A Feasibility Study Assessing Acceptability and Supply Issues of Distributing LPG Cookstoves and Gas Cylinders to Pregnant Women Living in Rural Bangladesh for Poriborton: The CHANge Trial

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2020 Feb 5

PMID 32013175

Citations 4

Authors

Camille Raynes-Greenow

Sajia Islam

Jasmin Khan

Fariha Tasnim

Monjura Khatun Nisha

Jonathan Thornburg

Sk Masum Billah

And Ashraful Alam

Affiliations

Soon will be listed here.

Abstract

Our aim was to develop a protocol for a cluster randomised controlled trial to assess the impact of liquid petroleum gas (LPG) cooking compared to usual cooking on perinatal mortality in pregnant women in rural Bangladesh. We, therefore, aimed to assess the feasibility of the planned trial and the barriers/facilitators of distributing LPG to rural households. We conducted a feasibility study in rural Bangladesh using an iterative design. We included pregnant women, their families, and local LPG stakeholders. We distributed LPG to households for 3 months (3 cylinders) and assessed process issues, acceptability, and cooking/food behaviours. We interviewed LPG stakeholders, and conducted focus groups and in-depth interviews with the users. The initial distribution and uptake of LPG were hampered by process issues, most of these were due to the nonestablished supply chain in the study area. LPG cooking was very acceptable and all users reported a preference for continued use, fuel-sparing was heavily practiced. Safety concerns were an initial issue. LPG stakeholders reported that LPG demand differed by season. This study demonstrated the feasibility of our planned trial and the need for safety messages. These results are relevant beyond our trial, including for programs of LPG fuel promotion.

Citing Articles

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Using time-resolved monitor wearing data to study the effect of clean cooking interventions on personal air pollution exposures.

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Protocol for a cluster randomised controlled trial of LPG cookstoves compared to usual cooking practices to reduce perinatal mortality and morbidity in rural Bangladesh called Poriborton: the CHANge trial.

Raynes-Greenow C, Alam A, Billah S, Islam S, Agho K, Rokonuzzaman S Trials. 2022; 23(1):325.

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Pregnant Women's Exposure to Household Air Pollution in Rural Bangladesh: A Feasibility Study for Poriborton: The CHANge Trial.

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References

Mishra V, Retherford R, Smith K . Cooking smoke and tobacco smoke as risk factors for stillbirth. Int J Environ Health Res. 2006; 15(6):397-410. DOI: 10.1080/09603120500288913. View

Pope D, Mishra V, Thompson L, Siddiqui A, Rehfuess E, Weber M . Risk of low birth weight and stillbirth associated with indoor air pollution from solid fuel use in developing countries. Epidemiol Rev. 2010; 32:70-81. DOI: 10.1093/epirev/mxq005. View

Amegah A, Quansah R, Jaakkola J . Household air pollution from solid fuel use and risk of adverse pregnancy outcomes: a systematic review and meta-analysis of the empirical evidence. PLoS One. 2014; 9(12):e113920. PMC: 4252082. DOI: 10.1371/journal.pone.0113920. View

Mavalankar D, Trivedi C, Gray R . Levels and risk factors for perinatal mortality in Ahmedabad, India. Bull World Health Organ. 1991; 69(4):435-42. PMC: 2393232. View

Nisha M, Alam A, Raynes-Greenow C . Variations in perinatal mortality associated with different polluting fuel types and kitchen location in Bangladesh. Int J Occup Environ Health. 2018; 24(1-2):47-54. PMC: 6225514. DOI: 10.1080/10773525.2018.1507868. View

Tielsch J, Katz J, Thulasiraj R, Coles C, Sheeladevi S, Yanik E . Exposure to indoor biomass fuel and tobacco smoke and risk of adverse reproductive outcomes, mortality, respiratory morbidity and growth among newborn infants in south India. Int J Epidemiol. 2009; 38(5):1351-63. DOI: 10.1093/ije/dyp286. View

Lakshmi P, Virdi N, Sharma A, Tripathy J, Smith K, Bates M . Household air pollution and stillbirths in India: analysis of the DLHS-II National Survey. Environ Res. 2013; 121:17-22. DOI: 10.1016/j.envres.2012.12.004. View

Gould C, Urpelainen J . LPG as a Clean Cooking Fuel: Adoption, Use, and Impact in Rural India. Energy Policy. 2020; 122:395-408. PMC: 7314235. DOI: 10.1016/j.enpol.2018.07.042. View

Lim S, Vos T, Flaxman A, Danaei G, Shibuya K, Adair-Rohani H . A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859):2224-60. PMC: 4156511. DOI: 10.1016/S0140-6736(12)61766-8. View

10.

Bowen D, Kreuter M, Spring B, Cofta-Woerpel L, Linnan L, Weiner D . How we design feasibility studies. Am J Prev Med. 2009; 36(5):452-7. PMC: 2859314. DOI: 10.1016/j.amepre.2009.02.002. View

11.

Lawless P, Thornburg J, Rodes C, Williams R . Personal exposure monitoring wearing protocol compliance: an initial assessment of quantitative measurement. J Expo Sci Environ Epidemiol. 2012; 22(3):274-80. DOI: 10.1038/jes.2012.8. View

12.

Siddiqui A, Gold E, Yang X, Lee K, Brown K, Bhutta Z . Prenatal exposure to wood fuel smoke and low birth weight. Environ Health Perspect. 2008; 116(4):543-9. PMC: 2290983. DOI: 10.1289/ehp.10782. View

13.

Alam A, Tawale N, Patel A, Dibley M, Jadhao S, Raynes-Greenow C . Household Air Pollution Intervention Implications: Findings from Qualitative Studies and a Field Trial of Clean Cookstoves in Two Rural Villages in India. Int J Environ Res Public Health. 2016; 13(9). PMC: 5036726. DOI: 10.3390/ijerph13090893. View

14.

Ali Abdulai M, Afari-Asiedu S, Carrion D, Ae-Ngibise K, Gyaase S, Mohammed M . Experiences with the Mass Distribution of LPG Stoves in Rural Communities of Ghana. Ecohealth. 2018; 15(4):757-767. PMC: 7366325. DOI: 10.1007/s10393-018-1369-7. View

15.

Brook R, Shin H, Bard R, Burnett R, Vette A, Croghan C . Exploration of the rapid effects of personal fine particulate matter exposure on arterial hemodynamics and vascular function during the same day. Environ Health Perspect. 2011; 119(5):688-94. PMC: 3094422. DOI: 10.1289/ehp.1002107. View