Morsheda Akter Heme

This study was designed to unearth the beliefs, practices, and management of safe drinking water of Munda and Rajbangshi indigenous communities. To apprehend the safe drinking water-related behaviour and practice, the qualitative approach was followed where 20 in-depth interviews were carried out among the Munda and Rajbangshi communities in Shyamnagar and Kaliganj Upazila (sub-district) of Satkhira district, Bangladesh. Findings indicate that the intrusion of saline water due to climate-induced changes led to a scarcity of potable water for both communities in the last few decades. Despite the existence of centuries-old traditional practices of water purification, the indigenous communities, particularly women, were compelled to collect safe drinking water from, in general, distant sources as the other sources of water were contaminated with saline water. Despite their collective efforts, managing safe water sometimes, particularly in the rainy season, becomes impossible for these marginalized people as it costs a considerable amount of household income. To ensure their access to safe drinking water and to explore the underlying factors, whether social, economic, cultural or environmental, initiatives from both government and non-government organizations are required for a sustainable life for these unheard plain land indigenous communities in Bangladesh.

Background: Mounting mental health disorders among students has become a significant challenge in producing quality graduates with bright minds. Therefore, it is crucial to investigate the underlying causes of students’ mental health-related problems and their experiences while living with mental health disorders. This study investigates the causes and exposures of mental health problems among university students in Bangladesh. For this purpose, a qualitative method was used, and an unstructured in-depth interview schedule was used to collect data from students and caregivers. The students were selected from Khulna University, and data were collected in two consecutive months, i.e., November and December 2021. Using a convenient sampling technique, eight (8) students with mental health issues and five (5) caregivers were interviewed to obtain the necessary data. Results: The findings showed that the intertwined social circumstances led to mental health problems among university students. The students experienced deep depression following a breakup of their romantic affairs/relationships. The prolonged isolation or social distancing due to the government-imposed strict lockdown during the COVID-19 also produced frustration regarding the possible loss of both academic and professional careers. Furthermore, the growing academic pressure in a form of an unfamiliar approach to teaching and learning—online education–also compelled students to complain about depression and suicidal tendencies as parts of their experiences. Conclusions: This study recommends that the government and policymakers prioritize mental health issues in educational institutions, and they should enforce specific strategies, such as introducing age-specific mental health services and student counseling at educational institutions to reduce growing mental health issues. Furthermore, a positive approach from the family and community is also required to battle against mental health disorders. Besides, nationally representative empirical research is recommended to comprehend the growing mental health issues among students in the 21^st century to figure out solutions for the present and the future.

Objectives This study aimed to measure healthcare-seeking behaviour and determine its associated factors among older people in the slums of the Khulna City Corporation (KCC) areas of Bangladesh. Design Cross-sectional survey. Settings Four slums in the KCC areas of Bangladesh. Participants The participants were selected following a two-stage area probability sampling with the following specifications: they must be aged ≥60 years and must have lived in the slums of KCC for at least 5 consecutive years. Outcome measures A semistructured interview schedule was administered to determine participants’ healthcare-seeking behaviour, with healthcare-seeking behaviour measured through a dichotomous response of ‘yes’ or ‘no’. Results 636 participants were included in the study. Gastrointestinal problems (75.3%) and aches and pains (71.5%) were the two most common health problems among older people in the slums of KCC. Older adults in their 80s had higher adjusted odds of attaining healthcare services (adjusted OR (AOR)=2.028; 95% CI: 1.140 to 3.609; pConclusion Age, education, marital status and SDL index were significant predictors for the healthcare-seeking behaviour of older people in KCC slums. Effective strategies need to be implemented to reduce existing access barriers to healthcare services for older people in the slum areas of urban Bangladesh.