Comparison of Knowledge of Women with Gestational Diabetes Mellitus and Healthy Pregnant Women Attending at Hospital in Bangladesh

Monir, Nowshin; Zeba, Zebunnesa; Rahman, Azizur

doi:10.3329/jsf.v16i1.38175

Cited by 11 publications

(19 citation statements)

References 29 publications

(31 reference statements)

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“…Lack of knowledge on anemia could be one reason for the high prevalence of anemia in Bangladesh. Our finding of poor knowledge of GDM is aligned with studies conducted in Bangladesh and other low-and-middle-income countries [74,75]. Compared to diabetes and anemia, knowledge of hypertension was better, especially among postpartum women, presumably because some had developed hypertension during their pregnancy.…”

Section: Discussionsupporting

confidence: 85%

Developing targeted client communication messages to pregnant women in Bangladesh: a qualitative study

Pervin

Sarker

et al. 2021

BMC Public Health

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Background Timely and appropriate evidence-based practices during antenatal care improve maternal and neonatal health. There is a lack of information on how pregnant women and families perceive antenatal care in Bangladesh. The aim of our study was to develop targeted client communication via text messages for increasing antenatal care utilization, as part of an implementation of an electronic registry for maternal and child health. Methods Using a phenomenological approach, we conducted this qualitative study from May to June 2017 in two sub-districts of Chandpur district, Bangladesh. We selected study participants by purposive sampling. A total of 24 in-depth interviews were conducted with pregnant women (n = 10), lactating women (n = 5), husbands (n = 5), and mothers-in-law (n = 4). The Health Belief Model (HBM) was used to guide the data collection. Thematic analysis was carried out manually according to the HBM constructs. We used behavior change techniques to inform the development of targeted client communication based on the thematic results. Results Almost no respondents mentioned antenatal care as a preventive form of care, and only perceived it as necessary if any complications developed during pregnancy. Knowledge of the content of antenatal care (ANC) and pregnancy complications was low. Women reported a variety of reasons for not attending ANC, including the lack of information on the timing of ANC; lack of decision-making power; long-distance to access care; being busy with household chores, and not being satisfied with the treatment by health care providers. Study participants recommended phone calls as their preferred communication strategy when asked to choose between the phone call and text message, but saw text messages as a feasible option. Based on the findings, we developed a library of 43 automatically customizable text messages to increase ANC utilization. Conclusions Pregnant women and family members had limited knowledge about antenatal care and pregnancy complications. Effective health information through text messages could increase awareness of antenatal care among the pregnant women in Bangladesh. This study presents an example of designing targeted client communication to increase antenatal care utilization within formal scientific frameworks, including a taxonomy of behavior change techniques. Trial registration ISRCTN69491836. Registered on December 06, 2018. Retrospectively registered.

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Section: Discussionsupporting

confidence: 85%

Developing targeted client communication messages to pregnant women in Bangladesh: a qualitative study

Pervin

Sarker

et al. 2021

BMC Public Health

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“…The better diabetes management in women could be explained by the higher exposure of women to maternal and child health services provided by the community healthcare workers at the household level. As such, women are more likely to discuss a range of health issues, including gestational diabetes, with health workers compared with men [ 34 , 35 ]. Efforts, particularly in men, are needed to ensure good diabetes management [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Awareness, Treatment, and Control of Diabetes in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey 2017/18

Khan

Oldroyd

Hossain

et al. 2022

International Journal of Clinical Practice

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Background. The prevalence of diabetes is increasing in Bangladesh from ∼5% in 2001 to ∼13% in 2017/18 (∼8.4 million cases). The prevalence of undiagnosed diabetes was also found to be higher at 6% in 2017/18. However, very little is known about the management of diabetes assessed by diabetes awareness, treatment, and control. We aimed to estimate the age-standardised prevalence of awareness, treatment, and control of diabetes and its associated factors. Methods. Cross-sectional data from 1,174 Bangladeshi adults aged 18 years and older available from the most recent nationally representative Bangladesh Demographic and Health Survey (BDHS) 2017–18 were analysed. Outcomes were age-standardised prevalence of awareness, treatment, and control of diabetes, estimated using the direct standardisation. Multilevel mixed-effects Poisson regression models were used to identify factors associated with awareness, treatment, and control of diabetes. Results. Of the respondents we analysed, 30.9% (95% CI, 28.2–33.6) were aware that they had the condition, and 28.2% (95% CI, 25.6–30.7) were receiving treatment. Among those treated for diabetes, 26.5% (95% CI, 19.5–33.5) had controlled diabetes. The prevalence of diabetes awareness, treatment, and control was lower in men than women. Factors positively associated with awareness and treatment were increasing age and hypertension, while factors negatively associated with awareness and treatment were being men and lower education. Factors associated with poor control were secondary education and residing in Rajshahi and Rangpur divisions. Conclusions. This study provides evidence of poor management of diabetes in Bangladesh, especially in men. Less than one-third of the people with diabetes were aware of their condition. Just over one-fourth of the people with diabetes were on treatment, and among those who were treated only one-fourth had controlled diabetes. Interventions targeting younger people, in particular men and those with lower education, are urgently needed. Government policies that address structural factors including the cost of diabetes care and that strengthen diabetes management programmes within primary healthcare in Bangladesh are urgently needed.

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“…The better diabetes management in women could be explained by the fact that in the last few decades women are highly exposed to maternal and child health services provided by the community health care workers at the household level. As such women are more likely to discuss a range of health issues, including gestational diabetes, with health workers compared with men [38, 39]. Efforts, particularly in men, are needed to ensure good diabetes management.…”

Section: Discussionmentioning

confidence: 99%

Awareness, treatment, and control of diabetes in Bangladesh: evidence from the Bangladesh Demographic and Health Survey 2017/18

Khan

Oldroyd

et al. 2021

Preprint

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Background The prevalence of diabetes is increasing in Bangladesh; however, the management of diabetes assessed by diabetes awareness, treatment, and control, remains poor. We aimed to estimate the age-standardised prevalence of awareness, treatment, and control of diabetes and its associated factors. Methods In this cross-sectional study, data from 1,174 Bangladeshi adults aged 18 years and older available from the most recent nationally representative Bangladesh Demographic and Health Survey (BDHS) 2017-18 were analysed. Awareness, treatment, and control of diabetes were our outcomes of interest. Crude and age-stadarised prevalence of awareness, treatment, and control were estimated using the survey weight and direct standardisation, respectively. Multilevel mixed-effects Poisson regression models were used to identify factors associated with awareness, treatment, and control of diabetes. Results Among those with diabetes (n=1,174), only 41.6% (95% CI, 38.3-45.0) were aware that they had the condition, and 39.3% (95% CI, 35.9-42.6) were taking treatment. Among those treated for diabetes, only 33.3% (95% CI, 28.9-37.6) had controlled diabetes. Factors positively associated with awareness and treatment were increasing age and hypertension while factors negatively associated with awareness and treatment were being men and having lower education. Factors associated with poor control were secondary education and residing in Rajshahi and Rangpur divisions. Conclusion This study provides evidence of poor management of diabetes in Bangladesh, especially in men. Less than half of the people with diabetes were aware of their condition, and only one-third had controlled diabetes. Interventions targeting younger people, in particular men and those with lower education, are urgently needed. The government needs to strengthen diabetes management programs within primary health care and address structural factors including the costs of diabetes care to improve awareness, treatment, and control of diabetes in Bangladesh.

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Comparison of Knowledge of Women with Gestational Diabetes Mellitus and Healthy Pregnant Women Attending at Hospital in Bangladesh

Cited by 11 publications

References 29 publications

Developing targeted client communication messages to pregnant women in Bangladesh: a qualitative study

Developing targeted client communication messages to pregnant women in Bangladesh: a qualitative study

Awareness, Treatment, and Control of Diabetes in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey 2017/18

Awareness, treatment, and control of diabetes in Bangladesh: evidence from the Bangladesh Demographic and Health Survey 2017/18

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