Impact of pilot project of Rural Maintenance Programme (RMP) on destitute women: CARE, Bangladesh.
BACKGROUND
The rate of malnutrition among women in Bangladesh is high, but historically there has not been a specific program focusing on the improvement of the nutritional status of Bangladeshi women.


OBJECTIVE
To observe changes in the nutritional status of destitute women of the Rural Maintenance Programme (RMP) by incorporating a health and nutrition intervention package with RMP ongoing activities.


METHODS
An intervention study involving 1,275 poor destitute women was conducted from July 2004 to June 2005 in 17 districts in Bangladesh under two field offices, Mymensingh and Jessore, covering 8 and 9 districts, respectively. The respondents were divided into intervention, comparison, and control groups. All participants in the intervention and comparison groups were paid as part of the RMP and received weekly 30-minute nutrition interventions for 7 weeks in addition to routine training. The comparison group also received RMP training. The control group consisted of women with similar demographic characteristics to the intervention and comparison groups who did not receive pay or any intervention. The intervention was a unique combination of the three components of the UNICEF triangle model (food security, caring practices, and disease control). Data on socioeconomic and anthropometric characteristics, immunization, and vitamin A capsule intake were also collected with the use of a structured questionnaire.


RESULTS
After the intervention, the mean body weight had significantly increased by 1,333 g in the intervention group and had decreased by 277 g in the control group and 147 g in the comparison group. The body mass index of women in the intervention group had also significantly increased at the end of the study (p < .001). There was a significant increase in the intake of iodized salt in the intervention group as well as increased immunization coverage in all groups. Intake of the first vitamin A capsule by children increased (from 60% to 97%) in the intervention group only.


CONCLUSIONS
The nutrition pilot intervention was highly effective in improving the nutritional status of women in the RMP.
Roy
Swapan Kumar
SK
International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka, Bangladesh. skroy@icddrb.org
Bilkes
Farzana
F
Islam
Khaleda
K
Ara
Gulshan
G
Tanner
Phillip
P
Wosk
Irena
I
Rahman
Ahmed Shafiqur
AS
Chakraborty
Barnali
B
Jolly
Saira Parveen
SP
Khatun
Wahjiah
W
D000293:Adolescent; D000328:Adult; D001459:Bangladesh; D015992:Body Mass Index; D019587:Dietary Supplements; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007114:Immunization; D007455:Iodine / Q000008:administration & dosage*; D052756:Nutritional Sciences / Q000193:education*; D009752:Nutritional Status; D010865:Pilot Projects; D011203:Poverty; D012424:Rural Population; D017673:Sodium Chloride, Dietary / Q000008:administration & dosage*; D014801:Vitamin A / Q000008:administration & dosage
D017673:Sodium Chloride, Dietary; C034024:iodized salt; D014801:Vitamin A; D007455:Iodine