Systematic Assessment of COVID-19 Pandemic in Bangladesh: Effectiveness of Preparedness in the First Wave

Saha, Priom; Gulshan, Jahida

doi:10.3389/fpubh.2021.628931

Cited by 18 publications

(16 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, it is possible that people with higher education and more access to quality information are more likely to take up vaccination, follow COVID-19 prevention measures and hence are less likely to become infected [ 32 , 33 ]. The higher rate of COVID-19 positive diagnosis in Bangladesh may be explained by a higher prevalence of COVID-19 pandemic in Bangladesh (15.1%) [ 12 ], and the reluctance of people to get tested for COVID-19, when they have no or only moderate COVID-19 symptoms [ 34 ]. The lower rate of COVID-19 positive diagnosis in Malaysia may be attributed to a lower average test positive ratio and testing rate (4.3% and 0.8 tests per 1000 population) [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Using Andersen’s model of health care utilization to assess factors associated with COVID-19 testing among adults in nine low-and middle-income countries: an online survey

Pengid

Peltzer

Villela

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background This study aimed to investigate, using Andersen’s model of health care utilization, factors associated with COVID-19 testing among adults in nine low- and middle- income countries. Methods In between 10 December 2020 and 9 February 2021, an online survey was organized in nine low- and middle-income countries. In total 10,183 adults (median age 45 years, interquartile range 33–57 years, range 18–93 years), including 6470 from Brazil, 1738 Malaysia, 1124 Thailand, 230 Bangladesh, 219 DR Congo, 159 Benin, 107 Uganda, 81 Malawi and 55 from Mali participated in the study. COVID-19 testing/infection status was assessed by self-report. Results Of the 10,183 participants, 40.3% had ever tested for COVID-19, 7.3% tested positive, and 33.0% tested negative. In an adjusted logistic regression model, predisposing factors (residing in Brazil, postgraduate education), enabling/disabling factors (urban residence, higher perceived economic status, being a student or worker in the health care sector, and moderate or severe psychological distress), and need factors (having at least one chronic condition) increased the odds of COVID-19 testing. Among those who were tested, participants residing in Bangladesh, those who had moderate to severe psychological distress were positively associated with COVID-19 positive diagnosis. Participants who are residing in Malaysia and Thailand, and those who had higher education were negatively associated with a COVID-19 positive diagnosis. Considering all participants, higher perceived economic status, being a student or worker in the health sector, and moderate or severe psychological distress were positively associated with a COVID-19 positive diagnosis, and residing in Malaysia, Thailand or five African countries was negatively associated with a COVID-19 positive diagnosis. Conclusion A high rate of COVID-19 testing among adults was reported in nine low-and middle-income countries. However, access to testing needs to be increased in Africa. Moreover, COVID-19 testing programmes need to target persons of lower economic status and education level who are less tested but most at risk for COVID-19 infection.

show abstract

Section: Discussionmentioning

confidence: 99%

Using Andersen’s model of health care utilization to assess factors associated with COVID-19 testing among adults in nine low-and middle-income countries: an online survey

Pengid

Peltzer

Villela

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…This measure was complemented by a preparedness and response plan issued in July 2020 by the Ministry of Health and Family Welfare. At the national level, instructions and guidelines for addressing essential health and family planning services during the pandemic were developed [ 5 ] and distributed—from health divisions, then to district hospitals, and finally to local primary clinics (upazilas, unions, and wards)—to homogenize service delivery and ensure the safety and capacity of the health services during the pandemic [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Resulting from the aforementioned changes in health care provision and the immense pressure brought by the pandemic response, as well as the pre-pandemic challenges faced by the country’s health system, in 20220 Bangladesh experienced problems in EHNS on both the supply and demand sides. Between April and May 2020, when the pandemic cases started to climb [ 5 ], administrative data indicated sharp reductions in services across all levels of care [ 7 ], including primary, secondary, and tertiary care. There were problems in the provision of services related to the disruption of supply chains of medicines and contraceptives, reduced hours for EHNS at clinics and hospitals, strains on human resources for health, and the reallocation of resources to COVID-19 related activities [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Assessment of the Essential Health and Nutrition Service Delivery in the Context of COVID-19 in Bangladesh: The Perspective of Divisional Directors

et al. 2022

View full text Add to dashboard Cite

Bangladesh suffered disruptions in the utilization of essential health and nutrition services (EHNS) during the COVID-19 pandemic. The magnitude of the pandemic has been documented, but little is known from the perspectives of health administrators. A rapid qualitative assessment of division-level capacity identified successes and bottlenecks in providing EHNS- and COVID-19-related services during the first months of the pandemic in Bangladesh. Semi-structured interviews were held with the Health and Family Planning Divisional Directors of the Ministry of Health and Family Welfare. The Primary Health Care System Framework guided the content analysis, focusing on (i) service delivery, (ii) communication and community outreach, and (iii) surveillance and service monitoring. Our findings identified low care seeking due to fears of getting infected and unawareness that EHNS were still available. Adaptations to telemedicine were highly heterogeneous between divisions, but collaboration with NGOs were fruitful in reinstating outreach activities. Guidelines were centered on COVID-19 information and less so on EHNS. The inflexibility of spending capacities at divisional and clinic levels hindered service provision. Misinformation and information voids were difficult to handle all around the country. Community health workers were useful for outreach communication. EHNS must be guaranteed during sanitary emergencies, and Bangladesh presented with both significant efforts and areas of opportunity for improvement.

show abstract

“…The country was ranked 46th in global government effectiveness and 113th in global health security in 2019 (GHS, 2019;Global Economy, 2019). In this backdrop, Saha and Gulshan (2021) human deaths were reported (Worldometer, 2022). Analyses estimate that the real numbers could be much higher (Tabassum et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Local Level Collaborative Governance for Pandemic Responses: Unpacking A Case in Bangladesh

Alam¹,

Hoque²

2022

pgr

View full text Add to dashboard Cite

Responsive governance during the COVID-19 pandemic became a severe challenge for countries worldwide. With a relatively poor healthcare structure, Bangladesh performed moderately well in managing the first wave of the pandemic (March – December 2020). With substantive policy and decision-making support from the Centre, local governments collaborated with various relevant actors to enhance their pandemic- related services. In this background, this research used an integrative framework to study a case of local-level collaborative governance – the Saturia Model. Based on the authors' experience, reflections and review, this analysis explores various socio-economic and environmental factors behind the effectiveness of this collaboration in containment policies and providing support services to vulnerable groups. Findings indicate that coordination between state and non-state actors, resource mobilization, access and communication, community engagement and the adaptative capacity of the government are vital for making such collaborations work in a crisis. The lessons are valuable for prospective understanding and policy interventions.

show abstract

Systematic Assessment of COVID-19 Pandemic in Bangladesh: Effectiveness of Preparedness in the First Wave

Cited by 18 publications

References 52 publications

Using Andersen’s model of health care utilization to assess factors associated with COVID-19 testing among adults in nine low-and middle-income countries: an online survey

Using Andersen’s model of health care utilization to assess factors associated with COVID-19 testing among adults in nine low-and middle-income countries: an online survey

A Qualitative Assessment of the Essential Health and Nutrition Service Delivery in the Context of COVID-19 in Bangladesh: The Perspective of Divisional Directors

Local Level Collaborative Governance for Pandemic Responses: Unpacking A Case in Bangladesh

Contact Info

Product

Resources

About