Comparison and Analysis of Health Care Delivery Systems: Pakistan versus Bangladesh

Kumar, Santosh; Bano, Suria

doi:10.4172/2471-9781.100020

Cited by 47 publications

(57 citation statements)

References 18 publications

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“…The health-care system of Pakistan is facing various challenges in service delivery to the population. The majority of the population resides in rural areas, where the infrastructure of health care is present, but it is poorly maintained, in addition to lacking modern equipment and trained professionals [7]. Despite significant improvements over the past two decades in Pakistan, the infant and neonatal mortality rates remain high.…”

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confidence: 99%

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Epidemiological study of congenital and hereditary anomalies in Sialkot District of Pakistan revealed a high incidence of limb and neurological disorders

2019

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Background Pakistan faces high incidence of congenital anomalies (CA) and hereditary anomalies due to various factors, including a high rate of consanguinity, early marriages, and predominance of extended families. There is a paucity of epidemiological studies that could provide a baseline for management strategies for these anomalies. Objectives We aimed to elucidate the pattern, as well as the clinical and genetic aspects, of CA prevalence among the general population in Sialkot District of Pakistan. Methods In a cross-sectional sampling design, subjects and families with a certain type of CA were recruited from hospitals and medical centers in Sialkot District. Subjects were also selected from various towns and remote villages by visiting public places. Phenotypic and descriptive data were obtained, pedigrees were constructed, and parental and demographic attributes were recorded. Results A total of 241 independent subjects and/or families with CA were recruited. The malformations were classified into five major and 56 minor categories. Limb defects had the highest representation (n = 113; proportion = 0.469; 95% confidence interval (CI) = 0.406–0.532), followed by neurological anomalies (n = 76; proportion = 0.315; 95% CI = 0.257–0.374). Among the limb defects, polydactyly and talipes were most prevalent while, among neurological disorders, intellectual disability and cerebral palsy were more frequent. In this cohort, sporadic occurrence was customary compared to the familial presentation (n = 144 vs 97). Analyses of various attributes, such as gender differences, parental consanguinity, and paternal ages, as well as pedigree analyses, revealed marked heterogeneity among the major and minor categories of CA. Conclusion The pattern of anomalies witnessed in this cohort and a high occurrence of sporadic cases point to a substantial role of nongenetic etiological factors, which could be minimized by strengthening the health-care system.

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confidence: 99%

“…Nonetheless, the health-care system mainly relies on private organizations, which provide more advanced facilities at high prices, and the masses cannot afford these facilities. There are massive inequalities in the accessibility of health-care services to the low-socioeconomic-status population [7][8][9].…”

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Epidemiological study of congenital and hereditary anomalies in Sialkot District of Pakistan revealed a high incidence of limb and neurological disorders

2019

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“…[38][39][40][41][42][43][44] The Government of Bangladesh has taken many initiatives for reaching people's doorsteps with healthcare services since independence. [45][46][47][48] Other private and NGOs have also been trying to provide healthcare services at people's convenient places. All these endeavours have resulted in building healthcare service delivery centres and providing healthcare services at people's doorsteps.…”

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confidence: 99%

Barriers to access maternal health services among urban poor women in Bangladesh: A Case of Rajshahi City

Banik

Sumon

2019

SE Asia J. Pub. Health

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Bangladesh has made tremendous achievements in the health sector over the last few decades, albeit worse in maternal health (MH) compared to other South Asian countries. The fact that women, particularly poor, have less access to maternal health care (MHC) services is one of the prime reasons. The main objective of this study was to explore what types of barriers poor mothers faced during the service use. A triangulation of method (interviews of service recipients through interview schedule and service providers through checklist, focus group discussion and observation) was used for the collection of primary data (sample 200) from two slum areas in Rajshahi City between March and April, 2013. The study found socio-cultural and organizational barriers to access to MHC services more acute than physical and financial barriers. As suggested, building awareness of bad consequences of early marriage on MH, ensuring a strong coordination among service providing organizations in dispensing free drugs and posting female doctors in study areas are urgently needed for further improvement of MH.MHC services and affordability to pay the service charges and receive good quality of service? These questions demand investigation. Broadly speaking, the main aim of the study was therefore to examine different barriers that discouraged women from going for MHC services.The next section highlights research techniques adopted in this study which is followed by the discussion of results of the study. The penultimate section highlights main findings of the study while conclusion and recommendations are made in final section.

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“…There should be an initiative in both countries for the quality production and development of health professionals including doctors, nurses, and other auxiliary staff according to the population ratio. All the stakeholders should involve in the planning and implementation of policies (34). There should be more strengthening of primary health services and a strong referral system should be adopted for the efficient use of services.…”

Section: Recommendationsmentioning

confidence: 99%

Analysis of the Health Care Delivery System in Pakistan and Nepal

2019

JMPB

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The health care delivery system (HCDS) of a country plays a significant contribution to its development. The provision of effective, efficient, and quality health services leading to decreasing morbidity and mortality rate across the country. Primarily, these services are provided to promote, protect and maintain the health of every individual and enable them to take an active role in country development. Health is now a global issue and HCDS and its challenges are varies from country to country. Analysis of HCDS is important to determine its key resources, challenges and effective utilization of these resources. Here, we analyze HCDS of Pakistan in contrast to Nepal with aspects of health services, financing, health workforce, medical products and technologies, information, service delivery and give some recommendations at the end that address the key problems in the systems.

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Comparison and Analysis of Health Care Delivery Systems: Pakistan versus Bangladesh

Cited by 47 publications

References 18 publications

Epidemiological study of congenital and hereditary anomalies in Sialkot District of Pakistan revealed a high incidence of limb and neurological disorders

Epidemiological study of congenital and hereditary anomalies in Sialkot District of Pakistan revealed a high incidence of limb and neurological disorders

Barriers to access maternal health services among urban poor women in Bangladesh: A Case of Rajshahi City

Analysis of the Health Care Delivery System in Pakistan and Nepal

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