The Bangladesh Bureau of Statistics has undertaken the "Pilot Comprehensive Health Survey" to provide statistically representative estimates on morbidity, immm.nization and disability. This study is the first of it's kind which will give national level estimates on proportional morbidity by causes. Based oil the experience from this pilot survey, a full scale national survey is being conducted at different phases. It involves several modules on socioeconomic and demographic characteristics of household and I)OPU lation, prevalence of morbidity, prevalence of disability, coverage of immunization, etc.
A sub-sample of the Birth-Death Sample Registration System was used for the "Pilot Comprehensive Health Survey". Out of 210 PSU's, 95 PSU's were selected for this study. The secondary sampling unit was household. From each PSU, 40 household were selected randomly. A total of 19,068 individuals, 9911 male and 9157 females were selected.
From the PSU, data were collected by a team of four members consisting of the local registrar, health survey enumerator, and two headquarters staffs. Three months preceding the date of interview was considered as the reference period.
Bangladesh is characterized by high population growth, high infant mortality, low nutritional status, low literacy, high morbidity and low per capita incorhe. The hygienic conditions are very poor and health awareness is miserably inadequate. However, it is noteworthy that through the Expanded Programme on Immunization (EPI), the immunization against the six childhood diseases, namely, tetanus, polio, diphtheria, whooping cough, measles and tuberculosis has been a major success within a span of less than a decade. The program for prevention of childhood diseases would make a tremendous contribution for reducing the future morbidity in Bangladesh. Only some isolated efforts have been made so far to study the magnitude of health related problems in Bangladesh. lii addition, even some basic measures such as the estimates of incidence and prevalence of diseases are not available. Policy makers have to often rely on some guess estimates rather than estimates based on representative sample from the population as a whole.
At this backdrop, the Bangladesh Bureau of Statistics has undertaken the ' Pilot Comprehensive 1-Iealth Survey' to provide statistically representative data on health status, immunization and prevalence of disability. This study is the first of it's kind that will give national level estimates on proportional morbidity by causes.
Based on the experiences from this pilot survey, a full scale national survey is being conducted at different phases. It involves several modules on socioeconomic and demographic characteristics of household and population, morbidity of health status, injury and accident and prevalence of disability. The pilot survey gives us some indications of what the real situation might be in Bangladesh regarding health status among different groups, such as, rural and urban, male and female, levels of education, etc.
The Comprehensive Health Survey was designed to provide national level estimates of cause specific morbidity, disability and immunization. The main objectives were extended for covering some more relevant areas in these fields to examine the current status as well as trends in the future.
The specific objectives were:
1. estimates on current morbidity status,
2. differential pattern of morbidity and disability, and
3. estimates on the coverage of immunization.
Kind of Data
Sample survey data [ssd]
Through the Expanded Programme on Immunization (EPI), the immunization against six childhood diseases, namely tetanus, polio, diphtheria, whooping cough, meAes and tuberculosis have been a major success within a span of less than a decade. The programme on prevention of childhood diseases would make a tremendous contribution to reducing the future morbidity and mortality in Bangladesh.