Strengthening Health Systems through Organizing Communities (SHASTO) Baseline Survey Report October 2018 Authors Ipsita Sutradhar, Mehedi Hasan, Md. Mokbul Hossain, Md. Showkat Ali Khan, Yukie YoshimuraMd. Moyazzam Hossain, Sohel Reza Choudhury, Malabika Sarker, Malay Kanti Mridha Corresponding author: Malay Kanti Mridha <[email protected]> Suggested citation: BRAC James P Grant School of Public Health, BRAC University and Japan International Cooperation Agency. Baseline Survey of Strengthening Health Systems through Organizing Communities (SHASTO). 2018. Dhaka, Bangladesh. BRAC James P Grant School of Public Health, BRAC University. Conducted by Funded by BRAC James P. Grant School of Japan International Cooperation Public Health, BRAC University Agency (JICA) 2 TABLE OF CONTENTS ACKNOWLEDGEMENT ................................................................................................................................... 6 ACRONYMS ........................................................................................................................................................ 7 EXECUTIVE SUMMARY .................................................................................................................................. 8 MATERIALS AND METHODS ........................................................................................................................ 8 HEALTHY DIET .............................................................................................................................................................. 13 TOBACCO ........................................................................................................................................................................ 13 PHYSICAL ACTIVITY....................................................................................................................................................... 13 HEALTH CARE SEEKING PRACTICE .............................................................................................................................. 13 COMPLIANCE WITH MEDICINES .................................................................................................................................. 14 INTRODUCTION ............................................................................................................................................. 16 GLOBAL NCD SITUATION ...................................................................................................................................... 16 NCD SITUATION IN BANGLADESH .................................................................................................................... 16 WHY IS THIS STUDY IMPORTANT? ......................................................................................................... 18 STUDY OBJECTIVES ...................................................................................................................................... 18 GENERAL ..................................................................................................................................................................... 18 SPECIFIC ....................................................................................................................................................................... 18 MATERIALS AND METHODS ...................................................................................................................... 21 STUDY DESIGN .......................................................................................................................................................... 21 STUDY SITE ................................................................................................................................................................. 21 STUDY POPULATION .............................................................................................................................................. 23 SAMPLE SIZE .............................................................................................................................................................. 23 SAMPLING TECHNIQUE ......................................................................................................................................... 24 STUDY TOOL ............................................................................................................................................................... 24 Household Listing Questionnaire .......................................................................................................................... 24 Survey Questionnaire .................................................................................................................................................. 24 Quality Control Questionnaire ................................................................................................................................ 25 FGD Guideline ................................................................................................................................................................. 25 SUPPORTING MATERIALS .................................................................................................................................... 25 Showcard .......................................................................................................................................................................... 25 Measurement Bowl and Spoon ............................................................................................................................... 25 Drug List ........................................................................................................................................................................... 25 Interview Observation Checklist ............................................................................................................................ 26 TRAINING OF FIELD PERSONNEL ..................................................................................................................... 27 PRETEST ...................................................................................................................................................................... 28 HOUSEHOLD LISTING ............................................................................................................................................. 28 RANDOMIZATION .................................................................................................................................................... 29 DATA COLLECTION ................................................................................................................................................. 29 PHYSICAL MEASUREMENT .................................................................................................................................. 30 Overview ........................................................................................................................................................................... 30 Sequence ........................................................................................................................................................................... 31 Privacy ............................................................................................................................................................................... 31 Measuring Blood Pressure and Heart Rate ...................................................................................................... 31 Measuring Height ......................................................................................................................................................... 31 Measuring Weight ........................................................................................................................................................ 32 Measuring Waist Circumference ........................................................................................................................... 32 RESPONSE RATES .................................................................................................................................................... 33 QUALITY CONTROL ................................................................................................................................................. 33 3 Methodology ................................................................................................................................................................... 33 Field Staffs ........................................................................................................................................................................ 33 Pretest of Questionnaire ............................................................................................................................................ 33 Calibration of the equipment .................................................................................................................................. 33 Supervision and Monitoring of Data Collection ............................................................................................. 33 Re-interview .................................................................................................................................................................... 34 Management of Non-response