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The study investigates the factors behind growing communal violence in Bangladesh that is mostly perpetrated against non-Muslim communities by examining three different cases. The qualitative study has been undertaken with the help of available secondary resources and in-depth interviews of experts as primary sources. The findings confirm that the ongoing communal violence in Bangladesh is not spontaneous but rather comprises deliberate and well-orchestrated incidents. It has been noted that apart from communal identity or ideological discord, other factors have played a pivotal role in these constant attacks. All these attacks are primarily intertwined with local politics and power relations as there is evidence of local political leaders' and members' involvement in the assaults. Besides, the entrenchment of extremist elements and growing intolerance at the mass level have a formidable impact on the gradual alienation of non-Muslim communities. The inaction of the state agencies and a culture of impunity have been largely responsible for the deterioration of communal harmony in Bangladesh. Due to these factors, no organised cultural campaign or resistant mechanism could gain a strong foothold against communal violence. [ABSTRACT FROM AUTHOR]

South Asia contributes the most to stroke mortality worldwide. This study aimed to determine the long-term trends in stroke mortality across four South Asian countries and its associations with age, period, and birth cohort. In 2019, nearly one million stroke deaths occurred across South Asia, and the associated age-standardized mortality rate (ASMR) was 80.2 per 100,000. Between 1990 and 2019, India had the largest decrease in the ASMR (−35.8%) across the four South Asian countries. While Pakistan had the smallest decrease in the ASMR (−7.6%), an increase was detected among males aged 15 to 34 years and females aged 15 to 19 years. Despite a 22.8% decrease in the ASMR, Bangladesh had the highest ASMR across the four South Asian countries. Nepal reported a witness increase in the stroke ASMR after 2006. Improved period and cohort effects on stroke mortality were generally indicated across the analyzed countries, except for recent-period effects in males from Nepal and cohort effects from those born after the 1970s in Pakistan. Stroke mortality has decreased in the four South Asian countries over the past 30 years, but potentially unfavorable period and cohort effects have emerged in males in Nepal and both sexes in Pakistan. Governmental and societal efforts are needed to maintain decreasing trends in stroke mortality. [ABSTRACT FROM AUTHOR]

Background and aims: Smokeless tobacco (ST) use in South Asia is high, yet interventions to support its cessation are lacking. We tested the feasibility of delivering interventions for ST cessation in South Asia. Design: We used a 2 × 2 factorial design, pilot randomized controlled trial with a duration of 26 weeks, including baseline and follow‐up (6, 12 and 26 weeks) assessments. Setting: Two primary health‐care facilities each in Dhaka (Bangladesh) and Karachi (Pakistan) and a walk‐in cancer screening clinic in Noida (India) took part. Participants: Adult daily ST users willing to make a quit attempt within 30 days. Of 392 screened, 264 participants [mean age: 35 years, standard deviation = 12.5, 140 (53%) male] were recruited between December 2020 and December 2021; 132 from Bangladesh, 44 from India and 88 from Pakistan. Interventions: Participants were randomized to one of three treatment options [8‐week support through nicotine replacement therapy (NRT, n = 66), a behavioural intervention for smokeless tobacco cessation in adults (BISCA, n = 66) or their combination (n = 66)] or the control condition of very brief advice (VBA) to quit (n = 66). Measurements Recruitment and retention, data completeness and feasibility of intervention delivery were evaluated. Biochemically verified abstinence from tobacco, using salivary cotinine, was measured at 26 weeks. Findings Retention rates were 94.7% at 6 weeks, dropping to 89.4% at 26 weeks. Attendance in BISCA pre‐quit (100%) and quit sessions (86.3%) was high, but lower in post‐quit sessions (65.9%), with variability among countries. Adherence to NRT also varied (45.5% Bangladesh, 90% India). Data completion for key variables exceeded 93% among time‐points, except at 26 weeks for questions on nicotine dependence (90%), urges (89%) and saliva samples (62.7%). Among follow‐up time‐points, self‐reported abstinence was generally higher among participants receiving BISCA and/or NRT. At 26 weeks, biochemically verified abstinence was observed among 16 (12.1%) participants receiving BISCA and 13 (9.8%) participants receiving NRT. Conclusions: This multi‐country pilot randomized controlled trial of tobacco cessation among adult smokeless tobacco users in South Asia demonstrated the ability to recruit and retain participants and report abstinence, suggesting that a future definitive smokeless tobacco cessation trial is viable. [ABSTRACT FROM AUTHOR]

South Asian region contributes 59 % to the global mortality due to burns. However, we find a paucity of literature on the outcomes of burns from low- and middle-income countries (LMICs). South Asian Burn Registry (SABR) is a facility-based burns registry that collected data on in-patient burn care. This study assesses factors associated with mortality, length of hospital stay at the burns center, and functional status of burn patients. Prospective data was collected from two specialized public sector burn centers between September 2014 – January 2015 from Bangladesh and Pakistan. Multivariable logistic, linear, and ordinal logistic regression was conducted to assess factors associated with inpatient-mortality, length of hospital stay, and functional status at discharge, respectively. Data on 883 patients was analyzed. Increased association with mortality was observed with administration of blood product (OR:3, 95 % CI:1.18–7.58) and nutritional support (OR:4.32, 95 % CI:1.55–12.02). Conversely, antibiotic regimens greater than 8 days was associated with decreased mortality (OR:0.1, 95 % CI:0.03–0.41). Associated increase in length of hospital stay was observed in patients with trauma associated with their burn injury, history of seizures (CE:47.93, 95 % CI 12.05–83.80), blood product (CE:22.09, 95 % CI:0.83–43.35) and oxygen administration (CE:23.7, 95 % CI:7.34–40.06). Patients who developed sepsis (OR:6.89, 95 % CI:1.92–24.73) and received blood products during hospitalization (OR:2.55, 95 % CI:1.38- 4.73) were more likely to have poor functional status at discharge. This study identified multiple factors associated with worse clinical outcomes for burn patients in South Asia. Understanding these parameters can guide targeted efforts to improve the process and quality of burn care in LMICs. • Multiple factors determine clinical outcomes for burn injury patients. • In addition to mortality, morbidity and level of functioning are critical outcomes associated with burden of burn injuries. • Patients with comorbid conditions and multiple injuries have long in-patient stay and poorer functional status. [ABSTRACT FROM AUTHOR]

The aim of this multi-country, cluster-randomized trial is to test the impact of pharmacy-based health promotion to reduce the blood pressure of individuals with hypertension over a 12-month period in Bangladesh and Pakistan. The trial will be implemented with two arms. In Bangladesh, the estimated sample size is around 3600 hypertensive patients. In Pakistan, we will select samples equivalent to 10% of the participants from Bangladesh, comprising 360 hypertensive patients from four pharmacies. Community pharmacies will be randomized into one of two parallel groups (allocation ratio 1:1). Pharmacy professionals in the treatment arm will provide their patients with educational training and counseling, as well as phone calls/mobile text messages and care coordination in the health sector, as part of the intervention. The study will be conducted in three phases: a baseline survey with intervention, a midline survey with intervention and follow-up, and an endline survey with impact evaluation. The primary outcome of the study will be BP. The secondary outcomes will be BP controlled to target, treatment adherence, quality of life, mortality or hospital admission rates resulting from hypertension and its related complications, incremental cost per health-related quality of life gained, knowledge on healthy lifestyle and dietary behavior, and change in the prevalence of current smoking status. [ABSTRACT FROM AUTHOR]

This study examines the question as to whether Pakistan's fertility transition is stalling. The paper reviews the trajectories of fertility and its various determinants and compares Pakistan's trends with those of India and Bangladesh. Countries in the South Asia region share features such as cultural similarities (e.g. the low status of women and son preference) and high poverty levels. However, while Bangladesh and India are near replacement fertility today with modern contraceptive prevalence rates well above 50 per cent, Pakistan still has one of the highest fertility and lowest contraceptive prevalence levels in Asia. Our main conclusion is that Pakistan's fertility transition is close to stalling in mid-transition. The key causes of this stall are a high and unchanging desired family size, stalling demand for contraception and relatively low satisfaction of this demand. These are important obstacles to future decline in fertility. [ABSTRACT FROM AUTHOR]

Objective To assess the availability of information on indicators of the World Health Organization and United Nations Children's Fund primary health-care measurement framework in Bangladesh, India, Nepal, Pakistan and Sri Lanka and to outline the opportunities for and challenges to using the framework in these countries. Methods We reviewed global and national data repositories for quantitative indicators of the framework and conducted a desk review of country documents for qualitative indicators in February--April 2023. We assessed data sources and cross-sectional survey tools to suggest possible sources of information on framework indicators that were not currently reported in the countries. We also identified specific indicators outside the framework on which information is collected in the countries and which could be used to measure primary healthcare performance. Findings Data on 54% (32/59) of the quantitative indicators were partially or completely available for the countries, ranging from 41% (24/59) in Pakistan to 64% (38/59) in Nepal. Information on 41% (66/163) of the qualitative subindicators could be acquired through desk reviews of country-specific documents. Information on input indicators was more readily available than on process and output indicators. The feasibility of acquiring information on the unreported indicators was moderate to high through adaptation of data collection instruments. Conclusion The primary health-care measurement framework provides a platform to readily assess and track the performance of primary health care. Countries should improve the completeness, quality and use of existing data for strengthening of primary health care. [ABSTRACT FROM AUTHOR]

Background: In Southeast Asia, treatment is recommended for all patients with post-kala-azar dermal leishmaniasis (PKDL). Adherence to the first-line regimen, twelve weeks of miltefosine (MF), is low and ocular toxicity has been observed with this exposure period. We assessed the safety and efficacy of two shorter-course treatments: liposomal amphotericin B (LAmB) alone and combined with MF. Methodology/Principal findings: An open-label, phase II, randomized, parallel-arm, non-comparative trial was conducted in patients with parasitologically confirmed PKDL, 6 to ≤60 years. Patients were assigned to 20 mg/kg LAmB (total dose, in five injections over 15 days) alone or combined with allometric MF (3 weeks). The primary endpoint was definitive cure at 12 months, defined as complete resolution of papular and nodular lesions and >80% re-pigmentation of macular lesions. Definitive cure at 24 months was a secondary efficacy endpoint. 118/126 patients completed the trial. Definitive cure at 12 months was observed in 29% (18/63) patients receiving LAmB and 30% (19/63) receiving LAmB/MF (mITT), increasing to 58% and 66%, respectively, at 24 months. Most lesions had resolved/improved at 12 and 24 months for patients receiving LAmB (90%, 83%) and LAmB/MF (85%, 88%) by qualitative assessment. One death, unrelated to study drugs, was reported; no study drug-related serious adverse events were observed. The most frequent adverse drug reactions were MF-related vomiting and nausea, and LAmB-related hypokalaemia and infusion reactions. Most adverse events were mild; no ocular adverse events occurred. Conclusions/Significance: Both regimens are suitably safe and efficacious alternatives to long-course MF for PKDL in South Asia. Trial registration: CTRI/2017/04/008421. Author summary: Post-kala-azar dermal leishmaniasis (PKDL) is a skin rash which can appear after successful treatment of visceral leishmaniasis caused by the parasite Leishmania donovani. Although not life-threatening for the patient, this condition can be associated with social stigma, and the sandfly that transmits the disease can become infected after feeding on patients with PKDL lesions. Therefore, all patients are treated to control visceral leishmaniasis within the Southeast Asia kala-azar elimination initiative. It is difficult to justify the use of existing treatments in patients who are otherwise generally well, since they are prolonged, potentially toxic, and expensive. We designed a trial at two sites in India and one in Bangladesh to assess the efficacy and safety of two treatment options for patients with PKDL: 20 mg/kg liposomal amphotericin B in monotherapy and 20 mg/kg liposomal amphotericin B in combination with three weeks of miltefosine. These two regimens were found to have a similar efficacy to the current first line treatment, but with a much shorter treatment duration, which also reduces the risk of side-effects and makes them particularly useful in the current context of elimination in the region. [ABSTRACT FROM AUTHOR]

Instantaneous shifts in the electronics industry are leading many electronic items to become obsolete early, creating huge volumes of waste electric and electronic equipment (WEEE/e-waste). The environmental and health effects of e-waste generated in developing countries are feared to be exacerbating, particularly in South Asia. Additional to issues with proper disposal and treatment of domestic waste, emerging market economies like Bangladesh are importing large amounts of e-waste from developed countries, to recover and re-use as raw materials, whilst handling their own increasing e-waste production. The scenario of e-waste generation, current policies and management practices are analysed and evaluated using comparative analysis of policies from four South Asian countries, document analysis and key informant interviews in Bangladesh. Findings show that even in countries like Sri Lanka and India where current policy framework is comprehensive enough to ensure sustainable e-waste management, implementation lags behind. Finally, recommendations are given for developing a sustainable e-waste management system focusing on the Bangladeshi context. [ABSTRACT FROM AUTHOR]

The study aimed to answer what explains the perceived trustworthiness of female civil servants in three South Asian countries using a country-representative survey (n = 6240; 2,740 in Bangladesh; 2,256 in Nepal and 1,244 in Sri Lanka). The study finds that efficiency, level of corruption, life satisfaction, and generalized trust seem to have varied levels of impact in determining the trustworthiness of female civil servants. Perceived efficiency level is closely associated with the degree of trust in female civil servants in Bangladesh and Nepal, whereas corruption seems to have a significant influence in Sri Lanka. Life satisfaction affects all three countries, gender affects Bangladesh and Sri Lanka, whereas education has a positive association in Nepal and Sri Lanka. [ABSTRACT FROM AUTHOR]

Drought, a recurring natural phenomenon in South Asia's monsoon climate, presents challenges in delineating its spatiotemporal patterns within complex topographies. This study investigated the impact of the orographic barrier in the rice‐dominated agricultural region of northeastern India and Bangladesh on drought characteristics during 1951–2020, employing the relative Standardized Precipitation Index (rSPI) and relative Standardized Precipitation‐Evapotranspiration Index (rSPEI) across 3‐, 6‐ and 12‐month scales. The results indicate that even in the rainiest region of the world, droughts extend beyond the limits of the dry season inherent in the monsoon regime. These mostly regional droughts exhibit weak correlations with the core of the Indian subcontinent and other parts of Bangladesh. The region's orographic barrier has a greater influence on drought intensity than on frequency. The rSPI index, which depends solely on rainfall, may overestimate drought intensity and frequency in regions with high seasonal/annual rainfall and substantial intermonthly variability. In contrast, the rSPEI index, which depends on both rainfall and potential evapotranspiration (PET), better reflects the spatial variation of drought in complex terrain, identifying the leeward hinterland of the orographic barrier as the most drought‐prone area. The two indices give similar results for drought characteristics away from the barrier. Furthermore, the orographic barrier exerts a negligible influence on the trends in rSPI and rSPEI. Principal component analysis (PCA) highlights the influences of the rainfall coefficient of variation and elevation on rSPI, while the PET coefficient of variation strongly influences rSPEI. Strategies to minimize the adverse effects of drought in complex topography and year‐round cropping should be local and season‐specific. These include using shorter‐growing, drought‐resistant rice varieties and adjusting planting schedules in rain shadow areas during the summer monsoon. These efforts should be complemented by integrating indigenous irrigation methods with modern practices such as roof water harvesting and tube wells in winter. [ABSTRACT FROM AUTHOR]

In the wake of its burgeoning outward foreign direct investment (FDI) and export activities over the past decades, China’s presence in the global economy has attracted considerable attention. This discussion is witnessed just as much in Bangladesh, the main subject of this paper. Especially after the 2013 launch of the ambitious Belt and Road Initiative (BRI), Chinese economic footprint has noticeably increased in the South Asian country. Yet, this development has thus far not been analyzed in detail. To shed light on the matter, this paper provides a detailed, longitudinal study of two important metrics: FDI and trade. It also contextualizes China’s economic performance in relation to those of US, India and Japan. The paper finds that, although Chinese FDI entering Bangladesh is increasing, FDIs from the other three countries are also proliferating. More importantly, US FDI inflow and stock position remain far ahead of those of China, India and Japan. When it comes to trade, Bangladesh enjoys trade surplus only with the US, suffering deficit with the rest of the countries. Overall, China’s FDI and trade linkages in Bangladesh, despite their fairly rapid growth, are still relatively modest. [ABSTRACT FROM AUTHOR]

The economy of South Asia is experiencing growth, yet it faces constraints due to heavy reliance on fossil fuels and frequent power outages. Access to diverse energy sources, particularly electricity, is crucial for sustaining this growth. One feasible solution involves neighbouring countries engaging in the trade of renewable electrical energy. Hydropower stands as one of the many energy sources available in South Asia. However, sectorial constraints pose significant challenges to energy trade initiatives. This study utilises the Analytic Hierarchy Process (AHP) to evaluate Nepal's readiness and identify obstacles to its cross-border energy trade with India and Bangladesh. A comprehensive analysis of these obstacles is imperative for formulating effective strategies and policies. Additionally, this study offers recommendations for enhancing preparedness and resolving issues related to energy trading, which may apply to similar cross-border situations. This study ranks energy trading obstacles with neighbouring nations using the AHP, offering key insights for stakeholders and policymakers. Using a non-probabilistic purposeful sampling technique, 25 expert respondents from the energy sector and prominent academicians were selected as part of the data collection procedure. At every level of the interview process, their perspectives were invaluable in guaranteeing a thorough and rigorous investigation. [ABSTRACT FROM AUTHOR]

This paper examines corporate governance's influence on corporate Sustainability in South Asian firms. Recent developments in social injustice, environmental issues and economic turmoil in South Asian countries have motivated the authors. The study used the GMM unbalanced panel data estimation on top South Asian listed firms. The time‐period of the sample taken is of ten years (2012–2022). This study reveals that among South Asian nations, companies listed in the Indian and Bangladesh stock markets have a high percentage of sustainability disclosure reporting. The study's findings show that Board size, independence, and qualification positively impact environmental sustainability reporting performance. In contrast, CEO Duality significantly negatively influences social, environmental, and economic sustainability. The study has implications for the companies and policymakers of South Asian countries and encouraged the firms to restructure the board to enhance its effectiveness to monitor better and support all aspects of corporate sustainability. [ABSTRACT FROM AUTHOR]

Background: Despite growing evidence of the impacts of exclusively breastfeeding infants during the first 6 months of life on preventing childhood infections and ensuring optimal health, only a small number of studies have quantified this association in South Asia. Methods: We analyzed data from the Demographic and Health Surveys in Afghanistan (2015; n = 3462), Bangladesh (2017–2018; n = 1084), India (2019–2021; n = 26,101), Nepal (2022; n = 581), and Pakistan (2017–2018; n = 1,306), including babies aged 0–6 months. Multivariate logistic regression models were used to determine the association between exclusive breastfeeding in the last 24 h and diarrhoea, acute respiratory infections, and fever in the two weeks before the survey. We also examined the association between other infant and young feeding indicators and these outcomes. Results: Infants who were exclusive breastfed had decreased odds of diarrhoea in Afghanistan (AOR: 0.49, 95% CI 0.35, 0.70), India (AOR: 0.80, 95% CI 0.70, 0.91), and Nepal (AOR: 0.42, 95% CI 0.20, 0.89). Compared with infants who were not exclusive breastfed, infants who were exclusively breastfed were less likely to have fever in Afghanistan (AOR: 0.36, 95% CI 0.26, 0.50) and India (AOR: 0.75, 95% CI 0.67, 0.84). Exclusive breastfeeding was associated with lower odds of acute respiratory infections in Afghanistan (AOR: 0.57, 95% CI 0.39, 0.83). Early initiation of breastfeeding was protective against diarrhoea in India. Bottle feeding was a risk factor for diarrhoea in India and for fever in Afghanistan and India. Bottle feeding was also a risk factor for acute respiratory infection in Afghanistan and India. Conclusions: Not exclusive breastfeeding is a risk factor for diarrhoea, acute respiratory infections, and fever in some South Asian countries. These findings could have substantial implications for global and national efforts to increase exclusive breastfeeding rates. More support, advocacy, and action are required to boost breastfeeding rates as a crucial public health measure. [ABSTRACT FROM AUTHOR]

Objectives: To explore associations between type and number of abnormal glucose values on antenatal oral glucose tolerance test (OGTT) with postpartum diabetes in South Asian women diagnosed with gestational diabetes (GDM) using International Association of the Diabetes and Pregnancy Study Groups criteria. Methods: This post‐hoc evaluation of the Lifestyle Intervention IN Gestational Diabetes (LIVING) study, a randomized controlled trial, was conducted among women with GDM in the index pregnancy, across 19 centers in Bangladesh, India, and Sri Lanka. Postpartum diabetes (outcome) was defined on OGTT, using American Diabetes Association (ADA) criteria. Results: We report data on 1468 women with GDM, aged 30.9 (5.0) years, and with median (interquartile range) follow‐up period of 1.8 (1.4–2.4) years after childbirth following the index pregnancy. We found diabetes in 213 (14.5%) women with an incidence of 8.7 (7.6–10.0)/100 women‐years. The lowest incidence rate was 3.8/100 women years, in those with an isolated fasting plasma glucose (FPG) abnormality, and highest was 19.0/100 women years in participants with three abnormal values. The adjusted hazard ratios for two and three abnormal values compared to one abnormal value were 1.73 (95% confidence interval [CI], 1.18–2.54; p =.005) and 3.56 (95% CI, 2.46–5.16; p <.001) respectively. The adjusted hazard ratio for the combined (combination of fasting and postglucose load) abnormalities was 2.61 (95% CI, 1.70–4.00; p <.001), compared to isolated abnormal FPG. Conclusions: Risk of diabetes varied significantly depending upon the type and number of abnormal values on antenatal OGTT. These data may inform future precision medicine approaches such as risk prediction models in identifying women at higher risk and may guide future targeted interventions. [ABSTRACT FROM AUTHOR]

Improvement in burn injury data collections and the quality of databanks has allowed meaningful study of the epidemiologic trends in burn care. The study assessed factors associated with disposition of burn injury patients from emergency department accounting for pre-hospital care and emergency care. This prospective observational pilot study of the South Asia Burn Registry project was conducted at selected public sector burn centers in Bangladesh and Pakistan (September 2014 – January 2015). All age groups with an initial presentation to the burn centers were enrolled. Descriptive and regression analysis is presented. A total of 2749 patients were enrolled. The mean age was 21.7 ± 18.0 years, 55.3% were males, and about a quarter were children < 5 years. About 46.9% of the females were housewives. Scald burns were common among children (67.6%) while flame burns were common among adults (44.3%). About 75% of patients were brought in via non-ambulance mode of transport. More than 55% of patients were referrals from other facilities or clinics. The most common first aid given pre-hospital was the use of water or oil. About 25% were admitted for further care. The adjusted odds of being admitted compared to being sent home were highest for children < 5 yrs, those with higher total body surface area burnt, having arrived via ambulance, scald and electrical burn, having an associated injury and inhalational injury. The study provides insight into emergency burn care and associated factors that influenced outcomes for patients with burn injuries. • Clinical outcomes for burns depend on prehospital and emergency care received • Common first aid at home included use of water or oil • Common treatment received at facilities prior to coming to burn centers included use of cream, wound dressing [ABSTRACT FROM AUTHOR]

In recent decades, the relationships between religion and politics, particularly between religion and the state, have been widely discussed, yet relationships between authoritarian rulers and religion have not received their due attention. This fourth article in the 2024 World Affairs special issue addresses this lacuna and argues against the conventional wisdom that these two entities are always hostile to each other. The study contends that authoritarian rulers have used three strategies vis‐à‐vis religion as an ideology and religious actors as a political force. Autocrats have adopted repression and cooptation strategies to deal with religious actors and utilized religion as a tool of legitimation. The article offers a case study of Bangladesh which has witnessed the growing salience of religion in politics since 1976, although its 1972 constitution pledged secularism as a state principle. The article examines the strategies used during three phases of military and civilian authoritarianism—1976–1981, 1982–1990, and since 2011—and discusses the relationship between the authoritarian rulers and religion. [ABSTRACT FROM AUTHOR]

This third article in the 2024 World Affairs special issue examines the intricate interplay between secularism, religious sentiment, and authoritarian politics in postindependence Bangladesh. Despite being founded on secular principles in 1971, the notion of Bangladesh as a strictly secular state is challenged. This article contends that while secularism was enshrined as a foundational state principle, its imposition occurred top‐down, diverging from prevailing societal ethos. The immediacy of the public backlash following its inclusion compelled ruling elites to adopt religion‐sensitive policies. I assert that the widespread religiosity among the populace steered subsequent political decisions. Notably, the shift from secularism to state‐sponsored Islam, the elevation of Islamic figures to cabinet roles, the recognition of Qawmi madrassa credentials, and the proliferation of Islamic rhetoric ensued. Analyzing a blend of archival data and field interviews, the article argues that the current authoritarian regime, emerging from an unconsolidated democratic framework, strategically exploits Islam as a political tool for legitimacy. By tapping into the prevailing Islamic sentiment, the regime aims to solidify its hold on power and navigate the complex political landscape of contemporary Bangladesh. [ABSTRACT FROM AUTHOR]

Age gap between spouses has important implications for a range of outcomes—from fertility and longevity, to gender relationships, marital quality, and stability. This paper examines the age gap between spouses in 12 countries in South and Southeast Asia. The average age difference (husband's minus wife's age) is positive in all countries and ranges from 2.7 in Myanmar to 8.4 in Bangladesh. Age homogamous marriages accounted for 5% of all marriages in Bangladesh to close to half of all marriages in Thailand. The proportion of age hypogamous marriages was uniformly low in all the countries except for Myanmar where it reaches close to 10%. Men's marriage age has a stronger effect in determining the age gap. In general, the age gap for women with lower education was larger than for those with higher education. However, much of this effect was explained by the difference in marriage timing across educational groups. [ABSTRACT FROM AUTHOR]

The traditional practice of harvesting and processing raw date palm sap is not only culturally significant but also provides an essential nutritional source in South Asia. However, the potential for bacterial or viral contamination from animals and environmental sources during its collection remains a serious and insufficiently studied risk. Implementing improved food safety measures and collection techniques could mitigate the risk of these infections. Additionally, the adoption of advanced food analytical methods offers the potential to identify pathogens and uncover the natural bacterial diversity of these products. The advancement of next-generation sequencing (NGS) technologies, particularly nanopore sequencing, offers a rapid and highly mobile solution. In this study, we employed nanopore sequencing for the bacterial metabarcoding of a set of raw date palm sap samples collected without protective coverage against animals in Bangladesh in 2021. We identified several bacterial species with importance in the natural fermentation of the product and demonstrated the feasibility of this NGS method in the surveillance of raw palm sap products. We revealed two fermentation directions dominated by either Leuconostoc species or Lactococcus species in these products at the first 6 h from harvest, along with opportunistic human pathogens in the background, represented with lower abundance. Plant pathogens, bacteria with the potential for opportunistic human infection and the sequences of the Exiguobacterium genus are also described, and their potential role is discussed. In this study, we demonstrate the potential of mobile laboratory solutions for food safety purposes in low-resource areas. [ABSTRACT FROM AUTHOR]

Since its inception, BRAC has combined emergency assistance with longer-term development interventions, grounding its approach in empowering local communities. Its experiences in navigating tensions across the humanitarian–development nexus and in debates around localising aid provide a useful perspective on the way in which these debates intersect, showcasing how prioritising a localised response is conducive of an approach that is "humanitarian in nature and developmental in solution". Through historical and contemporary perspectives, we explore how BRAC has adjusted its profile, adapted to new challenges, learned about new and changing settings, developed innovations, learned from mistakes, and dismantled boundaries to bridge humanitarian and developmental support in Bangladesh and beyond. These experiences highlight the importance of the "local" beyond geography, as evidenced by BRAC's engagement with the communities it serves and is part of, and its desire to move forward in an inclusive and socially just manner. [ABSTRACT FROM AUTHOR]

Equitable futures depend upon better employment outcomes for young women. We use a skills ecosystems approach to explore how youth skills development programs can maximise their impact in highly gendered societies and labour markets. While improving employment outcomes and incomes for young women, BRAC's STAR program cannot withstand Bangladesh's deep-rooted and socially restrictive norms and practices. Short-term successes are diluted as family pressures and commitments take precedent over young women's economic lives. Adding a temporal dimension to the concept of skills ecosystems, these findings highlight that maintaining these impacts requires constant renegotiation and advocacy to challenge the structural obstacles within households and labour markets and within national policies and investments that constrain their longer-term economic empowerment. [ABSTRACT FROM AUTHOR]

Chronic infection of Helicobacter pylori represents a key factor in the etiology of gastrointestinal diseases, with high endemicity in South Asia. The present study aimed to determine the prevalence of H. pylori among dyspeptic patients in north–central Bangladesh (Mymensingh) and analyze risk factors of infection and antimicrobial resistance (AMR) determinants in the pathogen. Endoscopic gastrointestinal biopsy samples were collected from dyspeptic patients for a one-year period from March 2022 and were checked for the presence of H. pylori via the rapid urease test and PCR and further analyzed for the status of virulence factors vacA/cagA and genetic determinants related to AMR via PCR with direct sequencing or RFLP. Among a total of 221 samples collected, 80 (36%) were positive for H. pylori, with the vacA+/cagA+ genotype being detected in almost half of them. H. pylori was most prevalent in the age group of 41–50-year-olds, with it being more common in males and rural residents with a lower economic status and using nonfiltered water, though the rates of these factors were not significantly different from those of the H. pylori-negative group. Relatively higher frequency was noted for the A2147G mutation in 23S rRNA, related to clarithromycin resistance (18%, 7/39). Amino acid substitutions in PBP-1A (T556S) and GyrA (N87K and D91N) and a 200 bp deletion in rdxA were detected in samples from some patients with recurrence after treatment with amoxicillin, levofloxacin, and metronidazole, respectively. The present study describes the epidemiological features of H. pylori infection in the area outside the capital in Bangladesh, revealing the spread of AMR-associated mutations. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to determine the prevalence and associated factors of abdominal obesity in the South Asian population. Methods: The nationally representative surveys including adults aged 18–69 years from Afghanistan, Bangladesh, Bhutan, Nepal, and Sri Lanka were used, and 26,758 adults were included in the study. Abdominal obesity was defined as a waist circumference >90 centimeter (cm) in men and >80 cm in women. Logistic regression was conducted to find out the associated factors of abdominal obesity. Results: The overall prevalence of abdominal obesity ranged from 30.1% in Nepal to 53.3% in Afghanistan. Increased age, female gender, and overweight/obesity increased the odds of abdominal obesity in all five South Asian countries. Never smoking and insufficient fruit and vegetable intake had lower odds of abdominal obesity in certain countries, e.g., Sri Lanka (never smoking), Afghanistan and Bangladesh (insufficient fruit and vegetable intake). Conclusions: The high burden of abdominal obesity is a public health problem in South Asian countries. Health promotion programs should target high risk groups (i.e., the elderly population, female gender, and overweight/obese) in order to prevent and control the rising burden of abdominal obesity. [ABSTRACT FROM AUTHOR]

This research investigates the impact of climate change on the geopolitical dynamics of South Asia, focusing on India, China, and Bangladesh, which share the Brahmaputra River basin. The changing climate significantly affects these nations, with the political landscape of South Asia playing a crucial role in shaping regional dynamics. The Brahmaputra River basin is vulnerable to climate-induced challenges, such as altered river flow, increased flooding, and changes in sediment transport, which impact water resources and infrastructural development, influencing the social and economic well-being of the populations in these countries. Utilizing a multidisciplinary approach, the study combines climate models, hydrological data analysis, and geopolitical assessments to evaluate the effects of climate change on the Brahmaputra River basin and its implications for regional cooperation and conflict. The findings reveal that climate change exacerbates existing waterrelated challenges, leading to heightened flood risks, disrupted sediment transport, and strained water resources, threatening socio-economic stability. The research underscores the urgent need for collaborative strategies to address these impacts, emphasizing the importance of integrated water resource management to mitigate geopolitical tensions and promote regional stability. [ABSTRACT FROM AUTHOR]

The climate crisis disproportionately impacts women and girls all over the world. To understand what the priorities in terms of policy are, an examination is conducted on the impacts taking place in South Asia (focusing on the countries of Bangladesh, India, and Pakistan), an area of the globe that is highly vulnerable to climate change and is characterized by having strong patriarchal values. Gender stereotypes and roles in the region heighten women and girls’ vulnerability to climate impacts, both in general and in situations of crisis resulting from extreme weather events. Deepening the understanding of the climate crisis’ impact on gender in South Asia, a region at the frontline of these eects, can assist in reaching a baseline understanding of the challenge from a global perspective. Methodologically, we reviewed an extensive body of literature, both specialty books and scientific articles, recent institutional reports as well as news or journalistic reports from reliable international press. In this research, the argument is made that today, climate action and urban development cannot be considered separately from women’s rights. Extensive scientific data and research support the integration of a gender perspective in urban adaptation standard practices, and priorities in terms of policy to safeguard women and girls are identified accordingly. The allocation of half of climate funds, including those of loss and damage, directly to women or women-led organizations is identified as being particularly relevant. Bold and ambitious policymaking is urgently needed to build capacity to face the multiple crises unfolding. [ABSTRACT FROM AUTHOR]

Bus Rapid Transit (BRT) has been widely recognised as an affordable and effective mass transport system that can solve various mobility issues in countries that are unable to afford rail-based mass transit options. However, it is extremely challenging to predict the demand for the first BRT service in a city of a developing country with a weak public transport system using aggregate models, given the radical difference in the level of service between the BRT and the existing modes. Further, there can be substantial changes in the activity and travel patterns in a city after the introduction of the BRT which simpler disaggregate level analysis tools are unable to predict. Agent-based simulation tools, which are the state-of-the-art tools for simulating complex travel behaviour, are hence more appropriate for predicting the network conditions after the introduction of a new BRT system. But the application of such simulation tools has been primarily limited to developed countries where the transport landscape and the travel behaviour are very different from the developing countries. To address this gap, this paper presents a demand forecasting model for BRT and integrates it into an activity-based micro-simulation tool in the context of Dhaka, the capital of Bangladesh and one of the fastest growing megacities in the world. The model was developed based on an existing multi-agent, activity-based, travel demand simulator (MATSim). The MATSim implementation in the context of Dhaka focused on two aspects: (1) implementing behaviour models in MATSim to reflect the mode choice in the presence of the proposed BRT (2) integrating multiple data sources (including stated-preference data) for calibrating the mode choice and other components of MATSim to realistically mimic the travel behaviour in the city. Once calibrated, different access scenarios for BRT were simulated using MATSim, and the sensitivity of the outputs to different modelling assumptions is tested. Results from the simulation showed that the marginal utility of travel time, travel cost, and pricing structure of BRT significantly influenced BRT travel demands. Also, BRT demand was found to be the highest (25% of the total trips) in the scenario with multi-modal access/egress connections. While such direct model outputs presented in this paper will be useful for the planners to maximise the ridership of the proposed BRT, the calibrated simulator will be also useful for the evaluation of other innovative transport modes in the context of Dhaka in the future. • Behavioural models are integrated with agent-based microsimulation approach to predict BRT demand in the context of Dhaka, Bangladesh. • The demand for BRT is found to be notably influenced by both the fare structure and multimodal connectivity. • Simulation outputs demonstrate that BRT demand can vary between 0.7% and 25% depending on the adopted policies. • Policy measures to maximise BRT demand include making motorcycles less attractive and ensuring intermodal connectivity. • Customised services, incentives, and targeted planning, including gender-sensitive strategies, are vital for improving BRT ridership. [ABSTRACT FROM AUTHOR]

Solar irrigation pumps (SIPs) are emerging as a popular technology to address water, energy, and climate change challenges in South Asia while enhancing livelihoods and food security. SIPs are deemed to be a women-friendly renewable energy technology (RET) due to their design, operating system, and safety. While the gender dimensions of natural resources are well documented, the extent to which the water, energy, and food (WEF) policies--including policies to promote SIP technologies in the countries of South Asia--conceptualize and operationalize gender equality and social inclusion (GESI) is not well understood. Therefore, in this study, we reviewed 39 WEF sectoral policies of Bangladesh and Nepal by adopting a gender-transformative analysis approach to rank the policies on a continuum ranging from a scale of 0-3 (denoting gender-unaware, gender-aware, gender-responsive, and gendertransformative). We found that the governments in both countries commit to gender equality and women's advancement in their WEF sector policies, institutions, and decision-making by ensuring gender and justice principles in their constitutions and national development frameworks. However, these higher-level aspirational principles are not always operationalized in the WEF sector policies. We found that the WEF policies are aware of the need to include GESI and social equity in sectoral programming, yet operational rules for their implementation often fail to challenge structural barriers. Such barriers hinder women and marginalized groups from participating in and benefiting from WEF policies, including the deployment of SIP technologies. This calls for a transformation not only in project implementation but also in the policymaking processes of WEF sectors in the South Asian region. [ABSTRACT FROM AUTHOR]

Summary: The fungal pathogen, Magnaporthe oryzae Triticum pathotype, causing wheat blast disease was first identified in South America and recently spread across continents to South Asia and Africa. Here, we studied the genetic relationship among isolates found on the three continents.Magnaporthe oryzae strains closely related to a South American field isolate B71 were found to have caused the wheat blast outbreaks in South Asia and Africa. Genomic variation among isolates from the three continents was examined using an improved B71 reference genome and whole‐genome sequences.We found strong evidence to support that the outbreaks in Bangladesh and Zambia were caused by the introductions of genetically separated isolates, although they were all close to B71 and, therefore, collectively referred to as the B71 branch. In addition, B71 branch strains carried at least one supernumerary mini‐chromosome. Genome assembly of a Zambian strain revealed that its mini‐chromosome was similar to the B71 mini‐chromosome but with a high level of structural variation.Our findings show that while core genomes of the multiple introductions are highly similar, the mini‐chromosomes have undergone marked diversification. The maintenance of the mini‐chromosome and rapid genomic changes suggest the mini‐chromosomes may serve important virulence or niche adaptation roles under diverse environmental conditions. [ABSTRACT FROM AUTHOR]

The present study found that ~80 million people in India, ~60 million people in Pakistan, ~70 million people in Bangladesh, and ~3 million people in Nepal are exposed to arsenic groundwater contamination above 10 µg/L, while Sri Lanka remains moderately affected. In the case of fluoride contamination, >120 million in India, .2 million in Pakistan, and ~0.5 million in Sri Lanka are exposed to the risk of fluoride above 1.5 mg/L, while Bangladesh and Nepal are mildly affected. The hazard quotient (HQ) for arsenic varied from 0 to 822 in India, 0 to 33 in Pakistan, 0 to 1,051 in Bangladesh, 0 to 582 in Nepal, and 0 to 89 in Sri Lanka. The cancer risk of arsenic varied from 0 to 1.64× 1-1 in India, 0 to 1.07 × 10-1 in Pakistan, 0 to 2.10 × 10-1 in Bangladesh, 0 to 1.16 × 10-1 in Nepal, and 0 to 1.78 × 10-2 in Sri Lanka. In the case of fluoride, the HQ ranged from 0 to 21 in India, 0 to 33 in Pakistan, 0 to 18 in Bangladesh, 0 to 10 in Nepal, and 0 to 10 in Sri Lanka. Arsenic and fluoride have adverse effects on animals, resulting in chemical poisoning and skeletal fluorosis. Adsorption and membrane filtration have demonstrated outstanding treatment outcomes. [ABSTRACT FROM AUTHOR]

Background: Acute respiratory infection (ARI) is one of the leading causes of morbidity and mortality among children under five globally, particularly in regions like South Asia and sub-Saharan Africa. Bangladesh has made substantial progress in reducing child mortality, yet pneumonia remains a significant contributor to under-five deaths. This study aimed to investigate the association between in-house environmental factors and childhood ARI, considering factors such as household crowding, smoking, and sanitation facilities. Methods: This case-control study was conducted at a tertiary-level children's hospital in Dhaka, Bangladesh, from March to September 2019. The study included children aged 6–59 months. Cases were children with ARI symptoms, while controls were children without such symptoms. Rigorous matching by age and gender was employed to ensure comparability. Data were collected through structured questionnaires, and bivariate and conditional logistic regression analyses were performed. Results: Several household environmental factors were significantly associated with childhood ARIs. Children from overcrowded households (AOR = 2.66, 95% CI = 1.52–4.71; p < 0.001), those using unclean cooking fuels (OR = 2.41, 95% CI: 1.56, 3.73; p = < 0.001), those exposed to in-house smoking (AOR = 1.74, 95% CI = 1.01, 3.05; p = 0.04) and those with unimproved sanitation facilities faced higher odds (AOR = 4.35, 95% CI = 2.14–9.26) of ARIs. Additionally, preterm birth and higher birth order were associated with an increased risk of ARI. In contrast, exclusive breastfeeding was a protective factor. Conclusion: In-house environmental factors, including sanitation, crowding and in-house smoking, significantly influence childhood ARIs. Additionally, birth order and preterm birth play a crucial role. Promoting exclusive breastfeeding is associated with a lower ARI risk among under-five children in Bangladesh. These findings can guide interventions to reduce ARIs in low-income regions, particularly in South Asia. [ABSTRACT FROM AUTHOR]

The premise for effective prevention and treatment of obesity is the availability of accurate prevalence figures. However, the prevalence of pediatric obesity and overweight in South Asian countries has seldom been analyzed. This article provides a comprehensive review and meta-analysis of studies on overweight and obesity to provide a more precise prevalence estimate. The study protocol was registered on PROSPERO (CRD42022320625). PubMed and Embase databases were comprehensively searched from inception till September 2023. The random-effects model was utilized to derive the pooled prevalence of obesity and overweight. Subgroup meta-analysis was used to assess variations in prevalence estimates across subgroups. A meta-regression analysis was also performed to assess the trend of overweight and obesity over the years. 152 studies were included with 489,525 participants. The pooled prevalence was 12.4 (95% CI 11.1–13.6) for overweight, 6.6% (95% CI 5.6–7.8) for obesity, and 19.3% (95% CI 17.1–21.7) for obesity and overweight. In subgroup analysis, Bangladesh reported a higher prevalence for both obesity (8.9%; 95% CI 4.9–13.9) and overweight (13.6%; 95% CI 9.2–18.8). Meta-regression analysis found a significant association between obesity prevalence and the publication year (β = 0.004; p = 0.03; R2 = 2.74%). The results of this study indicate a relatively higher prevalence of childhood obesity in South Asia, emphasizing the necessity for large-scale awareness efforts and context-specific preventative methods. [ABSTRACT FROM AUTHOR]

The dissemination of conservation agriculture (CA) technologies has become the objective of a growing number of projects aimed at reducing food insecurity in vulnerable areas of the world. While many studies have found that CA increases farm productivity, little is known about the components of the productivity gains related to CA adoption. CA is a knowledge‐intensive technology, and it is expected to affect both technical efficiency (TE) and input productivity positively. Using cross‐sectional farm‐level data of 220 maize farmers in Bangladesh, we measure the impact of CA on farmers' TE. We first apply propensity score matching (PSM) to create comparable counterfactual groups of CA and non‐CA farmers. Then, we use a stochastic frontier with correction for self‐selection bias to analyse TE. Finally, we fit a stochastic meta‐frontier (SMF) model to the data and use it to compare TE across the two farmer groups. The analysis showed that CA farmers exhibit greater TE levels than non‐CA farmers. This can be attributed to enhancements in farm management, leading to 8% and 9% increases in their productivity and TE, respectively. Thus, there is a case for policymakers to strengthen programs delivering CA technologies that improve food security in Bangladesh. [ABSTRACT FROM AUTHOR]

Autistic children are at increased risk of experiencing a range of mental health difficulties, including anxiety. A number of intervention programmes are now available in high-income countries to support autistic children. However, to date there are no evidence-based interventions to support families of such children in South Asia. Based on consultations with clinicians, researchers and parents in Bangladesh and Sri Lanka, we developed a culturally tailored two-session skills-based group programme for parents whose autistic children present with anxiety. This paper describes the process of creating this programme, to be delivered by mental health professionals. [ABSTRACT FROM AUTHOR]

Background An effective implementation of antimicrobial resistance (AMR) surveillance projects requires sustainable and multidisciplinary engagement with stakeholders from various backgrounds, interests and aims. The "Capturing Data on Antimicrobial resistance Patterns and Trends in Use in Regions of Asia" (CAPTURA) project, funded by the Fleming Fund, initially targeted 12 countries in South Asia (SA) and Southeast Asia (SEA) to "expand the volume of historical and current data on AMR and antimicrobial usage" and support local agencies through capacity building activities. Methods In this article, we focus on early stakeholder engagement activities and present overall statistics on AMR data collated from 72 laboratories across seven countries. This included 2.3 million records of antimicrobial susceptibility testing (AST) data, which were curated, analyzed, and shared back to the facilities for informed decision making. Results Approximately 98% of the data collated by CAPTURA originated from laboratories based in SA countries. Furthermore, country-wide data were analyzed to identify commonly reported pathogens in each country, followed by descriptions of AST practices and multidrug-resistant (MDR) pathogens. Overall, we found meager adherence to standard guidelines to perform and record AST results, and a significant number of MDR pathogens were reported. Conclusions We conclude that close collaboration with the existing national mechanisms for identifying AMR data sources was crucial for the project's success. Although we show a vast retrospective dataset on AMR is available for data sharing in Asia, there remain critical gaps in data generation/management practice and analysis capacity for AMR data at most facilities. [ABSTRACT FROM AUTHOR]

Introduction: Tobacco use, in both smoking and smokeless forms, is highly prevalent among South Asian adults. The aims of the study were twofold: (1) describe patterns of SLT and combustible tobacco product use in four South Asian countries stratified by country and sex, and (2) assess the relationships between SLT and smoking intensity, smoking quit attempts, and smoking cessation among South Asian men. Methods: Data were obtained from South Asia Biobank Study, collected between 2018 and 2022 from 148,944 men and women aged 18 years and above, living in Bangladesh, India, Pakistan, or Sri Lanka. Mixed effects multivariable logistic and linear regression were used to quantify the associations of SLT use with quit attempt, cessation, and intensity. Results: Among the four South Asian countries, Bangladesh has the highest rates of current smoking (39.9% for male, 0.4% for female) and current SLT use (24.7% for male and 23.4% for female). Among male adults, ever SLT use was associated with a higher odds of smoking cessation in Bangladesh (OR, 2.88; 95% CI, 2.65, 3.13), India (OR, 2.02; 95% CI, 1.63, 2.50), and Sri Lanka (OR, 1.36; 95% CI, 1.14, 1.62). Ever SLT use and current SLT use was associated with lower smoking intensity in all countries. Conclusions: In this large population-based study of South Asian adults, rates of smoking and SLT use vary widely by country and gender. Men who use SLT products are more likely to abstain from smoking compared with those who do not. What this paper adds?: • Tobacco use remains a leading risk factor of chronic disease in South Asia. Smokeless tobacco use is particularly popular in this region, even among adult women. Evidence on smokeless tobacco use and smoking cessation are inconclusive and may be dependent on specific cultural and historical factors. • Contemporaneous data on smokeless and combustible tobacco use patterns in South Asia are limited. Little is known whether SLT use is associated with smoking cessation in South Asia where the vast majority of the world's SLT users reside. • This study provided information on patterns of SLT use and smoking in four South Asia countries using a large population-based sample of 148,944 adults collected between 2018 and 2022. We observed that SLT use was associated with higher smoking cessation and lower smoking intensity among men. Strengthening SLT product regulation may have important population health implications with the changing tobacco use landscape in South Asia. [ABSTRACT FROM AUTHOR]

This review systematically traces the context and evolution of climate-smart irrigation (CSI) in four South Asian countries—Bangladesh, India, Nepal, and Pakistan. CSI technologies and practices strive to address two main objectives: (1) sustainably enhance agricultural/water productivity and rural farm incomes to build community and farm-level resilience to climate change and (2) enable adaptation/mitigation to climate change across different scales through irrigation technologies and water resources management. These innovations also pose various social and environmental challenges. This review extracts findings from existing literature related to potential societal and environmental benefits and risks associated with CSI and outlines opportunities for responsible innovation to elaborate robust and democratic roles of CSI technology and engender equitable technological change. We identify three drivers (climate variability and GHG mitigation, cost savings and support structure, and water conservation and management) and five barriers (financial support, high initial cost, inadequate practice-based research, lack of knowledge and/or access, and structures of power). [ABSTRACT FROM AUTHOR]

Background: Agricultural activities in 2020 have resulted in 5.5 billion tons of CO2 equivalent globally, which is expected to rise because the food system would have to grow 70% more food for the population in 2050. Research suggests that agricultural productivity in South Asian countries, will increase food security; however, the role of their food crops and livestock products in environmental imprints is uncertain. This review aimed to assess the environmental impacts resulting from pre‐ and post‐production agricultural activities related to edible food crops and livestock products consumed in eight South Asian countries. Methods: Studies were retrieved using three databases (PubMed, Google Scholar and Science Direct) from 2011 to 2022. The protocol for this scoping review was not registered. Results: Twenty‐seven studies met the inclusion criteria. Most studies were conducted in India. Twenty‐four articles assessed greenhouse gases (GHG) emissions, followed by water footprints (n = 5), nitrogen and phosphorus (N&P) emissions (n = 4), and land requirements (n = 4). The production of rice and wheat was identified as a significant contributor to GHG emissions. In India, Bangladesh and Sri Lanka, the production of livestock (meat/bovine/shrimp and milk) was reported to be harmful to the environment. Inconclusive data were retrieved for other environment variables. Conclusions: Diversification in food production and cultivating additional coarse cereals (millets) offer opportunities for GHG reduction. Nevertheless, more comprehensive and longitudinal studies for South Asian countries are essential to make precise conclusions and validate the present review. Key points: The present study explored the role of South Asian food crops and livestock in environmental degradation.Most studies assessed green house gas (GHG) emissions.Production of wheat, rice and livestock products contributed significantly to GHG emissions.Diversification in food production, cultivating coarse cereals such as millets is desirable. [ABSTRACT FROM AUTHOR]

INTRODUCTION People with severe mental illness (SMI) tend to die early due to cardiovascular and respiratory diseases, which may be linked to tobacco use. There is limited information on tobacco use in people with SMI in low- and middle-income countries where most tobacco users reside. We present novel data on tobacco use in people with SMI and their access to tobacco cessation advice in South Asia. METHODS We conducted a multi-country survey of adults with SMI attending mental health facilities in Bangladesh, India, and Pakistan. Using data collected with a standardized WHO STEPS survey tool, we estimated the prevalence and distribution of tobacco use and assessed receipt of tobacco cessation advice. RESULTS We recruited 3874 participants with SMI; 46.8% and 15.0% of men and women consumed tobacco, respectively. Smoking prevalence in men varied by country (Bangladesh 42.8%, India 20.1% and Pakistan 31.7%); <4% of women reported smoking in each country. Smokeless tobacco use in men also varied by country (Bangladesh 16.2%, India 18.2% and Pakistan 40.8%); for women, it was higher in Bangladesh (19.1%), but similar in India (9.9%) and Pakistan (9.1%). Just over a third of tobacco users (38.4%) had received advice to quit tobacco. Among smokers, 29.1% (n=244) made at least one quit attempt in the past year. There was strong evidence for the association between tobacco use and the severity of depression (OR=1.29; 95% CI: 1.12-1.48) and anxiety (OR=1.29; 95% CI: 1.12-1.49). CONCLUSIONS As observed in high-income countries, we found higher tobacco use in people with SMI, particularly in men compared with rates reported for the general population in South Asia. Tobacco cessation support within mental health services offers an opportunity to close the gap in life expectancy between SMI and the general population. [ABSTRACT FROM AUTHOR]

People may evaluate the same level of performance differently because of different biases. The study explores the possible effects of anti-/pro-public-sector bias on perceived performance and fairness in South Asian countries. Using a survey experiment involving a vignette of identical performance (same level of performance) in public and private hospitals, the study finds lower perceived performance in Bangladesh for the public hospitals due to anti-public-sector bias. However, such an effect was not found in other South Asian countries. Rather, the study finds that in India and Sri Lanka, people assessed greater fairness in public hospitals than in private hospitals for the same quality of services. This assessment of fairness may result from pro-public sector bias. Thus, the evaluation of organizational performance can be shaped by sectoral biases, and people may report different levels of performance for identical performance. [ABSTRACT FROM AUTHOR]

The COVID‐19 pandemic has brought about significant changes to the the learning process, prompted by the shift away from traditional physical classrooms to virtual ones. With unequal access to remote learning technologies, there are concerns regarding undergraduate students' academic progress. A primary survey was conducted to create a composite learning score to quantify learning losses. A significantly higher learning loss is visible among students belonging to families facing income losses during the pandemic, and public university students. We find that compared to India, students of Bangladesh and Pakistan are affected more severely in terms of learning losses. The article also measures the extent of psychological distress and academic demotivation related to online learning. We find that the same groups of students face higher psychological distress and academic demotivation. [ABSTRACT FROM AUTHOR]

Background and Aims: The connection between marital status and suicidal behavior has been poorly assessed in South Asia. We aimed to see the proportion of marital status in individuals with suicidal behavior in South Asian countries. Methods: We followed PRISMA guidelines and registered the protocol in advance (PROSPERO 2023 CRD42023399906). A systematic search was conducted in Medline, Embase, and PsycINFO. Meta‐analyses were performed to pool the proportion of married individuals with suicidal behavior (total [suicide + suicide attempts], suicide, and suicide attempt) in South Asian countries. We considered suicidal behavior consist of suicide and suicide attempts (nonfatal). Results: Our search identified 47 studies for this review from 6 countries published from 1999 to 2022 with a sample size ranging from 27 to 89,178. The proportion of married individuals was 55.4% (95% CI: 50.1–60.5) for suicidal behavior, 52.7% (95% CI: 44.5–60.7) for suicides, and 43.1 (95% CI: 32.9–53.9) for suicide attempts. The proportion of married persons among suicide attempts varied significantly across countries (p = 0.016) which was highest (61.8%; 95% CI: 57.2–66.2) in India, followed by Bangladesh (52.5%; 95% CI: 41.8%–62.9%) and Pakistan (45.1%; 95% CI: 30.9–59.9). The pooled proportions did not differ significantly in relation to the quality of the studies (p = 0.633). Conclusion: This review identified married persons died more than others by suicide in South Asian countries while single persons attempted suicide than married. As the current study did not assess any cause‐and‐effect association, a cautious interpretation is warranted while considering married marital status as a risk factor. [ABSTRACT FROM AUTHOR]

75% of the world's poor reside in rural areas where the local economy is tied to agriculture. We interpret new panel data on COVID‐19 from Nepal and Bangladesh in relation to agricultural seasonality. Conditions in April–June 2020 were comparable to a typical lean season even though the pandemic arrived at harvest time. Income losses stem from both depressed local employment as well as lower migration and remittances. We also document indirect adverse health impacts on nutrition and mental health. Findings are specific to the nature of economic activity at harvest, and effective pandemic policy must evolve with the agricultural season. [ABSTRACT FROM AUTHOR]

The article discusses the relationship between cinema and social media in South Asia. It explores how social media amplifies and reshapes the cinematic experience, aesthetic, and archive. The article also examines the impact of social media on the film "Pathaan" and its political and cultural significance. Additionally, it delves into the emergence of lip-sync videos on digital platforms and their role in reorganizing filmi culture. The article includes analyses of other films and their engagement with social and political issues in the region. [Extracted from the article]

Hilsa shad (Tenualosa ilisha, Hamilton, 1822), the highly coveted table fish within the Indian subcontinent, is Bangladesh's most significant single-species fishery. To assess the risk that toxic metals pose to human health, certain health risk indices—estimated daily intake (EDI), target hazard quotient (THQ), total target hazard quotient (TTHQ), and target cancer risk (TR)—were calculated. The hierarchy of toxic metals (µg/g-ww) in Hilsa shad of the bay showed as Zn (13.64 ± 2.18) > Fe (9.25 ± 1.47) > Mn (2.98 ± 0.75) > Cu (0.57 ± 0.18) > Cr (0.23 ± 0.06) > Pb (0.22 ± 0.04) > As (0.08 ± 0.02) > Ni (0.06 ± 0.02) > Co (0.04 ± 0.01) > Cd (0.01 ± 0.003) in the wet season and Zn (11.45 ± 1.97) > Fe (10.51 ± 1.38) > Mn (3.80 ± 0.75) > Cu (0.73 ± 0.17) > Pb (0.30 ± 0.03) > Cr (0.20 ± 0.05) > As (0.09 ± 0.01) > Ni (0.08 ± 0.02) > Co (0.07 ± 0.02) > Cd (0.02 ± 0.004) in the dry season. The EDI of all the examined trace metals indicated no risk to human health from consuming Hilsa fish. The estimation of THQ and TTHQ suggested that the ingestion of both individual and combined trace metals through Hilsa shad consumption was safe from the perspective of human health. Also, there was no evidence of carcinogenic risk for consumers based on the evaluation of the TR value of metals (As, Pb, Cd, and Ni) due to Hilsa shad consumption. [ABSTRACT FROM AUTHOR]

Remittances are one of the major driving forces of economic growth in Bangladesh. The paper's main objective is to empirically investigate the effect of COVID-19 on the remittance inflow to Bangladesh using a gravity model framework. We have employed monthly data of remittance inflow to Bangladesh from January 2018 to September 2022 with its top twelve partners, namely the Kingdom of Saudi Arabia, the United Arab Emirates, Kuwait, Qatar, Oman, Bahrain, Libya, the United Kingdom, Italy, Malaysia, Singapore, and Japan. Using the gravity equation, we tapped the COVID-19 dummy as the critical variable of our interest, along with COVID transmission, mortality, and vaccination data at home and abroad. Using Poisson pseudo-maximum likelihood (PPML), fixed-effect (FE), and random-effect (RE) estimations, we find that during the COVID-19 pandemic, remittance inflow to Bangladesh increased significantly after controlling for other Gravity variables. [ABSTRACT FROM AUTHOR]

Fine particulate matter (PM2.5) is associated with adverse impacts on ambient air quality and human mortality; the situation is especially dire in developing countries experiencing rapid industrialization and urban development. This study assessed the spatio-temporal variations of PM2.5 and its health impacts in the South Asian region. Both satellite and station-based data were used to monitor the variations in PM2.5 over time. Additionally, mortality data associated with ambient particulate matter were used to depict the overall impacts of air pollution in this region. We applied the Mann–Kendall and Sen's slope trend analysis tool to investigate the trend of PM2.5. At the same time, clustering of backward trajectories was used for identifying the long-range air mass transport. The results revealed that the mean annual PM2.5 mass concentration was the highest (46.72 µg/m3) in Bangladesh among the South Asian countries during 1998–2019, exceeding the national ambient air quality standards of Bangladesh (i.e., 15 µg/m3) and WHO (10 µg/m3), while lower PM2.5 was observed in the Maldives and Sri Lanka (5.35 µg/m3 and 8.69 µg/m3, respectively) compared with the WHO standard. The trend analysis during 1998–2019 suggested that all South Asian countries except the Maldives experienced an increasing trend (p < 0.05) of PM2.5. The study showed that among the major cities, the mean annual PM2.5 value was the highest in New Delhi (110 µg/m3), followed by Dhaka (85 µg/m3). Regarding seasonal variation, the highest PM2.5 was found during the pre-monsoon season in all cities. The findings of this research would help the concerned governments of South Asian countries to take steps toward improving air quality through policy interventions or reforms. Moreover, the results would provide future research directions for studying the trend and transport of atmospheric PM2.5 in other regions. [ABSTRACT FROM AUTHOR]

Groundwater arsenic (As) still poses a massive public health threat, especially in South Asia, including Bangladesh. The arsenic removal efficiency of various technologies may be strongly dependent on groundwater composition. Previously, others have reported that the molar ratio [ Fe ] − 1.8 [ P ] [ As ] , in particular, can usefully predict the potential efficiency of groundwater As removal by widespread sorption/co-precipitation-based remediation systems. Here, we innovatively extended the application of artificial intelligence (AI) machine learning models to predict the geospatial distribution of [ Fe ] − 1.8 [ P ] [ As ] in Bangladesh groundwaters utilizing our analogous AI predictions for groundwater As, Fe, and P. A comparison between the predicted geospatial distribution of groundwater As and [ Fe ] − 1.8 [ P ] [ As ] distinguished high groundwater As areas where (a) sorption/co-precipitation remediation technologies would have the potential to be highly effective in removing As without Fe amendment, as well as from those areas where (b) amendment with Fe (e.g., zero-valent Fe) would be required to promote efficient As removal. The 1 km2 scale of the prediction maps provided a 100-fold improvement in the granularity of previous district-scale non-AI models. AI approaches have the potential to contribute to informing the appropriate selection and amendment of appropriate groundwater contamination remediation strategies where their effectiveness depends on local groundwater chemistry. [ABSTRACT FROM AUTHOR]

Languages are at the centre of nationalistic discourses across South Asia since they have played a historically and politically significant role in defining nationhood and both uniting and dividing countries throughout the British Empire. Despite multilingualism and multiculturalism, and vast differences in individual access to, and command of, mother tongue, national and official languages, paradoxically a collective language is always considered as an important imagined marker of 'national' identity. It is this latter point I explore by drawing on ethnographic fieldwork amongst Bangladeshi youths from indigenous ethnic communities who are designated as ethnic minority groups in Bangladesh. Positioning the paper at the nexus of multilingual ecology, I thereby investigate how youths from the indigenous ethnic communities perceive themselves with reference to their mother tongue, national language, and foreign language, and what impact their relationships, their preferences, and use have on the maintenance and sustainability of their mother tongue in the multilingual ecology. A qualitative content analysis of the data demonstrates that it is only by taking the varying potential scopes of language into account that we can fully appreciate these complex Asian multilingual ecologies, where the mother tongues, indigenous ethnic languages, national languages, and English have specific historical, political, and sociocultural significances. The discursive claims of Bangladeshi ethnic youth participants indicate that the presence of the 'mother-tongue' and 'national language' in these contexts is ideologically infused, layered, value-laden, relational, and paradoxical at the microlevel – as these languages are practiced and nurtured by the linguistically minoritized subjects themselves. They negotiate their relationship with these languages, strictly keeping in consideration the existence of other languages and their social, cultural, economic significance in the multilingual ecology. It is via the paradoxical role of these languages in contexts that the paper aims to identify the socio-psychological reasons behind language loss in Bangladesh. [ABSTRACT FROM AUTHOR]