Background Early initiation of breastfeeding (EIBF) is associated with better health of the mothers and reduced risk of neonatal mortality. The objective of this study was to determine the prevalence of EIBF and associated factors among Bangladeshi mothers. Methods The data was extracted from the Bangladesh Demographic and Health Survey (BDHS)-2014. A total of 4,092 married non-pregnant Bangladeshi mothers who had at least one child aged 2 years or younger were included in this study. A two-level logistic regression model was used to remove the clustering effect for finding the impact of socio-economic and demographic factors on EIBF. Results The prevalence of EIBF among Bangladeshi mothers was 51.4% (urban: 47.1% and rural: 53.4%). A two -level logistic regression model showed that mothers living in the Sylhet division (p<0.01) and rural environment (p<0.05) were more likely to practice EIBF. Mothers who were obese or overweight (p<0.01), had secondary (p<0.05) or higher education (p<0.01) were less likely to provide early breastfeeding to their newborn babies compared to their counterparts. Those who delivered by caesarian-section (p<0.01) were less likely to perform EIBF while those who attended an antenatal care clinic more than 3 times (p<0.05) were more likely to do so. Conclusions About half of the Bangladeshi mothers did not start breast-feeding within one hour after birth. This study identified several geographical and socio-demographic factors that were associated with EIBF, and hope that this information will help the government to focus their resources to promote early breastfeeding.
Background: The coronavirus disease 2019 (COVID-19) has continued to spread across the world with increasing number of confirmed cases and death. Preventive measures have still been the only way of slowing down the transmission and prevention of the deadly disease. Practice of preventive guidelines and perception about the disease is important in this regard. We aimed to study on practice to prevent and perception toward COVID-19 among Bangladeshi adults during the rapid rise of the outbreak.Methods: For this cross-sectional study, we conducted an online survey to collect data from 320 Bangladeshi adults during the period of 10-20 April, 2020 with a self-developed questionnaire. For measuring their level of practice, a general question was asked to participants, “Are you properly following the guidelines recommended by WHO to avoid COVID-19? Four type of perceptions; (i) seriousness, (ii) susceptibility, (iii) efficacy, and (iv) carry out the measures of the disease were considered for measuring risk of perception. Frequency distribution, Chi-square (χ2) test and binary logistic regression model were utilized in this study. Results: More than 71% of participants had good practice of always following the guidelines of the World Health Organization to prevent COVID-19. Logistic regression model demonstrated that people living in urban area (p<0.01), high education (p<0.01), rich (p<0.01) and joint family (p<0.01) had the most contributions to good practice. The average risk perception among participants was 3.05±0.75 (median, 3.00) (95% CI of mean: 2.96-3.13). More than 27% participants showed high risk perceptions. It was found that males (p<0.05), high educated (p<0.05), rich (p<0.01), service holders (0.05) and younger adults (p<0.05) had higher odds of high risk perception.Conclusions: The good practice of preventive guidelines and risk perception toward COVID-19 among Bangladeshi adults were satisfactory but not of the expected level. High socioeconomic status and education were significantly correlated with appropriate practice and perception during the peak time of the COVID-19 pandemic. Government should take step to increase the level of practice to avoid and perception toward COVID-19 among Bangladeshi people during the pandemic.
Background: The numbers of infections and death by COVID-19 have continued to rise worldwide and preventive practice has remained to be one of the most effective ways to prevent it. We conducted this study to survey the knowledge, attitude, perception and practice of university students during the early stage of the pandemic in Bangladesh. Methods: This was a cross-sectional study with 305 students from Rajshahi University, conducted between March 11 and March 19, 2020. We developed a questionnaire for collecting information regarding COVID-19 following the instructions and guidelines of WHO and used frequency distribution, Kolmogorov-Smirnov test and Mann-Whitney and Kruskal-Wallis (non-parametric) tests for data analysis. Statistical significance was accepted at p < 0.05. Results: The knowledge of the students on COVID-19 was of average level; however, more than one-third of them were unwilling to avoid public transport and travel public places with friends and family. Their practice of preventive measures was not at a satisfactory level. More than one-third of them were not keen to stay home and not hesitant to visit crowded places. About half of the students thought the pandemic would not affect their daily activities, and most of them felt it would not affect their study, financial status, fieldwork of their course, or meeting with their friends and relatives. Female students were found more knowledgeable than male ones. Conclusions: The general knowledge of students had an average level on COVID-19, but their attitude, perception and preventive practices were not consistent with their level of education. The authorities should consider the findings while promulgating policies and implementing measures for the prevention of COVID-19. Doi: 10.28991/SciMedJ-2021-03-SI-9 Full Text: PDF
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