Profile: The Chakaria Health and Demographic Surveillance System

Hanifi, Manzoor Ahmed; Mamun, Abdullah Al; Paul, Ashish; Hasan, Sharif Al; Hoque, Sami; Sharmin, Sifat; Urni, Farhana; Khan, Imran; Mahmood, Shehrin Shaila; Rasheed, Sabrina; Iqbal, Mohammad; Moula, Ariful; Rahman, Mijanur; Bhuiya, Abbas

doi:10.1093/ije/dys089

Cited by 30 publications

(33 citation statements)

References 4 publications

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“…The average size of households is 5.3. Most socioeconomic indices in Chakaria are similar to the national figures of Bangladesh (Hanifi et al 2012). For example, the literacy rate in the region for the population over 7 years-old is 47.6% and that in the country is 51.8%; the employment rate in the region is 36.1% and that in the country is 39.2%; school attendance of the age group 5-29 years above the pre-primary level in the region is 53.2% and that in the country is 52.7% (BBS 2011(BBS , 2014.…”

supporting

confidence: 54%

“…The Chakaria Health and Demographic Surveillance System (CHDSS) that was established here in 1999 by the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B) covers eight unions. 3 In six of these unionsBaraitali, Kayerbil, Bheola Manik Char, Paschim Boro Bheola, Shaharbil, and Kakara-the CHDSS implements interventions such as health education, and the remaining two-Harbang and Purba Boro Bheola-are set up as comparison areas (Hanifi et al 2012). Rasheed et al (2014) conducted their study at three unions that were classified as a coastal zone, a plain, and a hilly zone to analyze the relationship between sodium in urine and personal profiles of the examinees that were registered in the CHDSS.…”

Section: Study Sitementioning

confidence: 99%

“…According to the summary made with the CHDSS data of 2010 for the eight selected unions by Hanifi et al (2012), the CHDSS covered 118,315 residents living in 19,847 households; the average household size was 6.1, larger than the average in Chakaria Upazila (5.3); the literacy rate of the 15-24 year old population was 63.97%. The literacy rate for the population over 7 years in the CHDSS data of 2010 was not available in the literature but for reference, the one in the eight selected unions in 2000 was 32.8%, and the national figure in 2001 was 45.3% (Bhuiya et al 2006).…”

mentioning

confidence: 99%

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Saline Drinking Water and Salt in Diet: An Approximate Picture of the Situation in a Coastal Area of Southeastern Bangladesh

Sakamoto

2017

Int J Disaster Risk Sci

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Coastal areas of Bangladesh have been facing increasing salinity of surface water and groundwater. This study provides the approximate scope of the problem in a coastal area of southeastern Bangladesh by using less-accurate, but lower-cost salinity measuring devices that enable local people to assess the situation. Ten local women were employed to monitor 10 tube wells each on a weekly basis, from mid-February to mid-May, during the 2016 dry season. Geographical Information System and time series clustering were used to visualize the spatial distribution and seasonal change of the salinity levels. In addition, the tube well users were asked about the salt consumption in their daily diet. One-third of the monitored tube wells were found to contain more sodium than the tolerable level in terms of taste suggested by the World Health Organization. However, the mean salinity level across all monitored tube wells was much lower. The salinity level varied depending on the depth of the tube wells rather than their locations or altitudes, and those deeper than 200 m were likely to be salt free. The results of the diet survey showed that wealthier households tended to use more salt in their daily diets, but at the same time they tended to have deeper tube wells that are less likely to contain high levels of sodium.

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supporting

confidence: 54%

Section: Study Sitementioning

confidence: 99%

mentioning

confidence: 99%

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Saline Drinking Water and Salt in Diet: An Approximate Picture of the Situation in a Coastal Area of Southeastern Bangladesh

Sakamoto

2017

Int J Disaster Risk Sci

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“…Recently the Healthcare Financing Strategy of Bangladesh emphasized the community-based health insurance, micro health insurance or other innovative initiatives as forms of social protection which are being tested in different parts of the country and those are still in their early stage of implementation [6,16]. However, none of the studies focused on benefit packages as well as client experiences and satisfactions toward health care services organized by this scheme although clients’ satisfactions are as important measures of health system performance [17,18].…”

Section: Introductionmentioning

confidence: 99%

Clients’ Experience and Satisfaction of Utilizing Healthcare Services in a Community Based Health Insurance Program in Bangladesh

Sarker

Sultana

Ahmed

et al. 2018

IJERPH

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Background: Community-based health insurance is recognized as a promising tool for health system improvement for low-income people that improves the health status of enrolees and enhances productivity and labor supply. The experience and opinion of the clients who utilized health services through the insurance scheme are important for improving healthcare services, shaping health policies and providing feedback on the quality, availability, and responsiveness of healthcare services. However, studies focusing on clients’ satisfaction provided by the health insurance scheme are still limited globally. Objective: To address this knowledge gap, this current study attempted to measure the degree of clients’ satisfaction towards healthcare services and insurance scheme, based on their experience of health care which will serve the future reference point to implement potential quality improvement initiatives of community-based health insurance program. Methods: A cross-sectional household survey was conducted within the catchment area of a community-based health insurance pilot program named Labor Association for Social Protection (LASP) during April–June 2014 to compare the evaluation of healthcare services provided by LASP scheme. In the descriptive analyses, the characteristics of the study participants were presented regarding frequency and the percentages with 95% confidence interval. Spearman correlation analysis was conducted between the satisfaction score of each indicator and overall satisfaction score; multivariate linear regression analysis was used to identify the factors associated with overall health scheme satisfaction. Results: The overall satisfaction mean score was 4.17 ± 0.04 (95% CI: 4.08–4.26) out of 5.00. The most satisfied domains were related to the diagnostic services (4.46 ± 0.98), explanation about the prescribed medicine (4.23 ± 0.81), the surrounding environment of healthcare facility (4.21 ± 0.70) and the behavior of health personnel toward clients (4.18 ± 0.73). Conclusions: Our study observed that the overall satisfaction level towards health services is quite favorable, but satisfaction scores can still be improved. These findings could contribute towards developing and designing the healthcare services packages of community-based health scheme which is in line with the health care financing strategy of Bangladesh as well as the recommendation of the World Health Organization for developing social health insurance as part of path to Universal Health Coverage.

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“…However, socioeconomic and geographic inequities in health outcomes, though reduced for some indicators, still persist and continue to be a development challenge (8–10). Despite the fact that sex-based inequities in life expectancy (higher for male than female) have reversed since the late 1980s, the economically better off still expect to live 71 years at birth, whereas the expectation is only 63 years for the worse off (11). The under-five mortality rate for the poor is almost two times the rate of the rich, and the overall disease burden is also higher for the poor than the rich (12).…”

mentioning

confidence: 99%

Cause-specific mortality and socioeconomic status in Chakaria, Bangladesh

Hanifi

Mahmood

Bhuiya

2014

Global Health Action

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BackgroundBangladesh has achieved remarkable gains in health indicators during the last four decades despite low levels of economic development. However, the persistence of inequities remains disturbing. This success was also accompanied by health and demographic transitions, which in turn brings new challenges for a nation that has yet to come to terms with pre-transition health challenges. It is therefore important to understand the causes of death and their relationship with socioeconomic status (SES).ObjectiveThe paper aims to assess the causes of death by SES based on surveillance data from a rural area of Bangladesh, in order to understand the situation and inform policy makers and programme leaders.DesignWe analysed population-based mortality data collected from the Chakaria Health and Demographic Surveillance System in Bangladesh. The causes of death were determined by using a Bayesian-based programme for interpreting verbal autopsy findings (InterVA-4). The data included 1,391 deaths in 217,167 person-years of observation between 2010 and 2012. The wealth index constructed using household assets was used to assess the SES, and disease burdens were compared among the wealth quintiles.ResultsAnalysing cause of death (CoD) revealed that non-communicable diseases (NCDs) were the leading causes of deaths (37%), followed by communicable diseases (CDs) (22%), perinatal and neonatal conditions (11%), and injury and accidents (6%); the cause of remaining 24% of deaths could not be determined. Age-specific mortality showed premature birth, respiratory infections, and drowning were the dominant causes of death for childhood mortality (0–14 years), which was inversely associated with SES (p<0.04). For adult and the elderly (15 years and older), NCDs were the leading cause of death (51%), followed by CDs (23%). For adult and the elderly, NCDs concentrated among the population from higher SES groups (p<0.005), and CDs among the lower SES groups (p<0.001).ConclusionsEpidemiologic transition is taking place with a shift from the dominance of CDs to NCDs. SES inequity in mortality still persists – the poor suffer from CDs in all age groups, whereas those better off suffer more from NCDs than CDs. Policy makers thus need to consider the social distribution of diseases before developing any public health action targeted towards reducing mortality and the extent of disease burden in an equitable manner.

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Profile: The Chakaria Health and Demographic Surveillance System

Cited by 30 publications

References 4 publications

Saline Drinking Water and Salt in Diet: An Approximate Picture of the Situation in a Coastal Area of Southeastern Bangladesh

Saline Drinking Water and Salt in Diet: An Approximate Picture of the Situation in a Coastal Area of Southeastern Bangladesh

Clients’ Experience and Satisfaction of Utilizing Healthcare Services in a Community Based Health Insurance Program in Bangladesh

Cause-specific mortality and socioeconomic status in Chakaria, Bangladesh

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