Long-term Effects of Health and Development Interventions in Rural Bangladesh

Administering Survey  The Village Turns Out  Collecting GPS Data  


Matlab Programs

Location of Health/Development Interventions, Matlab, Bangladesh

Matlab, Bangladesh, is one of the few settings that combines targeted interventions, long duration of follow-up (over 30 years), and detailed tracking of attrition across an unusually rich set of outcomes and for several generations of potential beneficiaries.  A population of over 200,000 has been followed since the mid-1970s. A quasi-randomized maternal and child health and family planning (MCH/FP) program was introduced in the late 1970s. Considerable evidence demonstrates key pre-program similarities in the MCH/FP and comparison areas. When flood control and microcredit interventions were later introduced, villages had access to none or 1-3 interventions. A large household survey, the Matlab Health and Socioeconomic Survey (MHSS1) was carried out in 1996. Th current 5-year study implements a follow-up survey to MHSS1 and a new archive of existing longitudinal data from 1974-2011. MHSS2 will provide detailed information on health, human capital, labor and marriage outcomes, old-age support, and socioeconomic status 30 years after the initiation of the MCH/FP intervention.  There are a broad set of research questions that can be addressed including:

  1. Study the impacts of MCH/FP interventions on long-term health and welfare outcomes.
  2. Study the impact of the MCH/FP interventions through intergenerational relationships and transmission of poverty.
  3. Study the impact of the MCH/FP interventions in the context of microcredit and flood control interventions as well as social, demographic, and cultural changes.
  4. Study the impact of long-term exposure to naturally occurring arsenic on health and congnitive outcomes.

In order to facilitate advanced spatial analysis, this study collected household-level geographic location for all survey respondents, and build a GIS which includes the location of water sources, roads, and community resources such as pharmacies, markets, doctor’s offices and traditional healers.

The PI for this project is Dr. Jane Menken, Director of the CU Institute of Behavioral Science (IBS).

National Institute on Aging, National Institutes of Health, Award #R01AG033713, 2010-2015.

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