Sexual & Reproductive Health Concerns of Males & Role of Providers in Chakaria, Bangladesh

Sexual & Reproductive Health Concerns of Males & Role of Providers in Chakaria, Bangladesh Research Team Ilias Mahmud (Research Associate, Supervisor RPC) Dr. Sabina Faiz Rashid, (Assistant Professor, Coordinator of RPC) Dr. A. Mushtaque R. Chowdhury, Dean, Principal Investigator, RPC) Nabil Ahmed (Research Associate, RPC) Advisors: Dr. Hilary Standing, IDS Dr Kaosar Afsana, BRAC 06/06/09

Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/06/09

SRH & Bangladesh ,[object Object],[object Object],[object Object],06/06/09

Informal Service Provision in BD ,[object Object],[object Object],[object Object],06/06/09

Informal Service Provision in BD... ,[object Object],[object Object],[object Object],[object Object],06/06/09

Methodology ,[object Object],[object Object],[object Object],[object Object],[object Object],06/06/09

Description of Study Site ,[object Object],[object Object],[object Object],[object Object],[object Object],06/06/09

Respondents’ Profile ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/06/09

Community SRH Concerns 06/06/09

Ten leading Concerns in Community 06/06/09 Concerns (n=693; multiple responses) Fre(%) 1. Duration (less) of sexual intercourse 82 2. Nocturnal emissions 79 3. Loss of semen before or after urination 77 4. Burning or pain when urinating 61 5. Frequent urination 60 6. Unable to maintain an erection 60 7. Ejaculation before coitus 58 8. Discharge of pus from genitals 54 9. Bleeding from genitals 48 10. Worries about masturbation 42

Ranking of conditions by perceived severity 06/06/09 Concerns (n=693; multiple responses) Fre (%) 1. Duration (less) of sexual intercourse 64 2. Nocturnal emissions 59 3. Loss of semen before or after urination 48 4. Ejaculation before coitus 47 5. Discharge of pus from genitals 46 6. Unable to maintain an erection 44 7. Bleeding from genitals 42 8. Burning or pain when urinating 39 9. Frequent urination 37 10. Worries about masturbation 30

What Makes them Perceive a Condition as Severe? ,[object Object],[object Object],[object Object],06/06/09

[object Object],[object Object],[object Object],What Makes them Perceive a Condition as Severe? 06/06/09

[object Object],[object Object],What Makes them to Perceive a Condition as Severe? 06/06/09

Providers usually visited by the community people 06/06/09 Providers (n=693; multiple response) Fre (%) 1. MBBS Doctors (sitting in pharmacy) 94 2. Local Kabiraj 86 3. Homeopath 81 4. Street vendor of medicine 74 5. Palli Chikitshak 74 6. Private medical clinic 69 7. Govt. Health centre 67 8. Drug seller (pharmacy) 59 9. Hujur 50 10. Friend/neighbors 34

Most Popular SRH Service Providers mentioned 06/06/09 Providers (n=711) Fre (%) 1. MBBS Doctor (sitting in pharmacy) 43 2. Local Kabiraj 20 3. Homeopath 10 4. Palli Chikitshak 8 5. Street Vendor of Medicines 6 6. Govt. Health Centre 5 7. Drug seller (unregulated pharmacists) 2 8. Hujur/Pir/ojha 2 9. Private Clinic 2 10. Others 2

[object Object],[object Object],What Makes a Service Popular? 06/06/09

What Makes a Service Popular?... ,[object Object],[object Object],06/06/09

[object Object],[object Object],What Makes a Service Popular?... 06/06/09

[object Object],[object Object],[object Object],What Makes a Service Popular?... 06/06/09

SRH Concerns of a Known Person of the Respondents 06/06/09

SRH concerns of a close kin/friend/neighbor ,[object Object],[object Object],[object Object],[object Object],06/06/09

First Provider for the Close kin/friend/neighbor 06/06/09 Providers (n=372) Fre (%) 1. MBBS Doctor 30 2. Palli Chikitshak 16 3. Local Kabiraj 14 4. Friends/Neighbours 9 5. Homeopath 7 6. Govt. Health Centre 6 7. Hujur/pir/ojah 5 8. Drug Seller (unregulated pharmacists) 5 9. Private Clinic 4 10. Street Vendor of Medicine 3

SRH Concerns of Respondents themselves 06/06/09

Overview of Respondents’ SRH Concerns ,[object Object],[object Object],[object Object],06/06/09

Leading SRH Concerns of Individual Respondents’ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/06/09

Health seeking: top three providers by conditions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/06/09

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Health seeking: top three providers by conditions 06/06/09

Money spent for treatment of SRH concerns ,[object Object],[object Object],[object Object],06/06/09 Current income 85% Loans from relatives 13% Loans taken with interest 12% Selling assets 9% Savings (Taka) 4% Others 3%

[object Object],[object Object],[object Object],[object Object],Community level recommendations 06/06/09

Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],06/06/09

Sexual & Reproductive Health Concerns of Males & Role of Providers in Chakaria, Bangladesh

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Sexual & Reproductive Health Concerns of Males & Role of Providers in Chakaria, Bangladesh