Mr Md Nuruzzaman Khan

Mr Md Nuruzzaman Khan

Research student

Career Summary

Biography

Md Nuruzzaman Khan is a PhD student at the Research Centre for Generational Health and Aging, Faculty of Health and Medicine, University of Newcastle, Australia. Before commencing his PhD, he had been lecturing in the Department of Population Sciences at the Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh and currently on study leave. Mr Khan completed his Bachelor of Science (B.Sc.) and Master of Science (M.Sc) in Population Science and Human Resource Development from the University of Rajshahi, Bangladesh. He has been actively engaged in public health research since 2014 and develop a significant record of accomplishment in understanding the complex health and social outcomes for the women and child. Mr Khan has a particular interest in women health, including problems associated with reproductive health, and healthcare services utilization in low- and lower-middle income countries.   


Keywords

  • Burden of nutrition
  • Maternal and child health
  • Non-communicable diseases
  • Population modelling
  • Universal health coverage

Languages

  • Bengali (Mother)
  • English (Fluent)

Fields of Research

Code Description Percentage
111799 Public Health and Health Services not elsewhere classified 55
111104 Public Nutrition Intervention 30
080702 Health Informatics 15

Professional Experience

Teaching appointment

Dates Title Organisation / Department
14/6/2017 -  PhD Student Faculty of Health and Medicine, University of Newcastle
School of Medicine and Public Health
Australia

Teaching

Code Course Role Duration
PS101, PS103 Population Health, Demography
Jatiya Kabi Kazi Nazrul Islam University
Lecturer 5/2/2017 - 7/7/2019
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Journal article (33 outputs)

Year Citation Altmetrics Link
2020 Khan MN, Harris ML, Loxton D, 'Does unintended pregnancy have an impact on skilled delivery care use in Bangladesh? A nationally representative cross-sectional study using Demography and Health Survey data.', J Biosoc Sci, 1-17 (2020)
DOI 10.1017/S0021932020000528
Co-authors Deborah Loxton, Melissa Harris
2020 Khan MN, Harris ML, Oldmeadow C, Loxton D, 'Effect of unintended pregnancy on skilled antenatal care uptake in Bangladesh: analysis of national survey data.', Arch Public Health, 78 81 (2020)
DOI 10.1186/s13690-020-00468-1
Co-authors Melissa Harris, Christopher Oldmeadow, Deborah Loxton
2020 Kinyoki DK, Ross JM, Lazzar-Atwood A, Munro SB, Schaeffer LE, Abbasalizad-Farhangi M, et al., 'Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017', Nature Medicine, 26 750-759 (2020)

© 2020, The Author(s). A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geosp... [more]

© 2020, The Author(s). A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geospatial estimates of overweight and wasting prevalence among children under 5 years of age in 105 low- and middle-income countries (LMICs) from 2000 to 2017 and aggregate these to policy-relevant administrative units. Wasting decreased overall across LMICs between 2000 and 2017, from 8.4% (62.3 (55.1¿70.8) million) to 6.4% (58.3 (47.6¿70.7) million), but is predicted to remain above the World Health Organization¿s Global Nutrition Target of <5% in over half of LMICs by 2025. Prevalence of overweight increased from 5.2% (30 (22.8¿38.5) million) in 2000 to 6.0% (55.5 (44.8¿67.9) million) children aged under 5 years in 2017. Areas most affected by double burden of malnutrition were located in Indonesia, Thailand, southeastern China, Botswana, Cameroon and central Nigeria. Our estimates provide a new perspective to researchers, policy makers and public health agencies in their efforts to address this global childhood syndemic.

DOI 10.1038/s41591-020-0807-6
Citations Scopus - 1Web of Science - 1
2020 Khan MN, Harris M, Loxton D, 'Modern contraceptive use following an unplanned birth in Bangladesh: An analysis of national survey data', International Perspectives on Sexual and Reproductive Health, 46 77-87 (2020) [C1]

© 2020, Guttmacher Institute. All rights reserved. CONTEXT: Ineffective use or nonuse of contraceptives following an unplanned birth can contribute to the risk of a subsequent uni... [more]

© 2020, Guttmacher Institute. All rights reserved. CONTEXT: Ineffective use or nonuse of contraceptives following an unplanned birth can contribute to the risk of a subsequent unintended pregnancy; however, the literature on the relationship between unintended pregnancy and postpartum contraceptive use is sparse, especially in low-and middle-income countries. METHODS: Data on 4,493 women from the 2014 Bangladesh Demographic and Health Survey were analyzed; the subjects of the analysis had had a live birth in the three years prior to the survey and were currently at risk of pregnancy. Multilevel logistic regression analysis was used to examine associations between the intendedness of a woman¿s last pregnancy resulting in a live birth and her current modern contraceptive use adjusting for individual, household and community-level variables. RESULTS: Twenty-six percent of women reported that their last pregnancy resulting in a live birth had been unintended (15% mistimed and 11% unwanted); 61% reported current use of a modern contraceptive method. Compared with women who reported the pregnancy as having been wanted, those who reported the pregnancy as mistimed had greater odds of current modern contraceptive use (odds ratio, 1.6); no association was found between having had an unwanted pregnancy and subsequent modern contraceptive use. Other important correlates of modern contraceptive use included women¿s autonomy and desire for children, time since last birth and community-level poverty. CONCLUSIONS: Bangladeshi women who experience an unwanted pregnancy may have an elevated risk of subsequent unintended pregnancy. Broader coverage of family planning services, and integration of family planning with maternal health care, may increase modern contraceptive use following an unplanned birth.

DOI 10.1363/46e8820
Citations Scopus - 3
Co-authors Deborah Loxton, Melissa Harris
2020 Wiens KE, Lindstedt PA, Blacker BF, Johnson KB, Baumann MM, Schaeffer LE, et al., 'Mapping geographical inequalities in oral rehydration therapy coverage in low-income and middle-income countries, 2000 17', The Lancet Global Health, 8 e1038-e1060 (2020) [C1]
DOI 10.1016/s2214-109x(20)30230-8
Citations Web of Science - 1
2020 Rahman MA, Khan MN, Akter S, Rahman A, Alam MM, Khan MA, Rahman MM, 'Determinants of exclusive breastfeeding practice in Bangladesh: Evidence from nationally representative survey data', PLOS ONE, 15 (2020)
DOI 10.1371/journal.pone.0236080
Citations Web of Science - 1
Co-authors Shahinoor Akter Uon
2020 Rai A, Khan MN, Thapa S, 'Trends and determinants of anaemia in women of Nepal: a multilevel analysis', Maternal and Child Nutrition, 16 (2020) [C1]
DOI 10.1111/mcn.13044
2020 Reiner RC, Wiens KE, Deshpande A, Baumann MM, Lindstedt PA, Blacker BF, et al., 'Department of Error: Mapping geographical inequalities in childhood diarrhoeal morbidity and mortality in low-income and middle-income countries, 2000 17: analysis for the Global Burden of Disease Study 2017 (The Lancet (2020) 395(10239) (1779 1801), (S0140673620301148), (10.1016/S0140-6736(20)30114-8))', The Lancet, 395 1762 (2020)

© 2020 Elsevier Ltd Reiner RC Jr, Hay SI. Mapping geographical inequalities in childhood diarrhoeal morbidity and mortality in low-income and middle-income countries, 2000¿17: ana... [more]

© 2020 Elsevier Ltd Reiner RC Jr, Hay SI. Mapping geographical inequalities in childhood diarrhoeal morbidity and mortality in low-income and middle-income countries, 2000¿17: analysis for the Global Burden of Disease Study 2017. Lancet 2020; 395: 1779¿801¿In this Article, the author byline has been amended to Local Burden of Disease Diarrhoea Collaborators. This correction has been made to the online version as of June 4, 2020, and the printed version is correct.

DOI 10.1016/S0140-6736(20)31248-4
2020 Troeger CE, Khalil IA, Blacker BF, Biehl MH, Albertson SB, Zimsen SRM, et al., 'Quantifying risks and interventions that have affected the burden of diarrhoea among children younger than 5 years: an analysis of the Global Burden of Disease Study 2017', The Lancet Infectious Diseases, 20 37-59 (2020)

© 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: Many countries have shown marked declines in diarrhoeal dis... [more]

© 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: Many countries have shown marked declines in diarrhoeal disease mortality among children younger than 5 years. With this analysis, we provide updated results on diarrhoeal disease mortality among children younger than 5 years from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2017) and use the study's comparative risk assessment to quantify trends and effects of risk factors, interventions, and broader sociodemographic development on mortality changes in 195 countries and territories from 1990 to 2017. Methods: This analysis for GBD 2017 had three main components. Diarrhoea mortality was modelled using vital registration data, demographic surveillance data, and verbal autopsy data in a predictive, Bayesian, ensemble modelling tool; and the attribution of risk factors and interventions for diarrhoea were modelled in a counterfactual framework that combines modelled population-level prevalence of the exposure to each risk or intervention with the relative risk of diarrhoea given exposure to that factor. We assessed the relative and absolute change in diarrhoea mortality rate between 1990 and 2017, and used the change in risk factor exposure and sociodemographic status to explain differences in the trends of diarrhoea mortality among children younger than 5 years. Findings: Diarrhoea was responsible for an estimated 533 768 deaths (95% uncertainty interval 477 162¿593 145) among children younger than 5 years globally in 2017, a rate of 78·4 deaths (70·1¿87·1) per 100 000 children. The diarrhoea mortality rate ranged between countries by over 685 deaths per 100 000 children. Diarrhoea mortality per 100 000 globally decreased by 69·6% (63·1¿74·6) between 1990 and 2017. Among the risk factors considered in this study, those responsible for the largest declines in the diarrhoea mortality rate were reduction in exposure to unsafe sanitation (13·3% decrease, 11·2¿15·5), childhood wasting (9·9% decrease, 9·6¿10·2), and low use of oral rehydration solution (6·9% decrease, 4·8¿8·4). Interpretation: Diarrhoea mortality has declined substantially since 1990, although there are variations by country. Improvements in sociodemographic indicators might explain some of these trends, but changes in exposure to risk factors¿particularly unsafe sanitation, childhood growth failure, and low use of oral rehydration solution¿appear to be related to the relative and absolute rates of decline in diarrhoea mortality. Although the most effective interventions might vary by country or region, identifying and scaling up the interventions aimed at preventing and protecting against diarrhoea that have already reduced diarrhoea mortality could further avert many thousands of deaths due to this illness. Funding: Bill & Melinda Gates Foundation.

DOI 10.1016/S1473-3099(19)30401-3
Citations Scopus - 9
2020 Troeger CE, Khalil IA, Blacker BF, Biehl MH, Albertson SB, Zimsen SRM, et al., 'Quantifying risks and interventions that have affected the burden of lower respiratory infections among children younger than 5 years: an analysis for the Global Burden of Disease Study 2017', The Lancet Infectious Diseases, 20 60-79 (2020) [C1]

© 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4·0 license Background: Despite large reductions in under-5 lower respiratory infec... [more]

© 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4·0 license Background: Despite large reductions in under-5 lower respiratory infection (LRI) mortality in many locations, the pace of progress for LRIs has generally lagged behind that of other childhood infectious diseases. To better inform programmes and policies focused on preventing and treating LRIs, we assessed the contributions and patterns of risk factor attribution, intervention coverage, and sociodemographic development in 195 countries and territories by drawing from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2017) LRI estimates. Methods: We used four strategies to model LRI burden: the mortality due to LRIs was modelled using vital registration data, demographic surveillance data, and verbal autopsy data in a predictive ensemble modelling tool; the incidence of LRIs was modelled using population representative surveys, health-care utilisation data, and scientific literature in a compartmental meta-regression tool; the attribution of risk factors for LRI mortality was modelled in a counterfactual framework; and trends in LRI mortality were analysed applying changes in exposure to risk factors over time. In GBD, infectious disease mortality, including that due to LRI, is among HIV-negative individuals. We categorised locations based on their burden in 1990 to make comparisons in the changing burden between 1990 and 2017 and evaluate the relative percent change in mortality rate, incidence, and risk factor exposure to explain differences in the health loss associated with LRIs among children younger than 5 years. Findings: In 2017, LRIs caused 808 920 deaths (95% uncertainty interval 747 286¿873 591) in children younger than 5 years. Since 1990, there has been a substantial decrease in the number of deaths (from 2 337 538 to 808 920 deaths; 65·4% decrease, 61·5¿68·5) and in mortality rate (from 362·7 deaths [330·1¿392·0] per 100 000 children to 118·9 deaths [109·8¿128·3] per 100 000 children; 67·2% decrease, 63·5¿70·1). LRI incidence declined globally (32·4% decrease, 27·2¿37·5). The percent change in under-5 mortality rate and incidence has varied across locations. Among the risk factors assessed in this study, those responsible for the greatest decrease in under-5 LRI mortality between 1990 and 2017 were increased coverage of vaccination against Haemophilus influenza type b (11·4% decrease, 0·0¿24·5), increased pneumococcal vaccine coverage (6·3% decrease, 6·1¿6·3), and reductions in household air pollution (8·4%, 6·8¿9·2). Interpretation: Our findings show that there have been substantial but uneven declines in LRI mortality among countries between 1990 and 2017. Although improvements in indicators of sociodemographic development could explain some of these trends, changes in exposure to modifiable risk factors are related to the rates of decline in LRI mortality. No single intervention would universally accelerate reductions in health loss associated with LRIs in all settings, but emphasising the most dominant risk factors, particularly in countries with high case fatality, can contribute to the reduction of preventable deaths. Funding: Bill & Melinda Gates Foundation.

DOI 10.1016/S1473-3099(19)30410-4
Citations Scopus - 11
2020 Khan MMA, Khan MN, Mustagir MG, Rana J, Haque MR, Rahman MM, 'COVID-19 infection during pregnancy: A systematic review to summarize possible symptoms, treatments, and pregnancy outcomes (2020)
DOI 10.1101/2020.03.31.20049304
2020 Deshpande A, Miller-Petrie MK, Lindstedt PA, Baumann MM, Johnson KB, Blacker BF, et al., 'Mapping geographical inequalities in access to drinking water and sanitation facilities in low-income and middle-income countries, 2000 17', The Lancet Global Health, 8 e1162-e1185 (2020)

© 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Background: Universal access to safe drinking water and sanitation fac... [more]

© 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Background: Universal access to safe drinking water and sanitation facilities is an essential human right, recognised in the Sustainable Development Goals as crucial for preventing disease and improving human wellbeing. Comprehensive, high-resolution estimates are important to inform progress towards achieving this goal. We aimed to produce high-resolution geospatial estimates of access to drinking water and sanitation facilities. Methods: We used a Bayesian geostatistical model and data from 600 sources across more than 88 low-income and middle-income countries (LMICs) to estimate access to drinking water and sanitation facilities on continuous continent-wide surfaces from 2000 to 2017, and aggregated results to policy-relevant administrative units. We estimated mutually exclusive and collectively exhaustive subcategories of facilities for drinking water (piped water on or off premises, other improved facilities, unimproved, and surface water) and sanitation facilities (septic or sewer sanitation, other improved, unimproved, and open defecation) with use of ordinal regression. We also estimated the number of diarrhoeal deaths in children younger than 5 years attributed to unsafe facilities and estimated deaths that were averted by increased access to safe facilities in 2017, and analysed geographical inequality in access within LMICs. Findings: Across LMICs, access to both piped water and improved water overall increased between 2000 and 2017, with progress varying spatially. For piped water, the safest water facility type, access increased from 40·0% (95% uncertainty interval [UI] 39·4¿40·7) to 50·3% (50·0¿50·5), but was lowest in sub-Saharan Africa, where access to piped water was mostly concentrated in urban centres. Access to both sewer or septic sanitation and improved sanitation overall also increased across all LMICs during the study period. For sewer or septic sanitation, access was 46·3% (95% UI 46·1¿46·5) in 2017, compared with 28·7% (28·5¿29·0) in 2000. Although some units improved access to the safest drinking water or sanitation facilities since 2000, a large absolute number of people continued to not have access in several units with high access to such facilities (>80%) in 2017. More than 253 000 people did not have access to sewer or septic sanitation facilities in the city of Harare, Zimbabwe, despite 88·6% (95% UI 87·2¿89·7) access overall. Many units were able to transition from the least safe facilities in 2000 to safe facilities by 2017; for units in which populations primarily practised open defecation in 2000, 686 (95% UI 664¿711) of the 1830 (1797¿1863) units transitioned to the use of improved sanitation. Geographical disparities in access to improved water across units decreased in 76·1% (95% UI 71·6¿80·7) of countries from 2000 to 2017, and in 53·9% (50·6¿59·6) of countries for access to improved sanitation, but remained evident subnationally in most countries in 2017. Interpretation: Our estimates, combined with geospatial trends in diarrhoeal burden, identify where efforts to increase access to safe drinking water and sanitation facilities are most needed. By highlighting areas with successful approaches or in need of targeted interventions, our estimates can enable precision public health to effectively progress towards universal access to safe water and sanitation. Funding: Bill & Melinda Gates Foundation.

DOI 10.1016/S2214-109X(20)30278-3
2020 Reiner RC, Hay SI, Wiens KE, Deshpande A, Baumann MM, Lindstedt PA, et al., 'Mapping geographical inequalities in childhood diarrhoeal morbidity and mortality in low-income and middle-income countries, 2000 17: analysis for the Global Burden of Disease Study 2017', The Lancet, (2020)

© 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: Across low-income and middle-income countries (LMICs), one ... [more]

© 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: Across low-income and middle-income countries (LMICs), one in ten deaths in children younger than 5 years is attributable to diarrhoea. The substantial between-country variation in both diarrhoea incidence and mortality is attributable to interventions that protect children, prevent infection, and treat disease. Identifying subnational regions with the highest burden and mapping associated risk factors can aid in reducing preventable childhood diarrhoea. Methods: We used Bayesian model-based geostatistics and a geolocated dataset comprising 15 072 746 children younger than 5 years from 466 surveys in 94 LMICs, in combination with findings of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017, to estimate posterior distributions of diarrhoea prevalence, incidence, and mortality from 2000 to 2017. From these data, we estimated the burden of diarrhoea at varying subnational levels (termed units) by spatially aggregating draws, and we investigated the drivers of subnational patterns by creating aggregated risk factor estimates. Findings: The greatest declines in diarrhoeal mortality were seen in south and southeast Asia and South America, where 54·0% (95% uncertainty interval [UI] 38·1¿65·8), 17·4% (7·7¿28·4), and 59·5% (34·2¿86·9) of units, respectively, recorded decreases in deaths from diarrhoea greater than 10%. Although children in much of Africa remain at high risk of death due to diarrhoea, regions with the most deaths were outside Africa, with the highest mortality units located in Pakistan. Indonesia showed the greatest within-country geographical inequality; some regions had mortality rates nearly four times the average country rate. Reductions in mortality were correlated to improvements in water, sanitation, and hygiene (WASH) or reductions in child growth failure (CGF). Similarly, most high-risk areas had poor WASH, high CGF, or low oral rehydration therapy coverage. Interpretation: By co-analysing geospatial trends in diarrhoeal burden and its key risk factors, we could assess candidate drivers of subnational death reduction. Further, by doing a counterfactual analysis of the remaining disease burden using key risk factors, we identified potential intervention strategies for vulnerable populations. In view of the demands for limited resources in LMICs, accurately quantifying the burden of diarrhoea and its drivers is important for precision public health. Funding: Bill & Melinda Gates Foundation.

DOI 10.1016/S0140-6736(20)30114-8
Citations Scopus - 3Web of Science - 2
2020 Khan MN, Kumar P, Rahman MM, Mondal MNI, Islam MM, 'Inequalities in Utilization of Maternal Reproductive Health Care Services in Urban Bangladesh: A Population-Based Study', SAGE OPEN, 10 (2020) [C1]
DOI 10.1177/2158244020914394
Citations Scopus - 1
Co-authors Mdmijanur Rahman Uon
2020 Khan A, Fahad TM, Manik MIN, Ali H, Ashiquazzaman M, Mollah MI, et al., 'Barriers in access to healthcare services for individuals with disorders of sex differentiation in Bangladesh: An analysis of regional representative cross-sectional data', BMC Public Health, 20 (2020)

© 2020 The Author(s). Background: Worldwide people in disorder of sex development (DSD) faces multiple barriers while seeking their social rights, particularly healthcare services... [more]

© 2020 The Author(s). Background: Worldwide people in disorder of sex development (DSD) faces multiple barriers while seeking their social rights, particularly healthcare services. We aimed to explore the healthcare opportunities available to them, using patterns of healthcare utilization and difficulties faced by DSD population in accessing healthcare services in Bangladesh. Methods: Data from a total of 945 DSD population and 71 medical staff were analyzed, collected from three major divisions (Dhaka, Chittagong, and Rajshahi) in Bangladesh during the period of January to December of 2017. A structured questionnaire was used to collect data via face-to-face interviews. Descriptive statistic was used to determine the frequencies of the visit by the DSD population in healthcare facilities as well as to analyze difficulties experienced by the DSD population in getting healthcare services. Multivariate regression analysis was used to explore the association between perceived barriers in getting healthcare services and failures of the DSD population to receive the healthcare services. Results: Present data revealed that around 80% of DSD population sought healthcare services from government healthcare facilities, where the overall success rate in getting healthcare services was less than 50%. The DSD population reported a number of reasons for failures in getting healthcare services, including non-friendly interaction by non-clinical hospital's staff, non-friendly interaction by physicians, public fright as general people do not want to mingle with a DSD person, undesirable excess public interest in DSD individuals, and limitation of the treatment opportunities of hospitals to merely male or female patients. Among the stated reasons, the most frequently reported reason was non-friendly interaction by physicians (50.27%), followed by undesirable excess public interest in DSD individuals (50.16%). Conclusion: DSD population in Bangladesh have limited access to healthcare facilities and facing multiple barriers to get healthcare services. Initiatives from the government and social organizations are important to ensure their access to healthcare services.

DOI 10.1186/s12889-020-09284-2
2020 Kinyoki DK, Ross JM, Lazzar-Atwood A, Munro SB, Schaeffer LE, Abbasalizad-Farhangi M, et al., 'Author Correction: Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017 (Nature Medicine, (2020), 26, 5, (750-759), 10.1038/s41591-020-0807-6)', Nature Medicine, 26 1308 (2020)

© 2020, The Author(s). An amendment to this paper has been published and can be accessed via a link at the top of the paper.... [more]

© 2020, The Author(s). An amendment to this paper has been published and can be accessed via a link at the top of the paper.

DOI 10.1038/s41591-020-0972-7
2019 Oni HT, Khan MN, Abdel-Latif M, Buultjens M, Islam MM, 'Short-term health outcomes of newborn infants of substance-using mothers in Australia and New Zealand: A systematic review', Journal of Obstetrics and Gynaecology Research, 45 1783-1795 (2019) [C1]

© 2019 Japan Society of Obstetrics and Gynecology Aim: Substance use is not unusual among women of childbearing age. Pregnant women who use a substance and the consequent impacts ... [more]

© 2019 Japan Society of Obstetrics and Gynecology Aim: Substance use is not unusual among women of childbearing age. Pregnant women who use a substance and the consequent impacts on a newborn vary across studies and settings. We reviewed New Zealand and Australian literature to examine the short-term health outcomes of newborn of substance-using mothers and their demographic characteristics. Methods: Five medical/nursing databases and google scholar were searched in April 2017. Studies were considered eligible if they described outcomes of newborn of substance-using mothers. Mixed Methods Appraisal Tool was used for quality assessment of candidate studies. Relevant data were extracted and analyzed using narrative synthesis. Based on data availability, a subset of studies was included in meta-analysis. Results: Although findings of individual studies vary, there are some evidence that the infants born to substance-using mothers were likely to have preterm birth, low birthweight, small-for-gestational age, low Apgar score, and admission to neo-natal intensive care unit. The likelihood of adverse health outcomes was much higher for newborns of polysubstance-using mothers, than newborns of mothers using a single substance. Pregnant women who use illicit substance are predominantly socially disadvantaged, in their twenties and or of Aboriginal descent. Conclusion: Infants of substance-using mothers suffer a range of adverse health outcomes. Multidisciplinary and integrated approach of services that ensure supportive social determinants of health may result in a better outcome for newborn and positive behavioral change among mothers.

DOI 10.1111/jog.14051
Citations Scopus - 4Web of Science - 3
2019 Reiner RC, Olsen HE, Ikeda CT, Echko MM, Ballestreros KE, Manguerra H, et al., 'Diseases, Injuries, and Risk Factors in Child and Adolescent Health, 1990 to 2017 Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2017 Study', JAMA PEDIATRICS, 173 (2019) [C1]
DOI 10.1001/jamapediatrics.2019.0337
Citations Scopus - 22Web of Science - 20
2019 James SL, Lucchesi LR, Bisignano C, Castle CD, Dingels ZV, Fox JT, et al., 'Morbidity and mortality from road injuries: Results from the Global Burden of Disease Study 2017', Injury Prevention, (2019)

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. Background: The global burden of road injuries is known to follow complex geographical, te... [more]

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. Background: The global burden of road injuries is known to follow complex geographical, temporal and demographic patterns. While health loss from road injuries is a major topic of global importance, there has been no recent comprehensive assessment that includes estimates for every age group, sex and country over recent years. Methods: We used results from the Global Burden of Disease (GBD) 2017 study to report incidence, prevalence, years lived with disability, deaths, years of life lost and disability-adjusted life years for all locations in the GBD 2017 hierarchy from 1990 to 2017 for road injuries. Second, we measured mortality-to-incidence ratios by location. Third, we assessed the distribution of the natures of injury (eg, traumatic brain injury) that result from each road injury. Results: Globally, 1 243 068 (95% uncertainty interval 1 191 889 to 1 276 940) people died from road injuries in 2017 out of 54 192 330 (47 381 583 to 61 645 891) new cases of road injuries. Age-standardised incidence rates of road injuries increased between 1990 and 2017, while mortality rates decreased. Regionally, age-standardised mortality rates decreased in all but two regions, South Asia and Southern Latin America, where rates did not change significantly. Nine of 21 GBD regions experienced significant increases in age-standardised incidence rates, while 10 experienced significant decreases and two experienced no significant change. Conclusions: While road injury mortality has improved in recent decades, there are worsening rates of incidence and significant geographical heterogeneity. These findings indicate that more research is needed to better understand how road injuries can be prevented.

DOI 10.1136/injuryprev-2019-043302
Citations Scopus - 4
2019 Islam MM, Khan MN, Mondal MNI, 'Does parental migration have any impact on nutritional disorders among left-behind children in Bangladesh?', Public Health Nutrition, 22 95-103 (2019)

© The Authors 2018. Objective Rates of migration have increased substantially in recent years and so has the number of left-behind children (LBC). We investigated the impact of pa... [more]

© The Authors 2018. Objective Rates of migration have increased substantially in recent years and so has the number of left-behind children (LBC). We investigated the impact of parental migration on nutritional disorders of LBC in Bangladesh.Design We analysed data from the nationally representative cross-sectional Multiple Indicator Cluster Survey 2012-2013. Child stunting, wasting and underweight were used as measures of nutritional disorders. Descriptive statistics were used to describe characteristics of the respondents and to compare nutritional outcomes based on status of parental migration. Multivariate logistic regression models were used to examine the associations between parental migration and child nutritional disorders.Setting Bangladesh.Participants Data of 23 402 children (aged <5 years), their parents and households.Results In the unadjusted models, parental migration was found significantly protective for stunting, wasting and underweight - both separately and jointly. After potential confounders were controlled for, no difference was found between LBC and non-LBC in any of these three nutritional outcome measures. Household wealth status and maternal educational status were found to significantly influence the nutritional development of the children.Conclusions At the population level there is no negative impact of parental migration on stunting, wasting and underweight of LBC in Bangladesh. Remittance from parental migration might enhance affordability of better foods, health care and supplies for a cleaner environment. This affordability is crucial for the poorest section of the society.

DOI 10.1017/S1368980018002963
Citations Scopus - 2
2019 Troeger CE, Blacker BF, Khalil IA, Zimsen SRM, Albertson SB, Abate D, et al., 'Mortality, morbidity, and hospitalisations due to influenza lower respiratory tract infections, 2017: an analysis for the Global Burden of Disease Study 2017', The Lancet Respiratory Medicine, 7 69-89 (2019) [C1]

© 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: Although the burden of influenza is often discussed in the ... [more]

© 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: Although the burden of influenza is often discussed in the context of historical pandemics and the threat of future pandemics, every year a substantial burden of lower respiratory tract infections (LRTIs) and other respiratory conditions (like chronic obstructive pulmonary disease) are attributable to seasonal influenza. The Global Burden of Disease Study (GBD) 2017 is a systematic scientific effort to quantify the health loss associated with a comprehensive set of diseases and disabilities. In this Article, we focus on LRTIs that can be attributed to influenza. Methods: We modelled the LRTI incidence, hospitalisations, and mortality attributable to influenza for every country and selected subnational locations by age and year from 1990 to 2017 as part of GBD 2017. We used a counterfactual approach that first estimated the LRTI incidence, hospitalisations, and mortality and then attributed a fraction of those outcomes to influenza. Findings: Influenza LRTI was responsible for an estimated 145 000 (95% uncertainty interval [UI] 99 000¿200 000) deaths among all ages in 2017. The influenza LRTI mortality rate was highest among adults older than 70 years (16·4 deaths per 100 000 [95% UI 11·6¿21·9]), and the highest rate among all ages was in eastern Europe (5·2 per 100 000 population [95% UI 3·5¿7·2]). We estimated that influenza LRTIs accounted for 9 459 000 (95% UI 3 709 000¿22 935 000) hospitalisations due to LRTIs and 81 536 000 hospital days (24 330 000¿259 851 000). We estimated that 11·5% (95% UI 10·0¿12·9) of LRTI episodes were attributable to influenza, corresponding to 54 481 000 (38 465 000¿73 864 000) episodes and 8 172 000 severe episodes (5 000 000¿13 296 000). Interpretation: This comprehensive assessment of the burden of influenza LRTIs shows the substantial annual effect of influenza on global health. Although preparedness planning will be important for potential pandemics, health loss due to seasonal influenza LRTIs should not be overlooked, and vaccine use should be considered. Efforts to improve influenza prevention measures are needed. Funding: Bill & Melinda Gates Foundation.

DOI 10.1016/S2213-2600(18)30496-X
Citations Scopus - 39
2019 Khan MN, Harris ML, Shifti DM, Laar AS, Loxton D, 'Effects of unintended pregnancy on maternal healthcare services utilization in low- and lower-middle-income countries: systematic review and meta-analysis', International Journal of Public Health, 64 743-754 (2019) [C1]

© 2019, Swiss School of Public Health (SSPH+). Objectives: To examine the association between unintended pregnancy and maternal healthcare services utilization in low- and lower-m... [more]

© 2019, Swiss School of Public Health (SSPH+). Objectives: To examine the association between unintended pregnancy and maternal healthcare services utilization in low- and lower-middle-income countries. Methods: A systematic literature search of Medline, Cinahl, Embase, PsycINFO, Cochrane Library, Popline, Maternity and Infant Care, and Scopus databases published since the beginning of the Millennium Development Goals (i.e. January 2000) to June 2018 was performed. We estimated the pooled odds ratios using random effect models and performed subgroup analysis by participants and study characteristics. Results: A total of 38 studies were included in the meta-analysis. Our study found the occurrence of unintended pregnancy was associated with a 25¿39% reduction in the use of antenatal, delivery, and postnatal healthcare services. Stratified analysis found the differences of healthcare services utilization across types of pregnancy unintendedness (e.g. mistimed, unwanted). Conclusions: Integrating family planning and maternal healthcare services should be considered to encourage women with unintended pregnancies to access maternal healthcare services.

DOI 10.1007/s00038-019-01238-9
Citations Scopus - 2Web of Science - 1
Co-authors Melissa Harris, Deborah Loxton
2019 Chang AY, Cowling K, Micah AE, Chapin A, Chen CS, Ikilezi G, et al., 'Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995-2050', LANCET, 393 2233-2260 (2019) [C1]
DOI 10.1016/S0140-6736(19)30841-4
Citations Scopus - 54Web of Science - 50
2018 Khan MN, Islam MM, Rahman MM, 'Inequality in utilization of cesarean delivery in Bangladesh: a decomposition analysis using nationally representative data', Public Health, 157 111-120 (2018) [C1]

© 2018 The Royal Society for Public Health Objective: This study examined the inequality in cesarean section (CS) utilization and its socio-economic contributors. Study design: Re... [more]

© 2018 The Royal Society for Public Health Objective: This study examined the inequality in cesarean section (CS) utilization and its socio-economic contributors. Study design: Retrospective two-stage stratified sample design. Methods: Data were extracted from two rounds of the Bangladesh Demographic and Health Survey conducted in 2004 and 2014. Concentration Index of CS utilization was calculated using the wealth quintile. Regression-based decomposition method was applied to assess the socio-economic contributors of inequality in CS utilization. Results: The rate of CS utilization increased from 4.98% in 2004 to 24.21% in 2014. The utilization of CS was highly concentrated among the women of higher socio-economic status (SES) in both rounds of the survey. Results of the decomposition models revealed wealth quintile, higher education, higher number of antenatal visits, and being overweight or obese as the critical factors contributing to the inequalities of CS utilization. Conclusion: Bangladesh is now observing a rapid rise in CS utilization and women with higher SES are the main client group of this life saving procedure. There may have inadequate access for those who are relatively less advantaged, even when CS is necessary. Strong initiative from the government is necessary to ensure proper access to this service regardless of women's SES.

DOI 10.1016/j.puhe.2018.01.015
Citations Scopus - 8Web of Science - 7
Co-authors Mdmijanur Rahman Uon
2018 Troeger C, Blacker BF, Khalil IA, Rao PC, Cao S, Zimsen SRM, et al., 'Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016', LANCET INFECTIOUS DISEASES, 18 1191-1210 (2018) [C1]
DOI 10.1016/S1473-3099(18)30310-4
Citations Scopus - 149Web of Science - 129
2018 Fullman N, Yearwood J, Abay SM, Abbafati C, Abd-Allah F, Abdela J, et al., 'Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: A systematic analysis from the Global Burden of Disease Study 2016', The Lancet, 391 2236-2271 (2018) [C1]

Copyright © 2018 The Author(s). Published by Elsevier Ltd. Background A key component of achieving universal health coverage is ensuring that all populations have access to qualit... [more]

Copyright © 2018 The Author(s). Published by Elsevier Ltd. Background A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016. Methods Drawing from established methods and updated estimates from GBD 2016, we used 32 causes from which death should not occur in the presence of effective care to approximate personal health-care access and quality by location and over time. To better isolate potential effects of personal health-care access and quality from underlying risk factor patterns, we risk-standardised cause-specific deaths due to non-cancers by location-year, replacing the local joint exposure of environmental and behavioural risks with the global level of exposure. Supported by the expansion of cancer registry data in GBD 2016, we used mortality-to-incidence ratios for cancers instead of risk-standardised death rates to provide a stronger signal of the effects of personal health care and access on cancer survival. We transformed each cause to a scale of 0-100, with 0 as the first percentile (worst) observed between 1990 and 2016, and 100 as the 99th percentile (best); we set these thresholds at the country level, and then applied them to subnational locations. We applied a principal components analysis to construct the HAQ Index using all scaled cause values, providing an overall score of 0-100 of personal health-care access and quality by location over time. We then compared HAQ Index levels and trends by quintiles on the Socio-demographic Index (SDI), a summary measure of overall development. As derived from the broader GBD study and other data sources, we examined relationships between national HAQ Index scores and potential correlates of performance, such as total health spending per capita. Findings In 2016, HAQ Index performance spanned from a high of 97·1 (95% UI 95·8-98·1) in Iceland, followed by 96·6 (94·9-97·9) in Norway and 96·1 (94·5-97·3) in the Netherlands, to values as low as 18·6 (13·1-24·4) in the Central African Republic, 19·0 (14·3-23·7) in Somalia, and 23·4 (20·2-26·8) in Guinea-Bissau. The pace of progress achieved between 1990 and 2016 varied, with markedly faster improvements occurring between 2000 and 2016 for many countries in sub-Saharan Africa and southeast Asia, whereas several countries in Latin America and elsewhere saw progress stagnate after experiencing considerable advances in the HAQ Index between 1990 and 2000. Striking subnational disparities emerged in personal health-care access and quality, with China and India having particularly large gaps between locations with the highest and lowest scores in 2016. In China, performance ranged from 91·5 (89·1-93·6) in Beijing to 48·0 (43·4-53·2) in Tibet (a 43·5-point difference), while India saw a 30·8-point disparity, from 64·8 (59·6-68·8) in Goa to 34·0 (30·3-38·1) in Assam. Japan recorded the smallest range in subnational HAQ performance in 2016 (a 4·8-point difference), whereas differences between subnational locations with the highest and lowest HAQ Index values were more than two times as high for the USA and three times as high for England. State-level gaps in the HAQ Index in Mexico somewhat narrowed from 1990 to 2016 (from a 20·9-point to 17·0-point difference), whereas in Brazil, disparities slightly increased across states during this time (a 17·2-point to 20·4-point difference). Performance on the HAQ Index showed strong linkages to overall development, with high and high-middle SDI countries generally having higher...

DOI 10.1016/S0140-6736(18)30994-2
Citations Scopus - 173Web of Science - 147
Co-authors Dimity Pond
2018 Khan MN, Islam MM, 'Women's attitude towards wife-beating and its relationship with reproductive healthcare seeking behavior: A countrywide population survey in Bangladesh', PLOS ONE, 13 (2018)
DOI 10.1371/journal.pone.0198833
Citations Scopus - 4Web of Science - 15
2018 Griswold MG, Fullman N, Hawley C, Arian N, Zimsen SRM, Tymeson HD, et al., 'Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016', LANCET, 392 1015-1035 (2018)
DOI 10.1016/S0140-6736(18)31310-2
Citations Scopus - 509Web of Science - 1147
Co-authors Addisushunu Beyene Uon
2017 Khan MN, B Nurs CZ, Islam MM, Islam MR, Rahman MM, 'Household air pollution from cooking and risk of adverse health and birth outcomes in Bangladesh: a nationwide population-based study', Environmental Health, 16 (2017)
DOI 10.1186/s12940-017-0272-y
Citations Scopus - 27Web of Science - 24
2017 Khan MN, Islam MM, 'Effect of exclusive breastfeeding on selected adverse health and nutritional outcomes: a nationally representative study', BMC PUBLIC HEALTH, 17 (2017)
DOI 10.1186/s12889-017-4913-4
Citations Scopus - 10Web of Science - 11
2017 Khan MN, Islam MM, Shariff AA, Alam MM, Rahman MM, 'Socio-demographic predictors and average annual rates of caesarean section in Bangladesh between 2004 and 2014', PLOS ONE, 12 (2017)
DOI 10.1371/journal.pone.0177579
Citations Scopus - 27Web of Science - 32
2017 Khan M, Rahman MM, Shariff AA, Rahman MM, Rahman MS, Rahman MA, 'Maternal undernutrition and excessive body weight and risk of birth and health outcomes', Archives of Public Health, 75 (2017)
DOI 10.1186/s13690-017-0181-0
Citations Scopus - 20Web of Science - 19
2015 Khan M, Mondal MNI, Islam MR, Al-Mamun MA, Shitan M, 'Trends in Body Mass Index and Its Determinants Among Ever-married Non-pregnant Women in Bangladesh', Malaysian Journal of Nutrition, 21 191-205 (2015)
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Mr Md Nuruzzaman Khan

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