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Effective research utilization in program planning and implementation is a continuing problem in both developed and less developed nations. This is particularly so in social programs. This paper addresses the issue from the standpoint of some twelve years of experience in the Bangladesh population program. The focus of this paper is on communication between administrators and researchers-the problems that arise, and the strategies that may be used to facilitate communication in order to improve use of research findings. [ABSTRACT FROM AUTHOR]

Poor motivation of providers, primarily caused by low remuneration and/or non-existence of financial incentives, has been a key challenge to improve the quality of maternal health services in the public sector health facilities in rural Bangladesh. An operations research study examined the impact of performance-based incentive for service providers at the institutional level to improve the quality of maternal health services. Quality of care was assessed through monitoring visits of professionals from higher-level health facilities, which contributed to improved service provision within the facilities. Quality scores of the facilities increased from 55% to 78% in 14 months of intervention with significant improvement in antenatal care, postnatal counseling, and institutional delivery (p < 0.01). Importantly, client satisfaction increased remarkably in the intervention facilities. Performance-based incentive has the potential for motivating service providers in improving the quality of maternal health services and for increasing the utilization of facilities for maternal health services in Bangladesh. [ABSTRACT FROM AUTHOR]

The article discusses various reports published within the issue, including one on the use of social survey data to identify unintended pregnancy in Bangladesh, one on focus groups to assess the reproductive health knowledge, attitude and behavior of Russian college students and one on barriers to childhood immunizations in River States, Nigeria.

Yet rural in nature, Asia is proceeding with a wide-ranging scale and fast pace of urbanization, resulting in accelerated economic growth. This article attempts a comparison on urbanization of six largest Asian countries: Bangladesh, China, India, Indonesia, Pakistan, and the Philippines. Among these countries, urban transition is underway in China, Indonesia, and the Philippines, which are also on track to mature as middle-income countries. India and Pakistan will soon graduate from low-income to lower-middle income countries, reaching the platform for faster urbanization with consequent economic growth. Regardless of the level of urbanization across countries, cities generate four-fifths of national income and the prominence of cities in generating country's national income is escalating. Still, urbanization primarily takes place through the development of large cities with surrounding industrial zones. Large cities will continue to play a significant role in absorbing future anticipated growth, but a decrease of growth rates in large cities is expected. Most of future city growth will occur in medium- and small-sized cities where existing coverage of basic public services is grossly inadequate, that entails greater concentration of power, investment, and services. To maximize the benefits of urbanization, countries need to judiciously plan the course of future urbanization--whether it should be a concentrated growth, a balanced growth, or a distributed growth. [ABSTRACT FROM AUTHOR]

The violation of women's sexual rights is a crucial public health problem, which is often related to the way people view gender and sexuality in a society. This study explores married men's typical views on gender, family, and sexuality in a rural Bangladesh context. Using a qualitative methodological approach, 10 married men were purposively included from a northwest village. The study revealed that married men's views about gender and sexuality are heavily influenced by patriarchal norms. Men think that a wife is the property of her husband and that the wife should obey her husband by giving sex to her husband whenever he wants. Men also think that if women fail to obey their husbands or please them sexually, men are allowed to beat their wives. Interviews explored that the violation of women's sexual rights might be closely related to men's gendered views about women's rights. [ABSTRACT FROM AUTHOR]

Unintended pregnancies are associated with unsafe abortion and greater risk of maternal morbidity and maternal deaths. In Bangladesh, approximately one-third of pregnancies are unintended. Considering the magnitude of the situation and its consequences, this article explores factors associated with the prevalence of unintended pregnancies in rural Bangladesh with implications for policy intervention. A total of 3300 women were interviewed from 22 sub-districts to collect information on unintended pregnancy related issues. Findings reveal that about 29% of the pregnancies were unintended and the frequency of unintended pregnancy was higher among the older, less educated, higher parity, and poor women. Findings also suggest that unintended pregnancy rate was higher (33%) among women who used contraceptive before their last pregnancy than women (23%) who did not use any contraceptive. The rate of unintended pregnancy also varied, by the types of contraceptive methods used before their last pregnancy. The women who were using traditional methods or temporary modern methods were more likely to experience unintended pregnancy than longer acting method users. The findings underscore the importance of measuring contraceptive discontinuation rates in addition to prevalence of all modern methods. When discussing policy interventions to generate demand for family planning, consideration of differences in method-specific discontinuation rates is important if policy objectives to reduce unintended pregnancies are to be achieved. [ABSTRACT FROM AUTHOR]

Using data derived from the 2007 Bangladesh Demographic and Health Survey (BDHS), this study investigates the regional variation of contraceptive norms according to the empowerment status of women in Bangladesh. The result suggests that contraceptive norms vary from region to region. Logistic regression analysis suggests that there exists a positive relationship between women's empowerment and use of contraceptive methods in ail regions except Barisal and Chittagong. The result also indicates that women's empowerment has a significant positive effect on contraceptive norms in the Dhaka, Khulna, and Rajshahi regions. [ABSTRACT FROM AUTHOR]