Coastal aquaculture in Bangladesh: Sundarbans's role against climate change.

The Sundarbans, a natural shield on earth, is one and only place that has many noteworthy environmental and geographical values with breathtaking natural beauties. Near the Sundarbans area, proliferation of aquaculture in this delta contributes appreciably to the national economy. Although aquaculture has become a means of daily livelihood, this sector is nevertheless threatened by a complex of climate change impacts. Cyclones, rising temperatures, rising sea levels, coastal flooding, and erosion make coastal farming difficult. As a panacea, the Sundarbans can play a critical role in preserving coastal aquaculture. As noticed, forests have high potential to recover from unusual consequences of climate change. Practicing safe aquaculture should be opted to refrain from endangering the Sundarbans. This review addressed various climate change impacts on coastal farming and identified the capabilities of the Sundarbans to protect coastal aquaculture from calamitous impacts. Findings show clues for researchers to analyze problems, consequences, and mitigations.

Implementation of a context-specific accreditation assessment tool for affirming quality midwifery education in Bangladesh: a qualitative research study.

Background: Only recently did midwifery become a profession in Bangladesh. As such, sufficient quality education, both theory and practice, remains a challenge. In 2018, a context-specific accreditation assessment tool for affirming quality midwifery education was therefore developed and implemented.Objectives: To describe both the positive and negative aspects of the implementation of an accreditation process at midwifery education institutions in Bangladesh and to sketch out areas for possible improvement.Method: Forty focus group discussions were conducted with 276 policymakers, regulatory authorities and educators involved in midwifery education and services in Bangladesh. The Consolidated Framework for Implementation Research (CFIR) was used in a directed content analysis approach.Results: The accreditation assessment tool was developed using a participatory and consensus-building approach, building on existing policies, which resulted in the national ownership of its implementation. Staff from clinical sites were not included in the accreditation process; unless this changes, this will make it difficult for Bangladesh to achieve the set accreditation standards. The accreditation process has improved communication between the midwifery teaching institutions, policymakers and regulatory authorities. Educators started to visit the clinical sites more frequently. The planning process was complex and time-consuming, and emphasis was put on the importance of developing a plan of action for measuring improvements.Conclusion: In the move from the initial assessment of an accreditation process to its implementation, it is essential to make public the results found at all educational institutions. This encourages acceptance, while soliciting feedback and suggestions for future action. Only then can an accreditation process have an impact on the provision of high-quality midwifery education and services. This paper aims to encourage and guide other countries in their development, planning and implementation of a national accreditation process for midwifery education.