Disease profile in respect of health services of Upazila health complex.

This study was carried out to identify the disease profile in relation to medical services at upazila health complex. Thirty different types of diseases were identified. Diarrhoeal diseases were found to be highest (53%), the second highest was intestinal worms (44%). About ninety seven percent patient attended the OPD and only 2% were attended in the emergency Department. On average 172 patients were admitted per month and the highest of admission was found in the months of September and October. The average length of stay in the hospital was 11.6 days. Among the patients admitted 55% were male, and 45 were female. 5% pregnant mothers attended in U.H.C. for antenatal checkup and 2% mother were admitted into the hospital after delivery. Metronidazole was the drug of highest consumption followed by B-Complex and Penicillin.

A study on impact of an educational programme on immunization behaviour of parents.

A study was conducted to measure the knowledge, attitude and practices (KAP) of parents of children 0-5 years of age in respect of expanded programme on immunization (EPI) target diseases. These variables were studied before and after educational programme. Before education of the parents, it was observed that increase in awareness of the target diseases was quite impressive, while improvement in knowledge about signs and symptoms of diseases, vaccines to prevent the diseases and immunization schedule were less evident. The attitude towards immunization was good and improved further with education. It was also observed that the increase in knowledge with regard to location of immunization centre and days on which services available was significant. Compared with improvement in knowledge and attitude ranging from 30 to almost 100 percent, the improvement in acceptance of vaccines was only within 6 to 10 per cent. Since the study time was short, the acceptance of all the required doses of all the vaccines could not be ascertained. Furthermore, the gap between KAP was as expected. However, strong motives are required or if motives are week, a compensatory strengthening of situational factors is called for to make the KAP easy and possible.