Supporting maternal mental health of Rohingya refugee women during the perinatal period to promote child health and wellbeing: a field study in Cox’s Bazar

Corna, Francesca; Tofail, Fahmida; Chowdhury, Mita Rani Roy; Bizouerne, Cécile

doi:10.4103/intv.intv_28_19

Cited by 5 publications

(4 citation statements)

References 26 publications

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Section: Sample Sizementioning

confidence: 84%

“…The prevalence of thinness (MUAC < 23) was used for the sample size calculation of pregnant mothers. As per recent data, 16% of the Rohingya women of reproductive age were underweight (BMI < 18.5) (Chowdhury et al, 2018 ), and the prevalence of thinness among pregnant mothers was 25% (Corna et al, 2019 ). Using these above‐mentioned proportions, the minimum required sample sizes for women of reproductive age and pregnant mothers were 207 and 289, respectively.…”

Section: Methodsmentioning

confidence: 91%

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Nutritional status and dietary diversity of pregnant and nonpregnant reproductive‐age Rohingya women

Fahim

Das

Rasul

et al. 2023

Food Science & Nutrition

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There are no data on the nutritional status and dietary diversity of the pregnant and nonpregnant reproductive‐age Rohingya women who have recently shifted to the Bhasan Char Relocation Camp located on an island in the Bay of Bengal. A cross‐sectional survey was conducted in November–December, 2021 to assess the nutritional status and evaluate the dietary diversity of two vulnerable groups of the forcibly displaced Rohingya population: nonpregnant reproductive‐age women and pregnant mothers. Multivariable logistic regression was applied to identify the factors associated with nutritional impairments. Overall, 7.6% of the nonpregnant reproductive‐age women were underweight (Body Mass Index [BMI] < 18.5 kg/m2), and nearly one‐third of them had a BMI ≥ 25 kg/m2. However, 26.7% of the pregnant mothers were undernourished (BMI < 20.0 kg/m2) and almost one‐fourth of them were either overweight or obese (BMI ≥ 25.0 kg/m2). The prevalence of thinness (Mid Upper Arm Circumference [MUAC] < 23 cm) was 34.5% among pregnant mothers, and 10.1% of them were severely thin (MUAC < 21 cm). The mean (±SD) of the Women's Dietary Diversity Score (WDDS) was 3.3 (±1.1) for nonpregnant reproductive‐age women and 3.7 (±1.3) for pregnant mothers enrolled in this study. Overall, 63.8% of the nonpregnant women of childbearing age and 46% of the pregnant mothers had a low WDDS (WDDS < 4). The WDDS was found to be protective against thinness among nonpregnant reproductive‐age women (AOR = 0.61; 95% CI = 0.37, 0.93; p‐value = .03) and low BMI in pregnant mothers (AOR = 0.71; 95% CI = 0.55, 0.91; p‐value = .01). The results of this survey will assist in early recognition of the nutritional demands, and act as a guide to planning nutrition‐based programs among Rohingya reproductive‐age women relocated to the Bhasan Char Island.

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Section: Sample Sizementioning

confidence: 84%

Section: Methodsmentioning

confidence: 91%

Nutritional status and dietary diversity of pregnant and nonpregnant reproductive‐age Rohingya women

Fahim

Das

Rasul

et al. 2023

Food Science & Nutrition

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“…A prior process evaluation of the BFS program in Ethiopia found some positive changes among mothers enrolled in the program (Lasater et al, 2020), and a single-group evaluation of the effect of a 3-month maternal PSS group implemented by ACF among pregnant Rohingya women in Cox's Bazar found changes in maternal well-being and childcare knowledge (Corna et al, 2019). However, no controlled study of the BFS program has been done to date.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial impacts of Baby Friendly Spaces for Rohingya refugee mothers in Bangladesh: A pragmatic cluster-randomized controlled trial

Nguyen,

Murray,

Rahaman

et al. 2024

Camb. prisms Glob. ment. health

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Background: This study evaluated the effectiveness of Baby Friendly Spaces (BFS), a psychosocial support program for Rohingya refugee mothers of malnourished young children in Bangladesh. Because BFS was already being implemented, we examined the benefit of enhancing implementation supports. Methods: In matched pairs, 10 sites were randomized to provide BFS treatment as usual (BFS-TAU) or to receive enhanced implementation support (BFS-IE). 600 mothers were enrolled and reported on maternal distress, functional impairment, subjective well-being and coping at baseline and 8-week follow-up. Data were analyzed using multilevel linear regression models to account for clustering; sensitivity analyses adjusted for the small number of clusters. Results: Significant within-group improvements in BFSIE were observed for distres (À.48, p = .014), functional impairment (À.30, p = .002) and subjective well-being (.92, p = .011); improvements in BFS-TAU were smaller and not statistically significant. Between-group comparisons favored BFS-IE for distress (β = À.30, p = .058) and well-being (β = .58, p = .038). Sensitivity adjustments produced p-values above .05 for all between-group comparisons. Discussion: Feasible adjustments to implementation can improve program delivery to increase impact on maternal distress and well-being. Although results should be interpreted with caution, study design limitations are common in pragmatic, field-based research. Impact statementAs maternal mental health and child health are clearly linked, supporting maternal mental health and well-being is critical to the promotion of child development and care practices that can ultimately promote positive child health outcomes. Addressing maternal mental health is particularly critical in settings of adversity where exposure to traumatic events, deprivation and ongoing stressors threaten the well-being of both caregivers and child. However, scant research addresses how to support the integration of evidence-based mental health and psychosocial support (MHPSS) services into other care settings, such as child nutrition. Conducting rigorous research to grow this evidence is complicated in real-world humanitarian settings where logistical challenges and ethical constraints render some research designs infeasible. This paper presents a study designed to evaluate the impact of Baby Friendly Spaces (BFS), a psychosocial support program for mothers of malnourished young children, delivered in Rohingya refugee camps in Cox's Bazar, Bangladesh. In this study, mothers and babies participated in BFS as part of a broader package of child nutrition care. Because all operating Integrated Nutrition Centers offered BFS, it was not possible to randomize participants or centers to treatment and control conditions. Instead, we provided additional implementation support in half of the centers to determine the added value of improving existing programming and found that doing so improved the mental health impacts for mothers in the program. This study adds to a growing body...

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“…These refugees residing in the camps live in drastic situations and suffer from hunger, poverty, lack of safety, and appropriate access to health services [ 3 ]. The mental health status of Rohingya refugee women has been reported to be poor, which could be due to prolonged exposure to violence, trauma, and stress of living under terrible circumstances [ 4 ]. Maternal mental health is a crucial factor in ensuring healthy child development [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of an Integrated Care Package for Refugee Mothers and Children: Protocol for a Cluster Randomized Controlled Trial

et al. 2021

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Background Thousands of Rohingya refugee mothers at the world’s largest refugee camp located in Bangladesh are at risk of poor mental health. Accordingly, their children are also vulnerable to delayed cognitive and physical development. Objective The aim of this study is to evaluate the effectiveness of an integrated care package in reducing the prevalence of developmental delays among children aged 1 year and improving their mothers’ mental health status. Methods This is a parallel, two-arm, single-blind, cluster randomized controlled trial (cRCT). A total of 704 mother-child dyads residing at the Kutupalong refugee camp in Cox’s Bazar, Bangladesh, will be recruited from 22 clusters with 32 mother-child dyads per cluster. In the intervention arm, an integrated early childhood development and maternal mental health package will be delivered every quarter to mothers of newborns by trained community health workers until the child is 1 year old. Our primary outcome is a reduction in the prevalence of two or more childhood developmental delays of infants aged 1 year compared to the usual treatment. The secondary outcomes include reduced stunting among children and the prevalence of maternal depression. We will also assess the cost-effectiveness of the integrated intervention, and will further explore the intervention’s acceptability and feasibility. Results At the time of submission, the study was at the stage of endpoint assessment. The data analysis started in December 2020, and the results are expected to be published after the first quarter of 2021. Conclusions This study will address the burden of childhood developmental delays and poor maternal mental health in a low-resource setting. If proven effective, the delivery of the intervention through community health workers will ensure the proposed intervention’s sustainability. Trial Registration ISRCTN Registry ISRCTN10892553; https://www.isrctn.com/ISRCTN10892553 International Registered Report Identifier (IRRID) DERR1-10.2196/25047

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Supporting maternal mental health of Rohingya refugee women during the perinatal period to promote child health and wellbeing: a field study in Cox’s Bazar

Cited by 5 publications

References 26 publications

Nutritional status and dietary diversity of pregnant and nonpregnant reproductive‐age Rohingya women

Nutritional status and dietary diversity of pregnant and nonpregnant reproductive‐age Rohingya women

Psychosocial impacts of Baby Friendly Spaces for Rohingya refugee mothers in Bangladesh: A pragmatic cluster-randomized controlled trial

Effectiveness of an Integrated Care Package for Refugee Mothers and Children: Protocol for a Cluster Randomized Controlled Trial

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