Challenges to the health of our children have been changing in recent decades as we have taken control over different diseases through immunization and child health program . But newer problems are uncovered. Child Abuse and Neglect is one of them . World community has given emphasis on this very old but unnoticed problem ,this problem is received very less emphasis in South East Asia. With the objectives -to assess the knowledge and skill of working doctors and nurses of concern department in managing child abuse and to help the service providers to improve their knowledge and skill to deal with child abuse and to identify the laps and gaps in the area where abused children are dealt with, this study was carried out in two Medical College Hospitals, two District Hospitals and two Upazilla Health Complexes from November 2005 to July 2006. Selected departments for study were - Obstetrics and Gynaecology, Paediatrics, Orthopaedics. Burn, Casualty, Psychiatry and OCC, (DMCH) in Medical College level; Obstetrics and Gynaecology, Paediatrics, Surgery in district level and all from Upazilla level. Working doctors of all level and senior staff nurses were included in this study. Assessment of knowledge and skill was done before and after intervention by observation and face to face interview by using a pre tested prepared questionairre .Laps and gaps were identified by observation and interview. Intervention was given by a one day workshop in each level of hospital . About 155 care providers participated in pre and post intervention interview . Of them- 109 were doctor and 46 were nurses. Among them 71 (Doc. 55 + Nurse 16) from two Medical College Hospitals, 42 (Doc. 33 + Nurse 9) from two District Hospitals and 42 (Doc. 21 + Nurse 21) from 2 Upazilla Health Complexes . It was surprising that only 11 % health care provides correctly knows that who are the children , only 10 % providers knows about the different types of abuse and only 15 % providers believe that they have sufficient knowledge to manage an abused child. Knowledge level is much higher among the doctors working in teaching hospitals and poorest in UHC. Nurses are less knowledgeable than doctors . Score of nurses is more or less similar in all level of hospitals. The pre and post intervention changes were analyzed by using unpaired student's t test and p value was significant .On job training of care providers on management of abused child is very important and inclusion of this issue in medical and nursing curricula is necessary.

This study was a prospective descriptive one. It was done in MMCH from January 1996 to march 1996. A total of 714 deliveries occurred of which 225 deliveries by Caeserean section, incidence of LSCS was 30.36%. The commonest age group of patients being operated ranged from 20 - 30 yrs (77%). Most of the patients who had undergone LSCS were multigravida (45%). The section were due to various indications, the commonest cause in this study was previous caesarean section, foetal distress and obstructed labour. The rate of primary section was more (84%) while repeat section being 16%. The peak range of operations were done in patients with 5 feet 2 inches height. The rate of elective operation was 37% . where emergency operations were done in 63% of cases. Regarding foetal outcome. 92% survived and 8% had perinatal death.

On constructive characteristics of employer-employee communication, Blanchard and Johnson's The One Minute Manager is particularly adaptable to teaching. Effective managers are those who manage themselves and the people they work with so that both the organization and the people profit from their presence. Similarly, effective teachers are those whose method of teaching benefit the teachers, the learner, the teaching setting (e.g., hospital ward or office), and the learner's future patients. The One Minute Manager offers three "secrets" of effective management that are equally applicable to effective medical teaching.