Lactation and fertility in Rural Bangladesh

Summary Analysis of data from various phases of a study of post-partum amenorrhoea in Bangladesh illustrated good aggregate consistency of response on menstrual status, but less individual consistency on duration of post-partum amenorrhoea. Using life table techniques, the median duration of amenorrhoea was calculated as 19.9 months for women with births between February and September 1974. There were substantial seasonal variations in duration, with the median decreasing from 21.5 months for women with February births to 16.9 months for those with September births. By contrast, the median duration of post-partum amenorrhoea varies by only two months for women in the lowest and highest quartiles of weight and weight for height. The seasonal pattern was similar for all weight groups.     

Perceived morbidity, utilisation of health services and factors affecting it in a rural area

A survey of perceived morbidity was carried out in rural population in eight villages and four wards of Saoner town, covering a total population of 8,876. The nature of illness was assessed by weekly visits to the families. History regarding treatment taken for disease and its source was taken. The overall incidence of perceived morbidity was 176.35 spells of sickness per 1000 population per month. Health care agency was contacted for 36.7 per cent spells of sickness. Utilisation of health services was found to be affected significantly by factors like age (chi 2 = 138.36), literacy (chi 2 = 14.123), type of occupation (chi 2 = 433.74), nature of illness (chi 2 = 83.578) and accessibility of health services. A health behaviour model of the population has also been discussed in this paper.     

Role of migration in the urbanisation process in third world countries: a case study of India

The author examines the role of migration in the urbanization process in India during the two decades of development planning from 1951 to 1971. Trends in migration are analyzed according to selected migrant characteristics. The relationship between economic conditions, migration, and the urbanization process is studied, and trends in urbanization to the year 2001 are estimated.     

Reaching children at risk: a model for training child welfare specialists

An innovative model for the training of social welfare students in the special skills essential in child welfare work is predicated upon a classification system of children at risk and a continuum of services.     

The American emigrant in Canada: trends and consequences

"This article discusses the nature of out-migration from the United States to Canada and assesses the consequences of such emigration for the two countries. It is concluded that, excluding the British born population, being foreign born is a handicap in Canada, not as asset, and the American born overcome this occupational disadvantage by virtue of their higher social origins and education."     

Artifact in client satisfaction assessment: experience in community mental health settings

Artifact in client satisfaction assessment is discussed and the results of a study of three factors thought to mediate client satisfaction ratings; (a) general life satisfaction, (b) mode of administration, and (c) psychological symptomatology, are reported. A standard client satisfaction questionnaire (CSQ) was modified to yield parallel forms and was administered orally and in writing to 92 clients in two mental health day treatment programs. Satisfaction ratings obtained from these clients were quite similar to out-patient ratings obtained in previous studies conducted in this setting and using the same measures. Oral administration of the CSQ produced 10% higher satisfaction ratings than written administration (p less than .05) and less missing data (p less than .01). Satisfaction ratings were also obtained using a simple graphic instrument. Graphic ratings were comparable to CSQ ratings. Satisfaction with life in general and level of psychiatric symptoms together accounted for 25% of CSQ variance. The implication of these findings for future client satisfaction research is discussed.     

The health demographic profile system: current and longitudinal data base for social area analysis

The development of the Health Demographic Profile System, which is based on the 1980 census, is described. The system includes social and economic indicators designed to identify high risk target populations, in terms of mental health and general health service needs, as well as to describe the social and economic structure of both mental health service and other small geographic areas. The report describes: (1) the original system, that is, the Mental Health Demographic Profile System (MHDPS), which is based on the 1970 census, including details of the approach and content, (2) the 1980 provisional indicators and planned products, (3) plans for the development of a longitudinal system based on 1960, 1970, and 1980 data, and (4) current and future studies related to the 1980 Health Demographic Profile System.     

Pakistan: innovative population planning

In Pakistan the population planning program has been "federalized." As part of the new plan, the Population Planning Division will be responsible for policy formation, preparation of plans, and program implementation. With this new organization, the program will promote close coordination with provincial governments. An effective information program has been planned to promote pro-family planning attitudes. In order to develop these attitudes among the young, population education is being integrated into the curricula of the schools and colleges. At the policy making level, development projects of the Ministries of Education, Local Government, Rural Development, Health, Labor and Manpower Production, and Agriculture will in future be prepared so as to contain a component of the population planning program. The operational structure of the program was strengthened during 1976-1977 in order to reduce the crude birthrate from an estimated level of 45 per 1000 in mid-1976 to 43.6 per 1000 in mid-1977.