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Table 2 Child Health Indicator Trends in Saidpur and Parbatipur (KPC) and Bangladesh Demographic and Health Survey Comparisons (urban or national average)

From: Advancing the application of systems thinking in health: sustainability evaluation as learning and sense-making in a complex urban health system in Northern Bangladesh

  Indicator   1999 2004 1999–2004 diff (P value) 2007 2009 2004–2009 diff (P value)
Child Health Complete immunization S&P* 44% 91% <0.05 90% 91% NS
urban 70% 81%   86%   
Vitamin A supplementation S&P 37% 78% <0.05 71% 79% NS
urban 76% 85%   90%   
Exclusive breastfeeding S&P 55% 72% <0.05 70% 73% NS
nat’l 42% 36%   43%   
Complementary feeding of children 6 to 11 months S&P 46% 64% <0.05 64% 65% NS
nat’l       
Additional feeding and fluids for the sick child S&P 25% 44% <0.05 34% 25% <0.05
Additional fluids (only) for the sick child nat’l 50% 52%   38%   
Proper child acute respiratory infection identification and referral S&P 24% 34% <0.05 66% 52% <0.05
urban 48% 35%   49%   
Maternal & Neonatal Health At least one prenatal consultation during last pregnancy S&P 59% 89% <0.05 87% 95% NS
nat’l 37% 56%   60%   
At least three prenatal consultation during last pregnancy S&P   64%   62% 74% <0.05
nat’l 25% 27%   32%   
At least one tetanus toxoid dose during last pregnancy S&P 46% 89% <0.05 57% 70% <0.05
urban 88% 88%   84%   
Delivery by skilled attendant S&P 31% 50% <0.05 56% 59% <0.05
nat’l 22% 13%   18%   
Delivery in health care facility S&P 25% 45% <0.05 49% 57% <0.05
nat’l 8% 9%   15%   
Immediate breastfeeding S&P 26% 57% <0.05 50% 64% NS
  urban 23% 22%   41%   
  1. Source: S&P (Saidpur and Parbatipur), knowledge, practice and coverage (KPC) surveys 1999, 2004, 2007, 2009; national or urban estimates: Bangladesh Demographic and Health Survey.