Given the numbers of disabled children in Bangladesh and the lack of trained professionals, innovative forms of service delivery are required. The Bangladesh Protibondhi Foundation has developed an outreach parent training service based at two centres, one urban and one rural. Mothers are shown how to use pictorially based Distance Training Packages (DTP), which they take home. This paper presents findings concerning factors which seem to affect mothers' attendance with their children at DTP advisory sessions. The study followed 47 children with cerebral palsy, aged between 2 and 5.5 years, over a period of around 18 months. The main factors predicting higher attendance were the child's sex (i.e. boys were brought back more often), particularly in the rural area, and lower adaptation to the child reported by the mother. The problems described by mothers in using the DTP advisory service were economic (such as transport costs), cultural (such as mothers not being permitted out alone), and medical (such as the child having repeated fits). The implications for future service development are discussed.
:A quasi-experimental study was carried out to assess the knowledge on HIV/ AIDS among women in Boro Chondrail & Barigaon village of Savar district from 19th April to 25th April 2009. A total of 77 women were selected purposively. Baseline data were collected through pretested structured questionnaires by face to face interview. Educational intervention was given and data were collected again using the same questionnaires. Only 49.35% heard the name of HIV /AIDS before the program. Among the respondents 18.42% heard the name of AIDS from television, 5.26% were from radio, 2.64% were from news paper, 5.26% were from sign board and 68.42% were health workers. About the mode of transmission 29.87% said that HIV transmits by sharing syringe & needle, 31.17% answered unsafe physical relation, 16.88% said by blood of infected person, 5.19% knew about vertical transmission and 5.19% said by breast milk before intervention. After intervention 100% said that HIV transmits by sharing syringe & needle, 100% answered unsafe physical relation, 100% told by blood of infected person, 77.92% reported vertically transmission and 88.31% said through breast milk. Majority (70.13%) didn't know about the symptoms of AIDS before intervention. Only 11.69% identified weight loss as symptom of AIDS, 7.79% answered fever & cough, 28.69% told weakness, 1.30% mentioned diarrhoea. After intervention which were improved to 35.06%, 32.46%, 32.46%, 35.06%, 19.48%,19.48% respectively. Before intervention 23.38% believed living in same house with an AIDS patient could infect others, 31.17% believed use same drinking glass and 14.29% believed eating together could infect others. After intervention no one found who believed in myth about AIDS. Among the respondents only 46.75% knew the role of condom in prevention of AIDS before intervention and it became 100% after the intervention. Only 12.58% knew intravenous drug users are the risk group with increased to 93.5% after the intervention. It may be concluded that the knowledge of rural women on HIV/AIDS were not good which raised significantly after the educational intervention.
COVID-19 appeared as an infectious disease of global health emergency and highest public health concern of 21st century for this world due to its high speed of spread across the globe. The disease started as one single case to a cluster of cases in Wuhan, China (Dec 2019) and within few months with its continuous upsurge of cases spreading globally which has created enormous threat and tension across the global Public health care field. Most significantly to share the fact that, this disease caused high level of Risk Group mortality, high morbidity, health care services burden, panic anxiety, mental trauma and tension, social and economic insecurity, which also collectively surfaced by diverse range of social reaction and political pressure across the world. Also with the appearance of new and unknown pathogenesis of the disease has created the most and significant attention and concern for the scientific community and political leaders as well. The disease also varies significantly with its pattern of virus, sign, symptoms, characteristics including its epidemiological and public health response (like prevention strategy, diagnoses, case management, treatment pattern) across the countries. However, this variance is comparatively less rather even more in commonality while it comes to basic public health prevention interventions like frequent hand washing, wearing face mask, maintaining social/physical distancing (2 - 6 meter in between), individual isolation and community quarantine for suspected exposure and lockdown in community areas where cases are identified. These are basically the most commonly practiced public health interventions to deal with this disease in majority of the epicenters across countries. Also with the progression of the disease with its diverse categorical appearance of sign symptoms which are uniquely portraying this disease is more of a kind of COVID-19 syndrome rather than as COVID-19. Moreover, various factors including socio economic status, health status, population dynamics, health system and infrastructure, health behavioral pattern, nutrition and food habit and also access to information and knowledge made this viral disease one of the historically counted on expensive disease of the modern world to fight for. Specially to mention here, the case fatality rate distinctively vary with the population dynamics and the health system infrastructure and ability factors which have already created clear evidence as explained in this paper how these factors are uniquely distinguished and different from country to country. Apart from the contextual differences, the various kind of ongoing preventive measures (like prevention, diagnosis and treatment) learnt every day from the emerging characteristics and pattern of this viral disease which are most commonly practiced across countries with some kind of variance. According to the Public health prevention practice and interventions, the total world is quite connected and learning from each other’s public health experiences to fight for the virus. However, the whole world community are eagerly waiting to see the result and outcome of the ongoing therapeutics and vaccine trial initiated in several countries, the people of the world are quite optimistic and hopeful that, global scientific community will be able to invent some miraculous and magic solution in upcoming months which ultimately will free the world from this most terrifying COVID-19 pandemic of 21st century
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