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Primary Health Care

Initiating Awareness Symposium for the healthcare providers :

Awareness symposiums on Management & Prevention of GDM in Bangladesh were organized at the Institute of Child and Mother Health (ICMH), Dhaka; Rajshahi Medical College, Rajshahi; MAG Osmani Medical College, Sylhet & Kumudini Womens' Medical College, Tangail. Through the awareness symposium, 1250 health professionals were covered for building awareness on GDM equipped with appropriate BCC strategies targeting mass people but focusing especially on health professionals and social activists.

Mass awareness campaign activities:

For the mass awareness programmes, road side musical & cultural shows on open vehicles touring around various places is designed. During the year 04 regional folk festival were organized with the songs to impart the message on GDM. For creating awareness, thousands of leaflets were circulated among mass people in various spots who attended the roadside shows. 55 awareness campaign during the period were organized.

The ideal diabetic patients were awarded with crest. BIHS, NHN and Ibrahim Cardiac also took up several programs in this regard. For prevention of Diabetes and TB, a project Challange TB Care has been extended for another 5 years.

Special Sympsium highlighting the service motto of Professor Ibrahim "No diabetic patient shall die unfed, untreated and unemployed even if poor", Rally and Free Blood Suger Screening and Medical Service to diabetic patients were the major focus of the Diabetes Awareness and Prevention Day.

BADAS is Implementing the following programmes for prevention:

Screening for diabetes and related cardiometabolic risks at work places in Bangladesh:
This study is the part of Diabetes Prevention Program in Work Places (DPWP),an ongoing diabetes prevention program of Diabetic Association of Bangladesh (BADAS). Main objective: to establish a model surveillance system with special focus on diabetes and related cardiometabolic risks for industrial workers in Bangladesh.

Knowledge and Care Regarding GDM among Bangladeshi Population :
A joint research initiative of Preconception Care through Religious Leaders Project of the Centre for Global Health Research and SAFES, Bangladesh

Knowledge Attitude and Practice (KAP) among Physicians Before and After Distance Learning Program (DLP) in Bangladesh :
A joint research initiative of Centre for Global Health Research and Distance Learning Project, BADAS

Mother and Child Health Care:

Mother and Child Health Research Program in Bangladesh is a part of GIFTS "Genomic and lifestyle predictors of fetal outcome relevant to diabetes and obesity and their relevance to prevention strategies in South Asian peoples" study. The key GIFTS objectives: Improving understanding of the nutritional and lifestyle factors affecting early life Elucidating the role of genomics in the development of diabetes Modification of diabetes prevention education by incorporation of results and learning generated by GIFTS into the curriculum

Activities related to the study

  • Community awareness program: 5
  • Development of guidebook
  • Development of flip chart (both in Bangla & English)
  • Development of pamphlet
  • Development of website: www.gifts-project.eu
  • Screening for diabetes and related cardio-metabolic risks at work places in Bangladesh
  • This study is the part of Diabetes Prevention Program in Work Places (DPWP),an ongoing diabetes prevention program of Diabetic Association of Bangladesh (BADAS).

Main objective:
to establish a model surveillance system with special focus on diabetes and related cardiometabolic risks for industrial workers in Bangladesh. Knowledge and Care Regarding GDM among Bangladeshi Population. A joint research initiative of Preconception Care through Religious Leaders project of Centre for Global Health Research and SAFES, Bangladesh'

Regional Workshop for Prevention of DM:

Regional Workshop was held at Rangpur on 29th April 2015. Doctors and health professionals from different Affiliated Associations of Rangpur Region participated in this workshop. The major theme of this workshop was "Prevention, Management and Control of Diabetes at an early stage".

DM TB Comorbidity:

During the reporting year total 9,14,620 DM patients have been screened for TB through a simple questionnaire. Among them 16,126 patients were presumptive TB and 11,917 patients went for sputum AFB microscopy. Through the sputum microscopy total 929 pulmonary positive cases were diagnosed. To increase pulmonary negative and extra pulmonary TB cases, the project also gave financial support for X-ray and FNAC During the reporting period total 3,944 & 72 DM patients got X-ray and FNAC support respectively.

Through this initiative 313 pulmonary negative and 258 Extra pulmonary TB cases were diagnosed. All the diagnosed TB patients were referred to their convenient DOTS centers for regular continuation of treatment. Additionally the GeneXpert gave 256 TB cases from 2,354 patients those who were smear negative in sputum microscopy. From these Xpert detected patients 10 were rifampicin resistance who were referred to NIDCH for MDR management.

Drug resistance TB is a threat to control TB so the project installed 1 GeneXpert machine for yearly diagnosis of rifampicin resistance. Total 480 presumptive MDR TB cases underwent for GeneXpert and detected 6 rifampicin resistance cases who were also referred to NIDCH for MDR management.

Strengthen providers' capacity in TB-DM diagnosis & case management:

Capacity building is pre-requisite to improve early case detection and provide quality services. So, to achieve the objective - 2 the project has been operational for providing various sorts of trainings. During the reporting period 98 medical doctors have been trained on TB-DM co morbidity management through a 3 day long training program. While 149 doctors have also been oriented through a day long orientation program on TB-DM co morbidity management.

In the mean time 375 nurses and 353 other health staff have also been oriented on TB diagnosis among DM patients respectively through a day long orientation program. Total 19 Lab Technicians have been trained on AFB microscopy through a 6 day long training program. The training was organized with collaboration of Microbiology department of Ibrahim Medical College.

The awareness, which has been built during the project period among doctors, nurses and other health workers will be active to fight against TB even beyond the project period.

Increase patients awareness about TB-DM co-morbidity:

Development of awareness is an important task to promote early cases detection and prompt treatment delivery. During the reporting period various kind of awareness activities have been accomplished to make DM patients aware as well as mass population regarding TB.

Since DM patients are more prone to have TB so the message regarding TB has been incorporated in 65,000 DM guide books. Total 27,112 DM patients have been counseled through 259 counseling sessions to build awareness among DM patients. Besides, 1500 posters and 100,000 leaflets have been developed on TB- DM co morbidity.

To sensitize mass population total 3 TV and 4 radio programs have been aired. To sensitize medical care provides and to maintain common management for all patients of TB with DM total 3000 National Guidelines on management of TB-DM co morbidity and 1500 training manuals have been developed during the reporting period.

Prevention of Diabetic Eye Complication:

A total number of 1,39,441 persons have been screened, 81,201 persons clinically treated and 8000 surgeries including 923 laser sessions have been performed. A total number of 20,000 people were educated on protecting their sight and 27,11,699 people were informed on protecting their sight, through different interpersonal, outdoor and mass media communication.

Through Community mobilization, a Behavior Change Cadre have been involved to increase awareness on Diabetic Retinopathy screening among the diabetic. A total no of 93 Out ReachCamps have been organized.