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was carried out to find out whether the 279 AHMED, T.U., BANU, N.N. (IEDCR,
formulations had any effect on the cerebral cortex Dhaka); BASHAR, K. (Dept. of Zoology,
or not. KBR had no effect on the pentobarbital- Jahangirnagar University, Savar, Dhaka); RAHMAN,
induced onset of sleep (loss of reflex). KBR treated G.M.S. (Dept. of Zoolgy, National University),
mice groups showed high magnitude of increase in SHAMSUZZAMAN, M.(Dept. of Zoology, Feni
the duration of sleep (regain of reflex). This effect
was statistically significant (p<0.001). Thus KBR Govt. College, Feni); SAMAJPATI, S. (Jagannath
may have some sedative property which needs University, Dhaka); SULTANA, S. (Eden
further in-depth study in the future. College, Dhaka) ; HOSSAIN, M.I. (West Mead
Hospital, Dept. of Medical Entomology, Sydney
616 MEDICAL SCIENCES: University, Australia) & RAHMAN, M.S. (Dhaka
Dhaka).
MEDICINE City Corporation, FACTORS SOME SOCIO-
DEMOGRAPHIC
RELATED
TO
DENGUE OUTBREAK IN DHAKA CITY,
278 AHMED, S.M. (BRAC Research & BANGLADESH. Bang.J. Zool; 2007, 35 (2), 213-222.
Evaluation Division, 75 Mohakhali, Dhaka).
TAKING HEALTHCARE WHERE THE A through survey was conducted among the city
COMMUNITY IS: THE STORY OF THE dwellers of Dhaka metropolitan area from
Shasthya Sebikas OF BRAC IN BANGLADESH. September to November 2001 to know about the
BRAC Univ.J., 2008, V (1), 37-43. level of knowledge, attitude and practices,
concerning dengue, dengue vector mosquito and
To mitigate the income-erosion effect of illness their breeding grounds. Houses were selected by a
and vulnerability of the poor households, BRAC, an systematic sampling method and interviews were
indigenous Bangladeshi NGO, integrates Essential carried out with a pre-designed and pre-tested
Health Care (EHC) activities with its microcredit- questionnaires. A total of 3201 households was
based poverty-alleviation interventions. The EHC visited and interviewed. The study showed that the
delivers preventive and basic curative health majority people (99%) knew about dengue and its
services to the villagers through Shasthya Sebika vector, but they had insufficient knowledge about
(SS) who is the community health worker selected vector management. Cases were more common in
from among the village-based women's credit group high-income areas than slum areas. About 50% of
members who is willing to provide voluntary city dwellers did not take any measures against
services, and acceptable to the community she vector mosquitoes. A large number of them did not
serves. The SSs receive four weeks basic residential know the exact types of Aedes breeding containers.
training backed up by regular monthly refreshers. Each family spent about Tk. 233.4 (US $ 3.7) in
For specific programmes such as DOTS, one month during peak dengue season. City
community-based ARI, or safe motherhood, the dwellers opinioned that they were willing to allow
SSs are given additional training. Each SS covers City Corporation people to check their premises
around 250 households, and she makes at least once for Aedes breeding, but 33.5% were not willing to
a month visit to the households. During these visits, pay fine if Aedes breeding was detected.
they disseminate health, nutrition and family
planning messages, motivate to install tube-wells 280 ALAM, S.M.M.; HOQ, M.M. (Dept. of
and sanitary latrines, identify and register Urology, Dhaka Medical College, Dhaka) ;
pregnancy cases, identify TB suspects for sputum HOQUE, M. & RAHMAN, M. (Dept. of
examination, provide treatment for common Urology, Chittagong Medical College,
illnesses and health commodities. The SSs work on Chittagong). Initial experience with 10 cases of
voluntary basis but earn some income from the sale Indiana pouch continent urinary diversion. Bang.
of health commodities Meticulous selection, Med.Res. Counc. Bull., 2008, 34 (1), 21-25.
training, supportive supervision, functional referral Indiana pouch continent urinary diversion provides
linkage and performance-based incentives are key patient control over elimination of urine with
factors responsible for the sustenance of the model periods of dryness. This allows emptying of urine
till date. from the pouch by catheter at convenient intervals

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