The Reality Check of Community Clinic in Bangladesh: A Case Study of Two Selected Villages of Naogaon District

Abstract

Community Clinic (CC) as a new horizon in ensuring primary healthcare in Bangladesh has been working astoundingly since its inception. Reportedly, some of the CCs are not working effectively that’s why the beneficiaries, the villagers, are seeking care from other professionals. To address the underlying reasons of ineffectiveness of the CC in the site was the key objective of this study. Lack of work in that particular context motivates to pursue this study. Due to the financial constraint, the sampling site, Naogaon district, was purposively selected. Then the randomly selected upazila, Raninagar, was undertaken. Applying multi-stage random sampling technique, primary data of 100 household of two villages, as per the secondary data, were collected. From the empirical investigation, it is addressed that the key determinants of demand for health care from the CC; the level of education and level of income; are not playing a robust role. Instead of those, the problem of comparative low use rate of the CC lies on the determinants of supply-side; the unavailability of the CHCP and the drugs, which ultimately strengthens the traditional outlook towards the CC by the villagers. Once the provision of drugs is ended, the CC becomes literally meaningless except few responsibilities conducted by the health workers. Along with the government’s strong commitment, some reforms; formation of Village Solidarity Group’ keeping educational institute at the centre; can transform the scenario drastically.

Prevalence and Predictors of Birth Asphyxia Among Neonates in Bangladesh: A Cross-Sectional Study

“…This result is similar with the ndings gured out in different studies conducted in different hospitals namely, Dire Dawa, Tigray, Dessie; in the country of Ethiopia [22], [35], [36]. In order to save neonates from birth asphyxia, parental training plays an instrumental role that can be held in the community clinics located across the rural areas for each 6000 population [37]. Additionally, healthy sexual and reproductive health has also a greater role in preventing this health condition where training on misuse of digital media among the parents is a signi cant issue [38].…”