This study examines the health, nutritional status, and health care seeking behaviour of a community based sample of 122 postpartum women from an urban slum in Dhaka, Bangladesh.
It describes a physically impoverished environment in which malnutrition is serious, and non-trivial morbid episodes as a consequence of childbirth are very common.
Malnutrition was found to be widespread :
about one-quarter of the study mothers were short in stature, measuring 145 cm or less in height : over two-thirds of the women weighed<45 kg ;
and a similar proportion had a BMI of<20,
Based on mid-upper arm circumference, an overwhelming majority (96%) suffered from some degree of malnutrition.
During the first 6 weeks postpartum over three-quarters of the women rcported a non-trivial illness.
The frequency of reported illnesses was significantly associatcd with both increasing age and parity.
Despite severe poverty, most of the women reporting illnesses (71%) received some form of health care from a wide range of western and traditional health care providers, with Traditional Birth Attendants (TBAs) and unqualified western care providers being the most frequently utilised.
This study highlights the plight of these women in a precarious environment and shows how their health is compromised by cultural and political constraints. (...)
Mots-clés Pascal : Bengla Desh, Asie, Etat sanitaire, Homme, Femelle, Postpartum, Morbidité, Milieu urbain, Bidonville, Malnutrition, Mère, Pauvreté, Demande thérapeutique, Attitude, Trouble nutrition
Mots-clés Pascal anglais : Bangladesh, Asia, Health status, Human, Female, Puerperium, Morbidity, Urban environment, Shantytown, Malnutrition, Mother, Poverty, Therapeutical request, Attitude, Nutrition disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0127938
Code Inist : 002B30A01A2. Création : 16/11/1999.