Effect of BRAC Rural Development Programme on calorie consumption --- evidence from Matlab
Masuma Khatun, SM Ziauddin Hyder, Abbas Bhuiya, Mushtaque Chowdhury
The first report describes the association between calorie consumption and household socioeconomic status and examines the effect of BRAC Rural Development Programme (RDP) membership on calorie consumption per adult equivalent per day. The analysis was based on the data collected from 2,061 households in 14 villages of Matlab thana during April-August, 1995 as a part of the BRAC-ICDDR,B joint research project. Socioeconomic and household food in-flow and out-flow data were collected through home visits using a pre-tested structured questionnaire. Food items cooked at home were taken into consideration to calculate the household level calorie consumption. To obtain per adult equivalent daily calorie consumption, total household daily calorie consumption was divided by household food consumption unit developed by FAO. The results revealed that average per adult equivalent daily calorie consumption among the study population was 1,929 kcal (95% CI: 1,897-1,961 kcal), which is close to the national average of 1,943 kcal. Calorie consumption was significantly associated with household size and land holding; occupation and literacy status of the household head; and monthly per capita food and non-food expenditures (p<0.05). The proportions of households with per adult equivalent daily calorie consumption <1,805 kcal and <2,122 kcal were significantly lower among BRAC eligible member households compared to eligible nonmember households (p<0.05). Controlling for other factors, an adult equivalent of an eligible BRAC member household had 33% less chance to consume <1,805 kcal and 28% less chance to consume <2,122 kcal compared to an eligible non-member household (p<0.01), suggesting BRAC RDP membership had a positive effect on household level calorie consumption. Calorie consumption per adult equivalent per day should be incorporated in BRAC-RDP as one of the monitoring indicators to evaluate the programme to maximize its effect on nutritional status of the target population.
Prevalence of Chronic Energy Deficiency in the elderly population of Matlab
Sabrina Rasheed, S.M.Ziauddin Hyder, Masuma Khatun, Mushtaque Chowdhury
The second study attempts to examine the nutritional status of the elderly in Matlab, Bangladesh by looking at the prevalence of chronic energy deficiency (CED) among the elderly population and endevours to find its determinants. Socioeconomic and nutritional information of 626 elderly individuals of 2076 households, residing in 14 villages of Matlab, Chandpur, was obtained through a pre-coded questionnaire. The survey duration was April - August 1995. The results suggest that the elderly are a vulnerable group of population in terms of health and nutrition, as 80% of the elderly population suffered from different degrees of CED and severe CED prevalence in the elderly population was associated with sex, occupation, household economic status and family size. Appropriate development and health interventions focused to the needs of the elderly should be designed and implemented to improve their existing health and nutritional status.