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Obstetrics and Gynecology is a critical specialty in safeguarding the health of
women, mothers, and newborns. In Bangladesh, significant progress has been made
in reducing maternal and neonatal mortality rates, yet several persistent challenges
continue to hinder optimal outcomes. These challenges require not only clinical
expertise but also systemic, policy-level, and community-driven interventions.
One of the foremost concerns is limited access to quality maternal healthcare in
rural and underserved areas. Despite the availability of healthcare facilities, many
women face barriers due to geographic distance, lack of transportation, inadequate
staffing, and socio-cultural constraints. This leads to delays in seeking care, reaching
care, and receiving adequate care – the well-known "three delays" that contribute to
preventable complications and deaths.
Another pressing challenge is the shortage of skilled healthcare professionals,
especially midwives and trained obstetricians, in peripheral areas. Overburdened
facilities and inadequate human resources often compromise the quality of antenatal,
intrapartum, and postnatal care.
Type: Print and online
DOI: https://gjcphr.com/journals/editorial-challenges-in-obstetrics-and-gynaecology-practice-in-bangladesh-a-call-for-collaborative-solutions/
Published: September 29, 2025
DOI: https://gjcphr.com/journals/editorial-challenges-in-obstetrics-and-gynaecology-practice-in-bangladesh-a-call-for-collaborative-solutions/
Published: September 29, 2025
Type: Print and online
DOI: https://gjcphr.com/journals/letter-to-editorial/
Published: September 29, 2025
DOI: https://gjcphr.com/journals/letter-to-editorial/
Published: September 29, 2025
Type: Print and online
DOI: https://gjcphr.com/product/global-journal-of-clinical-and-public-health-research-gjcphr/
Published: September 29, 2025
DOI: https://gjcphr.com/product/global-journal-of-clinical-and-public-health-research-gjcphr/
Published: September 29, 2025
ABSTRACT
Background: Plantar fasciitis is a common cause of heel pain. Corticosteroid injection
(CSI) is used when conservative measures fail, but safety, technique, and outcome
vary.
Case Presentation: A 53-year-old female cleaner presented with six months of severe
bilateral heel pain (left > right), worst on first steps and weight-bearing (VAS 7–9/10).
Examination showed focal tenderness over plantar fascia, positive Windlass test,
normal neurological exam and ankle range, and preserved muscle power. No imaging
was available. Differential diagnoses considered included calcaneal stress fracture,
fat-pad atrophy, plantar fascia rupture and others. After failed conservative treatment
and informed consent, a blind corticosteroid + lidocaine injection (Depomedrone 40
mg with 1% lidocaine; 0.5 ml administered to the most tender point of the left heel)
was delivered in primary care. The patient was observed for 30 minutes and followed
up at three weeks, reporting complete pain relief.
Conclusions: In this case, primary-care CSI delivered with appropriate consent,
technique and after conservative therapy produced rapid symptomatic relief,
facilitating return to work. Limitations include absence of imaging and the short follow
up period. Ongoing CPD and adherence to safety protocols are essential.
Type: Print and online
DOI: https://gjcphr.com/journals/an-evidence-based-case-review-of-the-role-of-injection-therapy-for-plantar-fasciitis/
Published: September 29, 2025
DOI: https://gjcphr.com/journals/an-evidence-based-case-review-of-the-role-of-injection-therapy-for-plantar-fasciitis/
Published: September 29, 2025