To Assess the Tuberculosis Situation in Urban and Rural Areas of Bangladesh with Special Emphasis on the Facility of Treatment Scenarios

摘要

Background: Tuberculosis (TB) is one of the major public health challenges in Bangladesh. Though the country has achieved commendable success in Tuberculosis control, yet this success may deem out unless effective TB treatment control measures are taken based on strong general infection control for the diseases over the country. This study aimed to assess facilitators for health seeking practice among the urban and rural peoples Bangladesh. Methods: Present study used secondary data extracted from nationally representative Bangladesh Demographic and Health Survey (BDHS-2011) between May 2, 2014 & August 14, 2014, on TB patients receiving TB treatments in Urban and Rural areas from Seven Divisions of Bangladesh. Results: Out of 1596 study subjects, 226 TB patients took TB treatment of which Most of the TB patients were from urban (143, 63.3%), others from Rural (83, 36.7%) areas. Availability of treatment for TB from government/public health authorities are known to 116(51.3%) and 82(36.3%) from urban and rural areas respectively. Our study reflects most of the Tuberculosis medicine facility stored in respective urban service site (122, 54%) where else no Tuberculosis medicine facility in rural areas is 21(9.3%). The study has found that, most long term treatment facility has been provided in urban areas compared to rural areas and no association was found between methods to diagnose TB between urban/rural areas. Conclusions: Perceptions of TB and awareness associated with the disease increase the treatment scenarios, therefore promotion of media awareness campaign, engaging the rural people for treatment and effective community service all over the country is needed to increase treatment facility in the future.