NOTE OF SUBMISSION

This assignment is submitted to the Department of Community Medicine, Southern

Medical College & Hospital as a part of course curriculum for a partial fulfillment of
second professional M.B.B.S examination under the Chattogram Medical University
scheduled to be held on May ’2020.

Name : Faiza Tasnim Afifa

Examination Roll :

Registration Number :

Session : 2017-2018

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 ACKNOWLEDGEMENT

I am grateful to my mentor Dr. DEWAN ASADULLAH, M.B.B.S, MPH (BSMMU),

Associate Professor, Head of the Department of Community Medicine, Southern Medical
College for his kind permission & to allow me in conducting survey and preparing the
assignment.

I am also thankful to him for his constant guidance and support throughout the course of RFST
program. I thank him for guiding me meticulously in each and every step of preparation of this
assignment.

My heartiest gratitude to my lecturers Dr. Nabila Sikder and Dr. Md. Arafat Rahman, for
their guidance during the RFST program and for scrutinizing this assignment and making it
suitable for submission.

I express my deepest gratitude to Professor Dr. M. SULTAN UL ALAM, M.B.B.S, DCM,

MPH (BELGIUM), DME (UK), WHO (FELLOW) and Associate Professor Dr. SWAPAN
KUMAR CHOWDHURY, M.B.B.S, MPH (California), CHE (USA), FRSH (London),
WHO (Fellow), Guest teacher for their kind attention to the details of this assignment in every
step.

I wish to give special thanks to all my friends in our group for helping me to do the survey, and
the respondents of the survey for giving their valuable time in fulfilling the questionnaire.

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 TO WHOM IT MAY CONCERN

This is to certify that Faiza Tasnim Afifa, a student of 3rd year MBBS & 2nd professional
examinee, scheduled to be held in May ’2020 has done her survey on the topic “A survey
evaluating the mental health status of geriatric population in rural setting of Mirsharai
Upazila in Chattogram” under my supervision . She did her work sincerely with enthusiasm
and hardwork. She was involved in the activities of RFST enthusiastically.

I wish her every success in life.

__________________________

Dr. Dewan Asadullah

MBBS, MPH (BSMMU)

Associate Professor and Head of the Department of Community Medicine,

Southern Medical College and Hospital,

Chattogram

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 ABSTRACT

The aim of this study was to evaluate the mental health status of geriatric population in rural
setting of Temuhani village of Mirsharai Upazila, Chattogram. We have tried to evaluate the
effects of socio-economic status, gender predisposition on the level of dependency with the level
of depression & dementia. It was a descriptive type of cross-sectional study. The sample size was
110. It was selected by using purposive sampling technique. Data was collected on 22nd January,
2020 by face to face interview method with the help of a prepared mixed questionnaire.
The focus of our study was to evaluate the mental health status of older aged group and the
elderly comprises a much larger proportion of the population than ever before.Among the survey
respondents, majority of the respondents were mentally normal (58.18%). Some were mildly
depressed (22.73%) & the rest were severely depressed (19.09%). From our survey, we found
that dementia was present in 50% of the total respondents. From the observations of our study,
we found that the respondents from the upper class & the upper middle class families were less
depressed than the other families.The female respondents were more prone to depression than the
male respondents.Government policies providing social services to the geriatric population are in
place, but their implementation is not adequate. There is an urgent need to implement national
policies, programs and legislations targeting geriatric mental health and promoting advocacy.

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 Department of Community Medicine
Southern Medical College & Hospital

CONTENTS
 Note of submission………………………………………………………………...………i
 Acknowledgement………………………………………………………………...………ii
 Certificate………………………………………………………………………...………iii
 Abstract ……………………………………………………………………………..……iv

PART 1 : Community survey report :

 Introduction……………………………………………………………………………..…1
 Literature review……………………………………………………………………..……2
 Objectives…………………………………………………………………………………3
 Key variables………………………………………………………………………...……4
 Methods and materials…………………………………………………………………….5
 Results………………………………………………………………………..………6 - 16
 Discussion…………………………………………………………………..……………17
 Limitations & Recommendations………………………………………………………..18
 Conclusion……………………………………………………………………….………19
 Reference………………………………………………………………………………...20
 Annexure
 Annexure - I (Map of Mirsharai) ……………………………………………...……21
 Annexure - II (Questionnaire) …………………………………………………22 - 27
 Annexure - III (List of data collectors) ………………………………...…………28

PART 2 : Report on RFST………………………………………………………...…29 - 34

PART 3 : Day visit report
 Department of Community Medicine, CMC…………………………………..……36 - 37
 Institute of Nuclear Medicine & Allied Science (INMAS), CMC…………………38 - 40
 Marie Stopes Referral Clinic, Mehedibag, Chattogram……………………….……41 - 42
 Mohora Water Treatment Plant…………………………………………………..…43 - 46
 Diabetic General Hospital, Chattogram…………………………………………..…47 - 49
 Bangladesh Institute of Tropical & Infectious Diseases (BITID) …………………50 - 54
 Katachara Union Health And Family Welfare Center………………………………55 - 57
 Abunagar Community Clinic…………………………………………………..……58 - 60
 Organization for the Poor Community Advancement (OPCA)……………….……61 - 63

PART 4: Study tour report………………………………………...…………...……64 - 66

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 LIST OF TABLES

Table Title Page No.

No.
01 Gender predisposition to depression & dementia 6

02 a Occupational predisposition to depression 7

b Occupational predisposition to dementia 8
03 Association of socio-economic status with depression & 9
dementia
04 Association of nutritional health status with depression & 10
dementia

LIST OF FIGURES

Figure Title Page

No. No.
01 A bar diagram showing depression tendency in both male & female 11
respondents
02 A bar diagram showing dementia tendency in both male & female 12
respondents
03 A bar diagram showing the socio-economic status of the respondents 13
04 A pie chart showing the degree of dependency among the respondents 14
05 A bar diagram showing the different health problems presently 15
prevailing among the respondents
06 A histogram showing age distribution among the respondents 16

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