People’s Participation in Health Services: A Study of Bangladesh’s Rural Health Complex

Islam, Mohammad Shafiqul; Ullah, Mohammad Woli

doi:10.2139/ssrn.1412874

Cited by 17 publications

(14 citation statements)

References 5 publications

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“…Rushender 7 The study result showed that about (83.8%) of the total respondent visited the UHC for seeking health care but another study showed only (34.1%) of the total respondents visited UHC for seeking health care, this indicated improvement of situation. 8 Purpose of visit showed highest number of respondents (16.2%) visited UHC for diarrheal treatment and ANC. Next (11.2%) was visited for family planning and vaccination (TT).…”

Section: Discussionmentioning

confidence: 98%

Utilization of Essential Service Package by rural community

Nayan¹,

Begum²,

Abid³

et al. 2020

Northern Int. Med. Coll. J.

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Background : Government has implemented Essential Service Package (ESP) under Health, Nutrition and Population Sector Program (HNPSP) to reach and maintain the highest attainable level of health care to the people of Bangladesh.Objective : To assess the utilization of Essential Service Package by rural community.Methodology : A descriptive, cross-sectional study was carried out during January 2011 to June 2011 on 160 respondents of age 18 years and above.Sample was selected purposively from Nababganj Upazila under Dhaka district. After taking informed consent data were collected by face to face interview using structured questionnaire. Data analysis was done by SPSS version 16. Results :The study revealed that highest number (71.9%) of respondents attended Upazila health Complex (UHC) to utilize ESP services. Among the respondents female (85.6%) were more than male. The lower class (19.4%) and middle class population (46.9%) utilized significantly more than upper class (8.7%).The most of the respondents had primary level of education (31.9%). Utilization of Expanded Programme on Immunization (EPI) (82.9%), Antenatal care (ANC) (16.2%), Family planning (FP) (11.2%), treatment of communicable diseases (40%) and limited curative care (12.5%) were found. Regarding Behavioural change communication (BCC) (41.3%) said that they got health education from the UHC and 58.9% response was negative. Conclusion :The overall utilization of ESP services is good. To utilize the ESP from the existing UHC facilities for the rural community population is needed to be strengthening for achieving the health goals.

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Section: Discussionmentioning

confidence: 98%

Utilization of Essential Service Package by rural community

Nayan¹,

Begum²,

Abid³

et al. 2020

Northern Int. Med. Coll. J.

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“…As a result, the coverage of institutional delivery might be less appealing than home delivery. The availability of female doctors in health facilities ensuring comprehensive maternal healthcare should be considered an apparent technical significance [24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48], which might influence the optimum utilisation of maternal healthcare services in the country [47].…”

Section: Discussionmentioning

confidence: 99%

“…However, unfriendly provider attitudes negatively affected women’s perception of the quality of maternity care [49]. Some studies found that respectful and attentive healthcare providers played a significant role in increasing the utilisation of maternal healthcare services at the health facility [47,48,49,50]. According to the WHO, healthcare programmes with a strong focus on respectful care are recommended to support changes in provider behaviours, clinical environments, and health systems to ensure that all women have access to respectful maternity healthcare services [51].…”

Section: Discussionmentioning

confidence: 99%

Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment

Mahumud

Alamgir

Hossain

et al. 2019

JCM

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Despite substantial improvements in several maternal health indicators, childbearing and birthing remain a dangerous experience for many women in Bangladesh. This study assessed the relative importance of maternal healthcare service characteristics to Bangladeshi women when choosing a health facility to deliver their babies. The study used a mixed-methods approach. Qualitative methods (expert interviews, focus group discussions) were initially employed to identify and develop the characteristics which most influence a women’s decision making when selecting a maternal health service facility. A discrete choice experiment (DCE) was then constructed to elicit women’s preferences. Women were shown choice scenarios representing hypothetical health facilities with nine attributes outlined. The women were then asked to rank the attributes they considered most important in the delivery of their future babies. A Hierarchical Bayes method was used to measure mean utility parameters. A total of 601 women completed the DCE survey. The model demonstrated significant predictive strength for actual facility choice for maternal health services. The most important attributes were the following: consistent access to a female doctor, the availability of branded drugs, respectful provider attitudes, a continuum of maternal healthcare including the availability of a C-section delivery and lesser waiting times. Attended maternal healthcare utilisation rates are low despite the access to primary healthcare facilities. Further implementation of quality improvements in maternal healthcare facilities should be prioritised.

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“…Background: B angladesh is a developing country of South Asia, located on the northern shore of the Bay of Bengal, covering 147,570 square km (1) . According to WHO and World Bank, about 10% people have a disability and among this percentage about 10.2 million people are adult in developing countries (2) [2].…”

Section: Introductionmentioning

confidence: 99%

Adaptation of Apraxia Battery for Assessing the Patient with Apraxia

Ahmed¹,

Naznin²,

Alam

2020

jmrhs

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Background: Speech and Language Therapy is an established profession in many countries of the world but still very new in Bangladesh. There is no culturally appropriate adult assessment tool for assessing patient with Apraxia in Bangladesh and has no alternative tool in own language to assess and diagnose patient with apraxia. Objectives: The aim of the study was cultural adaptation of Apraxia Battery for assessing the patient with Apraxia. Methodology: A total of nineteen people diagnosed with apraxia of speech, within the age from 37 to 80 years, participated in this study. The investigator was used quantitative (item analysis, validity determination and reliability determination) and qualitative (observation and focus group discussion) method for the adaptation procedure. After observation and focus group discussion the investigator received concern from the panel of expert for conducting the pilot study. After find out the pilot study result the investigator conducted test and retest. The result was discussed changing forward translation, changing pilot study and test retest findings. The pilot study was examined in a sample of eight apraxia patients. The interval between five days the test and retest reliability was examined in a sample of eleven apraxia patients. Using the Cronbach’s alpha, examined the internal consistency and intra-class correlation for test retest reliability. Results: After modification of ABA-2 tool, the pilot study showed that the ABA-2 tool was in culturally appropriate in Bangladesh for apraxia patient. The test reliability for Diadochokinetic Rate, Increasing word length (Part A), Increasing word length (Part B), Limb Apraxia, Oral Apraxia, Latency Time for polysyllabic word, Utterance Time for polysyllabic word and Repeated Trials sub-tests appear to be satisfactory as researchers claim that Cronbach’s alpha coefficients ranging between .8143 and 0.9006 indicate good to excellent reliability. And the retest reliability for these subtests Cronbach’s alpha coefficients ranging between 0.7898 and 0.9095 indicate acceptable to excellent reliability. The intra-class consistency for all subtest of the test and retest was excellent (Cronbach’s alpha =0.9478 to 0.9917). Conclusion: This study suggests that valid assessment of apraxia patient using the ABA-2 assessment tool. The modified ABA-2 assessment tool is feasible for assessing the patient with apraxia in content of Bangladesh. The test retest result also showed that the ABA-2 assessment tool was reliable in culturally. ABA-2 is reliable and valid instrument for evaluating the patients with apraxia. This assessment tools also help Speech and Language Therapists to assess and diagnose the patient with apraxia.

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People’s Participation in Health Services: A Study of Bangladesh’s Rural Health Complex

Cited by 17 publications

References 5 publications

Utilization of Essential Service Package by rural community

Utilization of Essential Service Package by rural community

Women’s Preferences for Maternal Healthcare Services in Bangladesh: Evidence from a Discrete Choice Experiment

Adaptation of Apraxia Battery for Assessing the Patient with Apraxia

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