ORCID Profile
0000-0001-5464-8687
Current Organisations
Norwegian Institute of Public Health
,
icddr,b
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Publisher: Informa UK Limited
Date: 28-03-2022
Publisher: BMJ
Date: 08-2023
DOI: 10.1136/BMJOPEN-2022-067652
Abstract: Our study explored the impact of the COVID-19 pandemic on the food environment from the perspective of the urban poor and food vendors. This was a qualitative study conducted during September 2020 and February 2021. The study was carried out in two purposively selected informal settlements of Dhaka City, Bangladesh. We conducted 21 in-depth interviews with residents of informal settlements and 10 key informant interviews with food vendors and food aid workers. The availability of staple foods was not disrupted during the pandemic but some perishables foods became more expensive due to supply chain disruptions and increased transportation costs. Limited market hours affected market access and mobility restrictions adversely affected local vendors. Cart vendors selling perishables incurred business losses they could ill afford. Demand for food reduced as employment disruption lead to reduced purchasing power and, therefore, reduction of quantity, quality and desirability of foods purchased. Respondents reported skipping meals and going hungry. The aid received was considered inadequate to meet needs. The food environment of the urban poor was disrupted from both supply and demand sides and the organisational response (both government and non-government) was severely inadequate. The social safety net needs to be extended and redesigned to ensure food security and health for the urban working poor in the future.
Publisher: JMIR Publications Inc.
Date: 06-07-2021
DOI: 10.2196/26918
Abstract: Digital health interventions (DHIs) can alleviate several barriers to achieving better maternal and child health. The World Health Organization’s guideline recommendations for DHIs emphasize the need to integrate multiple DHIs for maximizing impact. The complex health system of Bangladesh provides a unique setting for evaluating and understanding the role of an electronic registry (eRegistry) for antenatal care, with multiple integrated DHIs for strengthening the health system as well as improving the quality and utilization of the public health care system. The aim of this study is to assess the effect of an eRegistry with DHIs compared with a simple digital data entry tool without DHIs in the community and frontline health facilities. The eRegMat is a cluster-randomized controlled trial conducted in the Matlab North and Matlab South subdistricts in the Chandpur district, Bangladesh, where health facilities are currently using the eRegistry for digital tracking of the health status of pregnant women longitudinally. The intervention arm received 3 superimposed data-driven DHIs: health worker clinical decision support, health worker feedback dashboards with action items, and targeted client communication to pregnant women. The primary outcomes are appropriate screening as well as management of hypertension during pregnancy and timely antenatal care attendance. The secondary outcomes include morbidity and mortality in the perinatal period as well as timely first antenatal care visit successful referrals for anemia, diabetes, or hypertension during pregnancy and facility delivery. The eRegistry and DHIs were co-designed with end users between 2016 and 2018. The eRegistry was implemented in the study area in July 2018. Recruitment for the trial started in October 2018 and ended in June 2020, followed by an 8-month follow-up period to capture outcome data until February 2021. Trial results will be available for publication in June 2021. This trial allows the simultaneous assessment of multiple integrated DHIs for strengthening the health system and aims to provide evidence for its implementation. The study design and outcomes are geared toward informing the living review process of the guidelines for implementing DHIs. ISRCTN Registry ISRCTN69491836 www.isrctn.com/ISRCTN69491836 DERR1-10.2196/26918
Publisher: JMIR Publications Inc.
Date: 04-01-2021
Abstract: igital health interventions (DHIs) can alleviate several barriers to achieving better maternal and child health. The World Health Organization’s guideline recommendations for DHIs emphasize the need to integrate multiple DHIs for maximizing impact. The complex health system of Bangladesh provides a unique setting for evaluating and understanding the role of an electronic registry (eRegistry) for antenatal care, with multiple integrated DHIs for strengthening the health system as well as improving the quality and utilization of the public health care system. he aim of this study is to assess the effect of an eRegistry with DHIs compared with a simple digital data entry tool without DHIs in the community and frontline health facilities. he eRegMat is a cluster-randomized controlled trial conducted in the Matlab North and Matlab South subdistricts in the Chandpur district, Bangladesh, where health facilities are currently using the eRegistry for digital tracking of the health status of pregnant women longitudinally. The intervention arm received 3 superimposed data-driven DHIs: health worker clinical decision support, health worker feedback dashboards with action items, and targeted client communication to pregnant women. The primary outcomes are appropriate screening as well as management of hypertension during pregnancy and timely antenatal care attendance. The secondary outcomes include morbidity and mortality in the perinatal period as well as timely first antenatal care visit successful referrals for anemia, diabetes, or hypertension during pregnancy and facility delivery. he eRegistry and DHIs were co-designed with end users between 2016 and 2018. The eRegistry was implemented in the study area in July 2018. Recruitment for the trial started in October 2018 and ended in June 2020, followed by an 8-month follow-up period to capture outcome data until February 2021. Trial results will be available for publication in June 2021. his trial allows the simultaneous assessment of multiple integrated DHIs for strengthening the health system and aims to provide evidence for its implementation. The study design and outcomes are geared toward informing the living review process of the guidelines for implementing DHIs. SRCTN Registry ISRCTN69491836 www.isrctn.com/ISRCTN69491836 ERR1-10.2196/26918
Publisher: JMIR Publications Inc.
Date: 25-02-2023
Abstract: he COVID-19 pandemic has imposed a burden on our health system, and highlighted the importance of teleconsultation as an alternative mode. In Bangladesh, care seeking through telemedicine had increased up to 20 folds during pandemic. his study aims to assess the influence of service quality and satisfaction on the intention to continue using the national teleconsultation service by users who availed the service during the Covid-19 pandemic in Bangladesh. conceptual model was proposed with the constructs derived from a validated mHealth Service Quality model. A cross-sectional survey was conducted among 2097 participants from October to December 2020 who used Shastho Batayon at least once. The research model was tested by following the partial least squares method based on structural equation modelling (SEM) using Confirmatory Factor Analysis SmartPLS 3.0. mong the 2097 study participants, the majority of callers were from urban areas (76%), had 10+ years of education (64%), with middle income background (79%), male (78%), and belonged to the age group 18-39 years (68%). Study findings indicated that all three dimensions (platform quality, interaction quality, outcome quality) and nine sub-dimensions of the service quality model contribute to service quality. Service quality has significant influence on the user’s satisfaction (β=0.327, P .001) and intention to continue usage (β= 0.102, P .001), and user satisfaction has influence on the intention to continue usage (β= 0.311, P .001). his study has addressed the theories and practice in the field of telemedicine services, especially in the context of developing countries. To upkeep, the service quality is crucial for the user satisfaction and continuance of use of telemedicine. The findings and implications of this research are relevant for teleconsultation service providers, policymakers and patients in low middle-income countries, where human resource constraints in healthcare can be addressed through teleconsultation services.
No related grants have been discovered for Fatema Khatun.