The University of Sydney, Sydney School of Public Health, Edward Ford Building (A27), Camperdown, NSW 2006, Australia.
Maternal and Child Health Division, icddr,b, Mohakhali, Dhaka 1212, Bangladesh.
Int J Environ Res Public Health. 2020 Jan 29;17(3):848. doi: 10.3390/ijerph17030848.
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.
我们旨在制定一项针对农村孟加拉国孕妇的群组随机对照试验方案，以评估液化石油气（LPG）烹饪与常规烹饪对围产期死亡率的影响。因此，我们旨在评估计划试验的可行性以及向农村家庭分配 LPG 的障碍/促进因素。我们在孟加拉国农村地区使用迭代设计进行了一项可行性研究。我们纳入了孕妇、她们的家庭和当地的 LPG 利益相关者。我们向家庭发放了 3 个月（3 个钢瓶）的 LPG，并评估了流程问题、可接受性以及烹饪/食物行为。我们采访了 LPG 利益相关者，并对用户进行了焦点小组和深入访谈。最初的 LPG 分配和采用受到流程问题的阻碍，其中大部分问题是由于研究区域尚未建立供应链所致。LPG 烹饪非常受欢迎，所有用户都表示希望继续使用，燃料节约的做法非常普遍。安全问题是最初的问题。LPG 利益相关者报告称，LPG 的需求因季节而异。这项研究证明了我们计划试验的可行性以及需要安全信息。这些结果不仅对我们的试验具有相关性，而且对 LPG 燃料推广计划也具有相关性。
