Abstract
Congenital Heart Disease CHD is the most common congenital problem accounting for nearly 25% of all congenital malformations and is the most common type of heart disease among children. Most of the cases are asymptomatic and discovered during routine checkup. As it is the most common major birth defect, put a significant economic burden and psychological impact on the affected families and treatment is expensive, it is very important to find out its pattern among children. In Bangladesh the pattern of CHD is not well documented and there is still lack of awareness regarding health problems and lack of diagnostic facilities which make the detection of CHD difficult. Therefore, early detection and proper intervention is most important. However the study has conducted to know the present status of CHD among children, to compare with different ages of under 5 children indicating CHD in Bangladesh, to develop a control model recovery system linking with recommendations on the study of recurrent LRTI related to CHD. This is a prospective observational study. The study was conducted in the department of Paediatrics, Dhaka Medical College Hospital, and Sir Solimullah Medical college Hospital, Bangladesh. Children in both outdoor and indoor admitted in the department of Paediatrics. Purposive sampling technique has applied. Total 200 samples have been collected between 2 months to 5 years of age. The Primary has collected on the basis of field observation, interviews, questionnaire, key informant interviews, feedback meeting and relevant networking, negotiation, communication and interpersonal communication. Secondary Data will be carried out on the following in the libraryBooks, Thesis, project paper and review paper prepared on the related field, Scientific journals, Magazines, Different university studies, Government documents and the publications and also related sources available websites. Collected data analysis was done by using Computer Program Statistical package for the Social Sciences (SPSS) version 26. Tables, graphs were made by using SPSS, MS Excel 2016 and R Programming version 3.5. From the result it was found that the case of children with RLRI; congenital heart disease is an important cause behind it. The percentage of presence of CHD is near about one third of total sample collected for the study. So there is a great opportunity for diagnosis of CHD in children with RRI. For this reason, each and every child with RLRI should be investigated appropriately to search any CHD present or not. Newborn CHD screening was an efficient method to prevent delayed diagnosis of CHD, and due to these efforts, this kind of screening has been routinely implemented in many areas of different country (Oster, M.E et al. 2016). Parents counseling is very necessary to understand the evaluation of this condition. Through suitable management of CHD, RLRI can be prevented more. By this, we can reduce the Infant and childhood mortality in our country and correlate the existing national policy in link with Sustainable Development Goals 2030. For this purpose, the research recommends for future research trajectory. So, it should be remembered that every child with RLRI will verify correctly to search for any CHD present or not. Every Necessary investigation facilities should arranged to diagnosis the CHD. All health care professionals should properly train up about identification of CHD. Follow-up and counseling have to be established for every patient with CHD.