A cross-sectional, descriptive study was conducted to determine health problems of under-five children in a selected rural area of Mymensingh District in Bangladesh. This study was done on the background that the document about community prevalence of health problems of under-five children is scarce though it has public health importance. This was a community-based cross-sectional descriptive study conducted among 144 children belonging from birth to 5 years residing in Churkhai village of Bhavokhali union, Mymensingh Sadar Upazila in between November and December of 2019, as a part of Residential Field Site Training of 3rd year students of Community Based Medical College, Bangladesh (CBMC,B). A purposive sampling technique was adopted. A pre-designed, pre-tested questionnaire has been used to collect required information by face-to-face interviewing mothers of under-five children. The data were entered and analyzed by SPSS version 20.0. Respondent mothers ranged from 16 years to 45 years, mean age 25.47±5.332 years. Majority of mothers were literate (75.69%), housewife (91.67%), belonged to middle class (69.44%). Out of total 144 children ranging from birth to 59 months, mean age 29.83±19.54 months, male: female ratio was 97.26:100. Majority of children (50.69%) were healthy. Nutritional status was assessed by history taking (history of birth weight) weight, height measurement and clinical examination. Prevalence of low birth weight was 15.28%. Prevalence of under-nutrition was 16.67% and over-nutrition was 1.39%. On clinical examination, prevalence of anemia was found 4.17%. The leading health problem was nutritional 22.22%, followed by respiratory illness 12.50%, diarrhoea 7.64%, skin disease 4.17%, dental caries 0.69%, conjunctivitis 0.69%, acute suppurative otitis media 0.69%, accidental injury 0.69%. Most of the family had safe water supply (98.61%), sanitary latrines (85.42%), semi-pucca house (50%) and suffer air pollution 69.44%. The nutritional profile was quite similar, but disease situation was better than the results of other studies in Bangladesh and in other developing countries. CBMJ 2022 January: vol. 11 no. 01 P: 27-32
This cross-sectional descriptive study was carried out from January 2015 to March 2016 in villages of 12 Bhavokhali union, Sadar upazila, Mymensingh. The study was done on 408 subjects who were selected purposively. Data were collected on a pre-designed questionnaire by direct interviewing the respondents. Data analysis was done using SPSS version 16. Prevalence of hypertension was 21.32%. Mean age was 39.22 years and standard deviation 14.81 years. Prevalence of hypertension was 46.30% among persons over 60 years of age, 37.11% among persons having family history of hypertension, 61.54% among persons having diabetes mellitus, 43.96% among persons having BMI more than or equal to 25, 29.41% among those having sedentary lifestyle, 22.14% among those having the habit of added salt intake, 33.75% among smokers and 25.95% among persons having the habit of smokeless tobacco intake. Though female had low prevalence of hypertension (18.77%), female working outside had higher prevalence 31.59%. Women of reproductive age group had lower prevalence of hypertension (15.56%) among whom oral contraceptive pill users had increased prevalence of hypertension 16.82%. Prevalence of hypertension found in this study was lower in comparison to global prevalence and results of other studies. CBMJ 2016 July: Vol. 05 No. 02 P: 14-20
This study was done to know about infant and young child feeding by mothers in a selected rural area of Mymensingh and to assess nutritional status of infant and young child. This was a descriptive cross-sectional study. The sample size was 625. Sample size and study area was purposively selected. The study was conducted from December 2016 to January 2017 in Churkhai and Winnerpar villages of Bhavokhali union of Sadar upazila Mymensingh. Data were collected on a predesigned questionnaire by direct interviewing the respondents. Data analysis was done by SPSS version 16. A total of 625 mothers who had one child aged between newborn to 24 months participated in the study. Age of mothers ranged from 15 years to 50 years. Mean age of mothers was 24.56 years and standard deviation 5.36 years. Most of the mothers belonged to 15 to 24 years of age. The age of children ranged from newborn to 24 months. Mean age of children was 15.16 months, standard deviation 7.51 months. Majority of children belonged to 19 to 24 months. Majority (54.72%) had normal nutrition. Breast feeding continued up to the age when interviewed, offering colostrums and breast feeding given within half an hour after delivery were excellent among 63.36% of mothers. Weaning in due time, appropriate servings and weaning food appropriate were excellent among 74.80% of mothers of weaning age child. Exclusive breast feeding 74.02% and breast feeding continued up to the age of 24 months were 79.33% were good. Infant and Young Child Feeding practices observed in this study though better than other studies, needs more attention for improved child nutrition and survival. CBMJ 2016 July: Vol. 05 No. 02 P: 21-25
This study was conducted to estimate vaccination coverage of infant and young children in a selected rural area of Mymensingh. This was done on the background that vaccine preventable diseases are major causes of under-5 mortality and morbidity in Bangladesh. Though EPI coverage in Bangladesh is high still there are reported cases of meningitis, pneumonia and measles. This was a community-based cross-sectional descriptive study conducted among 240 children belonging from birth to 24 months age group from Churkhai village of Bhavokhali union, Sadar Mymensingh during January 2019 as a part of Residential Field Site Training of 3rd year students under the guidance of Department of Community Medicine of Community Based Medical College Bangladesh. The sampling technique was purposive. A pre-designed, pre-tested questionnaire has been used to collect required information by face to face interviewing mothers of infant and young child with verification of immunization card. Out of total children between birth to 24 months age group surveyed, 121 (50.42%) were males and 119 (49.58%) were females. Most of them 217 (90.42%) were fully immunized and 23 (9.58%) were partially immunized. BCG vaccination was 100% though 19 (7.92%) were 2 months late. Pentavalent, PCV, b OPV, f IPV vaccination coverage was 92.89% each, though 5 (2.37%) were 2 months late. Measles-Rubella coverage was 83.04%. Vaccination coverage was better than the finding of other studies in Bangladesh and neighboring countries except Measles-Rubella coverage. We should motivate mothers to attain a full vaccination coverage of 100%. CBMJ 2020 January: Vol. 09 No. 01 P: 19-24
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