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REPORTS ON COMMUNITY SURVEY PLACE:1. SUSHASTHO, BRAC-SHOMBHUGANJ, MYMENSINGH. PLACE:2. SUSHASTHO, BRAC-TRISHAL, MYMENSINGH DATE:FROM-01/10/2005 TO 14/10/2005 NAME OF THE TRAINERS:1. DR. MD AHSANUDDIN-SHOMBHUGANJ. 2. DR. MD. AHSANULLAH RUMI-TRISHAL GUIDE TEACHER:DR. LOBONI TEAM MEMBERS:1. DR. NADIM RAHMAN 2. DR. SAIKA SADRIN 3. DR. FAISAL RAHMAN 4. DR. SABRINA AKHTER 5. DR. SOFIA AKHTER 6. DR. TANIA AFRIN 7. DR. SHAMIM REPORTS ON COMMUNITY SURVEY Following the decision of the Director, the intern co-ordinator and the head of the department of Community Medicine, a 14 days placement in a rural community clinic, namely Shushastho, was arranged for the intern doctors of Bangladesh Medical College Hospital. The tour program duration was lst October, 2005 to 14th October, 2005 including the journey days. Just prior to our departure, Prof. MD Hussairi,briefed us on the tour, its aims and objectives, and what was expected of us. We left with an eager mind, and much curiosity regarding what lay ahead of us. We focused on the following-data 1. Antenatal checkup 2. Couple protection rate 3. Sterilization methods 3. Tenatal Checkup:


1. Antenatal checkup The people who visited the clinic were mostly ignorant about antenatal checkups and only 50% of the younger age group was informed about it. Also we found it to be more popular among women who have some form of education. However the concept is getting popularity and many expectant mothers were observed among the patients visiting the clinic. Among these women Anemia was seen to be a common problem. Almost 75% of the women seem to be suffering from this problem. However we did not see any patient with pre-clamps a or eclampsia during our placement. Percentage of Visits of pregnant women for antenatal checkup: • Regular Visit: 30% • Irregular Visit: 50% • totally absent: 20% Danger Signs: The Danger signs we have encountered in patients here are •Anemia- 70% •Oedema- 20% •High BP- 08% • P V bleeding- 02% TT vaccine: We found many women to be ignorant about the TT vaccine, although they beginning to learn more about it. • Immunized Women: 50% • Non-immunized Women: 50%

are

Mode of Delivery: •Home delivery 60% •Institutional Delivery: 40% 2. Couple Protection Rate: About 50 families were surveyed to collect data on this. The survey was conducted in Trishal, Mymensingh. We observed that this concept was more popular with educated people and the younger age group than the elderly, mostly because of religious barrier. We found that oral pill and barrier method are equally popular. However most couples are reluctant to use sterilization techniques. We found that about 70% of the 50 couples we surveyed to be using contraceptive methods.     

Oral pills: 50% Barrier methods: 45% Copper T: 0% Injectable Depot: 03% Sterilization: 2%


Age group 15-20 22-25 25-30 30-35 35-40 40-45

No. of Children 1-2 1-2 2-3 3-4 4-6 4-6

Barrier Method 12 12 6 2 1 0

Contraceptive method 16 14 14 6 1 0

Others

None

Total

0 0 0 0 0 0

0 0 2 2 9 9

28 26 22 10 11 9

3. Sterilization Methods: Very few people had much idea about sterilization methods and even less were actually found to be interested. However we tried our best in informing them and motivating a positive approach toward these methods. Knowledge of permanent sterilization: 42%. 

Male 04%



Female-38% Table: Approximate number of patients observed:

Disease Scabies ARI Diarrhea ANC Ring Worm CSOM STD Abscess IHD DM

Total Number 43 40 47 40 23 12 27 07 OS 04

Incidence 43 40 47 40 23 12 27 07 OS 04

Management Conservative Conservative Conservative Conservative Conservative Conservative Conservative Ref. Ref. Ref.

LPI

48

48

Vaccine Given

Follow-up Y Y Y Y Y Y N N N Y _ Y

Conclusion: This survey provided us with a wonderful opportunity for exposure with rural people, their ailments, their financial constraints and available treatment options. Most of these people live below poverty line and are unable to bear their treatment cost, let alone costs for investigations. Their ignorance and illiteracy was also a big challenge to overcome. It is wonderful that the government along with the NGOs are working together to bring a better life to these people.


We are all very grateful to Prof. M D Hussain and the Department of Community Medicine of our medical college for giving us this opportunity and experience. I am a doctor of Bangladesh Medical College conducting a survey on "Reproductive health status" of women of reproductive age group seeking your kind permission and co-operation on this regard. Questionnaire Serial No................. 1. Name :................................................................ 2. Age 3. Height 4. Weight 5. Religion (1) Islam (2) Hindu (3) Christain (4) Bhudist 6. Educational Status (1) No institutional education (2) Primary (3) Secondary (4) Higher secondary (5) Graduate (6) Post graduate (7) Others 7. Occupation of the respondent (1) Service Holder (2) Business (3) Day labor (4) House wife (5) Others 8. Occupation of the husband (1) Farmer (2) Day labor (3) Mechanic (4) Fisherman (5) Business (6) Service holder (7) Other 9. Total monthly income

10. Age at marriage


11. Age at first pregnancy 12. Total number of living children 13. Previous history of (1) MR (2) Abortion (3) Still birth (4) Others 14. Any H/O obstetrics complication

Yes No

15. If yes, specifying the complication

16. Did you have antenatal check-up in your pregnancy ?

Yes No

17. If yes, how many visits did you take?

18. Did you take TT vaccines during pregnancy?

Yes No

19. Do you know the warning sign of pregnancy? (1) Oedema (2) Blood pressure (3) P/V bleeding (4) Blurring of vision (5) Prolonged labor pain (6) Hand or cord prolapse 20. Where did you confine your delivery? (1) Home delivery (2) Institutional delivery 21. Do you use contraceptives? 22. If yes, which one you use (1) Oral pill (2) Copper T (3) Injection (4) Nor-plant (5) Natural method

Yes

No


23. If no, why? (Want more children (2) Husband use (3) Physical problem (4) Others 24. Do you know about permanent method of sterilization?

25. Do you want to have permanent sterilization?

26. If yes, want do you prefer? (1) Tubectomy (2) Vesectomy 27. Why will you prefer this method? (1) Less hazardous (2) Easily done (3) Less costly (4) Early ambulating

Yes No

Yes

No


I am a doctor of Bangladesh Medical College conducting a survey on "Reproductive health status" of women of reproductive age group seeking your kind permission and co-operation on this regard.

Questionnaire

Serial No................. 1. Name :................................................................ 2. Age 3. Height 4. Weight 5. Religion (1) Islam (2) Hindu (3) Christain (4) Bhudist 6. Educational Status (1) No institutional education (2) Primary (3) Secondary (4) Higher secondary (5) Graduate (6) Post graduate (7) Others 7. Occupation of the respondent (1) Service Holder (2) Business (3) Day labor (4) House wife (5) Others 8. Occupation of the husband (1) Farmer (2) Day labor (3) Mechanic (4) Fisherman (5) Business (6) Service holder (7) Other 9. Total monthly income


10. Age at marriage 11. Age at first pregnancy 12. Total number of living children 13. Previous history of (1) MR (2) Abortion (3) Still birth (4) Others 14. Any H/O obstetrics complication

Yes No

15. If yes, specifying the complication

16. Did you have antenatal check-up in your pregnancy ? Yes No

17. If yes, how many visits did you take?

18. Did you take TT vaccines during pregnancy?

Yes No

19. Do you know the warning sign of pregnancy? (1) Oedema (2) Blood pressure (3) P/V bleeding (4) Blurring of vision (5) Prolonged labor pain (6) Hand or cord prolapse 20. Where did you confine your delivery? (1) Home delivery (2) Institutional delivery 21. Do you use contraceptives?

Yes No


22. If yes, which one you use (1) Oral pill (2) Copper T (3) Injection (4) Nor-plant (5) Natural method

23. If no, why? (Want more children (2) Husband use (3) Physical problem (4) Others

24. Do you know about permanent method of sterilization?

25. Do you want to have permanent sterilization?

Yes

No

Yes No

26. If yes, want do you prefer? (1) Tubectomy (2) Vesectomy 27. Why will you prefer this method? (1) Less hazardous (2) Easily done (3) Less costly (4) Early ambulating I am a doctor of Bangladesh Medical College conducting a survey on "Reproductive health status" of women of reproductive age group seeking your kind permission and co-operation on this regard. ---------------


Reports on community survey