Heart disease is often regarded as a problem that a person is born with, or something that eventually happens in older adults. Non-modifiable risk factors like advancing age and family history are not the only reasons for heart disease. In fact, 80 per cent of premature deaths from cardiovascular disease could be avoided if modifiable risk factors like tobacco use, unhealthy diet, physical inactivity, high blood pressure (hypertension), diabetes and raised lipids are addressed.
Bangladesh is rated as one of the 36 high malnutrition burdened countries in the world. Although it was widely perceived that malnutrition could be curbed down by increasing peoples’ income, recent studies have shown that it is not always the case. Malnutrition is not only under-nutrition but also over-nutrition, which leads to obesity leading to further health complications such as non-communicable diseases. Moreover, exposure to junk food coupled with a lack of knowledge on nutrition increases the prevalence of malnutrition across the mid and higher quintile of the population.
BRAC has been recruiting and training shasthya shebikas, frontline community health promoters, in Bangladesh since 1972. Currently 97,000 shasthya shebikas and an additional 10,000 shasthya kormis, frontline community health workers, are providing a multitude of health services to Bangladesh’s communities. For tuberculosis (TB), they provide TB information, identify TB cases and administer directly observed treatment short- course (DOTS).