Ahmed Ehsanur Rahman
Datos Biográficos
| ID | 1726138 |
|---|---|
| NOMBRE | Ahmed Ehsanur Rahman |
| NOMBRES | Ahmed Ehsanur |
| APELLIDO | Rahman |
| FIRMA | RAHMAN A E |
| AFILIACIONES | International Centre for Diarrhoeal Disease Research |
| ORCID | 0000-0001-9216-1079 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 59 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 59 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2018 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Navigating maternal health challenges in Bangladesh
BACKGROUND: Bangladesh reports about 6500 maternal deaths annually, mainly due to haemorrhage and eclampsia. We assessed trends and determinants of three major complications and symptoms of preeclampsia, excessive bleeding, and convulsions, and related care-seeking practices. METHODS: We analysed data from the 2001, 2010, and 2016 Bangladesh Maternal Mortality and Health Care Surveys, conducted as nationally representative cross-sectional surveys…
Availability and readiness of health facilities to provide emergency obstetric care in eight low- and lower-middle-income countries
BACKGROUND: Despite progress in reducing global maternal mortality in recent decades, low- and lower-middle-income countries (LLMICs) continue to face major challenges. To reduce preventable maternal deaths, the WHO recommends emergency obstetric care (EmOC) in health facilities (HFs). However, up-to-date multi-country evidence on availability and readiness in LLMICs remains very limited. Hence, we analysed EmOC service availability and readiness…
Using DHIS2 routine data for health system preparedness in resource-limited settings
Health systems in low- and middle-income countries (LMICs) like Bangladesh face persistent challenges in delivering timely and equitable care, often exacerbated by poor planning and inefficient resource allocation. Forecasting service utilization using routine health data can support more responsive and data-driven health system planning, yet such approaches remain under utilized in Bangladesh. By analyzing service utilization trends and projecti…
Clinical safety trial of a thermal jacket among preterm or low birthweight neonates for hypothermia management at a tertiary-level health facility in Bangladesh
Background: Hypothermia is a common and critical issue for preterm and low birthweight (LBW) neonates, who require effective thermal care management to survive. In a safety trial, we tested a thermal jacket comprising a reusable chemical warming pad and an insulating jacket designed for hypothermia management when skin-to-skin contact is not possible. We assessed its performance in maintaining neonates' body temperature within the euthermic range…
Implementation research on enhanced community case management of pneumonia in Bangladesh
Background: Previous trials in Africa and Asia, including Bangladesh, showed that community health workers can effectively treat young infants (7-59 days) with fast breathing and children (2-59 months) with chest indrawing pneumonia at home with oral amoxicillin using enhanced integrated community case management (iCCM) protocols. However, the Enhanced Management of Pneumonia in Community (EMPIC), its pneumonia-specific component, has not yet bee…
Effect of an integrated intervention on the availability and completeness of Robson ten group classification system-related data in district hospitals in Bangladesh
Background: The Government of Bangladesh's routine data capturing system of health care facilities doesn't adequately capture Robson ten group classification system (TGCS)-related variables required to monitor caesarean section rates. To address this gap, we developed an integrated intervention and assessed its impact on the Robson TGCS-related variables availability and completeness. Methods: We conducted implementation research in eight distric…
Stillbirths by maternal-obstetric characteristics and Robson classification system
Background: Understanding maternal-obstetric determinants is key to stillbirth prevention. The Robson classification system enables monitoring and identification of high-risk groups. This study examined the prevalence and distribution of antepartum and intrapartum stillbirths by maternal-obstetric characteristics and Robson groups in district hospitals of Bangladesh. Methods: tests. Results: Out of 15 529 deliveries, 3.9% were stillbirths (56.6% …
Assessing the feasibility and appropriateness of verbal autopsy using contact information of the deceased from burial records in urban Bangladesh
Background: Bangladesh faces significant challenges in accurately documenting causes of death (COD), largely due to incomplete vital registration systems, which lack COD reporting. A substantial number of deaths occur outside health facilities, often without medical certification, leading to further gaps in mortality data. Verbal autopsy (VA) has emerged as a viable method in low-resource settings to bridge this gap. We aimed to explore the feasi…
Pregnancy loss in rural Bangladesh
Background: Pregnancy loss, encompassing miscarriage/spontaneous and induced abortion, has substantial physical and mental health consequences for women. However, population-level evidence on its occurrence in Bangladesh remains limited, with most data derived from reports and small-scale community-based studies. Here we provide population-level estimates of pregnancy loss and examine associated factors in rural Bangladesh. Methods: We analysed d…
Tele-mental health for frail older adults in rural Bangladesh
Trends of childhood Composite Index of Anthropometric Failure prevalence, determinants and inequity in Bangladesh
Objective: The childhood Composite Index of Anthropometric Failure (CIAF) effectively identifies multiple anthropometric deficits among under-five children. This study aimed to analyse undernutrition among under-five children, as measured by childhood CIAF, to evaluate trends, determinants and disparities in Bangladesh between 2007 and 2022. Design: The study utilised data from five rounds of the nationally representative cross-sectional Banglade…
Social franchising in healthcare
Setting stakeholder-led research priorities for advancing Sexual and Reproductive Health and Rights in Bangladesh using CHNRI method
Background: Sexual and reproductive health and rights (SRHR) are essential for individuals' health, well-being, survival, and economic development. A stakeholder-led approach to research prioritisation was essential to guide SRHR-related research in Bangladesh. Accordingly, we conducted a research prioritisation exercise to identify health research priorities related to SRHR in Bangladesh. Methods: We adopted the Child Health and Nutrition Resear…
Welcoming pregnant women
Background: Maternal mortality remains high in low- and middle-income countries like Bangladesh, driven by preventable causes such as inadequate health care access and delays in receiving care in health facilities, highlighting the need for improved support in health facilities. This study aimed to explore the opportunities and difficulties of introducing 'Welcome Persons', a hospital navigation and support cadre for pregnant women, from the pers…
Incidence, severity, risk factors and outcomes of Sars-CoV-2 reinfections during the Omicron period
Adolescent and young adult mortality in Bangladesh
Background: In 2021, over 1.5 million adolescents (aged 10-19 years) and young adults (aged 20-24 years) died globally, approximately 4500 deaths daily. However, research on causes and factors influencing deaths among adolescents and young adults in Bangladesh is limited. We aimed to address this gap by identifying the leading causes of mortality and the factors affecting adolescent and young adult deaths. Methods: We conducted two cross-sectiona…
Enhancing emergency obstetric care navigation through a ‘Welcome Person’ model
Background: Maternal mortality remains critical in Bangladesh, driven by delays in accessing timely care at health care facilities. Globally, a woman dies every two minutes from pregnancy or childbirth, often due to systemic inefficiencies in health care. In Bangladesh, high maternal mortality rates are worsened by overcrowded facilities, limited resources, and complex procedures. The 'three delays' model identifies barriers to care, with the thi…
Improving the provision for gynaecological health care in Bangladesh using Essential Gynaecological Skills implementation package
Background: Gynaecological health and its related service delivery have long been neglected in Bangladesh. In response to the high burden and improvements in the provision of gynaecological health care, the Essential Gynaecological Skills (EGS) implementation package was developed. It includes comprehensive in-service training for upskilling the non-specialised health care providers and introduces the first structured data recording system for gy…
Design, development and implementation of a digital burial record-keeping and management system in Bangladesh
Background: Digitalisation of death documentation in Bangladesh's graveyards is crucial for accurate mortality data and public health planning. Additionally, studying the usability, technology acceptance, and implementation aspects of the digital death record-keeping system, an innovative intervention that has not been previously explored, ensures the effectiveness, user adoption, and long-term sustainability. We designed, implemented, and evalua…
Excess mortality during Covid-19 and prediction of mortality in Bangladesh
Background: The COVID-19 pandemic significantly impacted global mortality, underscoring the need for reliable data to guide public health policy. In low- and middle-income countries, graveyard-based death records can offer valuable insights into COVID-19-related mortality, yet they remain limited. Additionally, data on mortality beyond the pandemic remains scarce as we approach the 2030 Sustainable Development Goals. We addressed this gap by usin…
Effect of involvement of midwives in maternal care on patient and provider satisfaction in secondary-level public health facilities in Bangladesh
Background: Maternity care satisfaction for pregnant women and recently delivered mothers is linked to both short- and long-term complications. For health care providers, dissatisfaction can lead to high turnover, reduced efficiency, and decreased service quality. Increased midwifery care coverage enhances satisfaction; however, the Government of Bangladesh-sanctioned midwife positions are limited to the primary health care level only, not extend…
Assessing health systems’ capacities to provide post-abortion care
Background: Abortion-related complications significantly contribute to maternal morbidity and mortality globally. Post-abortion care (PAC) services are essential to safeguarding women's rights by substantially mitigating the health risks associated with abortions - a step which is fundamental to achieving reproductive and maternal health-related Sustainable Development Goals. Methods: We conducted a secondary analysis of data from the nationally …
The promises and limits of standardisation through paper-based technologies
Integrated Management of Childhood Illness (IMCI) is a strategy that aims to standardise clinical assessment and treatment of sick children. In this article, we examine the aspirations and unfolding of introducing a revised IMCI strategy in Bangladesh. We carried out ethnographic fieldwork among project implementors and in IMCI health service delivery settings in Kushtia district, including 36 semi-structured interviews with policymakers, program…
Effective multi-sectoral approach for rapid reduction in maternal and neonatal mortality
BACKGROUND: Bangladesh experienced impressive reductions in maternal and neonatal mortality over the past several decades with annual rates of decline surpassing 4% since 2000. We comprehensively assessed health system and non-health factors that drove Bangladesh's success in mortality reduction. METHODS: We operationalised a comprehensive conceptual framework and analysed available household surveys for trends and inequalities in mortality, inte…
How and why does mode of birth affect processes for routine data collection and use? A qualitative study in Bangladesh and Tanzania
The World Health Organization recognises Routine Health Information System (RHIS) data as integral to data-driven health systems; needed to improve intrapartum outcomes for maternal and newborn health worldwide. However, research in Bangladesh and Tanzania suggests that mode of birth affects register data accuracy, but little is known about why. To address this gap, we undertook qualitative research in these two public-sector health systems. We c…
Sin obras prominentes en esta página.
A community-based cluster randomized controlled trial (cRCT) to evaluate the impact and operational assessment of “safe motherhood and newborn health promotion package”
NCT03032276
Study protocol of a 4- parallel arm, superiority, community based cluster randomized controlled trial comparing paper and e-platform based interventions to improve accuracy of recall of last menstrual…
ClinicalTrials.gov NCT02944747 . The trial has been registered before starting enrolment on 24 October 2016
“Every Newborn-BIRTH” protocol
BACKGROUND: - Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study aims to validate selected newborn and maternal indicators for routine tracking of coverage and quality of facility-based care for use at district, national and global levels. METHODS: EN-BIRTH is an observational study including >20 000 facility births in three countries (Tanzania, Bangladesh and Nepal) to validate selected indicators. Direct clinical observation will …
Awareness and perceptions of women regarding human rights related to maternal health in rural Bangladesh
BACKGROUND: The global development community has increasingly come to frame preventable maternal mortality and morbidity principally as a violation of women's basic human rights, necessitating a human rights-based approach to be appropriately addressed. In this article, we explore how human rights are understood and perceived in relation to maternal health at the local level in rural Bangladesh. This is essential given the momentum at the global …
Capacities of women and men to improve maternal and newborn health
BACKGROUND: Despite improvement in recent decades, maternal and newborn mortality in Bangladesh remain high. A community-based intervention package was initiated in 2009 in Netrokona, a rural district in Bangladesh, to engage individuals, families and communities to improve maternal and newborn health. In this article, we present the effect of the intervention package on improvement of women's capacities with regard to maternal and newborn health…
Hypoxaemia prevalence and its adverse clinical outcomes among children hospitalised with WHO-defined severe pneumonia in Bangladesh
BACKGROUND: With an estimated 1 million cases per year, pneumonia accounts for 15% of all under-five deaths globally, and hypoxaemia is one of the strongest predictors of mortality. Most of these deaths are preventable and occur in low- and middle-income countries. Bangladesh is among the six high burden countries with an estimated 4 million pneumonia episodes annually. There is a gap in updated evidence on the prevalence of hypoxaemia among chil…
Child mortality in Bangladesh – why, when, where and how? A national survey-based analysis
BACKGROUND: Updated information on the cause of childhood mortality is essential for developing policies and designing programmes targeting the major burden of disease. There is a paucity of evidence regarding the current estimates of the cause of death in Bangladesh, which is essential for reinvigorating the current policies and reshaping existing strategies to avert preventable deaths. This paper aims to address this critical evidence gap and r…
The effect of Covid-19 on maternal newborn and child health (MNCH) services in Bangladesh, Nigeria and South Africa
Global response to COVID-19 pandemic has inadvertently undermined the achievement of existing public health priorities and laregely overlooked local context. Recent evidence suggests that this will cause additional maternal and childhood mortality and morbidity especially in low- and middle-income countries (LMICs). Here we have explored the contextual factors influencing maternal, neonatal and children health (MNCH) care in Bangladesh, Nigeria a…
Sustaining stakeholder engagement for health research during the Covid-19 pandemic
Governments worldwide responded to the continual waves of the COVID-19 pandemic with unprecedented measures ranging from social distancing and cancellation of public events to border restrictions and complete closure of all but essential services [1]. Health research studies were suspended, becoming casualties of COVID-19-related lockdowns and distancing policies [2]. Engaging and involving stakeholders including patients, [...]
Newborn signal functions in Bangladesh
Background: This study aimed to identify a set of newborn signal functions (NSFs) that can categorize health facilities and assist policymakers and health managers in appropriately planning and adequately monitoring the progress and performance of health facilities delivering newborn health care in Bangladesh and similar low-income settings. Methods: A modified Delphi method was used to identify a set of NSFs and a cross-sectional health facility…
Measuring coverage and quality of supportive care for inpatient neonatal infections
Background: An estimated 7 million episodes of severe newborn infections occur annually worldwide, with half a million newborn deaths, most occurring in low- and middle-income countries. Whilst injectable antibiotics are necessary to treat the infection, supportive care is also crucial in ending preventable mortality and morbidity. This study uses multi-country data to assess gaps in coverage, quality, and documentation of supportive care, consid…
Success and time implications of SpO 2 measurement through pulse oximetry among hospitalised children in rural Bangladesh
Background: Hypoxaemia is one of the strongest predictors of mortality among children with pneumonia. It can be identified through pulse oximetry instantaneously, which is a non-invasive procedure but can be influenced by factors related to the specific measuring device, health provider and patient. Following WHO's global recommendation in 2014, Bangladesh decided to introduce pulse oximetry in paediatric outpatient services, ie, the Integrated M…
Introducing pulse oximetry in routine IMCI services in Bangladesh
Background: Pneumonia is the leading cause of under-five child deaths globally and in Bangladesh. Hypoxaemia or low (<90%) oxygen concentration in the arterial blood is one of the strongest predictors of child mortality from pneumonia and other acute respiratory infections. Since 2014, the World Health Organization recommends using pulse oximetry devices in Integrated Management of Childhood Illness (IMCI) services (outpatient child health servic…
Levels and trends in mortality and causes of death among women of reproductive age in Bangladesh
Background: Information on the mortality rate and proportional cause-specific mortality is essential for identifying diseases of public health importance, design programmes, and formulating policies, but such data on women of reproductive age in Bangladesh is limited. Methods: We analysed secondary data from the 2001, 2010, and 2016 rounds of the nationally representative Bangladesh Maternal Mortality and Health Care Survey (BMMS) to estimate mor…
Maternal mortality in Bangladesh
Background: Despite a notable decline in recent decades, maternal mortality in Bangladesh remains high. A thorough understanding of causes of maternal deaths is essential for effective policy and programme planning. Here we report the current level and major causes of maternal deaths in Bangladesh, focusing on care-seeking practices, timing, and place of deaths. Methods: We analysed data from the 2016 Bangladesh Maternal Mortality and Health Care…
Levels, trends, causes, place and time of, care-seeking for, and barriers in preventing indirect maternal deaths in Bangladesh
Background: Eclampsia, haemorrhage, and other direct causes are the primary burden of maternal mortality in Bangladesh, often reducing attention given to indirect maternal deaths (IMDs). However, Sustainable Development Goals may not be achieved without actions to prevent IMDs. We examined the levels, trends, specific causes, timing, place, and care-seeking, and explored the barriers to IMD prevention. Methods: We used three nationally representa…
Haemorrhage-related maternal mortality in Bangladesh
Background: Haemorrhage is a major cause of maternal deaths globally, most of which are preventable and predominantly happen in low and middle-income countries, including Bangladesh. We examine the current levels, trends, time of death, and care-seeking practices for haemorrhage-related maternal deaths in Bangladesh. Methods: We conducted a secondary analysis with data from the nationally representative 2001, 2010, and 2016 Bangladesh Maternal Mo…
Incidence and outcome of Sars-CoV-2 reinfection in the pre-Omicron era
Research prioritisation on prevention and management of preterm birth in low and middle-income countries (LMICs) with a special focus on Bangladesh using the Child Health and Nutrition Research Initia…
Background: Fifteen million babies are born preterm globally each year, with 81% occurring in low- and middle-income countries (LMICs). Preterm birth complications are the leading cause of newborn deaths and significantly impact health, quality of life, and costs of health services. Improving outcomes for newborns and their families requires prioritising research for developing practical, scalable solutions, especially in low-resource settings su…
Preeclampsia and eclampsia-specific maternal mortality in Bangladesh
Background: Despite improvements in many health indicators, maternal mortality has plateaued in Bangladesh. Achieving the global target of reductions in maternal mortality and the associated Sustainable Development Goals will not be possible without actions to prevent deaths due to preeclampsia/eclampsia. Here we examined the levels, trends, specific causes, timing, place, and care-seeking behaviours of women who died due to these two causes. Met…
Evaluation of feasibility phase of adaptive version of locally made bubble continuous positive airway pressure oxygen therapy for the treatment of Covid-19 positive and negative adults with severe pne…
Background: Bubble continuous positive airway pressure (bCPAP) oxygen therapy has been shown to be safe and effective in treating children with severe pneumonia and hypoxaemia in Bangladesh. Due to lack of adequate non-invasive ventilatory support during coronavirus disease 2019 (COVID-19) crisis, we aimed to evaluate whether bCPAP was safe and feasible when adapted for use in adults with similar indications. Methods: O pressure, in two tertiary …
Taking a Pulse on Community Participation in Maternal Health through Community Clinics in Bangladesh
Bangladesh started institutionalising community participation by setting-up community clinics (CCs) during the mid-90 s. This paper presents the genealogy of CCs, the community participation mechanism embedded within CCs, and the case of 54 CCs in Brahmanbaria, through the lens of maternal health. We undertook a desk review to understand the journey of CCs. In 2018, we assessed the accessibility, readiness and functionality of CCs, and a househol…
Effective multi-sectoral approach for rapid reduction in maternal and neonatal mortality
BACKGROUND: Bangladesh experienced impressive reductions in maternal and neonatal mortality over the past several decades with annual rates of decline surpassing 4% since 2000. We comprehensively assessed health system and non-health factors that drove Bangladesh's success in mortality reduction. METHODS: We operationalised a comprehensive conceptual framework and analysed available household surveys for trends and inequalities in mortality, inte…
How and why does mode of birth affect processes for routine data collection and use? A qualitative study in Bangladesh and Tanzania
The World Health Organization recognises Routine Health Information System (RHIS) data as integral to data-driven health systems; needed to improve intrapartum outcomes for maternal and newborn health worldwide. However, research in Bangladesh and Tanzania suggests that mode of birth affects register data accuracy, but little is known about why. To address this gap, we undertook qualitative research in these two public-sector health systems. We c…
Excess mortality during Covid-19 pandemic in Bangladesh – evidence from a rural survey
Background: The coronavirus disease 2019 (COVID-19) had a profound impact worldwide. In Bangladesh, the official number of deaths for COVID-19 was around 29 000. However, many countries including Bangladesh experienced substantial underreporting of COVID-19 deaths due to lack of complete national civil registration system. This study aims to estimate excess mortality in 2020, identify risk factors, and determine leading causes of death in Banglad…
Medicine (43 obras) · Global Maternal and Child Health (42 obras) · Environmental health (32 obras) · MEDLINE (19 obras) · Population (19 obras) · Nursing (18 obras) · Public health (18 obras) · Child Nutrition and Water Access (15 obras) · Political science (14 obras) · Pregnancy (14 obras)