Research Reports (1998): Health Studies, Vol - XXIV

Permanent URI for this collectionhttps://hdl.handle.net/10361/12926

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Validation of baseline information of reproductive health & disease control programme
(BRAC Research and Evaluation Division (RED), 1998-06) Afsana, Kaosar; Mahmud, Shah Noor
The Reproductive Health and Disease Control (RHDC) programme has been in operation since 1996. This study was conducted in RHDC programme areas to validate the accuracy of baseline information as collected by the programme. Selected process indicators, such as use of antenatal care, assistance during delivery by the trained personnel, contraceptive prevalence rate and continuation and discontinuation rate of methods were chosen to compare data between the programme and survey. For use of antenatal care and trained personnel during delivery, a sample of210 women who gave birth during January-December 1996 was drawn from among the members of village organisations (VOs). For contraception, 450 currently married women were randomly selected from the same VOs. The validated data of the programme were found in close agreement with the survey data. For use of antenatal care, 99% of the programme data were found to be accurate. Of the women who received assistance during delivery, 91 °u were confirmed by survey. Accuracy was validated in 95% of cases for contraceptive prevalence. Continuation rate of methods during 1996 as validated by the survey was 83% and discontinuation rate 23%. Predictive value of use of antenatal care, use of trained personnel and contraceptive prevalence is very high but in contrast that of discontinuty of methods is very poor. It has been suggested that due to very high accuracy rate of programme data, it can be used as a reliable source of information. However, validation of programme data can be done from time to time to check its accuracy. Moreover, record-keeping system should be well-maintained and SSs' activities well-supervised.
Reaching quality services of BRAC health centers to the People
(BRAC Research and Evaluation Division (RED), 1998-09) Afsana, Kaoser; Mahmud, Shah Noor
Perception of rural women on RTI/ STls
(BRAC Research and Evaluation Division (RED), 1998-09) Gazi, Rukhsana; Chowdhury, A Mushtaque R
Health knowledge of rural Bangladeshi children: does BRAC's non-formal schools make any impact?
(BRAC Research and Evaluation Division (RED), 1998-01) Nath, Samir R.
This report explores the impact of BRAC's Non-Fonnal Primary Education Programme (NFPE} on raising health knowledge of the rural Bangladeshi children. Three groups of children viz. NFPE graduates, formal school learners and children who never went to school were assessed an instrument containing six health knowledge items. A sample of 720 children, equally distributed by study groups and sex, were selected randomly. Data were collected from five areas where a surveillance system was in operation. This study reveals that NFPE graduates are more likely to have higher level of health knowledge than the children of other two groups. The impact of NFPE is due to its extra emphasis to enhance positive influence of education on lives of the rural population.
Growth and development pattern of low birth weight infants in rural Bangladesh
(BRAC Research and Evaluation Division (RED), 1998-02) Gazi, Rukhsana; Karim, Fazlul
Case study of low immunization coverage area in Bhairab thana
(BRAC Research and Evaluation Division (RED), 1998-07) Ara, Shamim; Chowdhury, AMR; Karim, Fazlul; Bhuiya, Abbas; Aziz, KMA
Barriers to Emergency Obstetric Care (EOC) and birth practices in rural Manikganj
(BRAC Research and Evaluation Division (RED), 1998-09) Gazi, Rukhsana; Goodbum, Liz; Chowdhury, A Mushtaque R; Karim, Fazlul
This study aimed to explore the situation during delivery in rural homes and to identify the barriers to emergency obstetric care (EOC). Twenty sO< pregnant women were followed-up at home by experienced female interviewers. No notes were taken during the conversations but a detailed diary of each visit was made immediately after they returned to the base. Women themselves were often not aware of self care. A fear of sin which was attributed to the presence of unknown male doctors in the hospital acted as barrier. Women's relationship with their in-laws was found to be important. An early assessment and indication for referral by traditional birth attendants (TBAs) was important in the decision making process. TBAs were often trying to manage the complications by themselves. The hospital is a unfamiliar place for rural people. A common perception was that the hospital people pay attention only to rich and educated people. In-laws and neighbours jointly undertook the decision for hospitalization. All members of the community need to be educated about the danger signs of obstetric emergencies. For this poster charts, audio visual aids, folk drama might be used as effective tools for the information campaign. TBA training interventions should give more emphasis to early recognition of complications and early indications for referral.

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