Thesis Chapters by Musfikur Rahman
Handbook of Research on Rural Sociology and Community Mobilization for Sustainable Growth, 2019
This chapter examines the illness profile of a disaster-prone village Char Majhira at Sariakandi ... more This chapter examines the illness profile of a disaster-prone village Char Majhira at Sariakandi Upazilla of Bogra district in Bangladesh which frequently affect various communicable and non-communicable illness. The researcher had administered participant observation, a thick description of villagers, an in-depth interview and FGD for data collection by using purposive sampling of the 250 households during November 2010 to June 2011. The salient health hazards of Char Majhira were rickets and vision problems, and the leading causes of death were asthma, neoplasm, respiratory infections, senility, stroke, various conditions during the neonatal period, accidents, cardiovascular illness other than stroke and diarrheal diseases, hepatitis and hypertension. As this is a chapter about illness profile of a disaster-prone village, it obviously will be helpful for development planners and policy makers to take essential steps for the prevention of illness in the disadvantage people in Bangladesh, as well as rest of the world.
Papers by Musfikur Rahman
Background Tuberculosis (TB) is one of the major public health problems around the globe. Evidenc... more Background Tuberculosis (TB) is one of the major public health problems around the globe. Evidence suggests that TB has social dimensions related to perception, prejudice, and stigma that create barriers for patients in accessing health care. However, there is more such evidence required in the Bangladesh context. Therefore, we aimed to explore the existing perceptions and prejudice towards tuberculosis among patients attending a divisional level TB hospital in Bangladesh and how these perceptions and prejudice process the stigmatization of the patients in their societal environment. Methods This is a cross-sectional study, we applied qualitative phenomenological approaches. We conducted 20 In-depth Interviews (IDIs) with the patients, and attendants of patients of the hospital to capture a range of information through purposive sampling. We carried out a thematic analysis of their lived experiences. Results The majority participants upheld their beliefs and experiences which identi...
International Journal of Information Systems and Social Change
The culture of resistance refers to an act by a particular unprivileged community against the dom... more The culture of resistance refers to an act by a particular unprivileged community against the dominant practice of cultural norms in the larger society. It perpetuates the clash between dominant and alternative cultural meanings developed by mainstream society and marginalized subgroups. We aimed to narrate the culture of resistance in the Harijan community in urban Bangladesh. We adopted Observation, In-depth Interview (IDI), Key Informant Interview (KII), and General Discussion as data collection tools to obtain data from the Harijan community to narrate it. The findings revealed that Harijan people struggled to survive with ‘intra’ and ‘inter’ community competition. Moreover, they resist in everyday activities through some cultural norms and practices such as keeping silent, avoiding any untoward situation, acting differently with mainstream people, following conventional customs as well as mainstream people’s law, and making common temples for their religious occasion’s observan...
<p>Detailed sampling frame.</p
BMC Health Services Research, 2022
Introduction Mental health conditions are of rising concern due to their increased contribution t... more Introduction Mental health conditions are of rising concern due to their increased contribution to the global burden of disease. Mental health issues are inextricably linked with other socio-cultural and health dimensions, especially in the rural areas in developing countries. The complex relationship between mental health issues and socio-cultural settings may largely toll upon healthcare-seeking behavior. So, it urges to document the current status of mental healthcare-seeking behavior during the perinatal period among rural women in Bangladesh to develop a context-specific intervention in the future. Methods This study was carried out in one sub-district in Bangladesh from April 2017 to June 2018. We conducted 21 In-depth Interviews (IDIs) and seven Focus Group Discussions (FGDs) with different groups of purposively selected participants. After collecting the recorded interview and making the verbatim transcription, the data were coded through Atlasti 5.7.a. Data were analyzed th...
This was a cross-sectional study, applied a qualitative approach to explore how cultural othernes... more This was a cross-sectional study, applied a qualitative approach to explore how cultural otherness was produced and practiced within the Harijan community. The studied population live in a separate geographical location due to their traditional occupation.
Background and Objectives Although Bangladesh has made significant progress in reducing maternal ... more Background and Objectives Although Bangladesh has made significant progress in reducing maternal and child mortal-ity in the last decade, childbirth assisted by skilled attendants has not increased as much as expected. An objective of the Bangladesh National Strategy for Maternal Health 2014–2024 is to reduce maternal mortality to 50/100,000 live births. It also aims to increase deliveries with skilled birth attendants to more than 80 % which remains a great challenge, especially in rural areas. This study explores the underlying factors for the major reliance on home delivery with Traditional Birth Attendants (TBA) in rural areas of Bangladesh. Methods This was a qualitative cross-sectional study. Data were collected between December 2012 and February 2013 in Sunamganj district of Sylhet division and data collection methods included key informant interviews (KII) with stakeholders; formal and informal health service providers and health managers; and in-depth interviews (IDI) with ...
Maternal & Child Nutrition
The National Nutrition Services of Bangladesh aims to deliver nutrition services through the prim... more The National Nutrition Services of Bangladesh aims to deliver nutrition services through the primary health care system. Little is known about the feasibility of reshaping service delivery to close gaps in nutrition intervention coverage and utilization. We used a scenario-based feasibility testing approach to assess potential implementation improvements to strengthen service delivery. We conducted in-depth interviews with 31 service providers and 12 policymakers, and 5 focus group discussions with potential beneficiaries. We asked about the feasibility of four hypothetical scenarios for preventive and promotive nutrition service delivery: community-based events (CBE) for pregnant women, well-child services integrated into immunization contacts; CBE for well-children, and well-child visits at facilities. Opinions on service delivery platforms were mixed; some recommended new platforms, but others suggested strengthening existing delivery points. CBE for pregnant women was perceived as feasible, but workforce shortages emerged as a key barrier. Challenges such as equipment portability, upset children and a fast-moving service environment suggested low feasibility of integrating nutrition into outreach immunization contacts. In contrast, CBE and facility-based well-child visits emerged as feasible options, conditional on having the necessary workforce, structural readiness and budget support. On the demand side, enabling factors include using interpersonal communication and involving community leaders to increase awareness, organizing events at a convenient time and place for both providers and beneficiaries, and incentives for beneficiaries to encourage participation. In conclusion, integrating preventive and promotive nutrition services require addressing current challenges in the health system, including human resource and logistic gaps, and investing in creating demand for preventive services.
Practice, Progress, and Proficiency in Sustainability, 2019
This chapter examines the illness profile of a disaster-prone village Char Majhira at Sariakandi ... more This chapter examines the illness profile of a disaster-prone village Char Majhira at Sariakandi Upazilla of Bogra district in Bangladesh which frequently affect various communicable and non-communicable illness. The researcher had administered participant observation, a thick description of villagers, an in-depth interview and FGD for data collection by using purposive sampling of the 250 households during November 2010 to June 2011. The salient health hazards of Char Majhira were rickets and vision problems, and the leading causes of death were asthma, neoplasm, respiratory infections, senility, stroke, various conditions during the neonatal period, accidents, cardiovascular illness other than stroke and diarrheal diseases, hepatitis and hypertension. As this is a chapter about illness profile of a disaster-prone village, it obviously will be helpful for development planners and policy makers to take essential steps for the prevention of illness in the disadvantage people in Bangl...
Health care sectors are the accumulation of existing therapeutic facilities within the livelihood... more Health care sectors are the accumulation of existing therapeutic facilities within the livelihood system of a community that provides goods and services to treat illness. Diverse health care services vary in their thinking and idea as to the reasons of illness, their methods of healing, techniques of treatment, and composition and grounding of medicinal products. The native term meho is used to say what white discharge is in medical terms or padda phool for uterine prolapse. In fact, without establishing the exact meaning of local terms or by linking its symptoms one cannot guess a person’s illness in rural Bangladesh. What is conceptualized in that term is often something close to the notion of illness and mostly touches to the functional knowledge’s of the body. However, in the study area, the sectors of health care were classified by the respondents as
BMJ Open
ObjectiveThis paper explored the factors that influence the timely initiation of antenatal care (... more ObjectiveThis paper explored the factors that influence the timely initiation of antenatal care (ANC) in Bangladesh.DesignThis was a cross-sectional survey.SettingThis study conducted in two rural subdistricts and one urban area from three Northern districts of Bangladesh from August to November 2016.ParticipantsWomen who had a live birth in the last 1 year prior to data collection were enrolled for this study. In each study area, around 900 women were interviewed, and finally, we completed 2731 interviews.Primary outcome measuresThe primary outcome was timely first ANC from a Medically Trained Provider (MTP).ResultsAbout 43% of pregnancies were detected at their earliest time. The majority of participants (82%) received at least one ANC from an MTP. Only 11% received timely first ANC from an MTP as per the WHO FANC model. The women who detected pregnancy earlier were more likely (adj.OR 1.99, 95% CI 1.31 to 3.01) to receive the timely first ANC. The urban women were more likely (ad...
PLoS ONE, 2020
Objective There is dearth of information on the timeliness of antenatal care (ANC) uptake. This s... more Objective There is dearth of information on the timeliness of antenatal care (ANC) uptake. This study aimed to determine the timely ANC uptake by a medically trained provider (MTP) as per the World Health Organization (WHO) recommendations and the country guideline. Methods Cross-sectional survey was done with 2,731 women having livebirth outcome in last one year in Dinajpur, Nilphamari and Rajshahi districts, Bangladesh from August-November,2016. Results About 82%(2,232) women received at least one ANC from a MTP. Overall, 78%(2,142) women received 4 or more ANCs by any provider and 43%(1168) from a MTP. Only 14%(378) women received their first ANC at the 1st trimester by a MTP. As per 4 schedule visits by the WHO FANC model and the country guideline 8%(203) and 20%(543) women respectively received the first 2 timely ANC by a MTP; where only 1%(32) and 3%(72) received the first 3 visits timely and 0.6%(17) and 1%(29) received all the four timely visits. Factors significantly associ...
Introduction: Mental health conditions are of rising concern due to their increased contribution ... more Introduction: Mental health conditions are of rising concern due to their increased contribution to the global burden of disease. Mental health issues are inextricably linked with other sociocultural and health dimensions, especially in the rural areas in developing countries. The complex relationship between mental health issues and sociocultural settings may largely toll upon the healthcare-seeking behavior. Evidence suggests that mental illness affects more than 10% of women and one year after childbirth. So, it urges to document the current status of mental healthcare-seeking behavior during the perinatal period among rural women in Bangladesh to develop a context-specific intervention in the future.Methods: This study was carried out in one sub-district in Bangladesh from April 2017 to June 2018. We conducted 21 In-depth Interviews and seven Focus Group Discussions with different groups of purposively selected participants such as perinatal women, head of the family, community ...
Epidemiological Research Applications for Public Health Measurement and Intervention
Therapeutic decision making is crucial to address any health problems. Household livelihood asset... more Therapeutic decision making is crucial to address any health problems. Household livelihood assets had significant impact on therapeutic decision making in the study village. The researchers administered participant observation, in-depth interview, and FGD for data collection by using purposive sampling during November 2010 to June 2011. Among 250 households, the number of ill persons were 316, of which 297 received treatments from popular, folk, and professional sectors while the rest did not seek any options. The decision makers were varied for newborn, children, adolescent, adult, and aged people, and it depended on the cyclical issues of an illness episode.
The most vulnerable and forcibly displaced Rohingya people are living in 32 refugee camps in Bang... more The most vulnerable and forcibly displaced Rohingya people are living in 32 refugee camps in Bangladesh. It was a cross-sectional study. The study was conducted through qualitative approach from 25 October to 24 November 2019. The chapter has tried to explore the process of religious radicalization in refugee camps. The existing social structure, some foreign humanitarian organizations, transnational/national terror outfits are exploiting the helpless situation of these people to enhance their organizational ability. The findings of the study will help the policymakers to take pragmatic initiatives to counter the process of religious extremism in the camps which will act as a key catalyst to fight against terrorism both in Bangladesh and globally.
BMJ Open
ObjectiveTo explore the prevalence and determinants of calendar literacy and last menstrual perio... more ObjectiveTo explore the prevalence and determinants of calendar literacy and last menstrual period (LMP) recall among women in Bangladesh.DesignCross-sectional survey.SettingsTwo rural subdistricts and one urban area from three Northern districts of Bangladesh.ParticipantsWe interviewed 2731 women who had a live birth in the last 1 year.Primary and secondary outcome measuresThe primary outcome variable was LMP recall and the secondary outcome was calendar literacy.ResultsThe majority of participants (65%) correctly mentioned the current date according to the English calendar while 12% mentioned according to the Bengali calendar. During the interview sessions, we used three different calendars: Bengali, English and Hijri to assess calendar literacy. We asked women to mark the current date using the calendar on the day of the interview. Almost 61% women marked the English calendar, 16% marked the Bengali calendar and 4% marked the Hijri calendar correctly. Sixty-three per cent women w...
American Journal of BioScience
The present study was undertaken to evaluate the performance of resisting the drought to wheat va... more The present study was undertaken to evaluate the performance of resisting the drought to wheat varieties at three Upazilas of Nilphamari district of Bangladesh namely, Saidpur, Nilphamari Sadar and Jaldhaka. The main objectives that the study aimed to achieve include, (i) identification of drought stress tolerant wheat varieties by the small and marginal farmers through adaptive trials thus found more productive and profitable; and (ii) demonstration of modern wheat cultivation technologies generated awareness, improved knowledge, attitude and perceived adoption of modern wheat production among the demonstrating as well as neighbouring farmers. Four separate trials for identification of drought stress tolerant varieties were planned and implemented using Split-Plot design. Crop production technologies as recommended by BARI were used in the trials. Study findings showed comparatively lower yield in 'zero' irrigation i.e. rainfed condition in all the varieties (ranging from 3.89 tons to 4.05 tons/ha, average being 3.97 tons/ha) as against single irrigation (4.07 tons-4.61 tons/ha, average being 4.32 tons/ha), two irrigation (4.11 tons-4.59 tons/ha, average being 4.41tons/ha) and three irrigations (4.56 tons-4.94 tons, average being 4.70 tons/ha). The yield difference between '0' & 1,1 & 2, and 2 & 3 irrigations did not reveal a significant difference in most of the varieties. But in most of the varieties, significant differences were observed between '0' and 3 irrigations. In '0' irrigation, all the varieties performed similar with respect to yield, but BARI Gom21 performed slightly better over the other varieties.
PloS one, 2016
Although Bangladesh has made significant progress in reducing maternal and child mortality in the... more Although Bangladesh has made significant progress in reducing maternal and child mortality in the last decade, childbirth assisted by skilled attendants has not increased as much as expected. An objective of the Bangladesh National Strategy for Maternal Health 2014-2024 is to reduce maternal mortality to 50/100,000 live births. It also aims to increase deliveries with skilled birth attendants to more than 80% which remains a great challenge, especially in rural areas. This study explores the underlying factors for the major reliance on home delivery with Traditional Birth Attendants (TBA) in rural areas of Bangladesh. This was a qualitative cross-sectional study. Data were collected between December 2012 and February 2013 in Sunamganj district of Sylhet division and data collection methods included key informant interviews (KII) with stakeholders; formal and informal health service providers and health managers; and in-depth interviews (IDI) with community women to capture a range o...
PloS one, 2016
Although Bangladesh has made significant progress in reducing maternal and child mortality in the... more Although Bangladesh has made significant progress in reducing maternal and child mortality in the last decade, childbirth assisted by skilled attendants has not increased as much as expected. An objective of the Bangladesh National Strategy for Maternal Health 2014-2024 is to reduce maternal mortality to 50/100,000 live births. It also aims to increase deliveries with skilled birth attendants to more than 80% which remains a great challenge, especially in rural areas. This study explores the underlying factors for the major reliance on home delivery with Traditional Birth Attendants (TBA) in rural areas of Bangladesh. This was a qualitative cross-sectional study. Data were collected between December 2012 and February 2013 in Sunamganj district of Sylhet division and data collection methods included key informant interviews (KII) with stakeholders; formal and informal health service providers and health managers; and in-depth interviews (IDI) with community women to capture a range o...
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Thesis Chapters by Musfikur Rahman
Papers by Musfikur Rahman