scholarly journals Postnatal care services and factors affecting its utilization in slum areas of Dhaka city

2020 ◽  
Vol 13 (2) ◽  
pp. 53-58
Author(s):  
Nilufar Yeasmin Nili

Background and objectives: Maternal as well as infant mortality is high in Bangladesh. Utilization of post natal care (PNC) services is important to reduce maternal and infant mortality. Considering this matter, this study attempted to find out the level of PNC utilization by women living in slum areas of Dhaka city as well as to identify the factors associated with the utilization of PNC services. Methods: This study was conducted in Khilgaon and Rampura slums of Dhaka city. In each slum, women aged between 15-49 years who had given birth to at least one child were enrolled in the study by random sampling technique. Participants were interviewed with a semi-structured questionnaire which included information on socio-economic, demographic, cultural status as well as information on PNC service utilization. Results: Out of total 360 enrolled women in both slums, 58.6% utilized PNC services. The rate of utilization of PNC services was 55% and 62.2% in Khilgaon and Rampura slum respectively. Compared to 40-49 years age group, significantly (p<0.01) higher percentage of women aged <20, 20-29 and 30-39 years utilized PNC services (69.6%, 67.0% and 56.4% respectively). The significant associates of receiver of PNC were respondent’s education, number of antenatal care (ANC) received, level of tetanus vaccination, place of delivery, distance between home and clinic, mass media exposure, male participation and autonomy. Conclusion: Local socioeconomic and cultural aspects should be considered while planning intervention program to improve the utilization of PNC service. Ibrahim Med. Coll. J. 2019; 13(2): 53-58

1970 ◽  
Vol 4 (2) ◽  
pp. 44-48
Author(s):  
Housne Ara Begum ◽  
Nilufar Yeasmin Nili ◽  
Amir Mohammad Sayem

Bangladesh has one of the highest maternal mortality rates (MMR) in the world. The estimated lifetime risk of dying from pregnancy and childbirth related causes in Bangladesh is about 100 times higher compare to developed countries. However, utilization of maternal health care services (MHCS) is notably low. This study examines the socio-economic determinants of utilization of MHCS in some slum areas of Dhaka city. The overall utilization was 86.3% of women; however, utilization of different sorts of MHCS was very low, i.e., the mean utilization was found to be 2.25 out of 5 MHCS. Indicator wise, ANC, TT, institutional delivery, delivery assistance by health professional and PNC were received by 61.3%, 80.4%, 12.6%, 33.2% and 55.4% of women respectively. Variation was observed with different socio-economic variables. Multiple regression model could explain 38% of variance (P<0.001). Among the significant determinants, order of last birth negatively explained the most variance (15.2%). Similarly, distance between home and clinic was found to affect the utilization negatively. Besides, some respondents’ socio economic variables had a significant positive effect on MHCS utilization. To reduce maternal mortality in disadvantaged women in slum areas, this study might suggest a few pointers while considering formulation of policies and planning. Keywords: determinants; utilization; maternal health care; service; slum areas DOI: 10.3329/imcj.v4i2.6495Ibrahim Med. Coll. J. 2010; 4(2): 44-48


2016 ◽  
Vol 3 (1) ◽  
pp. 37-50
Author(s):  
Seema Manzoor ◽  
Dua -e- Rehma

This study aims to establish the understanding about the reproductive health issues of women living in slum areas of Karachi. It also focuses on the actual problems of women living in slums and their access to health care services. Though women are almost half of the population, but are still the most neglected part of the society. Women in slums are extremely vulnerable to many health issues, because they are considered as the most dysfunctional part of the society. Now the scenario has changed a bit and realization regarding women’s reproductive health issues is recognized globally, but still social, economic and cultural aspects are barriers in their way to access health facilities. By using quantitative research method researcher has analyzed different factors and circumstances which these women are experiencing, and the universe of population for this study is chosen as few slum areas of Karachi, Pakistan. Whereas, convenience and purposive sampling techniques of non-probability sampling method is used in order to collect the data by 100 respondents. In Pakistan and across the world, slums have been the characteristics of an urban setting. The concentration of reproductive health issues of women and adverse environmental circumstances within slums is an increasingly important concern for developing countries like Pakistan.


2019 ◽  
Vol 7 (1) ◽  
pp. 45
Author(s):  
Hasman Abdul Manan ◽  
Shahira Ariffin ◽  
Tengku Sharifeleani Ratul Maknu ◽  
Irwan Ibrahim ◽  
Harlina Suzana Jaafar

The significant shifts in urbanites’ lifestyles have been the catalyst behind the increased in the consumption of foreign foods and beverages in Malaysia; particularly those made in western nations. Notably, Malaysia’s total import for food had risen significantly from RM26.7 billion in 2009 to RM42.6 billion and RM 45.4 billion, in 2014 and 2015 respectively. These days, urban Malaysian Malays are being inundated with various foreign Halal food products in local markets however, these can also leave them in a rather risky circumstance as the likelihood that some of these foreign food products are not suitable (i.e. Haram) for their consumptions, is relatively high. Halal food issues (namely those foods originated from non-Muslim countries) have created lots of anxieties within the Malaysian Malays’ society. Hence, this study aims to examine factors affecting willingness to accept foreign Halal foods by urban Malaysian Malays. Convenience sampling technique was used to obtain responses from 450 urban Malaysian Malays in designated areas within the Greater Kuala Lumpur/Klang Valley region. The results demonstrated urban Malaysian Malays willingness to accept foreign Halal foods were significantly affected by trust but displayed no relationships with subjective knowledge and attitude. Also, the insignificant attitude- willingness relationship signified the presence of the attitude-behavior gap. The study’s outcomes may perhaps offer new understandings on urban Malaysian Malay markets particularly for global brand owners and marketers.


2021 ◽  
Vol 9 (1) ◽  
pp. 72 ◽  
Author(s):  
Giorgio Anfuso ◽  
Matteo Postacchini ◽  
Diana Di Luccio ◽  
Guido Benassai

Coastal area constitutes a vulnerable environment and requires special attention to preserve ecosystems and human activities therein. To this aim, many studies have been devoted both in past and recent years to analyzing the main factors affecting coastal vulnerability and susceptibility. Among the most used approaches, the Coastal Vulnerability Index (CVI) accounts for all relevant variables that characterize the coastal environment dealing with: (i) forcing actions (waves, tidal range, sea-level rise, etc.), (ii) morphological characteristics (geomorphology, foreshore slope, dune features, etc.), (iii) socio-economic, ecological and cultural aspects (tourism activities, natural habitats, etc.). Each variable is evaluated at each portion of the investigated coast, and associated with a vulnerability level which usually ranges from 1 (very low vulnerability), to 5 (very high vulnerability). Following a susceptibility/vulnerability analysis of a coastal stretch, specific strategies must be chosen and implemented to favor coastal resilience and adaptation, spanning from hard solutions (e.g., groins, breakwaters, etc.) to soft solutions (e.g., beach and dune nourishment projects), to the relocation option and the establishment of accommodation strategies (e.g., emergency preparedness).


1970 ◽  
Vol 7 (2) ◽  
pp. 373-380 ◽  
Author(s):  
MS Alamgir ◽  
MA Jabbar ◽  
MS Islam

The present study was an attempt to determine the factors affecting the livelihood of the socioeconomic improvement of migrants and to analyze the causes of rural-urban migration in slum areas. Slum areas have no available formal education facilities and slum people were found to be engaged in rickshaw pulling, day labourer, petty business, small job services etc. Analysis showed that migration and taking in micro credit were beneficial for the slum dwellers. Receiving and utilizing micro credit income level, consumption, expenditure and socio-economic status of the slum dwellers improved to some extent. Due to participation of slum dwellers in NGOs, their economic, social and decision making improved substantially. Credit disbursement through NGOs with integrated approach could bring positive changes in the life of poor slum women as well as their community. Findings showed that Fifty six per cent people migrated to Dhaka city for economic reason. Factors of migration had a significant contribution of rural urban migration and also significant livelihood improvement has taken place due to micro credit. At the individual level, the women were benefited in terms of mobility and skill, self confidence, widening of interests, access to financial services, build own savings, competence in public affairs and status at home and in the community that lead a better awareness for enhancing women's empowerment. However, there is a need for proper training for sustainable result in the long run. Keywords: Migration; Livelihood; Micro credit DOI: 10.3329/jbau.v7i2.4750 J. Bangladesh Agril. Univ. 7(2): 373-380, 2009


1998 ◽  
Vol 28 (3) ◽  
pp. 555-574 ◽  
Author(s):  
Larissa I. Remennick ◽  
Naomi Ottenstein-Eisen

The post-1989 immigration wave from the former U.S.S.R. has increased the Israeli population by over 12 percent, seriously affecting the host health care system. This study draws on semi-structured interviews with the immigrants visiting outpatient clinics in the Tel-Aviv area in order to explore organizational and cultural aspects of their encounter with the Israeli medical services. While instrumental aspects of care were seen as an improvement over the Soviet standards, communication between providers and clients was seriously flawed, reflecting both a language barrier and diverse cultures of illness and cure. Many interviewees complained of the impersonal, “technical” attitude of Israeli physicians toward patients and the lack of holism in care, which they allegedly enjoyed before emigration. Some immigrant patients feel deprived of the paternalism of the Soviet medical system, complaining that Israeli providers “forego responsibility” for patients' health. A consumerist approach to medical services is also a novelty, and immigrants have to learn to be informed and assertive clients. Most problems are experienced by the elderly patients; overall, women seem to adjust to the new system better than men.


2013 ◽  
Vol 38 (2) ◽  
pp. 321-334 ◽  
Author(s):  
Abu Zafar Mahmudul Haq

The impact of extension contact on crop income is examined with a view to evaluating the agricultural extension in Bangladesh. The scope of the study was ten villages of Gazipur district. The objectives of the study are to i) determine the factors influencing the benefit of extension services in terms of farm income, ii) determine the factors affecting the extension contact of farmers, and iii) suggest some policy guidelines to improve the extension services in Bangladesh. The sample of the study consists of 1000 farmers. Data came from field survey and multistage random sampling technique was used in order to collect data. The results indicated that the impact of extension contact coefficient on crop income is positive and significant. Evidence shows that the influence of extension contact coefficient is strongly positive and significant in the comparatively nearer villages to upazila headquarters, while this effect is weaker for those villages, which are comparatively away from upazila headquarters. It is found that many farmers did not receive extension contact and the effect of extension contact is weak on crop income compared to other factors such as irrigation and chemical fertilizer. It is assumed that there was enough scope to increase extension contact in the study areas. Some determinants of extension contact were also examined. The study concludes that agricultural extension is necessary to increase among the farmers. Bangladesh J. Agril. Res. 38(2): 321-334, June 2013 DOI: http://dx.doi.org/10.3329/bjar.v38i2.15893


2015 ◽  
Vol 3 (2) ◽  
pp. 68-73 ◽  
Author(s):  
Shayela Farah ◽  
Mohoshina Karim ◽  
Nasreen Akther ◽  
Meherunnessa Begum ◽  
Nadia Begum

Background: : Slum dwellers are likely to be among the most deprived people in urban areas. Poor hygiene practices and inadequate sanitary conditions play major roles in the increased burden of communicable diseases within developing countries like ours.Objective: To assess the knowledge and practice about personal hygiene and environmental sanitation in selected slums of Dhaka city.Materials and method: This cross sectional study was conducted in purposively selected urban slum areas of Moghbazar slum, Bashabo slum and T&T slum of Dhaka city during February 2014 to April 2014. Convenient sampling technique was applied. Semi-structured pre-tested questionnaire was used and face to face interview was conducted. Total 475 subjects, irrespective of age and sex, were included in this study.Results: Out of 475 respondents, more than fifty percent slum dwellers resided in tin shaded room while 21.7% in ‘kacha’ houses. Sixty six percent of the respondents used to drink water from tube-well and 24% used supplied water provided by the city corporation. The study revealed that near 59% of the respondents used sanitary latrine. About 67% slum dwellers regularly practiced hand washing before taking meal and 59.2% respondents used soap after defecation. About fifty percent respondents brushed their teeth regularly with tooth paste. Regarding personal cleanliness, 81% subjects took bath regularly while 78% washed clothes irregularly. A statistically significant relation was found between washing of hands before meal (p=0.001), washing of hands after defecation (p=0.02), tooth brushing (p=0.001), bathing (p=0.009), washing of cloths (p=0.001), use of footwear (p=0.63) with knowledge of personal hygiene of the slum dwellers.Conclusion: Continuous community hygiene education along with adequate access to water supply and sanitation improves hygiene behaviour and policy makers and health care providers should have definite strategy and implementation.Delta Med Col J. Jul 2015; 3(2): 68-73


Sign in / Sign up

Export Citation Format

Share Document