http://http://dspace.icddrb.org:80/jspui/handle/123456789/41 Tue, 07 Apr 2026 18:06:01 GMT 2026-04-07T18:06:01Z http://http://dspace.icddrb.org:80/jspui/handle/123456789/2816 Title: Impact of population growth on demand for and cost of medical and health care facilities in Bangladesh[abstarct] Authors: Shaikh, K. Thu, 01 Nov 1984 00:00:00 GMT http://http://dspace.icddrb.org:80/jspui/handle/123456789/2816 1984-11-01T00:00:00Z http://http://dspace.icddrb.org:80/jspui/handle/123456789/2739 Title: Birth care practices and their infanr mortality in Taknef-analysis of correlates [abstract] Authors: Islam, M. Shafiqul; Rahaman, M.M.; Munshi, M.H.; Rahman, Mizanur Sat, 01 Mar 1980 00:00:00 GMT http://http://dspace.icddrb.org:80/jspui/handle/123456789/2739 1980-03-01T00:00:00Z http://http://dspace.icddrb.org:80/jspui/handle/123456789/393 Title: Perinatal transmission of hepatitis B in rural Bangladesh Authors: de Francisco, A.; Azim, T.; Hawkes, Sarah; Alam, N.; Hall, A.J. Abstract: Objective: Estimate the relative importance of perinatal transmission of hepatitis B in Bangladesh. Methodology: Paired-serum samples (330 mothers and their 334 infants) were tested for hepatitis B markers in a cross-sectional study. Infants were aged 2-8 months (-40 per age month), and cord blood was drawn from 33 deliveries. Laboratory personnel were kept blind on any information regarding the individual. The study evaluated hepatitis B core (HBcAg), surface antigen (HBsAg) and e-antigen (HBeAg) using a commercial ELISA test kit. All samples were screened for HBcAg and those testing positive were further tested for HBsAg. Those positive for HBsAg were, in rum, tested for HBeAg. Results: The mothers were young and of low parity, with a mean (SD) height of 150 (5.4) cm. The mean birth weight of 33 infants delivered at the hospital was 2.5 (0.46) kg. In maternal samples, 107 (32.4%) were positive for HBcAg, 18 (5.4%) for HBsAg, and 4 (1.2%) for HBeAg. In infant samples, 35 (10.5%) were positive for HBcAg, 1 (0.3%) for HBsAg, and none for HBeAg. Of the 35 HBcAg-positive infants, only 1 was an offspring from a HBcAg-negative mother, and was a 7-month old girl who was otherwise HBsAg-negative. Of the 18 HBsAg-positive mothers, 4 (22%) were HBeAg-positive. All 14 children of the mothers who were HBeAg-negative were negative for HBsAg. Only one of four (25%) of the children of the HBeAg-positive mothers was HBsAg carrier (8 months old), and in three children, transmission did not occur (two 8 months old, one 6 months old). Conclusion: Hepatitis B is prevalent in rural Bangladesh. Perinatal transmission mode is relatively low. HBsAg-positive and negative for e-antigen mothers do not infect their babies. The low transmissibility of surface antigen to infants reported in this study contrasts with the published reports from other developing countries Thu, 01 Jan 1998 00:00:00 GMT http://http://dspace.icddrb.org:80/jspui/handle/123456789/393 1998-01-01T00:00:00Z http://http://dspace.icddrb.org:80/jspui/handle/123456789/386 Title: Economic benefits of diabetes control in Bangladesh Authors: Khan, M. Mahmud; Sayeed, Abu; Mamun, Abullah A.; Ferdousy, Zohra; Ali, Disha; Islam, Ishrat; Lahiry, Sumon; Samira, Humaira H. Abstract: Objective: Estimate the direct medical-care costs associated with diabetes, and indicate how the medical-care costs increased with the progression of the disease from the initial stage. Methodology: This study was based on the data derived from the "Guidebook" of diabetic patients registered at the BIRDEM hospital. The sample consists of the registered patients in the hospital since December 1985. The surveillance collected two types of information: baseline information on patient's demographic characteristics and follow-up information of revisits later on. The baseline data also report health-related information at the first visit. The follow-up data include height, weight, blood pressure, blood sugar level, treatment recommended, and complications observed for patients. Using the blood sugar level cut-off points, the severity of diabetes was defined for the patients, and all patients were grouped into three severity categories. The use of medical services by different categories of diabetic patients was compared to estimate the effect of increased blood sugar levels on the medical-care costs. An attempt was also made to identify the costs not related to diabetes to estimate the economic benefits of preventing the disease. Results: Although the prevalence of diabetes is low in Bangladesh, it is already the 10th most expensive disease in terms of total healthcare cost allocated for an illness. Diabetes imposes significant additional costs on individuals, and the cost of diabetes tends to increase with time since onset. The severity of diabetes is also associated with increased direct medical-care cost implying that even a modest control of diabetes reduces the direct medical cost for patients. Conclusion: The cost of diabetes is likely to increase at a rapid rate in the future due to its expected higher prevalence and the increased cost of medical interventions. An early diagnosis and control should significantly lower the future costs of medical care associated with diabetes. The Bangladesh health sector should consider the incorporation of diabetes screening as an important public health intervention. However, the degree of financial subsidy needed for this purpose should be determined by carefully examining its prevalence rate among the different socioeconomic groups. Thu, 01 Jan 1998 00:00:00 GMT http://http://dspace.icddrb.org:80/jspui/handle/123456789/386 1998-01-01T00:00:00Z