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  South East Asia Journal of Public Health
  [3 followers]  Follow
  This is an Open Access Journal Open Access journal
   ISSN (Print) 2220-9476
   Published by Bangladesh Journals Online Homepage  [103 journals]
  • Public health in undergraduate medical education

    • Authors: Arunodaya Barman
      First page: 1
      Abstract:  South East Asia Journal of Public Health Vol.4(2) 2014: 1-3
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • From research to action: Oral Misoprostol for preventing postpartum
           haemorrhage during home delivery in rural Bangladesh

    • Authors: Md Masud Rana, Laura Jane Gisby, Md Abdullah Al Mamun
      Pages: 2 - 6
      Abstract: While Bangladesh has experienced a remarkable 40% decline in maternal mortality over the past ten years, it remains a major health problem. Postpartum haemorrhage (PPH) is one of the most prevalent preventable causes of maternal mortality in the country, accountable for over a quarter of the deaths. In Bangladesh, over 70% of the births take place outside health centres, mostly in poor rural areas. This leads to lack of access to conventional injectable uterotonics (i.e. oxytocin) during the third stage of labour to prevent or treat PPH. The purpose of this paper is to discuss the use of oral misoprostol as an intervention to prevent PPH in rural Bangladesh during home births that take place without trained birth attendants. A review of the existing literature in electronic database, shows robust evidence from Randomised Controlled Trials (RCTs)on the effectiveness of oral misoprostol in preventing PPH. Misoprostol has proved significantly effective (RR 0.58, CI 0.38–0.87) in reducing PPH incidence and to go have a very good safety profile. Furthermore, field trials and operational studies have already proven the feasibility, acceptance and safety of scaling up the use of misoprostol in rural Bangladesh. Therefore, we recommend oral misoprostol to be included in the National Maternal Health Strategy as an intervention to control PPH during home birth in rural Bangladesh.South East Asia Journal of Public Health Vol.4(2) 2014: 2-6
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • Factors associated with symptoms of reproductive tract infection/sexually
           transmitted infection and treatment seeking behavior among men in Tamil
           Nadu, India

    • Authors: Ramesh Chellan
      Pages: 7 - 15
      Abstract: The International Conference on Population and Development (ICPD) Programme of Action paid attention to male sexual and reproductive health issues including RTI/STI as well as infertility, sexual dysfunction and sexual violence. In India, male reproductive health problems had been recognized as a public health issue. This paper is an attempt to examine the determinants of prevalence of RTI/STI and treatment seeking behavior and their socio-economic and demographic characteristics in Tamil Nadu, India by using the data of the District Level Household Survey-Reproductive and Child Health Survey, 2002-04. The logistic regression and multinomial logistic regression models were used to determine factors associated with symptoms of RTI/STI and treatment seeking behavior for RTI/STI symptoms respectively. The study results indicated that about 2.8% of respondents reported at least one symptom of RTI/STI. One-fifth (19.5%) of them had reported two or more symptoms. Among those who reported symptoms, 45.5% of men sought treatment from some sources. Multivariate analysis revealed that men residing in the Inland region, belonging to Muslim, men with high standard of living, and aware about HIV/AIDS were sig-nificantly less likely to report symptoms of RTI/STI. Men whose wife reported experience of symptoms of RTI/STI are significantly more likely to report symptom of RTI/STI. Further, men whose wife experienced symptoms of RTI/STI, and who ever discussed RTI/STI symptoms with their wife were significantly more likely to seek treatment from pubic as well as private health facility. The study suggests that there is an urgent need to address public health care services and a need to take necessary steps to provide quality health care and user friendly sexual and reproductive health care services.
      South East Asia Journal of Public Health Vol.4(2) 2014: 7-15
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • Local governance system for management of public health facilities:
           Functioning of Rogi Kalyan Samiti in North Eastern States of India

    • Authors: Heikrujam Nongyai Nongdrenkhomba, Banuru Muralidhara Prasad, Achyut Chandra Baishya, Biraj Kanti Shome
      Pages: 16 - 22
      Abstract: In India, the National Rural Health Mission envisaged of having committees with civil society representation at all publicly financed hospitals known as Rogi Kalyan Samiti (RKS), with mandate to enhance governance in hospitals. There are limited evidences about functioning of these committees in many states, especially in North Eastern (NE) states. This paper analyses the perspective of RKS members and relate to changing community- health system structure for improved governance. The study was conducted in three states Manipur, Meghalaya, and Tripura of NE Region of India. Using stratified sampling design, 14 RKS/facilities were selected from Manipur, 15 from Meghalaya and 11 from Tripura. Two key informants (mainly, president/secretary of RKS) were interviewed using a semi-structured pre-tested questionnaire in local language. The major areas of RKS operationalization identified include; constitution, finance management and activities related to health systems strengthening. RKS was constituted during 2006-07 with governing body following issuance of government of India guidelines. The funds (grants and User Fee) were utilized for purchase of furniture, bio-medical waste management etc. The governing body meetings focused mainly on ensuring services; in Tripura 72% of RKS had regular meetings and have shown improvement in functioning of facilities.Formation of RKS model paved way to a new beginning for strengthening health system with involvement of local leaders, civil society to improve governance. The functioning is derived by availability of resources, capacity of committee members and the bureaucratic process. Revision in functioning of RKS model is essential towards self-sustainability and bridge between community-health systems.
      South East Asia Journal of Public Health Vol.4(2) 2014: 16-22
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • Factors influencing fertility preference of a developing country during
           demographic transition: Evidence from Bangladesh

    • Authors: Ahbab Mohammad Fazle Rabbi
      Pages: 23 - 30
      Abstract: Fertility preferences indicate the extent of intended control over reproductive outcomes, and are therefore vital components in the analysis of individual fertility behavior and aggregate fertility trends of a country. Despite extensive research, dissimilarities remain regarding the prior stated fertility preferences and subsequent fertility behavior, especially in case of developing countries like Bangladesh; where third stage of demographic transition begun as a result of continuous assessment. The purpose of this paper is to analyze the differentials of fertility preference as well as the possible timing of the next parity progression of those Bangladeshi couples having positive intentions for more children. BDHS-2007 data is used to estimate a series of discrete time event history models of fertility preference and possible timing for next parity progression considering the dynamic nature of fertility preferences, and controlling for changing reproductive life cycle factors and socioeconomic background predictors of fertility. Findings suggest that though death of last child plays a vital role; there is a complex structure of the decision-making around fertility along with gender preference, abortions, couples educational level, mother’s participation in labor force. Although socio-economic classes don’t have significant influence on fertility preference, mother’s age plays vital role on fertility preference and desired waiting time in Bangladesh.
      South East Asia Journal of Public Health Vol.4(2) 2014: 23-30
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • Role of Polymerase Chain reaction (PCR) amplifying conserved 5.8S and ITS
           regions of the cryptococcal DNA in the diagnosis of Cryptococcal

    • Authors: Sujata Dharmshale, Renu Bharadwaj
      Pages: 31 - 35
      Abstract: Cryptococcus neoformans, a common fungal pathogen of the central nervous system, results in high morbidity and mortality, unless diagnosed early and specific treatment instituted. The efficacy of the currently available tests for diagnosis (i.e. microscopy and latex agglutination test) are limited. The purpose of the present study was to evaluate a polymerase chain reaction (PCR) test for the diagnosis of cryptococcal meningitis. This cross-sectional prospective study was carried out in a large tertiary care hospital, Pune, India during April 2009 to February 2012. A total of 111 cerebrospinal fluid (CSF) samples were collected from patients with suspected cryptococcal meningitis. All samples were processed for microscopy, culture, antigen detection by Cryptococcal Antigen Latex Agglutination System (CALAS) and PCR using specific primers CN4/CN5. The PCR was evaluated using culture as the gold standard and results compared with those obtained by microscopy and latex agglutination. In the present study 55(49.54%) had laboratory confirmed cryptococcal meningitis (either smear/CALAS/culture/PCR positive). The sensitivity of PCR, antigen detection test and microscopy was 100%, 89.19% and 78.4% respectively while the specificity of these tests was 82.43%, 85.14% & 90% respectively. The positive predictive value of the PCR was 74% and the negative predictive value was 100%. The PCR technique proved to be a rapid and reliable technique for the early diagnosis of cryptococcal meningitis.
      South East Asia Journal of Public Health Vol.4(2) 2014: 31-35
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • Psychosocial illness among the drug abusers undergoing detoxification in
           Dhaka, Bangladesh

    • Authors: Bushra Zaman, SM Moslehuddin Ahmed, Mir Mahmud Hossain, Md Mustafa Kamal
      Pages: 36 - 41
      Abstract: Abuse of drugs is a worldwide problem. Drug addiction is increasing tremendously in the South Asian countries especially in Bangladesh where such addiction is widespread among the younger age groups. It causes rapid erosion of educational, cultural, moral and family values. On the basis of defined criteria a total of 300 drug abusers who undergoing detoxification at the outpatient department of Central Drug Addiction Treatment Centre, Tejgaon, Dhaka were selected. The study was done for a period of one year from July 2013 to June 2014. Data were collected by face to face interview using pre-tested questionnaire. The analysis was done by computer using SPSS version 22.0. About 68% of the drug abusers had taken drugs for 2-5 years and 38% had taken three drugs during their life time. The major influencing factor for taking drugs was for peer pressure. Among the drug abusers 77% had taken Ganja, 60% Heroin as their first drug and 37% Yaba as their last drug. The depression was measured by the Beck's Depression Inventory that showed 55% of the drug abusers had moderate depression, 23% borderline clinical depression, 15% mild mood disturbance, 4% severe depression, and 3% had extreme depression. There were s ignificant associations between the duration of taking drugs (p<0.001), the number of taking drugs (p<0.006), and the age of first use of drugs (p<0.019) with depression. Majority of the drug abusers had depression and a significant number of them were involved in antisocial activities as well as violence. Family and social participation, behavioral therapies and proper medical management are essential to control drug addiction.
      South East Asia Journal of Public Health Vol.4(2) 2014: 36-41
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • Prevalence of goiter and iodine status among 6-12 years school age
           children in district Kohat, Pakistan

    • Authors: Fazli Subhan, Muhammad Jahangir, Saira Saira, Rehman Mehmood Khattak, Muhammad Shahab, Matiul Haq, Muhammad Nasir Khan Khattak
      Pages: 42 - 46
      Abstract: Pakistan is considered to be one of the most severely iodine deficient countries in the region. A decade earlier, 70% of the population was estimated to be at risk of iodine deficiency. However, the recent use of iodized salt has reduced the intensity of the problem. Earlier studies regarding iodine deficiency in Pakistan were restricted to the northern mountainous regions, but have now been extended to the sub-Himalaya areas and the plains of Punjab. The aim of the present study was to investigate the prevalence of goiter and iodine status among school children in district Kohat, Pakistan. The 30 cluster approach was adopted for the study. From each cluster, 40 samples were collected from school going children. The palpation method was used to measure goiter grade, whereas, for urinary iodine estimation, the wet digestion method was used. The prevalence of goiter in the district was found to be 35% (37.16% in boys and 33% in girls). The median urinary iodine concentration was found to be 56±31.19μg/L. Estimation of iodine content in salt illustrated that 56.8% people were consuming non-iodized salt and 43.5% were using iodized salt. The current study suggests a severe iodine deficiency in school children of district Kohat and regular iodine supplementation is required on an instant basis.
      South East Asia Journal of Public Health Vol.4(2) 2014: 42-46
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • Information Therapy: Bridging the information gap between doctors and

    • Authors: Raj Sonika, Vijay Lakshmi Sharma, Amarjeet Singh
      Pages: 47 - 50
      Abstract: Lack of understanding of medical terms and healthcare information by patients can lead to adverse health outcomes and decreased satisfaction with the clinician and medical encounter. Moreover, due to advent of information technology, lot of health and medical information is available on World Wide Web. However, the information available is not reliable and trustworthy and cause serious consequences. Therefore, the right information should reach right person at the right time in order to support the patient in making health-related decisions. ‘Information therapy’ (Ix) is an attempt to provide patients with the timely, adequate and evidence-based health information for making informed decision regarding their treatment. The information provided should be relevant, accurate, complete, reliable, easy to understand and practical. Ix is exactly like treatment prescription by a physician but it also includes reference to healthcare information resources to patients following a clinical visit. The patients or the care takers after going through these resources can understand their medical condition and may raise patient satisfaction, leads to better health outcomes and reduce medical errors. Ix is a cost-effective solution that allows the healthcare industry to patient-centered care. It also allows patients to serve themselves, and save doctor’s precious time, which ultimately helps to utilize limited resources in an efficient way, especially in developing countries. Ix is a need of the hour in today’s world, however, scope is limited by the challenges like inadequate literacy level of population, poor IT access to majority rural population, limited resources to develop right information and lack of information specialists and medical librarians in developing countries.
      South East Asia Journal of Public Health Vol.4(2) 2014: 47-50
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • Gender inequities and HIV prevalence and AIDS mortality: Findings from the
           United Nation countries

    • Authors: Mohammad Khammarnia, Nahid Hatam, Mohammad Hossein Faraji
      Pages: 51 - 54
      Abstract: In the last years, the prevalence Human immune deficiency virus (HIV) have increased worldwide, specifically in developing countries due to a number of causes. This study aimed was to determination the relationship between gender inequities, HIV prevalence and AIDS mortality in the United Nation countries. A cross-sectional retrospective study was conducted in 2013 and all the countries (187 countries) which were included in the WHO and UN Annual Reports (2012) were considered. One hundred and forty four countries were selected which had the completed indices of gender inequities (GI), HIV morbidity and AIDS mortality in the reports. The findings showed that there was direct association between the gender inequities, HIV prevalence and AIDS mortality (p=0.001). The level of GI among low-income countries (0.41) was higher than others groups, and approximately twice as much as that of high-income countries (0.19). It was noted that GI had a significant association with the AIDS mortality in the high-income countries (p=0.031). Moreover, in the upper middle income countries, the both indices (HIV morbidity and AIDS mortality) had significant positive association with the GI (p<0.05). However, the highest level of significant relationship was between being HIV/AIDS mortality and morbidity with the GI in low income countries (p<0.00l). It was observed that GI led to HIV/AIDS mortality and morbidity in all countries specifically in developing countries. Specific strategies should be implemented to decrease the gender inequities by the provision of women education and empowermen and improvement of socio-economic status to reduce HIV/AIDS morbidity and mortality.
      South East Asia Journal of Public Health Vol.4(2) 2014: 51-54
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • Technology-enhanced learning in Asia: New educational possibilities for
           the tomorrow’s doctors and tomorrow’s cures

    • Authors: Md Anwarul Azim Majumder, Sayeeda Rahman, Md Sayed Shehran Azim
      Pages: 55 - 58
      South East Asia Journal of Public Health Vol.4(2) 2014: 55-58
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • Professor T A Chowdhury, Bangladesh

    • Authors: The Editor
      First page: 59
      Abstract: South East Asia Journal of Public Health 2014; 4(2): 59
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
  • Public Health Foundation, Bangladesh: Programs and Activities - 2004

    • Authors: The Editor
      Pages: 60 - 62
      Abstract: South East Asia Journal of Public Health 2014;4(2):60-62.
      PubDate: 2015-07-06
      Issue No: Vol. 4, No. 2 (2015)
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