Stroke: a major public health challenge in Bangladesh Coronary artery disease, stroke, and chronic respiratory disease is responsible for 62% of adult male deaths and 60% of adult female deaths according to available data.
Reasons for the High Stroke Mortality Rate
Multiple reasons explain the extremely high incidence and stroke death rates in Bangladesh:
Environment and Healthcare Infrastructure: The healthcare system in Bangladesh is burdened with underfunding and a lack of healthcare professionals. Healthcare expenditure was 2.36% of GDP in 2021; out-of-pocket expenditure formed the biggest component and made up about 73% of total healthcare expenditure. It has 5.3 doctors per 10,000 people and the number of hospitals beds is nine for every 1,000 people.
Environmental Conditions: The air quality in Bangladesh is among the worst in the world, especially in cities like Dhaka. Air pollution is associated with numerous health conditions, such as respiratory and heart conditions, that may increase the likelihood of a stroke.
Lifestyle and Socio-Cultural Factors: Prevalence of morbidities like malnutrition (50% of the population), high BMI, and other socio-cultural factors.
Addressing the Stroke Burden
A multifaceted approach is required to reduce the burden of stroke in Bangladesh:
Level of healthcare investment: However, the government must increase the level of investment in healthcare and reduce out-of-pocket expenses for most people so that all people can get equitable access to medical services.
Environmental Policies: Protecting the air with strict environmental policies, reducing air pollution, and consequently, the incidence of diseases associated with it.
Structure and function of the parenchyma of the central nervous system.
Research background: Data from 20002006 from the National Inpatient Sample and Synonymous discharge diagnosis77 were used to investigate acute Ischaemic stroke in United states72.
Focus and improve these will help to Bangladesh for reducing the disease burden of stroke and improving the public health outcome.