Introduction: Coronavirus disease (COVID-19) patients and survivors face stigma, discrimination, and negligence. The motives for and the different types and consequences of COVID-19-related stigmatization remain underexplored in Bangladesh. Therefore, this study examined how the COVID-19 stigmatization process is interlinked with transmission flow. Methods: Using a qualitative research design, we conducted 20 in-depth interviews with infected and suspected caregivers and five key informant interviews with physicians, local media representatives, leaders, law enforcement officials, and local administrative officials in three divisional cities of Bangladesh. We performed thematic analysis to analyze the data. Results: Participants expressed their experiences with multiple subthemes within three themes (stigma related to symptoms, stigma associated with isolation and quarantine, and stigma associated with health services). Participants reportedly faced stigma, for example, exclusion, hesitation to interact, avoidance, bullying, threat, and negligence caused by misinformation, rumors, and fear. Stigmatized individuals reportedly hid their symptoms and refrained from seeking healthcare services, contributing to COVID-19 transmission flow. Conclusion:Revealed insights may contribute to effective prevention, control, and management of such an emerging pandemic. Further in-depth exploration of such stigmatization process will enrich unexpected outbreaks management effectively.
The growing number of divorces and separations induces the frequency of single mothers facing challenges in the mainstream socio-economic realities in Bangladesh. Past studies focused on structural aspects, economic hardship, and psychological issues of single mothers, mainly in the urban context. Nevertheless, the challenges in rural settings vary from urban single motherhood, and this aspect remains understudied. This qualitative narrative aims to analyse the challenges of single mothers in rural settings in Bangladesh. Twenty-eight in-depth interviews and ten key informant interviews were conducted using semi-structured interview guidelines. Thematic analysis identified four major themes of the rural single mothers’ challenges, social, economic, cultural, and psychological, leading a single mother to become dependent on other family members or relatives. The underlying factor of the challenges was the deprivation of property, patriarchal social structure, and social stigma. Rural single mothers face more complex challenges than urban ones because of the lack of income opportunities, insecurity, and self-dependencies. Findings will contribute to recommending and formulating a policy for the single mother considering the local realities of the rural single mothers in Bangladesh.
Background Purchasing drugs with or without prescription from retail drug shops is common practice in Bangladesh. However, what actually takes place between the drug seller and customer during the transaction is under-researched. This study explores the drug purchasing practices which underlie the socio-cultural and economic aspects of a Bangladeshi city. Methods Adopting ethnographic methods, we conducted thirty in-depth interviews (IDIs) with customers, patients, and sales assistants, and ten key informant interviews (KIIs) with drug sellers, experienced sales assistants and pharmaceutical company representatives. Thirty hours were spent observing drug sellers’ and buyers’ conversations and interactions for medicine. A total of 40 heterogeneous participants were purposively selected from three drug stores. Transcribed data were coded, and analyzed thematically. Results We found through thematic analysis that some individuals visited the drug store with fixed ideas about the name, brand, and dose of the drugs they wanted. Among the 30 IDIs participants, most individuals come without any preconceived ideas, describe their symptoms, and negotiate purchases with the expectation of quick remedies. Cultural practices of buying medicines in full or partial course of doses, with or without prescription, trust in sellers, and positive previous experiences of medications shape the drug purchasing behavior, regardless of any preconceived ideas concerning brand name, and dose. Few customers (n = 7) sought drugs by trade name, but most drug sellers often offered a generic substitute because selling non-brand drugs is more profitable. Notably, many of the clients (n = 13) bought drugs through installment payments and with loans. Conclusion Community people choose and purchase the most necessary medicines in a self-medicated way from shortly trained drug sellers that can harm individuals’ health and reduce the effectiveness of medication. In addition, the results of buying medicine through installments and loans suggest further research on the financial burden of consumers’ purchasing behavior. Policymakers, regulators, and healthcare professionals might implicate the study findings to deliver practical information on the rational use of medicines to sellers and customers.
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