This paper investigates the antenatal care (ANC) services utilization in currently pregnant women during their visits to maternal and child health (MCH) clinics of rural (Kinabatangan) and urban (Sandakan), Sabah. A community clinic based, cross-sectional descriptive study was performed. In total, 800 currently pregnant women attending two MCH clinics, from April to September 2012, were participated using tested set questionnaires. Descriptive analysis was used for background characteristics and chi-square analysis was applied to identify the rural-urban differences among the variables.In both study areas, previous births delivered by skilled birth personnel were same. In pregnant women from rural, less income, more grand-multiparity, earlier antenatal care booking, more frequent post-natal care, more use of contraception compared to those in urban. In comparison, urban pregnant women had more anti-tetanus toxoid injection in their previous pregnancies, past history of antenatal care for at least four times, increase in household members. As this study found the differences in ANC services utilization at Rural and Urban, further study is needed to explore concrete reasons for above findings. By delivering services according to the needs of all clients, irrespective of their place of residence, it will improve ANC services utilization in both areas of Sabah and hence will improve more on existing health status of the Nation.

This study aims to assess knowledge, attitude and behavior in sexual and reproductive health (SRH) including comprehensive sexuality education (CSE) among 439 first year students; 213 sciences and 226 arts students from 5 Faculties of University Malaysia Sabah (2016-2017). Exposure of Malaysian students to sexual education is limited to science subjects which are only being taught at upper elementary and secondary high school levels. Arts students are less exposed to sexual education across Malaysia as it is delivered in Basic Science subject only. It was a university-based, cross-sectional, descriptive study. Pretested self- administered questionnaire was anonymously completed by all participants and was conducted from November 2016 to January 2017. Students’ demographic characteristics from Science and Arts streams were same except females, Sabah ethnics and Malays were more in Arts. Awareness of HIV/AIDS, Condom, Wet dream, COC pills and abortion services were more in Science students and statistically significant. 34.3 % and 81.2% of Science students agreed that CSE should be introduced in primary and secondary school but not statistically significant. 22 out of 439 students were sexually active. Science students had more knowledge about SRH and favourable attitude towards sexuality education but less favourable behaviour of watching and reading pornographic materials. It was concluded that there were gaps in knowledge, attitude and behaviour of SRH and need to remedy these by giving appropriate CSE classes to first-year university students in an elective module according to their culture and religious beliefs in accord with International Technical Guidance on Sexuality Education (ITGSE).

Objective: To understand the pattern and burden of neurological disorders at Department of Neurology, Yangon General Hospital (YGH), Myanmar. Method: All patients admitted to Department of Neurology had been prospectively registered and then analyses were performed on one year data from 1st January to 31st December 2019. Results: Among study population of total 17606 cases, 65.5% attended to neurology out-patient clinics, 20.1% were seen as referral cases and 14.4% were inpatients at neurology ward. When analyzed the inpatients, 58% were male. Mean age was 47.2 ±19.1 years and 41-65 year age group was most commonly affected. The most common inpatient neurological diseases were cerebrovascular diseases (CVD)(40.8%), central nervous system (CNS) infections (15.2%) and peripheral nerve lesions (9.4%). Autoimmune diseases and headache disorders were more common in women. Mortality rate in inpatients was 4.6%, among which stroke occupied for 55.1% and CNS infection was 23.7%. Three most common neurological diseases in out-patient clinic were seizure disorders (21.9%), CVD (20.7%) and headache disorders (11.2%). Among the referral cases, 43.7% were CVD, 17.8% were CNS infections and 11% had seizures disorders. The most referred patients (93.3%) came from general medical wards. Conclusions: Entire range of neurological disorders was present in YGH. CVD and CNS infections were the most common cause of incidence as well as the mortality. Knowing the burden can raise the awareness about it and point out the prioritizing provision of essential health services. As similar in controlling the communicable diseases, the importance of health education, preventive measures on non-communicable disorders should be considered as national concern.