Highlights
Geriatric health is often overlooked in developing countries like Bangladesh.
Mental health is the lowest priority domain of geriatric health.
The majority of the Bangladeshi elderly population suffers from depression symptoms.
Depression is strongly associated with geriatric malnutrition.
Depression can seriously deteriorate the quality of life for older adults.
Improving maternal health and reducing maternal mortality rate (MMR) are major challenges for Bangladesh. Utilization of antenatal care (ANC) services from skilled professionals and deliveries in health facilities are therefore important to tackle MMR and socioeconomic differences play a major part for these service utilization. The purpose of the current study was to identify the level and determinants of ANC and health facility delivery care utilization in Subornochor upazila (a rural sub-district), Noakhali, Bangladesh. The study was a community based cross sectional study. A total of 360 women (15-49 years) who had a child in the last five years preceding the survey were interviewed and studied. The results of overall analysis showed that only 34.6% women received ANC from health professionals, whereas mere 5.3% deliveries were taken place at health facilities. Mother's education, partner's occupation, family income and area of residence were significant predictors of these services utilization. Place of receiving ANC was an influencing factor of health facility delivery. Women who didn't receive ANC in health facilities were almost three times (OR: 2.95, 95% CI: 1.06-7.9) less likely to deliver in health facilities compared to the women who received ANC. The study underscores the urgent need of addressing socioeconomic differences and targeted interventions might help the women who need to utilize these services more often. The study also pointed out huge differences of these services utilization with national average. Though further investigation is necessary but emphasis should be given more to address the barriers of maternal health service.
Although climate-driven hazards have been widely implicated as a key threat to food security in the delta regions of the developing world, the empirical basis of this assertion has centred predominantly on the food availability dimension of food security. Little is known if climatic hazards could affect the food access of delta-resident households and who is likely to be at risk and why. We explored these questions by using the data from a sample of households resident within the Ganges-Brahmaputra-Meghna (GBM) delta in Bangladesh. We used an index-based analytical approach by drawing on the vulnerability and food security literature. We computed separate vulnerability indices for flood, cyclone, and riverbank erosion and assessed their effects on household food access through regression modelling. All three vulnerability types demonstrated significant negative effects on food access; however, only flood vulnerability could significantly reduce a household's food access below an acceptable threshold. Households that were less dependent on natural resources for their livelihoodsincluding unskilled day labourers and grocery shop ownerswere significantly more likely to have unacceptable level of food access due to floods. Adaptive capacity, measured as a function of household asset endowments, proved more important in explaining food access than the exposuresensitivity to flood itself. Accordingly, we argue that improving food security in climatic hazard-prone areas of developing country deltas would require moving beyond agriculture or natural resources focus and promoting hazard-specific, all-inclusive and livelihood-focused asset-building interventions. We provide an example of a framework for such interventions and reflect on our analytical approach.
The current condition of ensuring WHO-recommended newborn and young child feeding practice is becoming a challenge in many developing nations, particularly in places where family food security is threatened. Because many households in underdeveloped nations frequently face acute food shortage due to poverty, optimal child nutrition is jeopardized. The purpose of this study was to analyze the child feeding behaviors of mothers with children aged 0-24 months and to investigate their household food insecurity in a coastal region of Bangladesh, Suborno Char (one of Noakhali District’s coastal neighbourhoods) was studied from October 2019 to April 2020. In this study, a cross-sectional survey with multistage sampling technique was employed, and Suborno Char of Noakhlai district was purposely sampled of 400 women and their children aged 0-24 months. Data were obtained using a standard questionnaire and were analyzed using statistical functions in SPSS 20.0.0. Exclusive breastfeeding 53.5%, timely supplemental feeding 75.5%, and feeding children meals from homemade, canned/formula/fortified, both homemade and canned, milk these 4 food groups were at 22.2%. The moms' education level was strongly associated with their child feeding practices. Mothers from food insecure homes were less likely to exclusively breastfeed than mothers from food secure households after drawing interpretation of univariate & multivariate analysis of variables crude odds ratio (COR) and adjusted odds ratio (AOR) and confidence interval (CI) (COR .233 at 95% CI 0.083, .655 and AOR .478 at 95% CI 0.133, 1.713). Similar outcomes were seen for early complementary feeding and minimal dietary diversification of children. In conclusion, this study discovered a less dietary inclusion trend of child feeding practices among moms (0-24 months childbearing) in Bangladesh’s coastal region.
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