Objectives This study aimed at examining health sufferings of readymade garments (RMG) workers, the factors that affect their health sufferings, their healthcare seeking pattern, knowledge about health insurance and health related rights in Bangladesh. Methods A cross‐sectional study was conducted among 486 RMG workers recruited randomly from eight garments factories located on the periphery of Dhaka, Bangladesh. The prevalence of musculoskeletal pain, headache, fever and abdominal pain was estimated and multivariable logistic regression analysis was performed to examine association between these illnesses of workers and their socio‐demographic characteristics and other work related information. We also explored their healthcare seeking patterns, knowledge about health insurance and health related rights. Results The prevalence of musculoskeletal pain, headache, fever and abdominal pain was found to be 78.1%, 57.9%, 52.2% and 24.6%, respectively, among the RMG workers. Factors that increased the odds of: musculoskeletal pain were working for more than 10 h per day (adjusted odds ratio [AOR]: 2.3, 95% confidence interval [CI]: 1.1–4.7) and being female [AOR: 4.6, 95% CI: 2.0–10.6]; fever was living in slums [AOR: 1.9, 95% CI: 1.1–3.5]; and abdominal pain was being female [AOR: 3.6, 95% CI: 1.4–9.3]. The workers commonly reported visiting drug sellers in local pharmacies for reported illnesses. They also had better knowledge of health related rights but poor knowledge of health insurance. Conclusion In order to address the overall health and well‐being of the RMG workers, it is imperative to lay out a blueprint for a safe and healthy workplace.
Background In Bangladesh, men’s sexual and reproductive health (SRH) needs and related services are often neglected. Little is known of men’s SRH concerns, and of the phenomenal growth of the informal and private health actors in the provision of sexual health services to men in rural and urban areas of Bangladesh. Methods Using a mixed methods approach, a survey of 311 married men in three rural and urban sites was conducted in three different districts of Bangladesh and 60 in-depth interviews were conducted to understand their SRH concerns and choice of providers to seek treatment. Results The research findings reveal that- men’s various SRH concerns are embedded in psychosocial and cultural concerns about their masculinity and expectations of themselves as sexual beings, with worries about performance, loss of semen and virility being dominant concerns. Sexually transmitted infections (STIs) were also mentioned as a concern but ranked much lower. Informal providers such as village doctors (rural medical practitioners and palli chikitsoks), drug store salespeople, homeopaths, traditional healers (Ojha/pir/fakir, kabiraj, totka) and street sellers of medicines are popular, accessible and dominate the supply chain. Conclusion There is a need of appropriate interventions to address men’s anxieties and worries about their sexual abilities, well-being and choice of providers. This would go a long way to address and alleviate concerns, as well as identify and push men to seek formal care for asymptomatic STIs, and thereby reduce costs incurred and gender tensions in households.
Introduction Responsiveness of Health Service Provider (HSP) and quality of services when provided resembles basic professional and social duties of HSP towards their clients.Because of poor responsiveness and quality of services when provided, clients lose their trust towards HSP. These factorsare very important to improve relationship between HSP and clients, clients’ satisfaction, quality of care and finally increase utilization of Urban Primary Health Care Centre services (UPHC). Objectives This study was done to determine the responsiveness of health service provider and quality of services when provided at selected UPHCs in Dhaka city. Methodology A cross sectional quantitative study was conductedin three UPHCs in Dhaka cityfrom November to December 2017. 257 exit interviewswere conducted bysystematic random sampling for responsiveness and quality of services when provided.49 observations of client-provider interactions were conducted using Responsiveness of Physician (ROP) scale.For exit interview, dichotomous variable was used. Descriptive analysis was done using Stata v 12.1. Findings Majority (90%) of HSP listen carefully, explained about the diseases, facilitated about follow-up, and client understood information clearly. More than 70% of the clients found the providers approach were friendly though only 37% had social talk with the clients. 41% of the clients reported that the providers shared emergency contact number. Around 67% of clients were not asked allergic history and in 47% case consent was not taken before procedure. Being urban area, for more than 39% clients services were not given similar in terms of social status like gender, ethnicity, economic and social status. Fortangible items like gloves (80%) and thermometer (55%) were mostly missingin all UPHCs.88% of theHSP were reliable, 93% assured the client and 91% showed empathy in all facilities. Clients were mostly satisfied withdoctor’s behaviour and dissatisfied about the long waiting time (average 37 minutes)in all UPHCs. Conclusion: This study has highlighted some important gaps in responsiveness of HSP which translate into the quality of care being provided to clients seeking care from UPHC. Friendliness of HSP should be increased and services should be provided with respect.
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