Journal of Education and Health Promotion

Abstract Background: Tobacco addiction is an important public health issue. It is important
for health professional to counsel the tobacco users for cessation. Aim: To enhance
communication skills of MBBS (Bachelor of Medicine and Bachelor of Surgery) students
in counseling of tobacco users by using interactive teaching methods and examine it
by using OSCE. Materials and Methods: It was a before and after comparison study.
Communication skills of students were examined by standardized patients (investigators)
by objective structured clinical examination (OSCE) method before and after intervention.
All the students were trained to enhance the communication skills by role play, interactive
session, anecdotes. Statistical analysis was done by using Paired t‑test. Results: The
difference in scores at all the 3 stations before and after the intervention and also global
scores before and after the intervention was statistically highly significant (P = 0.0001).
Conclusion and Recommendation: Communication skills of students in counseling
tobacco users improved after they were given role play, interactive session, anecdotes.
Similar model can be used to improve the communication/counseling skills in other
important health hazards.

Abstract Introduction: This study estimated the nutritional as well as the severe thinness status (according
to the World Health Organization [WHO]) of a low-income family’s adolescent girl and also
their early age of life in both urban and rural adolescent girls in Bangladesh. Materials and
Methods: This cross-sectional study measured the height, weight and muac by standard
procedure for calculating the body mass index according to the WHO reference. A 2-days,
24-h food recall and food frequency questionnaire was used to estimate the food frequency,
energy intake, protein and carbohydrate. A multistage, multiphase stratified cluster sampling
was used to select the study population from two locations in Bangladesh: Dhaka city and the
east region of Trishal (district of Mymensingh). The study subjects were low-income families’
adolescent girls (n = 214) aged 14–17 years. The two groups contained an equal number of
respondents (n=107/group). Results: Results revealed that economic status had a significant
effect on nutritional status. Nutritional status of low-income families’ adolescent were low
both in urban and rural adolescents, but severe thinness rate according to the WHO of urban
(22.4%) adolescents was much higher than rural (10.3%) adolescents (chi-square = 4.9 and
P-value = 0.01), and was also higher at an earlier age of their life. In food intake distribution and
food consumption status, the same results were seen. The percentage of never eat meat and fish
of low-income families adolescent girls were (29.7%, 11.4%) in urban group and (24.4%, 6.8%)
in rural group. The main food rice consumption of urban adolescents was also about half that
of rural adolescents per day. The study also shows that intake of energy, protein, carbohydrate
and fat were significantly different between urban and rural girls. Only 53% energy was covered
of the recommended daily energy intake in urban adolescents. Conclusion: Based on the food
recall and anthropometric results, we conclude that malnutrition is common in low-income family’s
adolescents, and the severe thinness rate is much higher in urban than in rural adolescents, as
also their early age of life in both low-income family’s adolescents girls in Bangladesh.