Effects of healthcare spending on public health status: An empirical investigation from Bangladesh.

The escalation of healthcare spending in many nations, particularly in emerging countries such as Bangladesh, may be largely attributed to the growing demand for healthcare services. Evidently, there has been a significant expansion in the public funding allocated to the health sector in Bangladesh, intending to enhance health outcomes. Therefore, the purpose of this study was to examine the impact of healthcare expenditure on health outcomes, specifically focusing on the reduction in different mortality rates and the transmission of various infectious diseases. A total of 30 years of data (1990-2019) on the health sector of Bangladesh were collected from different national and international sources. The Vector Autoregression with Exogenous Variables (VARX) model was employed to determine the effects of healthcare expenditure on health outcomes. Results revealed that the per capita health expenditure and the number of doctors showed a significant positive impact on life expectancy and maternal and child health. Also, the government's annual budget on the health sector and number of doctors had a significant positive impact on lowering deaths by Diphtheria, Cholera, Tuberculosis, and Malaria diseases. In order to develop a sustainable healthcare system within the nation, it is imperative for the government to prioritize the allocation of sufficient and effective healthcare funding to cater to the needs of the populace.

Factors associated with child and maternal dietary diversity in the urban areas of Bangladesh.

Dietary diversity is an indicator of nutrition that has been found positively associated with diet quality, micronutrient adequacy, and improved maternal health and child growth. Due to the cultural responsibility of women in providing food at the household level, their status is very important to perform this role. Hence, this study has been conducted on the status of dietary diversity of the mother and child to understand how it relates to various factors of women in urban settings. Data were obtained from 1978 mother-child pairs living in different cities in Bangladesh. The foods taken by the women and children were categorized into 10 and 7 groups to measure women's dietary diversity (WDD) and children's dietary diversity (CDD), respectively. The study found that more than three-fourths of the mothers and half of the children had low dietary diversity. The household wealth holdings and access to resources by the women were found inadequate, while two-thirds of them had the lowest to medium level of nutritional knowledge. The binomial logistic regression model was used to measure the factors influencing WDD and CDD. The findings also indicated that children's dietary diversity was influenced by the mother's age, education, supportive attitude and behavior of husband, and access to and control over resources. While the household wealth index can enhance both child and mother's dietary variety, nutrition knowledge, dietary counseling, and access to and control over resources can improve maternal dietary diversity. This study recommends improving women's socioeconomic status by increasing their wealth and access to resources and enhancing their nutrition knowledge by providing food and nutrition counseling.

Do farmers use waterlogged wastelands efficiently? An economic study on water chestnut farming in Bangladesh.

Waterlogging due to rain-fed floods is considered a natural calamity worldwide that causes lands in the north region of Bangladesh to remain underwater and uncultivable for most crops during the rainy season. This unused wasteland has immense potential for additional earnings for the marginal farmer by converting it to cultivable land through proper utilization by cultivating water chestnuts. Increasing the productivity and efficiency of water chestnut farming in these wastelands would facilitate higher food production for the growing populations. Therefore, this study estimates the farmers' profitability of water chestnut production along with technical efficiency (TE) and land use efficiency (LUE). Primary data from 150 farmers of Natore, Naogaon, and Jamalpur districts were used and stochastic frontier analysis was employed. Results reveal that no farmers had any training in water chestnut farming. Human labor and land use costs incur more than 80% of the total cost and laborers shortage was found due to skin problems working in the water. However, water chestnut farming was profitable in all districts and the average benefit-cost ratio was 1.37. TE results indicate that there was an opportunity to increase the water chestnut production by 20.2% using the same amount of inputs. LUE by the water chestnut farmers was found to be very low; hence, they were using their land inefficiently and this inefficiency was positively affected by farm size and number of family members and negatively affected by age, year of schooling, and income. The study suggests research focusing on improved management of water chestnut without affecting laborers and training to facilitate higher productivity and LUE.

Perception of and adaptation to climate change: the case of wheat farmers in northwest Bangladesh.

Climate change's impact on crop production is a global concern. A better understanding of farmers' perceptions of climate change and adaptation strategies will benefit farmers and policymakers in outlining an effective adaptation mechanism to climate change. Therefore, this study assessed wheat farmers' perceptions of climate change, identified major adaptation strategies, factors influencing adaptations, and barriers to effective adaptation by surveying 160 wheat farmers in northwest Bangladesh. The results revealed that farmers experienced more frequent droughts due to higher temperatures, decreased and irregular precipitation, reduced ground and surface water availability, and shorter winter seasons over the last two decades. Key adaptation strategies identified were more irrigation, switching to other crops, and changing fertilizer and insecticide usage. Multinomial logit model results indicate that farming experience, access to climate information and extension services, access to subsidies, farm size, family size, and electricity for irrigation were the significant factors influencing farmers' adaptation decisions. Limited access to climate information, inadequate knowledge of appropriate adaptation measures, and low price of wheat represented major adaptation barriers. The study recommends strengthening agricultural research and extension services to farmers, including education and training, to develop effective adaptation strategies to climate change.

Willingness to pay for adopting conservation tillage technologies in wheat cultivation: policy options for small-scale farmers.

Traditional farming involves intensive tillage causing soil degradation and erosion. On the contrary, conservation tillage technologies are expensive to purchase for small-scale farmers. However, the adoption of these technologies reduces soil tillage costs which lead to reduced overall production costs. In this milieu, this study assessed the willingness to pay (WTP) for adopting conservation tillage technologies in terms of individual and cooperative payment systems using the primary data collected from 320 wheat farmers in Bangladesh. The contingency valuation method (CVM) was followed to estimate their WTP, and factors affecting WTP were identified through the logistic regression model. The results elicited farmers perceived that conservation tillage technologies would facilitate by reducing costs, timely land preparation, seed sowing and planting, appropriate positioning of seed and fertilizers, and higher soil moisture. Nevertheless, most of the farmers wanted to adopt conservation tillage technologies, while about 79% would like to pay for it. Although farmers' average WTP for individual purchases was higher, most were interested in the cooperative systems for adopting conservation tillage machines. Farmers' WTP for both individual and cooperative purchases was influenced by location of wheat production, farming experience, and demonstration plots. Additionally, individual payment system was affected by the amount of wheatland and training while credit affected the cooperative purchase system. Besides, the farmers would like to expand their wheat farms by approximately 73.33% after adopting conservation tillage technologies. The refusal to pay for conservation tillage technologies was mostly due to low-quality spare parts, lack of technical understanding, and unawareness of the technology. This study suggests that providing training among farmers and operators, credit support, and making machines and spare parts available in the nearest markets would support adopting conservation technologies. Besides, cooperative-based payment system should be formed to help small-scale farmers adopt conservation tillage techniques for sustainable agriculture in an environment-friendly way.

Scaling the changes in lifestyle, attitude, and behavioral patterns among COVID-19 vaccinated people: insights from Bangladesh.

With the advent of COVID-19 vaccines, countries around the globe are anticipating a way out from the pandemic. Despite being an initiative to contain the COVID-19 virus spreading, the mass vaccination program also raised concerns about its consequences on the lifestyle, attitude, and behavioral pattern of vaccinated people in the post-vaccination period. With this in mind, this study investigated changes in lifestyle, attitude, and behavior among vaccinated people in Bangladesh. A cross-sectional survey was conducted incorporating 1227 COVID-19 vaccinated respondents from eight divisions of Bangladesh. The relative importance index (RII) was used to assess the most compelling lifestyle, attitude, and behavior changes, while binary logistic regression was used to identify factors driving the changes. Findings disclosed that respondents increased the physical contact with non-vaccinated ones and amplified consuming nutritious food after vaccination. The inclination of avoiding distance, handshaking, abandoning sanitizer and mask, visiting crowded places, traveling, and staying outside longer was found to be increased among vaccinated individuals. Surprisingly, about seven out of ten surveyed respondents exhibited a sedentary lifestyle, while 67.37% of respondents showed negative behavioral changes following the vaccination period. A positive attitude was observed in encouraging others to be vaccinated against COVID-19. However, 92% of the respondents positively changed their attitude toward the COVID-19 vaccine after vaccination. Furthermore, the participants' age, residence, economic status, and educational level influenced lifestyle, attitude, and behavioral changes positively. The study recommends informing citizens about the opacity of vaccinations' ability to contain infections and encouraging them to continue following COVID-19 protective guidelines.

Teaching during a pandemic: do university teachers prefer online teaching?

Universities worldwide have been conducting e-learning during the COVID-19 pandemic to continue education irrespective of faculties are familiar with e-education or not. This study assessed perception and preference for e-teaching amongst 438 faculty members. Results revealed that around half of teachers were conducting e-classes without any training, and they also had conducted examinations using online platforms. Teachers perceived e-teaching as effective during the pandemic, time-efficient, easy to share materials, unsuitable for monitoring or conducting practical classes and less effective for evaluation. More than three-fourths of the teachers preferred online teaching during the pandemic, and most preferred both physical and mixed teaching in the post-pandemic era. Their preferences were influenced by their age, teaching experience, academic discipline, current residency, training on online teaching, hours of online classes taught per week, internet connection used, types of classes and whether they had given online examinations. The major challenges in online teaching during COVID-19 were difficulty in practical work, difficulty in monitoring students and insufficient feedback. This study suggests online teaching during the pandemic and mixed teaching after the pandemic. Training faculty members on online teaching, designing e-platforms suitable for examinations and ensuring stable internet connections are also recommended for effective and smooth e-education.

Anxiety and Its Determinants among Undergraduate Students during E-learning in Bangladesh Amid Covid-19.

BACKGROUND: The universities of Bangladesh are closed for more than seventeen months due to the covid-19 pandemic. This prolonged detachment has psychological consequences among the students. This study assessed the anxiety level and its determinants among the undergraduate students of Bangladesh, along with constraints faced by them during e-learning. METHODS: A web-based cross-sectional survey among 206 undergraduate students was conducted using a well-structured questionnaire. Their anxiety level was estimated using Zung's self-rating anxiety scale (SAS) and determinates were identified by employing a Tobit model. The problem confrontation index (PCI) was used to rank the constraints. RESULTS: About 82.5% of the undergraduate students in Bangladesh are experiencing mild to extreme anxiety, while 14.08% are experiencing extreme anxiety. Students' gender, father's year of schooling, family size, residential area, academic year, current accommodation, and access to high-speed internet affect their level of anxiety. Learning alone at home, lacking access to learning resources and inaccessibility to other e-learning platforms are the top three constraints students faced during e-learning. LIMITATIONS: Self-reported data, socio-demographic variables and online survey. CONCLUSION: Covid-19 has been causing anxiety among the students. This study recommends providing better internet services for facilitating e-learning along with access to different e-learning platforms.