Gestational Diabetes: Exploring the Perceptions, Practices and Barriers of the Community and Healthcare Providers in Rural Bangladesh: A Qualitative Study

Animesh Biswas,1 Koustuv Dalal,2 Abu Sayeed Md Abdullah,1 AKM Fazlur Rahman,3,4 Abdul Halim1,5 1Reproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka 1206, Bangladesh; 2Department of Public Health Science, School of Health Sciences, Mid Sweden...

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Autores principales:	Biswas A, Dalal K, Abdullah ASM, Rahman AKMF, Halim A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	gestational diabetes community practices challenges bangladesh Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/86b6b7bf47c6410197b8e068ede8c475
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spelling	oai:doaj.org-article:86b6b7bf47c6410197b8e068ede8c4752021-12-02T09:14:56ZGestational Diabetes: Exploring the Perceptions, Practices and Barriers of the Community and Healthcare Providers in Rural Bangladesh: A Qualitative Study1178-7007https://doaj.org/article/86b6b7bf47c6410197b8e068ede8c4752020-04-01T00:00:00Zhttps://www.dovepress.com/gestational-diabetes-exploring-the-perceptions-practices-and-barriers--peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Animesh Biswas,1 Koustuv Dalal,2 Abu Sayeed Md Abdullah,1 AKM Fazlur Rahman,3,4 Abdul Halim1,5 1Reproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka 1206, Bangladesh; 2Department of Public Health Science, School of Health Sciences, Mid Sweden University, Sundsvall, Sweden; 3Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka 1206, Bangladesh; 4Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh; 5Kumudini Medical College, Tangail, BangladeshCorrespondence: Koustuv DalalDepartment of Public Health Science, School of Health Sciences, Mid Sweden University, Sundsvall, SwedenTel +46 72 593 2995Email koustuv.dalal@miun.seBackground and Objective: Gestational Diabetes Mellitus (GDM) is a prevalent and important disease during pregnancy and has detrimental effects on both the mother and the baby. The current study explored the perception and attitude of the community people about GDM and describes the challenges and gaps in knowledge, availability and accessibility of services for GDM screening and management at a rural community in Bangladesh.Methods: We performed a qualitative study including seven Focus Group Discussions (FGDs) and eight Key Informant Interviews (KIIs) from November 2017 to January 2018 at randomly selected areas of Tangail district. A highly trained team including two anthropologists conducted the qualitative studies (FGDs and KIIs) under the guidance of experienced researchers. Thematic analysis was performed.Results: GDM is not a known term for pregnant women, their husbands, mothers, and mothers-in-law. Most of the participants (78.7%) did not even hear the term. Some of them (25.5%) perceived that GDM will persist for whole life and transmit from husband to wife and mother to baby. Some people (21.3%) thought that GDM entirely depends on the wish of the God. Most of the participants (68.1%) perceived that symptoms of other types of diabetes and GDM are almost the same. Some participants (19.1%) thought that GDM patients need to intake some medicines that might affect the fetus. The majority of the respondents (83%) had no idea when a pregnant woman should test her diabetes during pregnancy. If GDM diagnosed, pregnant women decided to follow the advice of the doctors. The results from KII with health managers found that they lack in-depth knowledge of GDM. There is no structured guideline or protocol at their facilities for GDM management.Conclusion: The existing barriers at the communities for adequate detection and management of GDM are identified properly. The findings of this study will be helpful for the decision-makers in taking necessary actions to control the GDM.Keywords: gestational diabetes, community, practices, challenges, BangladeshBiswas ADalal KAbdullah ASMRahman AKMFHalim ADove Medical Pressarticlegestational diabetescommunitypracticeschallengesbangladeshSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 1339-1348 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	gestational diabetes community practices challenges bangladesh Specialties of internal medicine RC581-951
spellingShingle	gestational diabetes community practices challenges bangladesh Specialties of internal medicine RC581-951 Biswas A Dalal K Abdullah ASM Rahman AKMF Halim A Gestational Diabetes: Exploring the Perceptions, Practices and Barriers of the Community and Healthcare Providers in Rural Bangladesh: A Qualitative Study
description	Animesh Biswas,1 Koustuv Dalal,2 Abu Sayeed Md Abdullah,1 AKM Fazlur Rahman,3,4 Abdul Halim1,5 1Reproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka 1206, Bangladesh; 2Department of Public Health Science, School of Health Sciences, Mid Sweden University, Sundsvall, Sweden; 3Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka 1206, Bangladesh; 4Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh; 5Kumudini Medical College, Tangail, BangladeshCorrespondence: Koustuv DalalDepartment of Public Health Science, School of Health Sciences, Mid Sweden University, Sundsvall, SwedenTel +46 72 593 2995Email koustuv.dalal@miun.seBackground and Objective: Gestational Diabetes Mellitus (GDM) is a prevalent and important disease during pregnancy and has detrimental effects on both the mother and the baby. The current study explored the perception and attitude of the community people about GDM and describes the challenges and gaps in knowledge, availability and accessibility of services for GDM screening and management at a rural community in Bangladesh.Methods: We performed a qualitative study including seven Focus Group Discussions (FGDs) and eight Key Informant Interviews (KIIs) from November 2017 to January 2018 at randomly selected areas of Tangail district. A highly trained team including two anthropologists conducted the qualitative studies (FGDs and KIIs) under the guidance of experienced researchers. Thematic analysis was performed.Results: GDM is not a known term for pregnant women, their husbands, mothers, and mothers-in-law. Most of the participants (78.7%) did not even hear the term. Some of them (25.5%) perceived that GDM will persist for whole life and transmit from husband to wife and mother to baby. Some people (21.3%) thought that GDM entirely depends on the wish of the God. Most of the participants (68.1%) perceived that symptoms of other types of diabetes and GDM are almost the same. Some participants (19.1%) thought that GDM patients need to intake some medicines that might affect the fetus. The majority of the respondents (83%) had no idea when a pregnant woman should test her diabetes during pregnancy. If GDM diagnosed, pregnant women decided to follow the advice of the doctors. The results from KII with health managers found that they lack in-depth knowledge of GDM. There is no structured guideline or protocol at their facilities for GDM management.Conclusion: The existing barriers at the communities for adequate detection and management of GDM are identified properly. The findings of this study will be helpful for the decision-makers in taking necessary actions to control the GDM.Keywords: gestational diabetes, community, practices, challenges, Bangladesh
format	article
author	Biswas A Dalal K Abdullah ASM Rahman AKMF Halim A
author_facet	Biswas A Dalal K Abdullah ASM Rahman AKMF Halim A
author_sort	Biswas A
title	Gestational Diabetes: Exploring the Perceptions, Practices and Barriers of the Community and Healthcare Providers in Rural Bangladesh: A Qualitative Study
title_short	Gestational Diabetes: Exploring the Perceptions, Practices and Barriers of the Community and Healthcare Providers in Rural Bangladesh: A Qualitative Study
title_full	Gestational Diabetes: Exploring the Perceptions, Practices and Barriers of the Community and Healthcare Providers in Rural Bangladesh: A Qualitative Study
title_fullStr	Gestational Diabetes: Exploring the Perceptions, Practices and Barriers of the Community and Healthcare Providers in Rural Bangladesh: A Qualitative Study
title_full_unstemmed	Gestational Diabetes: Exploring the Perceptions, Practices and Barriers of the Community and Healthcare Providers in Rural Bangladesh: A Qualitative Study
title_sort	gestational diabetes: exploring the perceptions, practices and barriers of the community and healthcare providers in rural bangladesh: a qualitative study
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/86b6b7bf47c6410197b8e068ede8c475
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Gestational Diabetes: Exploring the Perceptions, Practices and Barriers of the Community and Healthcare Providers in Rural Bangladesh: A Qualitative Study

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