awareness of anemia and it's consequences

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    Field Study Report

    On

    Awareness of Anaemia and itsconsequences

    In a Rural Village

    Raichu, Comilla.

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    INTRODUCTION

    One of the millennium development goals is to reduceInfant Mortality Rate all over the world within 2015.

    The factors that are affecting child health care, one of isawareness of child health in the family, especially bymother.

    The Bangladesh Demographic & Health Survey reportedthat children in rural areas of Bangladesh experience a36% higher risk of dying before age 5 years than urbanchildren.

    Every year some 12 million children die before age 5years & 70% of these deaths are caused by diarrhoea,

    pneumonia, protein energy malnutrition.

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    In Bangladesh, child injuries are also anotherburden of child health.

    Target of GOB includes reduction of IMR &

    morbidity for children under 5.Child health care encompasses basic preventive

    and creative care for infants and children

    The demand for child health care is high but

    awareness is poor and it considered as animportant indicators for health progress, social &economic well being of a country.

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    OBJECTIVES OF THE STUDY

    General Objective

    To find out the awareness of child health under 5 years ofage of the rural villagers of Comilla district.

    Specific Objectives- To know the awareness status of village people at presentsituation

    - To know the practical knowledge about child health care

    - To know knowledge of common diseases in their childrenare suffered.

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    - To know the percentage of villagers attended for

    their children in health service sector

    - To know how the village people can increase

    their awareness

    - To know the environmental condition of the child

    ( Physical, Social & Cultural )

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    SCOPE OF THE STUDY

    Awareness of child health situation in a ruralvillage- Raichu.

    Co-relation of different factors like household

    income, educational status and facilities of healthservices are available.

    Knowledge about pneumonia, diarrhoea andvaccination.

    Awareness about child injuries and situationalanalysis of children.

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    METHODOLOGY OF STUDY

    Study Site

    The field work of the study took place in one

    village named Raichu, 3 km near Kotbari.

    The total population is 8,000. there is a

    community health clinic in the village.

    The field work took place from 19th February

    2010 upto 23rd February 2010.

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    METHODOLOGY OF STUDY

    Study design

    1. Individual interview30 respondents were

    interviewed through questionnaire survey.

    2. Focus group discussionIt took place in the

    field to provide background information

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    METHODOLOGY OF STUDY

    Data Collection Procedure Primary data were collected through

    questionnaire survey of individual respondants

    and focus group discussion of village people by

    researchers.

    Questionnaires are added with this study report.

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    METHODOLOGY OF STUDY

    Sample Size The total sample size was 30.

    All respondents were childrens mother. Information of children below 5 yearsboth

    male & female children included.

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    METHODOLOGY OF STUDY

    Variables and Sources of Data Education level of family especially mothers

    education, household income, knowledge about

    child diseases like ARI, diarrhea, about

    vaccination, child injuries and availability of

    health service centre.

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    METHODOLOGY OF STUDY

    Procedure of Data Analysis Data were tabulated, analyzed manually and presented in

    this report in tabulated & line bar form.

    The objectives of these analysis were to understand thedistribution, pattern of study data in general, identify therelationship between to estimate overall reflectsindependent variables the awareness of child health of ruralvillage (Raichu) people.

    Education of family, household income, knowledge aboutchild diseases most commonly pneumonia, diarrhea andvaccination were selected as dependant variable.

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    METHODOLOGY OF STUDY

    Limitations of Study

    The study has following limitations:

    Short duration of the study timeNumber of study population was limited

    The study was conducted only on one rural village

    which was not sufficient enough to draw anyconcrete conclusion.

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    FINDINGS OF THE STUDY

    Number of the respondent: 30 (All are mother) Table 1 Shows Awareness about child vaccination

    among household income groups

    Income

    Group

    No. out of 30 No. of

    Awareness

    Percentage

    Low 23 21 95.65%

    Middle 7 7 100%

    High 0 O 0

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    Figure: House of a rural village

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    FINDINGS OF THE STUDY Table 2 Shows Awareness about child vaccination

    among the level of family education

    Level ofeducation

    No. out of 30 No. ofAwareness

    Percentage

    Illiterate 21 20 95.23%

    Up tosecondary

    9 9 100%

    > Secondary 0 O 0

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    FINDINGS OF THE STUDY

    Line Bar diagram shows

    Awareness of vaccination

    Association with level of

    education

    0

    5

    10

    15

    20

    25

    out of 30 %

    illiterate

    secondary

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    FINDINGS OF THE STUDY

    Table 3 Shows Awarenessabout ARI , Diarrhoea

    among three income

    group:

    Diseases Incomegroup

    TotalNo.

    Percentage

    Low(23) 13 56.5%

    ARI Middle(7

    )

    5 71%

    High(0) 0 0

    Low(23) 22 95.65%

    Diarrhoea Middle(7

    )

    7 100%

    High(0) 0 0

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    FINDINGS OF THE STUDY

    Table 4 Shows

    Awareness about ARI

    , Diarrhoea among

    education level of

    family especially

    mother

    Diseases Level of

    Educatio

    n

    Total

    No.

    Percenta

    ge

    Illiterate

    (21)

    9 42%

    ARI Second

    ary(0)

    0 0

    Illiterate

    (21)

    20 95%

    Diarrhoea Second

    ary(0)

    0 0

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    FINDINGS OF THE STUDY

    Simple Bar Diagram 2

    Shows Awareness of

    child health association

    between occupation ofmother about diarrhea

    Housewife 76%

    Service Provider 60%0

    5

    10

    15

    20

    25

    No. Of

    Awareness

    Housewife

    Service

    Provider

    Business

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    FINDINGS OF THE STUDY

    Table Shows Distribution

    of child health services

    taken from health

    service center accordingto income level of family

    (Community Clinic )

    Income

    level

    Total

    No.

    Percent

    age

    Low(23) 21 91%

    Middle(7) 4 57%

    High(0) 0 0

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    FINDINGS OF THE STUDY

    Table 5 Shows Awareness

    of child health in

    association of no. of

    family members Small family : Less than

    or equal to 4

    Large family : More than

    4

    Family

    type

    Total No. No. of

    Awarenes

    s

    Percentag

    e

    Small 12 7 58%

    Large 18 9 50%

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    Figure: A large family

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    FINDINGS OF THE STUDY

    Table 6 shows Awareness of

    Safe Drinking Water &

    its uses in association

    with household income

    Incom

    e

    group

    Total

    No.

    (30)

    No.

    of

    Awar

    eness

    Perce

    ntage

    Low 23 18 86%

    Middl

    e

    7 7 100%

    High 0 0 0

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    FINDINGS OF THE STUDY

    Table 7 shows Awareness

    of Safe Drinking Water

    & its uses in association

    with family income

    Level ofeducatio

    n

    TotalNo.

    (30)

    No. ofAware

    ness

    Percentage

    Illiterate 21 20 95.23%

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    FINDINGS OF THE STUDY

    Table 8 shows Awareness

    of Safe disposal of

    human excreta in

    association with familyeducation

    Level

    of

    educati

    on

    Total

    No.

    (30)

    No. of

    Aware

    ness

    Percen

    tage

    Illiterat

    e

    21 19 90.47

    %

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    Figure: A child is defecating openly

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    FINDINGS OF THE STUDY

    Table 9 shows Knowledge

    of primary management

    of Diarrhoea in

    association with familyeducation

    Level

    of

    educati

    on

    Total

    No.

    (30)

    No. of

    Aware

    ness

    Percen

    tage

    Illiterat

    e

    21 19 90.47

    %

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    FINDINGS OF THE STUDY

    Table 10 shows Association

    of Malnutrition with

    family education

    Level ofeducatio

    n

    TotalNo.

    (30)

    Malnourishe

    d

    Percentage

    Illiterate 21 8 38%

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    FINDINGS OF THE STUDY

    Table 11 showsAssociation of

    Malnutrition

    with family

    members Small family :

    Less than or equal

    to 4

    Large family :More than 4

    Familytype

    TotalNo.30

    No. ofmalnouri

    shed

    Percentage

    Small 12 4 33.33%

    Large 18 10 55.55%

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    FINDINGS OF THE STUDY

    Simple Bar Diagram 3

    shows Association of

    malnutrition and family

    incomeLow 34%

    Middle 28%

    High - 00

    5

    10

    15

    20

    25

    out of 30

    low

    middle

    high

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    FINDINGS OF THE STUDY

    Table 12 showsAssociation

    of breast

    feeding with

    occupation ofmother

    Occupation

    No. outof 30

    Breast Feeding

    > 6 months < 6 months

    Housewif

    e

    25 24 1

    Service

    provider

    5 3 2

    Business 0 0 0

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    FINDINGS OF THE STUDY

    Table 13 shows awareness

    of child injuries of the

    respondants

    Type ofinjury

    Total No.30

    Percentage

    Drowning 12 40%

    Burn 13 43.33%

    Dog Bite 11 36%

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    FINDINGS OF THE STUDY

    Table 14 shows

    Awareness of

    Child injuries in

    association withfamily education

    Level of

    education

    Total

    No.

    Percentage

    Illiterate(2

    1)

    8 38%

    Secondar

    y(0)

    0 0

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    FINDINGS OF THE STUDY

    Table 15 shows Source of

    Awareness of Child

    Diseases of the

    Participants

    Source Total No

    (30)

    Percentag

    e

    HealthWorkers

    26 86.66%

    Media

    (TV/Radi

    o)

    4 13.33%

    Newspap

    er &

    Others

    0 0

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    FINDINGS OF THE STUDY

    Table 16 shows Attendance

    in health service center

    in primary stage of

    Diarrhoea in associationwith family education

    Level

    of

    educati

    on

    Total

    No.

    (30)

    No. of

    Aware

    ness

    Percen

    tage

    Illiterat

    e

    21 7 33.33

    %

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    FINDINGS OF THE STUDY

    Table 17 shows

    Thinking of

    respondants

    about improving

    awareness

    Source Total No

    (30)

    Percentag

    e

    HealthWorkers

    29 96.67%

    Media

    (TV/Radi

    o)

    1 3.33%

    Newspap

    er &

    Others

    0 0

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    FINDINGS OF THE STUDY

    Table 18 shows Situational Analysis of the

    Village Respondants

    Situations

    Findings

    Categories

    Surrounding

    Environment

    Clean and Hygeinic Educated family

    Tooth Brush Regular Habit (25) Educated and Middle income

    family

    Irregular Habit (5) Low & Illiterate family

    Cleanliness of

    cloth

    Clean and Hygeinic (14) Mostly Educated & Middle

    Income family

    Nail Clipping Regularly (13) Mostly Educated & Middle

    income familyEar Discharge Present (2) Illiterate & Low income family

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    CONCLUDING REMARKS

    The study focuses on socioeconomicfactors, family education, income offamily, knowledge of child diseases.

    The study also includes situationalanalysis of the village respondants.

    Diarrhoea , ARI and vaccination of

    children below 5 years are considered as amajor concerned.

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    CONCLUDING REMARKS

    Awareness about vaccination up to 100% of educatedmother,on the other hand it is 95% in illiteratemother.

    It is also shown that middle income family is moreaware (100%) about vaccination than lower incomefamily(86%) .

    Awareness about diarrhoea, it is 95.65% among

    illiterate group and 100% in educated mother.On the hand about pneumonia awareness is only 56%

    in the illiterate group and 71% in educated mother.

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    CONCLUDING REMARKS

    33.33% children of total respondents aremalnourished.

    Malnutrition is more in the children who do notbreastfed up to 6 months or more.

    The study also shows 34% malnutrition in lower incomefamily and 28% in middle income family.

    About safe drinking water and using sanitary latrine

    middle income & educated family are more aware(100%)

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    CONCLUDING REMARKS

    Attendance in community health clinic in primarystage of the diseases 33% in illiterate group and

    22% in educated mother.

    About gaining the awareness of child healthdiseases 86.6% through field visitors of health &

    family planning services and rest 13.4% are from

    mass media.

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    CONCLUDING REMARKS

    On situational analysis surrounding of house isclean in educated and middle income family ,

    regular brushing , nail clipping and personal

    hygiene are poor among the lower income and

    illiterate family.

    Awareness about child injuries is not significant

    among the respondent.

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    RECOMMENDATIONSA massive awareness programme should be

    implemented in the village regarding childhealth diseases. Following activities should

    be for the rural villages :Community clinic should be well equipped

    and so that better service can be provided.

    GO and NGOs collaboration should beincreased for the awareness of child healthdiseases.

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    RECOMMENDATIONS

    Group discussion about water borne diseases andusing sanitary latrine by the field visitors shouldbe well monitored.

    Nutritional status of the child should be improvedby increasing their facilities of income.

    Motivation should be needed to accept the familyplanning.

    For improving awareness literacy rate should beincreased.

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