Facility Assessment for Maternal and Child Health Services in Bangladesh Using Service Availability and Readiness Assessment (Sara) Tool: A Cross-Sectional Pilot Study

Aftab, Afzal; Hasan, Mehedi; Bari, Rahmatul; Hossain, Mohammad Didar; Hasan, Mehadi; Azad, Abul Kalam; Islam, Bulbul; Sarker, Malabika

doi:10.36685/phi.v3i3.125

Cited by 3 publications

(3 citation statements)

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“…This finding is similar to a study in Bangladesh, which reported low family planning services. 6 Intrauterine contraceptive devices (IUCDs) were provided by 40.7% of the PHC facilities in this study, which is higher than that reported by the study in Enugu, Nigeria, where only 18.3% of facilities provided IUCDs. 11 Only a few of the PHC facilities in this study offered HIV guidance and counselling testing for infants and PMTCT.…”

Section: Discussioncontrasting

confidence: 65%

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Maternal and child health service readiness among primary health care facilities in Ekiti, Nigeria

Oluwole

Adeniran

Chieme³

et al. 2022

Afr. j. prim. health care fam. med.

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Background: The availability of adequate infrastructure, diagnostic medical equipment, medicines and commodities and well-trained medical personnel are essential for the effective delivery of health care services.Aim: This study assessed maternal and child health (MCH) services’ specific readiness by type and location of the health facility and compared the readiness between urban and rural primary health care (PHC) facilities in Ekiti State, Nigeria.Setting: The study was conducted amongst the heads (officers in charge) of PHC facilities in Ekiti State, Nigeria between August 2020 and October 2020.Methods: A descriptive cross-sectional study in which all PHC facilities were conducted and data were collected with the aid of the Service Availability and Readiness Assessment (SARA) tool using the KoboCollect app. Data were cleaned and coded on Microsoft Excel 2016 and exported to Stata SE 12 for analysis. The level of significance was set at p 0.05.Results: Overall, the MCH readiness score amongst PHC facilities was 47% (0.47 ± 0.18). About half (52%) of the facilities had necessary and relevant equipment. Health facilities located in urban areas had more medicines and commodities compared with those of rural areas (0.51 ± 0.16 vs 0.45 ± 0.17, p 0.05). Primary health care facilities in Ekiti North I had an overall higher service readiness score (0.63 ± 0.19) compared with other federal constituencies (p 0.001).Conclusion: The overall MCH-specific service readiness in Ekiti State was relatively low. Strategies to address the identified gaps for a smooth journey towards the achievement of Universal Health Coverage (UHC) are recommended.

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Section: Discussioncontrasting

confidence: 65%

“…Universal Health Coverage (UHC) is required to achieve these goals, necessitating the assessment of health facility readiness to achieve UHC. 6 …”

Section: Introductionmentioning

confidence: 99%

Maternal and child health service readiness among primary health care facilities in Ekiti, Nigeria

Oluwole

Adeniran

Chieme³

et al. 2022

Afr. j. prim. health care fam. med.

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“…17 Indeed, a research conducted among selected health facilities in Bangladesh also found that none of the facilities visited had EPI guidelines despite providing routine immunization. 18 The EPI guideline is an essential document meant to assist health workers in providing a standardized and uniformed immunization services. It is a valuable reference tool that should be readily available for consultation during routine immunization services or in-house supportive trainings.…”

Section: Discussionmentioning

confidence: 99%

Assessing the capacity of primary health care centres to provide routine immunization services amidst COVID-19 lockdown in Kaduna state, Nigeria

Suleiman

Olorukooba

Babandi

et al. 2021

Int J Community Med Public Health

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Background: The COVID-19 pandemic continues to disrupt health systems across the globe, preventing access to essential health services. Lockdown measures against the virus may impact negatively on immunization services. This study aimed to ascertain the capacity of primary health care centres in Kaduna North senatorial district to provide routine immunization services amidst a state-wide lockdown.Methods: Cluster sampling was used to select four among eight local Government areas in the district. Facility in-charges and RI focal persons were interviewed using service availability and readiness assessment tool, restricted to immunization tracer items. Paired sample t-test was used to compare the mean number of vaccine doses given in the first quarter of 2020 (pre-lockdown) and the number of doses given in the second quarter (lockdown period).Results: Forty four PHCs were selected from Zaria (29.6%), Sabon Gari (25.0%), Makarfi (22.7%) and Kudan (22.7%). In addition to well-trained RI focal persons, most facilities had vaccines and commodities available. Shortages were noted for EPI guidelines (46%), Meningitis-A vaccine (36%) and certain cold chain equipment (up to 18%). Tetanus-diphtheria (Td-1) doses given during lockdown period were significantly lower than pre-lockdown doses (Mean difference=-45.58, 95% CI: -74.78 to -16.38, d=0.48). No significant difference exists for infant doses.Conclusions: Despite widespread availability of PHC facilities, trained personnel, vaccines and commodities, gaps still exist in service delivery, cold chain practices and vaccine supply management. Lockdown measures significantly disrupted immunization services and effective risk communication was key to achieving sustained utilization.

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Assessment of standard precaution related to infection prevention readiness of healthcare facilities in Bangladesh: Findings from a national cross-sectional survey

Biswas

Hassan

Monjur

et al. 2021

ASHE

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Background: Baseline assessment of standard precaution relating to infection prevention and control (IPC) preparedness to fight health crisis within healthcare facilities at different levels and its associated factors in Bangladesh remains unknown. Methods: We analyzed the nationally representative Bangladesh health facility survey (BHFS) data conducted by the Ministry of Health and Family Welfare (MoHFW) during July–October 2017. We used the World Health Organization (WHO) Service Availability and Readiness Assessment (SARA) manual to determine the standard precautions related to the IPC readiness index. Using a conceptual framework and multivariable linear regression, we identified the factors associated with the readiness index. Results: We analyzed data for 1,524 surveyed healthcare facilities. On average, only 44% of the standard precaution elements were available in all facilities. Essential elements, such as guidelines for standard precautions (30%), hand-washing soap (29%), and pedal bins (38%), were not readily available in all facilities. The tuberculosis service area was least prepared, with 85% of elements required for standard precaution deficient in all facilities. Significantly lower readiness indexes were observed in the rural healthcare facilities (mean difference, −13.2), healthcare facilities administered by the MoHFW (mean difference, −7.8), and private facilities (mean difference, −10.1) compared to corresponding reference categories. Conclusions: Our study revealed a severe lack of standard precaution elements in most healthcare facilities, particularly in rural health centers. These data can provide a baseline from which to measure improvement in infection prevention and control (IPC) in these facilities and to identify areas of gaps for targeted interventions to improve IPC strategies that can improve the Bangladesh health system.

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Facility Assessment for Maternal and Child Health Services in Bangladesh Using Service Availability and Readiness Assessment (Sara) Tool: A Cross-Sectional Pilot Study

Cited by 3 publications

References 0 publications

Maternal and child health service readiness among primary health care facilities in Ekiti, Nigeria

Maternal and child health service readiness among primary health care facilities in Ekiti, Nigeria

Assessing the capacity of primary health care centres to provide routine immunization services amidst COVID-19 lockdown in Kaduna state, Nigeria

Assessment of standard precaution related to infection prevention readiness of healthcare facilities in Bangladesh: Findings from a national cross-sectional survey

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