Field Study Report On

Awareness of Anaemia and its consequences In a Rural Village Raichu, Comilla.

INTRODUCTION
One of the millennium development goals is to reduce Infant Mortality Rate all over the world within 2015. The factors that are affecting child health care, one of is awareness of child health in the family, especially by mother. The Bangladesh Demographic & Health Survey reported that children in rural areas of Bangladesh experience a 36% higher risk of dying before age 5 years than urban children. Every year some 12 million children die before age 5 years & 70% of these deaths are caused by diarrhoea, pneumonia, protein energy malnutrition.

 In Bangladesh, child injuries are also another burden 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 an important indicators for health progress, social & economic well being of a country.

OBJECTIVES OF THE STUDY

General Objective To find out the awareness of child health under 5 years of age of the rural villagers of Comilla district. Specific Objectives - To know the awareness status of village people at present situation - To know the practical knowledge about child health care - To know knowledge of common diseases in their children are suffered.

- 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 )

SCOPE OF THE STUDY

Awareness of child health situation in a rural village- Raichu. Co-relation of different factors like household income, educational status and facilities of health services are available. Knowledge about pneumonia, diarrhoea and vaccination. Awareness about child injuries and situational analysis of children.

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.

METHODOLOGY OF STUDY
Study design 1. Individual interview 30 respondents were interviewed through questionnaire survey. 2. Focus group discussion It took place in the field to provide background information

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.

METHODOLOGY OF STUDY
Sample Size The total sample size was 30. All respondents were childrens mother. Information of children below 5 years both male & female children included.

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.

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 the distribution, pattern of study data in general, identify the relationship between to estimate overall reflects independent variables the awareness of child health of rural village (Raichu) people. Education of family, household income, knowledge about child diseases most commonly pneumonia, diarrhea and vaccination were selected as dependant variable.

METHODOLOGY OF STUDY
Limitations of Study The study has following limitations: Short duration of the study time Number of study population was limited The study was conducted only on one rural village which was not sufficient enough to draw any concrete conclusion.

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 Low Middle High No. out of 30 23 7 0 No. of Awareness 21 7 O Percentage 95.65% 100% 0

Figure: House of a rural village

FINDINGS OF THE STUDY

Table 2 Shows Awareness about child vaccination among the level of family education Level of education Illiterate No. out of 30 21 No. of Awareness 20 Percentage 95.23%

Up to secondary > Secondary

9 0

9 O

100% 0

FINDINGS OF THE STUDY

25

Line Bar diagram shows Awareness of vaccination Association with level of education

20

15 illiterate <secondary >secondary

10

0 out of 30 %

FINDINGS OF THE STUDY

Table 3 Shows Awareness about ARI , Diarrhoea among three income group:
Diseases Income group Low(23) ARI Middle(7 ) High(0) Low(23) Diarrhoea Middle(7 ) High(0) Total No. 13 5 0 22 7 0 Percenta ge 56.5% 71% 0 95.65% 100% 0

FINDINGS OF THE STUDY

Table 4 Shows Awareness about ARI , Diarrhoea among education level of family especially mother
Diseases Level of Total Educatio No. n Illiterate (21) ARI 9 Percenta ge 42% 71%

<Second 7 ary(9)

>Second 0 ary(0)
Illiterate (21) Diarrhoea 20

0
95% 100% 0

<Second 9 ary(9) >Second 0 ary(0)

FINDINGS OF THE STUDY

Simple Bar Diagram 2 25 Shows Awareness of 20 child health association 15 between occupation of 10 mother about diarrhea 5 Housewife 76% 0 Service Provider 60%

Housewife Service Provider Business

No. Of Awareness

FINDINGS OF THE STUDY

Table Shows Distribution of child health services Income taken from health level service center according Low(23) to income level of family (Community Clinic ) Middle(7) High(0) Total No. 21 4 0 Percent age 91% 57% 0

FINDINGS OF THE STUDY

Family Total No. Table 5 Shows Awareness of child health in type association of no. of family members Small 12 Small family : Less than or equal to 4 Large family : More than Large 18 4 No. of Awarenes s 7 Percentag e

58%

50%

Figure: A large family

FINDINGS OF THE STUDY

Table 6 shows Awareness of Safe Drinking Water & its uses in association with household income
Incom Total e No. group (30) Low 23 No. Perce of ntage Awar eness 18 86%

Middl e
High

7
0

7
0

100%
0

FINDINGS OF THE STUDY

Table 7 shows Awareness of Safe Drinking Water & its uses in association with family income
Level of Total educatio No. n (30) No. of Aware ness Percent age

Illiterate 21

20

95.23 % 100%

<Second 9 ary
<Second 0 ary

FINDINGS OF THE STUDY

Table 8 shows Awareness of Safe disposal of human excreta in association with family education
Level of educati on Total No. (30) No. of Percen Aware tage ness
19 9 0 90.47 % 100% 0

Illiterat 21 e <Secon 9 dary <Secon 0 dary

Figure: A child is defecating openly

FINDINGS OF THE STUDY

Table 9 shows Knowledge of primary management of Diarrhoea in association with family education
Level of educati on Total No. (30) No. of Percen Aware tage ness
19 9 0 90.47 % 100% 0

Illiterat 21 e <Secon 9 dary <Secon 0 dary

FINDINGS OF THE STUDY

Level of Total Table 10 shows Association educatio No. n of Malnutrition with (30) Malno Percen urishe tage d 8 38%

family education
Illiterate 21

<Secon dary <Secon dary

22%

FINDINGS OF THE STUDY

Table 11 shows Association of Malnutrition with family members Small family : Less than or equal to 4 Large family : More than 4
Family type Total No.30 No. of Percenta malnouri ge shed 4 33.33%

Small

12

Large

18

10

55.55%

FINDINGS OF THE STUDY

Simple Bar Diagram 25 3 shows Association of 20 malnutrition and family income 15 Low 34% 10 Middle 28% 5 High - 0
0 out of 30

low middle high

FINDINGS OF THE STUDY

Table 12 shows Association of breast feeding with occupation of mother
Occupati on No. out of 30 Breast Feeding > 6 months < 6 months

Housewif e Service provid er Business

25 5

24 3

1 2

FINDINGS OF THE STUDY

Table 13 shows awareness of child injuries of the respondants Drowning
Type of injury Total No. 30 12 Percentage

40%

Burn

13

43.33%

Dog Bite

11

36%

FINDINGS OF THE STUDY

Table 14 shows Awareness of Child injuries in association with family education
Level of education Total No. Percentage

Illiterate(2 1)
<Secondar y >Secondar y(0)

38%

55.55%

FINDINGS OF THE STUDY

Table 15 shows Source of Awareness of Child Diseases of the Participants
Source Total No Percentag (30) e
26 86.66%

Health Workers Media (TV/Radi o) Newspap er & Others

13.33%

FINDINGS OF THE STUDY

Table 16 shows Attendance in health service center in primary stage of Diarrhoea in association with family education
Level of educati on Total No. (30) No. of Percen Aware tage ness
7 33.33 %

Illiterat 21 e

<Secon 9 dary
<Secon 0 dary

2
0

22.22 %
0

FINDINGS OF THE STUDY

Table 17 shows Thinking of respondants about improving awareness
Source Total No Percentag (30) e
29 96.67%

Health Workers Media (TV/Radi o) Newspap er & Others

3.33%

FINDINGS OF THE STUDY

Situations Surrounding Environment Findings Clean and Hygeinic Categories Educated family

Tooth Brush

Regular Habit (25)

Irregular Habit (5)

Educated and Middle income family

Low & Illiterate family

Cleanliness of cloth
Nail Clipping Ear Discharge

Clean and Hygeinic (14)

Regularly (13) Present (2)

Mostly Educated & Middle Income family

Mostly Educated & Middle income family Illiterate & Low income family

Table 18 shows Situational Analysis of the Village Respondants

CONCLUDING REMARKS
The study focuses on socioeconomic factors, family education, income of family, knowledge of child diseases. The study also includes situational analysis of the village respondants. Diarrhoea , ARI and vaccination of children below 5 years are considered as a major concerned.

CONCLUDING REMARKS
Awareness about vaccination up to 100% of educated mother,on the other hand it is 95% in illiterate mother. It is also shown that middle income family is more aware (100%) about vaccination than lower income family(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.

CONCLUDING REMARKS
33.33% children of total respondents are
malnourished.

Malnutrition is more in the children who do not

breastfed up to 6 months or more.

The study also shows 34% malnutrition in lower income

family and 28% in middle income family.

About safe drinking water and using sanitary latrine

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

CONCLUDING REMARKS
Attendance in community health clinic in primary
stage of the diseases 33% in illiterate group and 22% in educated mother.

About gaining the awareness of child health

diseases 86.6% through field visitors of health & family planning services and rest 13.4% are from mass media.

CONCLUDING REMARKS
On situational analysis surrounding of house is
clean 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.

RECOMMENDATIONS
A massive awareness programme should be implemented in the village regarding child health 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 be increased for the awareness of child health diseases.

RECOMMENDATIONS
Group discussion about water borne diseases and using sanitary latrine by the field visitors should be well monitored. Nutritional status of the child should be improved by increasing their facilities of income. Motivation should be needed to accept the family planning. For improving awareness literacy rate should be increased.