Shahidullah M, Ali SM L, Keramat Ali S M, Rahman S
Bangladesh Med Res Counc Bull. 1981 Dec;7(2):59-68.
The present study was carried out in OPD of PGH, LHP., ID and OPD of DMCH in an attempt to identify the major determinants of health, nutritional and environmental problems which are being faced by children below age five in the urban and rural areas of Bangladesh. The mean age of the children who suffer from infectious disease are between 2-3 years old. Children between 1 and 2 year suffer from acute disease and die frequently. Female children attend less in these centres than the fellow male children. Due to socio-economic reasons, traditional joint family system is changing to nuclear type. Static health care institutions are less utilised by rural people. Educated fathers seek care quickly. Low income groups attend more in DMCH (OPD). Mean family size above 6. The sleeping rooms are overcrowded. Immunization is not popular in rural areas. Rural women receive less care related to pregnancy, childbirth and puerperium. Height and weight of these children however, are similar to the national nutrition survey results. The leading cases of morbidity and mortality are from infectious diseases. The study gives an account of health status of rural and urban community.
本研究在孟加拉国达卡医学院附属医院（PGH）、拉杰沙希医学院（LHP）、传染病医院（ID）的门诊以及达卡医学中心（DMCH）的门诊进行，旨在确定孟加拉国城乡五岁以下儿童所面临的健康、营养和环境问题的主要决定因素。患有传染病的儿童平均年龄在2至3岁之间。1至2岁的儿童易患急性疾病且频繁死亡。女童在这些中心的就诊率低于男童。由于社会经济原因，传统的大家庭制度正转变为核心家庭类型。农村居民较少利用固定的医疗机构。受过教育的父亲会更快地寻求医疗护理。低收入群体在达卡医学中心（门诊）的就诊率更高。平均家庭规模超过6人。卧室过于拥挤。免疫接种在农村地区并不普及。农村妇女在孕期、分娩期和产褥期获得的护理较少。然而，这些儿童的身高和体重与全国营养调查结果相似。发病和死亡的主要原因是传染病。该研究描述了农村和城市社区的健康状况。
