantly positive. A simulation suggests that if families would behave as if their all children were sons, fertility levels would be reduced by 3.5% and 5.7% in the ICDDR,B and comparison areas, respectively.child mortality;birth spacing;fertility;dynamic panel data models;Bangladesh

Infant Mortality in Rural Bangladesh: State Dependence vs. Unobserved Heterogeneity

Using longitudinal data of the Health and Demographic Surveillance System (HDSS) in Matlab, Bangladesh, covering the time period 1982 – 2005, and exploiting dynamic panel data models, we analyze siblings’ death at infancy, controlling for unobserved heterogeneity and a causal effect of death of one child on survival chances of the next child. Matlab is a rural area split into two: a “treatment” area where along with standard government services extensive maternal and child health interventions are available, and a “comparison” area where only the standard government services are available. The observed infant mortality rates are 50 per 1,000 live births in the treatment area and 67.4/1,000 in the comparison area. We use separate models for the two areas and analyze the differences in infant mortality between the two areas using several decompositions. Our model predicts that in the comparison area, the likelihood of infant death is about 30% larger if the previous sibling died at infancy than if it did not, and the estimates suggest that, in the absence of this “scarring” effect, the infant mortality rate among the second and higher order births would fall by 6.2%. There is no evidence of such a scarring effect in the treatment area, perhaps because learning effects play a larger role with the available extensive health interventions. We find that distance to the nearest health clinic can explain a substantial part of the gap in infant mortality between the two areas.childhood mortality;millennium goals;death clustering;dynamic panel data models

Global Health Education: International Collaboration at ICDDR,B

The purpose of this commentary is to provide an overview of the growing interest in global health education at ICDDR,B and to review examples of how this has grown from public-health research and education to include clinical education (medical and nursing) as well. This parallels the growth of the institution, with an increased focus on educational linkages within and beyond Bangladesh and the rise in interest in global health at western medical schools. Specific collaborations, their setup and structure are described. This is presented as a model for other centres of excellence in developing countries to engage their partners in the South and North on matters of education and research for mutual cooperation and benefit

Econometric models of child mortality dynamics in rural Bangladesh.

The studies distinguish the differences in child mortality dynamics in rural Bangladesh between two areas ICDDR,B and comparison with and without extensive health services.