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M Shuaib

Publications and source records attributed to M Shuaib.

4 recordsLinked to original sources

Iodine fortification is related to increased weight-for-age and birthweight in children in Asia.

Severe iodine deficiency causes stunting and mental retardation in utero, but the relation between mild deficiency and child growth is not well known. The use of iodated salt in relation to anthropometric data was examined from recent survey data. After potential confounding factors had been controlled for, significant associations were seen in Bangladesh, India, Nepal, and Sri Lanka. The use of iodated salt was related to increased weight-for-age and mid-upper-arm circumference, most strongly in the second year of life, mainly affecting soft tissue (thinness). The relation with weight-for-age was greater among children of mothers with lower body mass index. The use of iodated salt was related to birthweight in Sri Lanka and in the Philippines, where iodized oil capsules given during pregnancy had a negative effect when used with high levels of iodine in salt. The associations generally were concentrated in large geographic areas, possibly because of interactions with other environmental factors (e.g., selenium and arsenic). The apparent growth response to iodine may reflect functional effects of mild deficiency, which is widespread, possibly including effects on brain development.

Aging↗

Estimating childhood mortality trends from routine data: a simulation using the preceding birth technique in Bangladesh.

The Preceding Birth Technique (PBT) has been proposed as a method suitable for ascertaining the prevailing level of under-2 mortality in countries without full vital registration. It is a monitoring tool rather than a method that will replace other established approaches to measuring childhood mortality levels and differentials that other demographers have developed over the last 30 years. The principle obstacle to the wider adoption of the PBT is the low proportion of women who give birth in maternity clinics and hospitals. A larger proportion of mothers, however, visit clinics and hospitals for antenatal care and to vaccinate their newborn. We used data from the Matlab surveillance system to test the accuracy of mortality estimates derived using the PBT with data obtained from mothers at antenatal visits and at the vaccination of their youngest children. The study shows that the PBT estimates under-3 rather than under-2 mortality in Bangladesh due to the long birth intervals. The data when used to stimulate the collection of the information at antenatal or postnatal visits, nonetheless provide an accurate description of under-3 mortality trends and differences for the two periods examined--before 1984 and before 1989.

Bangladesh↗

A not quite as quick but much cleaner alternative to the Expanded Programme on Immunization (EPI) Cluster Survey design.

BACKGROUND: Although the Expanded Programme on Immunization (EPI) cluster survey methodology has been successfully used for assessing levels of immunization programme coverage in developing country settings, certain features of the methodology, as it is usually carried out, make it less-than-optimal choice for large, national surveys and/or surveys with multiple measurement objectives. What is needed is a 'middle ground' between rigorous cluster sampling methods, which are seen as unfeasible for routine use in many developing country settings, and the EPI cluster survey approach. METHODS: This article suggests some fairly straightforward modifications to the basic EPI cluster survey design that put it on a solid probability footing and render it easily adaptable to differing and/or multiple measurement objectives, without incurring prohibitive costs or adding appreciably to the complexity of survey operations. The proposed modifications concern primarily the manner in which households are chosen at the second stage of sample selection. CONCLUSIONS: Because the modified sampling strategy maintains the scientific rigor of conventional cluster sampling methods while retaining many of the desirable features of the EPI survey methodology, the methodology is likely to be a preferred 'middle ground' survey design, relevant for many applications, particularly surveys designed to monitor multiple health indicators over time. The fieldwork burden in the modified design is only marginally higher than in EPI cluster surveys, and considerably lower than in conventional cluster surveys.

Humans↗