Sources and prevalence of self-reported asthma diagnoses in adults in urban and rural settings of Bangladesh.

This study provides data on the sources of asthma diagnoses in the adult Bangladeshi population in urban and rural settings. The paper also reports the prevalence of self-reported asthma diagnoses and associated socio-demographic factors. A cross-sectional study was conducted in three communities: two rural settings and one urban setting, with a total sample size of 32,665 subjects. Pre-existing surveillance data provided individual socio-demographic factors. Provider categories were based on previous research describing provider plurality in Bangladesh. Descriptive statistics, univariate regression and multivariate regression analyses were performed. Bachelor of Medicine, Bachelor of Surgery (MBBS) generalists provided the largest proportion of diagnoses in both urban (54.6%) and rural (42.4%) sites. The largest proportion of non-MBBS-trained healthcare workers providing diagnoses of asthma was spiritual healers (13.3%) in the urban settings and village doctors (42.4%) in rural settings. The overall prevalence of self-reported asthma diagnoses was 5.0% in the urban population and 3.5% in the rural population. The results highlight the importance of non-MBBS doctors in serving the healthcare needs of the Bangladeshi population. This study reveals a higher prevalence of self-reported asthma diagnoses in the urban setting than in rural ones, which is consistent with international literature on the topic.

Occupational injury in rural Bangladesh: data gathering using household survey.

Occupational injuries are estimated to cause over 300,000 deaths per year worldwide. Many low- and middle-income countries often lack effective injury surveillance systems. We attempted to utilize household surveys to collect occupational injury data to develop more accurate injury incidence data. We undertook a pilot study of this approach in the rural area of Mirsarai, Bangladesh. Surveys were administered to 2,017 males and 120 females. Sixty-five percent were self-employed and over 80% worked in work places with less than six employees; over 60% worked seven days per week. Just over 50% of subjects reported at least one injury at work in the prior year. Incidence of lost-time injuries was 31%. The median number of work days lost was 7. The injury rates were higher than ILO estimates for Bangladesh, perhaps because of our study's focus on a rural population. We recommend expanding to larger and a more representative sample of the Bangladesh working community.