Introduction Postnatal period is a crucial stage of illness for mothers and their newborn children. Lack of post-natal care (PNC) services during this period is lifethreatening for both the mother and the babies. This study aims at examining the associated factors of PNC utilization among the mothers to explore the opportunities to accelerate it. Methods This study utilized the latest data from Bangladesh Demographic and Health Survey (BDHS) 2017–18, a nationally representative survey. A weighted sample of 5043 Bangladeshi women who gave birth three years prior to the survey was studied. Bivariate and multivariate analyses were performed to identify the underlying factors associated with the utilization of PNC. Results Around 63% women sought PNC from any kind of provider within 24 h to 42 days of the delivery among whom more than 48% received it from medically trained providers. Together with several sociodemographic factors- administrative division, place of residence, educational level, employment status, wealth status, some maternal factors such as- antenatal care (ANC) visits, place and mode of delivery- played a significant role in utilizing PNC services from trained providers. Conclusion To further improve utilization of post-natal care, national and local level action plans should be introduced to promote health facility delivery irrespective of their place of residence. In the meantime, PNC awareness campaigns, intervention and economic empowerment programs targeting mothers from the poorest quintile needs to be implemented, particularly those who are unable to attend at least four ANC visits, and have accessibility issues to education.

The enormous financial burden of cancer treatment due to lack of any structured financing mechanism results in catastrophic health expenditures as well as impoverishment to many households in Bangladesh. This study attempts to design an alternative mechanism for providing financial protection to cancer patients for receiving necessary procedures (e.g., screening, chemotherapy, radiotherapy, and surgical procedures) based on imposing some levy on mobile phone subscribers using primary and secondary data. The study finds that a monthly fixed levy of BDT 21.5 (USD 0.26) on each active mobile phone subscriber can provide annual financial protection of BDT500,000 (USD 5,882) to each of 60,000 cancer patients currently seeking treatment from domestic facilities. A fixed levy is always regressive and therefore burdensome for poverty-stricken subscribers. Allocation of the monthly fixed levy on the mobile phone call rate can generate similar worth more equitably. Successful transformation of this idea into action may increase access to cancer care and reduce financial burden as well as disease burden in Bangladesh. Contribution/ Originality:The paper is the first logical analysis of the alternative financing mechanisms of cancer treatments in Bangladesh. This study shows how a small contribution of a large group of people leads to mobilize resources for cancer treatment. This idea can also be used for financing the treatment of other NCDs.

Undescended testis is a common risk factor for the testicular neoplasm. The risk of malignancy in an undescended testis is highest when the testis lies in the abdomen. It usually presents with a painless intraabdominal lump. Seminoma is the most common adult germ cell tumour of testis whereas Yolk sac tumour in seen in the pediatric age group. Pure yolk sac testicular tumor in an adult is extremely uncommon. Here we present a case where an adult male presented to us with a painless left sided intraabdominal lump with undescended testis on the same side was previously diagnosed as metastatic adenocarcinoma of unknown primary. In a private hospital he received three cycles of chemotherapy; but the lump did not reduce in size and he was reffered to our care for better management. The lump was excised and histopathological report revealed yolk sac tumour of left testis which is a rare presentation in adult. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 115-117