Physiotherapy in Bangladesh: Inequality Begets Inequality

BackgroundThe demand for health services in developing countries often outweighs provision. This article describes the present condition of physiotherapy in Bangladesh. Physiotherapy is not recognized as a profession by the government. There is no single registration and regulation body. The health-related and economic benefits of physiotherapy are not felt by the majority of Bangladeshi citizens.Areas coveredThe burden of disease is changing, and Bangladesh needs a profession that specializes in physical rehabilitation to face these challenges. This article outlines the benefits to patients and the wider economy from a broad physiotherapy regime for all Bangladeshi citizens. It describes the many barriers the profession faces.ConclusionPhysiotherapy is efficacious in many post-trauma situations and long-term conditions. Economic evidence supports the provision physiotherapy as a cost-effective treatment which should be considered as part of the provision of a universal health-care service. Official recognition of the protected “physiotherapist” title and a single registration and regulation agency are recommended

Health and safety issues among construction workers in Bangladesh

Background: Bangladesh is a rapidly developing country. Lots of infrastructures are set up every year. A large number of people are working in the construction industry.  Work related injuries and deaths of construction workers are common. The aim of this study was to find the health and safety awareness of informal construction workers. Methodology: This study was a cross sectional study by using a preset questionnaire among the construction workers in Bangladesh. Results: Participants of this study had lower income and education. About 87% of participants did not receive any health and safety training and did not wear safety equipment when they were working. About 57% of the participants had a history of injury. This study also found that the main reasons for the non-use of safety equipment were lack of safety equipment, motivation and training. Conclusion: Construction workers are not adequately aware about health and safety issues that relate to them

Profile of stroke patients treated at a rehabilitation centre in Bangladesh

Abstract Objective Stroke is the leading cause of death and disability in Bangladesh. Rehabilitation services have not yet been integrated into the Bangladesh health system. Only a few non-governmental organisations provide rehabilitation for stroke patients. The demographic profile of these patients has not yet been established. The aim of this study was to identify and evaluate the socio-demographic data, risk factors, place of primary management and cost of stroke for those who attended rehabilitation at the Centre for the Rehabilitation of the Paralysed (CRP), Bangladesh. A cross-sectional survey was carried out among 103 conveniently selected stroke patients who attended CRP between December 2015 and May 2016. Results The mean age of the participants was 49 years. The majority (68%) originated from urban areas. About 85% of the patients had a history of hypertension prior to their stroke. Following the stroke, most patients received their initial treatment in a general clinic or hospital by registered physicians. Only 22% of the patients were advised to pursue follow-up rehabilitation services by their physicians. All patients interviewed in the survey received unpaid full-time care from their family members. The reported cost of rehabilitation was approximately US $328 per month per patient