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The 1998 flood in Bangladesh: is different targeting needed during emergencies and recovery to tackle malnutrition?

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dc.contributor.author Hossain, S. M. M. en_US
dc.contributor.author Kolsteren, P. en_US
dc.date.accessioned 2007-12-06T14:42:49Z
dc.date.available 2007-12-06T14:42:49Z
dc.date.issued 2003 en_US
dc.identifier.issn 0361-3666 en_US
dc.identifier.other ITG-HLA en_US
dc.identifier.other HEALTH en_US
dc.identifier.other U-VOED en_US
dc.identifier.other JIF en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.other FTC
dc.identifier.uri http://hdl.handle.net/10390/1286
dc.description The definitive version is available at www.blackwell-synergy.com
dc.description The definitive version is available at www3.interscience.wiley.com en_US
dc.description.abstract Bangladesh suffered the century's worst flood during July-October 1998 and appealed for assistance. To provide information for appropriate interventions to tackle nutritional problems, a rapid assessment survey was conducted to look at the nutritional situation, problems encountered by the community, their coping mechanisms and rehabilitation priorities in six rural areas. The survey was repeated after four months to measure the outcome of activities during the flood and the necessity for future assistance. There were 3,048 children measured in both surveys (1,597 and 1,451). The sample of most interest was a sub-group of 180 children present in two previous independent surveys. The analysis found that while moving from the crisis period to post-flood phase there was evidence of a 'crossover phenomenon' in the recovery pattern of nutritional status. Sixty-eight per cent of the children who were malnourished (WHZ < -2SD) during the crisis period (18 per cent) recovered enough to cross the cut-off point and became normal after four months. Another 8 per cent of children (9 per cent of all normal) who were normal during the crisis period, after four months had deteriorated to be malnourished. Thus, despite there being a shift in the overall distribution of nutritional status, there has been another shift that reduced the net effect. Subsequent episodes of diarrhoea, access to food and loan burden had also influenced the recovery pattern of the children's nutritional status as evident from the statistically significant associations. These findings raise questions about targeting acute malnutrition during emergencies, and using the same criteria during both the crisis and rehabilitation phases. en_US
dc.language English en_US
dc.publisher Blackwell Publishing
dc.subject Disasters en_US
dc.subject Emergencies en_US
dc.subject Floods en_US
dc.subject Relief en_US
dc.subject International cooperation en_US
dc.subject NGOs en_US
dc.subject Malnutrition en_US
dc.subject Prevention en_US
dc.subject Targeted approach en_US
dc.subject Children en_US
dc.subject Diarrheal diseases en_US
dc.subject Bangladesh en_US
dc.subject Asia, South en_US
dc.title The 1998 flood in Bangladesh: is different targeting needed during emergencies and recovery to tackle malnutrition? en_US
dc.type Article en_US
dc.citation.jtitle Disasters en_US
dc.citation.volume 27 en_US
dc.citation.pages 172-184 en_US
dc.publisher.place Oxford en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/12825439
dc.citation.jabbreviation Disasters en_US


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