The application of a geographic information system (GIS) in public health is relatively common in Bangladesh. However, the use of GIS for planning, monitoring and decision-making by local-level managers has not been well documented. This assessment explored how effectively local government health managers used maps with spatial data for planning, resource allocation and programme monitoring. The United States Agency for International Development-funded MaMoni Health Systems Strengthening project supported the introduction of the maps into district planning processes in 2015 and 2016. GIS maps were used to support the prioritisation of underserved unions (the lowest administrative units) and clusters of disadvantaged communities for the allocation of funds. Additional resources from local government budgets were allocated to the lowest performing unions for improving health facility service readiness and supervision. Using a mixed-methods approach, the project evaluated the outputs of this planning process. District planning reports, population-based surveys, local government annual expenditure reports and service availability and utilisation data were reviewed. The goal was to determine the degree to which district planning teams were able to use the maps for their intended purpose. Key informant interviews were conducted with upazila (subdistrict) managers, elected government representatives and service providers to understand how the maps were used, as well as to identify potential institutionalisation scopes. The project observed improvements in health service availability and utilisation in the highest priority unions in 2016. Quick processing of maps during planning sessions was challenging. Nevertheless, managers and participants expressed their satisfaction with the use of spatial analysis, and there was an expressed need for more web-based GIS both for improving community-level service delivery and for reviewing performance in monthly meetings. Despite some limitations, the use of GIS maps helped local health managers identify health service gaps, prioritise underserved unions and monitor results.

This cross sectional study was carried out among 313 higher secondary college students to assess the knowledge on health literacy and behaviors related to non communicable diseases (Diabetes and Cancer). The study period was from January to December 2013. Majorities (63%) of the respondents were male and rests of them (37.0%) were female. Maximum of the (45.1%) respondent’s father was higher educated (masters) and more than one-third (34.9%) mothers were graduate. A vast majority (98.1%) of the respondents indicated smoking as the main risk factor for Cancer in which most (89.8%) of the respondents mentioned excess body weight as the most important risk factor for Diabetes. A vast majority (93.9%) of the respondents gave emphasis about cessation of tobacco for the prevention of cancer whereas majority (79.9%) of the respondents gave emphasis about physical exercise and labor for the prevention of Diabetes. Knowledge about health literacy is statistically significant (p=0.021) with gender of the students. Father and mother educational status were not significantly associated (p>0.05) with health literacy. Need based, specific, time relevant and school based programs and community based awareness program need to be designed for further improvement of health literacy among college students.Asian J. Med. Biol. Res. September 2017, 3(3): 341-346