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0 Introduction:
My Bengal of gold, I love you Forever your skies, your air set my heart in tune As if it were a flute... What a quite have you spread at the feet of Banyan trees and along the banks of rivers There goes Bangladeshs national anthem. The culture of this subcontinent contributed directly in forming this Bengal as The land of gold. Thus cultural practices are prominent and important features of the living style of people in Bangladesh. The debate on life can go on forever without coming to a particular conclusion. Life goes on in a certain way in the rural areas and in another way in urban areas. The life struggle of the people in the rural areas and in the urban areas is very different. That's why it is not really a very good idea to put on some fancy thoughts regarding the rural life sitting in an urbanized atmosphere. It is an imperative to come out of the shell of urbanization and go to the rural areas if someone really wants to understand the rural life. . So this course was a true revelation; it was my encounter with the reality of rural life. I gained a varied set of experiences during our visit to the village Burundi. In this report we have tried to depict the most enlightening details that these experiences have taught us. To see the real situation and to have a true taste of the rural life, we went to village Golora (Modhya-para) in Manikganj district. The idea that we had regarding the village and the villagers was tested during this Live-in-Field Experience (LFE) program. Poorly constructed huts, people submerged in poverty, green & pleasant environment and some hardworking people-these are the ideas most city dwellers, like us, have regarding rural life. But it is not the case now-a-days. The picture of rural areas is changing and these changes are occurring quite rapidly. Through the LFE program the students here in Independent University, Bangladesh (IUB), get an opportunity to know the rural life. This course introduces us to the rural life style and the related problems. It helps us to understand the people, their way of life, their sufferings, their needs and wants. This time it was a twelve-days trip organized by IUB at two districts of Bangladesh-Manikganj, Bogra, in joint collaboration with Proshika, Rural Development Academy (RDA) respectively. We went to
Proshika, Manikganj in the first slot. Our program started on 17th May 2011 and ended on 28st May2011.
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Primary Data:
We Colleted all the primary data from the villagers. For collecting information we servey the village and collect our necessary information amd after that this information we send to the server by my cell phone via internet services.
Secondary Data:
We collected our secondary data from and articles on rural life.
Open ended and closes ended questions. By interviewing both male & female villagers.
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--WHO Constitution
The World Health Organization (WHO), said that health is "a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities." We should follow a Hygienic process to live a healthy life. Hygiene practices include bathing, brushing and flossing teeth, washing hands especially before eating,
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washing food before it is eaten, cleaning food preparation utensils and surfaces before and after preparing meals, and many others. This helps prevent infection and illness.
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Sources Of Water
100% 100% 100% 60% 50%
Tube-well Pond
68%
0% Drink Bathing
Analysis: On an average 100% people of this Para are using tube-well for drinking and cooking, 60% and 68% of people use tube-well water for bathing and washing purposes correspondently. Some time tube-well water also use for bathing and washing purpose.
Picture: different sources of water Findings: The village people are not aware of the necessities of the source of water. We found that few ponds are used simultaneously for bathing the cows and washing utensils. This is very much harmful for health because same utensils are used for eating purpose.
3.4 Sanitation:
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Sanitation is the hygienic means of promoting health through prevention of human contact with the hazards of wastes. Hazards can be either physical, microbiological, biological or chemical agents of disease. Wastes that can cause health problems are human and animal feces, solid wastes, domestic wastewater (sewage, sullage, greywater), and agricultural wastes. Hygienic means of prevention can be by using engineering solutions (e.g. sewerage and wastewater treatment), simple technologies (e.g. latrines, septic tanks), or even by personal hygiene practices (e.g. simple hand washing with soap). In early years, the sanitation facility was not good in Modhya Para. At present it seems villagers become conscious about their health and sanitation. Therefore almost every family have ring slab. Largest number of people using septic tank. I didnt find any hanging latrine, but we did saw few open latrines at that Para. They are also careful about keep themselves in a neat and clean environment. It is very good indication on their health and sanitation responsiveness. Surprising factors I have found out that the people who live in concrete house most of them build latrines inside the house. Also they have an intention to design their brick-build latrines with tiles instead just build with brick and tin.
Analysis: At Modhya Para 56% people are using ring slab and 44% people are using septic tank latrine. Only short number of people some time tends to use those passing by open latrines. We didnt find any pit latrine and hanging latrine. 10 Live-in-Field Experience
The local NGOs helped people to increase their watchfulness about health and hygiene. They provide several free ring-slabs. They took all basic measures to educate people about their health and hygiene. The whole sanitary system of Sha Para is really good. People are very much aware of proper sanitation.
3.5 Vaccination:
Vaccines work with the immune system's, which is able to recognize and destroy foreign proteins (antigens) that it determines are "nonself." The village mothers are very aware about their children, especially in case of vaccination. They gave almost every vaccine to their children except hepatitis B; probably the reason could be it is an expensive vaccine and their lack of proper knowledge. At present time they are developing knowledge about Hepatitis B, so it is expected that in near future the given rate of Hepatitis B will be increase.
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Figure 3.3: Vaccination provided to child in Modho Para Analysis: The above chart shows us that 100% children have given the vaccine of Polio, Diphtheria, Whooping cough, Tetanus, Measles and Tuberculosis. But the villagers have no broad idea about Hepatitis B. I have found only one person who gave her child the vaccine of Hepatitis B; therefore the percentage of Hepatitis B is only 4%.
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known as spacing children). To create this awareness local NGOs, Government health care centers and private health care centers played a valuable role.
Condom 4%
Family planning
Pill 84%
Injection 12%
Figure 3.4: Family planning Analysis Above chart shows us majority are using pill which is 84%, 12% use injection and only 4% are using condom.
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Patient Type
Diseases
PERCENTAGE
ADULT
SKIN DISEASES
Diabetes Gastric
Private/Local Pharmacy
Private/Local Pharmacy Local Pharmacy Local Pharmacy Local Pharmacy
ULCER
Body Pain Diarrhea Dysentery Jaundice Fever
COMMON
Private/Government/Local Pharmacy
40% 4% 4% 28%
PRIVATE/GOVERNMENT/LOCAL PHARMACY
Private Clinic
Worm Private Clinic/Local Pharmacy Local Pharmacy Malnutrition Anemia Ophalmia Local Pharmacy/Private Clinic Local Pharmacy/Private Clinic Local Pharmacy/Private Clinic
24%
FEMALE
Table 1 : Shows us the diseases types, place for treatment and the percentages. (Source: Field Survey, summer 2010) Analysis People of Modho Para prefer private clinic more than public clinic for skin diseases, diabetes and jaundice etc. For fever, diarrhea and body pain etc, they prefer local pharmacy. Though they have less believe on local priest and homeopath, villagers sometime follow their implication concerning quite a few child and female diseases.
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4%
Figure3.5: Distribution of the Respondents according to the category of health care center they visit.
Analysis:
There have two part in this chapter, first part is Golora Community Clinic and second part is Utilization of health care facilities.We surveyed 25 families about the problems related to overall health care services in the village or near the village. From the above table we can notice that most of the villagers (52%) visited Government hospital in Manikgonj, Manikgonj Sodhor Haspatal. Government health care is the lowest cost of them so villagers usually visited that hospital. Only 4% people visited local health care centre (Golora Community Clinic) because most of the time that clinic is closed and no doctor is available there. Villagers are quite anxious about the condition of the clinic. During our survey time we found that there is no employee in that clinic and it was closed. They already informed the authority about this serious problem. But Government does not take any initiative for this problem. Local chairman ensure people to open that clinic but in reality nothing happened. From the following picture we can easily notice that closed Golora Community Clinic.
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The local NGO health workers help a lot to the pregnant women, a good number of respondents (16%) get the advice and care from the local NGO health workers. They are also very pleased about the activities of the NGO health worker. We found a private doctor in the local Bazar. He is not popular because people easily get treatment from the Government hospital (Manikgonj Sodhor Haspatal) which is not far away from Manijgonj. A small numbers of respondents (8%) go to Homeopath because of their believes to the Homeopathy treatments. Rests of the respondents (4%) go to Kobiraj and Herbal treatment for their health problem, which is also harmful for health.
We can see that villagers suffer from fever, cough, cough with rapid breath and other kinds of small diseases but they usually ignore these diseases so they do not bother to consult with the doctors for these kinds of diseases. If they face serious diseases like Typhoid, Diarrhea, Dysentery, Jaundice, Heart disease and Asthma they visited the doctors for consultancy and medicines. As most of respondents suffer from fever they do not consult with doctors for that disease. We notice one thing that Respondents usually go to Govt. hospital in case of major health problem. For minor problem they get the services of private doctors because it is nearer to them. From the picture we can see a SMC BLUE STAR CENTRE where SMC trained physician is giving family planning injections. This SMC BLUE STAR is very popular among the villagers.
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20% 10% 0%
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Figure 3.6: Distribution of the Respondents according to the problems related to the Government Health care service. Analysis From the 25 families we found different opinion. Overall they are pleased with the service of the Government health care. From our sample size 68% of the villagers ranked the problem of waiting hours of the Government hospital because people of entire Manikjong came to visit that place. The procedure of the govt. institution is that when a patient goes to the hospital he or she needs to collect a ticket from the counter. After that he or she needs to wait to see doctor. But when a patient is sick he cannot wait long. As a result it becomes a problem. So they have to wait for long time. Secondly 64% people believed that staff or services provider of the hospital are not friendly. I think they have to handle lots of patience to it is very difficult to looks after all the patience. Then 56%respondents talked about the medicine cost. Govt. hospitals are supposed to provide medicines at cheaper price and sometimes at free of cost. But sometimes they do not provide it. So, the even the poor villagers do not go to them. Next ranked problem is facilities which are not cleaned 44%ranked that problem. Because of the lack of infrastructure hospital authority cannot maintain the hospital neat and clean. Then 40% respondents talked about the availability of medicines and the timing of the clinic. But from our point of view Medicines are available here. Villagers can easily buy all kinds of medicines from Koita Bazar. There are many medicines shop in all over Golora. From our point villagers can easily acquired medicines from the medicines shop. From the picture we can see a medicine shop which is located on Koita Bazar.
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Picture: Dispensary About 28% people talked about the problem related to Government health care services close to the village. 16% respondents talked about the privacy and adequate space.12% people talked about the transportation problem. From their view transport id very much available there. Only 8% respondents talked about other problems.
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Human diseases comes out mostly in the month of Paush-Mag, Bhadra-Ashin, FalgunChaitra. During winter season (Paush-Mag) villagers suffer from flue. At the end of the winter small pox comes out. In the Bhadra-Ashin villagers suffer from diarrhea because of very hot weather. Some villagers do not aware of the vaccination program. They do not like NGOs activities as they called them non Muslim organizations. Although the people of this village use ring slab for sanitation but they are not always affordable to build the toilet. So most of the time it is open and the flies carry the germs that are harmful to health.
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ignorance or even indifference on the part of husbands or mother-in-law who do not affricate the dangers or don't know what can be done to save the mothers life.
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5.0 Conclusion:
The live-in-field experience is an appreciable visit because we the students go to village very rarely. The people of that village may not be well off, but they were simple and honest. They have been very co-operative and friendly towards us. They helped us willingly and with their cooperation. Through the study of village Goloragram we got some idea about levels of poverty, educational condition, agricultural condition, environmental condition, health care facilities, NGO activities, and most of all the economic condition of the villagers. Within limited time we tried My best to collect information. After all analysis from the available data we found that the villagers are not get proper health care facility. In Birastail there have no established health care center. But the villagers are very health conscious. They take care of their kids about immunization. There have a positive side we found that in the schools the children got the basic information about health At the end of all my observation it can be said that if the government of Bangladesh think about the progress of the villagers they should take some steps for providing facilities for health sector in Golora (Modhya para), so that all the villagers health condition may improved. Here the government may take following steps. To ensure the more facility the community Health Clinic. To provide two ambulance for serious patient. Increase the field worker in health sector. Setup a Sobuz Chata or a Smiling Sun health care center. Doing more promotional activity. At last, I can say that its a great pleasure to us to be a part of LFE Summer 2011.
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