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Asia-Pacific Journal of Public Health
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Differing Health and Health-Seeking Behaviour: Ethnic Minorities of the Chittagong Hill Tracts, Bangladesh

Syed Masud Ahmed, MBBS, MPH

Research and Evaluation Division, BRAC Centre, Dhaka, Bangladesh, research{at}brac.net(office), mahmed{at}bdmail.net(home)

This study investigates the health and health-seeking behaviour of the indigenous population of Chittagong Hill Tracts, Bangladesh by surveying 2,550 randomly selected households from five major ethnic groups residing in the region. A structured questionnaire was used for collecting data. Morbidity prevalence (23%) and child malnutrition (19%) was highest among Bangalis. Fever (40 %), diarrhoeal diseases (37%) and malaria (16%) were the three most common illnesses reported among the study population. Around fifteen percent of the Bangalis sought care from the para-professionals while 'unqualified' allopaths were consulted more frequently by the Tripuras, Chakmas and the Marmas (60-70%). Qualified allopaths were mostly consulted by the Bangalis (26%). Sex, types of illness, ethnicity, household head's education and household's landholding were significant predictors of seeking treatment, and allopathic treatment in particular. The findings on the differential health and health-seeking behaviour among ethnic groups should help in the designing of any future health interventions in the area. Asia Pac J Public Health 2001; 13(2): 100-108

Key Words: Bangladesh • Chittagong Hill Tracts • ethnic minorities • Morbidity • Health-seeking behaviour • Malaria.

Asia-Pacific Journal of Public Health, Vol. 13, No. 2, 100-108 (2001)
DOI: 10.1177/101053950101300208
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