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Health Bulletin 2009

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increasess sharply with the age of the children. Children in the urban areas<br />

and children of<br />

mothers who have completed primary education or higher are more<br />

likely to be fed according to<br />

IYCF recommendation. Feeding<br />

practices in the Rajshahi, Khulna, and Dhakaa are better than<br />

other divisions.<br />

120%<br />

Infant and Young Child Feeding<br />

(IYCF) Practices<br />

100%<br />

80%<br />

57%<br />

58%<br />

60%<br />

89%<br />

40%<br />

20%<br />

43%<br />

42%<br />

0%<br />

11%<br />

Breasted<br />

Non breastfed All 6‐23<br />

months<br />

Fed with all 3 IYCF practices<br />

Non fed with all 3 IYCF practices<br />

Strengthening laboratory activities<br />

The purpose of this activity is to develop the effective laboratory facilities of food and<br />

biochemical aspects of nutrition and to introduce serological tests for nutrition related diseases.<br />

IPHN is running its child nutritionn units (CNUs) to full strength. All laboratory tests for identifying<br />

nutritional status of children and<br />

mothers are routinely done at IPHN laboratory. Iodine content<br />

of salt is also routinely tested.<br />

Nutrition<br />

survey<br />

To assess the nutritional situation surveys are now being carried out in selected districts. The<br />

survey will find answers to questions like impact of price hike on household food security, food<br />

quality and nutritional status of poor women and children in Bangladesh. A survey was done<br />

among 164 families in Bangalipoor union of Saidpur upazila under Nilphamari district.<br />

Child Nutrition Unit<br />

(CNU)<br />

The Institute of Public <strong>Health</strong> Nutrition is running 20 Child Nutrition<br />

Units, one located at IPHN<br />

and the others in 19<br />

upazila health complexes in each of the greater 19 districts. The program<br />

has provided one nutritionist and<br />

a lady visitor to each center. The overall aim is to improve the<br />

nutritional status of the under- 5 children and mothers of the country. The CNUs provides<br />

services like growth monitoring;<br />

supplementation; complementary<br />

feeding; nutrition corner for<br />

mothers' education on nutrition; breast feeding corner; treatment of malnutrition<br />

and associated problem; referral<br />

center; and<br />

demonstration of home<br />

gardening. IPHN has taken<br />

steps to revitalize and provide more functional supports to CNUs.<br />

National<br />

Rickets Survey , 2008<br />

Rickets is<br />

a disease of children in which growing bones<br />

fail to calcify properly and becomee bent<br />

by the weight of the body and the pull of muscles. Rickets is most common due to a deficiency<br />

of vitamin<br />

D, an essential micronutrient obtained either from the diet or made in the body when<br />

the skin is exposed to sunlight. As vitamin D can be made in the skin, it is uncommon in the<br />

tropical or subtropical countries. When rickets does occur in sunny countries, it is usually due to<br />

other causes, such as calcium deficiency. Vitamin D deficiency<br />

rickets tends to be seen in very<br />

young children who have a soft and enlarged skull, swollen<br />

wrists and ankles and are prone<br />

to respiratory infections. In four different surveys conducted by<br />

the Institute of Child and Mother <strong>Health</strong><br />

(ICMH), 1998; Bangladesh Rural Advancement<br />

52

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