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Publications

Chakaria Health and Demographic Surveillance System

Future Health Systems

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This report contains findings from a population census carried out in 8 of the 19 unions of Chakaria, a remote rural upazila in the south-eastern coastal area of Bangladesh. ICDDR,B has been engaged in health activities in 6 of these 8 unions since 1994 through a community-initiated primary healthcare project. Two of the unions where ICDDR,B has no activities were designated as comparison areas to assess the impact of ICDDR,B activities on health and health-related behaviours.

The major components of ICDDR,B activities included health education on water and sanitation and diarrhoea, treatment of acute respiratory infection (ARI), reproductive and urinary tract infections, adolescent health, safe delivery practices, treatment of malaria and HIV/AIDS. In addition, project physicians and community paramedics–cum-midwives have been providing antenatal care (ANC), postnatal care (PNC), and limited curative services at village health posts established and managed by the villagers. Community midwives have also been providing home-based delivery assistance and referral services for complicated cases. The census involved visits to all the households during April 1999 -February 2000.

This report contains findings from a population census carried out in 8 of the 19 unions of Chakaria, a remote rural upazila in the south-eastern coastal area of Bangladesh. ICDDR,B has been engaged in health activities in 6 of these 8 unions since 1994 through a community-initiated primary healthcare project. Two of the unions where ICDDR,B has no activities were designated as comparison areas to assess the impact of ICDDR,B activities on health and health-related behaviours.The major components of ICDDR,B activities included health education on water and sanitation and diarrhoea, treatment of acute respiratory infection (ARI), reproductive and urinary tract infections, adolescent health, safe delivery practices, treatment of malaria and HIV/AIDS. In addition, project physicians and community paramedics–cum-midwives have been providing antenatal care (ANC), postnatal care (PNC), and limited curative services at village health posts established and managed by the villagers. Community midwives have also been providing home-based delivery assistance and referral services for complicated cases. The census involved visits to all the households during April 1999 -February 2000.