Understanding general health service readiness and its correlates in the health facilities of Bangladesh: evidence from the Bangladesh Health Facility Survey 2017

Yusuf, Sifat Shahana; Acharya, Kiran; Ahmed, Rushdiá; Ahmed, Anisuddin

doi:10.1007/s10389-021-01522-0

Cited by 7 publications

(7 citation statements)

References 65 publications

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“…Clients were likely to be satisfied from facilities based in urban settings compared to those based in rural areas. The findings are in agreement with those from other low and middle income countries in which urban-based facilities were likely to be more customer-focused and equipped with more equipment and commodities [ 49 ], human and financial resources [ 52 , 53 ], and service bundles [ 54 ] compared to rural-based facilities.…”

Section: Discussionsupporting

confidence: 88%

“…Other studies have reported higher satisfaction among clients who attended at private facilities compared to those from public-owned facilities [ 43 , 47 ]. Higher satisfaction within private facilities has been linked with availability of equipment, materials, infrastructures, commodities and motivated staff [ 48 ] and thus readiness for customer service compared to public facilities [ 49 ]. In contrary to the above, there is an emerging evidence that clients from developing countries such as Tanzania are cost-conscious and therefore are likely to be satisfied from facilities that cost services at cheaper prices [ 43 – 46 ].…”

Section: Discussionmentioning

confidence: 99%

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Clients satisfaction at primary healthcare facilities and its association with implementation of client service charter in Tanzania

et al. 2022

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Background Client service charter (CSC) provides information about what people can expect in a facility’s services; what is expected of clients and service providers. Tanzania implemented Star Rating Assessment (SRA) of primary health care (PHC) facilities in 2015/16 and 2017/18 using SRA tools with 12 service areas. This paper assesses the status of service area 7, namely client focus that checked if client was satisfied with services provided and implementation of CSC through three indicators–if: CSC was displayed; CSC was monitored; client feedback mechanism and complaints handling was in place. Methods We extracted and performed a cross-sectional secondary data analysis of data related to clients’ focus that are found in national SRA database of 2017/2018 using STATA version 15. Client satisfaction was regarded as dependent variable while facility characteristics plus three indicators of CSC as independent variables. Multivariate logistic regression with p-value of 5% and 95% confidence interval (CI) were applied. Results A total of 4,523 facilities met our inclusion criteria; 3,987 (88.2%) were dispensaries, 408 (9.0%) health centres and 128 (2.8%) hospitals. CSC was displayed in 69.1% facilities, monitored in 32.4% facilities, and 32.5% of the facilities had mechanisms for clients’ feedback and handling complaints. The overall prevalence of clients’ satisfaction was 72.8%. Clients’ satisfaction was strongly associated with all implementation indicators of CSC. Clients from urban-based facilities had 21% increased satisfaction compared rural-based facilities (AOR 1.21; 95%CI: 1.00–1.46); and clients from hospitals had 39% increased satisfaction compared to dispensaries (AOR 1.39; 95%CI: 1.10–1.77). Conclusion The implementation of CSC is low among Tanzanian PHC facilities. Clients are more satisfied if received healthcare services from facilities that display the charter, monitor its implementation, have mechanisms to obtain clients feedback and handle complaints. Clients’ satisfaction at PHC could be improved through adoption and implementation of CSC.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Clients satisfaction at primary healthcare facilities and its association with implementation of client service charter in Tanzania

et al. 2022

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“…A process of ensuring and maintaining a high level of service in various HCFs is known as "quality assurance" (QA) [37]. Regular quality assurance activities were significantly associated with EM-CVD availability in 2017, consistent with studies that looked at basic emergency obstetric and newborn care in Tanzania and general services in Bangladesh [38,39]. Both found that facilities with regular quality assurance activities had better preparedness scores.…”

Section: Plos Global Public Healthmentioning

confidence: 55%

The availability of essential medicines for cardiovascular diseases at healthcare facilities in low- and middle-income countries: The case of Bangladesh

Hakim

Chowdhury

Haque

et al. 2022

PLOS Glob Public Health

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Long-term, often lifelong care for cardiovascular disease (CVD) patients requires consistent use of medicine; hence, the availability of essential medicine for CVD (EM-CVD) is vital for treatment, quality of life, and survival. We aimed to assess the availability of EM-CVD and explore healthcare facility (HCF) characteristics associated with the availability of those medicines in Bangladesh. This study utilized publicly available cross-sectional data from the 2014 and 2017 waves of the Bangladesh Health Facilities Survey (BHFS). The analysis included 204 facilities (84 from the 2014 BHFS and 120 from the 2017 BHFS) that provide CVD diagnosis and treatment services. The outcome variable "EM-CVD availability" was calculated as a counting score of the following tracer medicines: angiotensin-converting enzyme (ACE) inhibitors (enalapril), thiazide, beta-blockers (atenolol), calcium channel blockers (amlodipine and nifedipine), aspirin, and simvastatin/atorvastatin. A multivariable Poisson regression model was used to identify the HCF characteristics associated with EM-CVD availability. The number of Bangladeshi HCFs that provide CVD screening and treatment services increased just a little between 2014 and 2017 (from 5.4% to 7.9%). Since 2014, there has been an increase in the availability of calcium channel blockers (from 37.5% to 38.5%), aspirin (from 25.3% to 27.9%), and simvastatin/atorvastatin (from 8.0% to 30.7%), whereas there has been a decrease in the availability of ACE inhibitors (enalapril) (from 12.5% to 6.5%), thiazide (from 15.7% to 11.1%), and beta-blockers (from 42.5% to 32.5%). The likelihood of EM-CVD being available was higher among private and urban facilities than among public and rural facilities. Furthermore, facilities that had 24-hour staff coverage and performed quality assurance activities had a higher chance of having EM-CVD available than those that did not have 24-hour staff coverage and did not undertake quality assurance activities. Government authorities should think about a wide range of policy implications, such as putting more emphasis on public and rural facilities, making sure staff is available 24 hours a day, and performing quality assurance activities at facilities to make EM-CVD more available.

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“…Although our overall readiness finding of 44% was similar to estimates of infection prevention scores from local studies in Bangladesh as well as analysis in Ethiopia (48%), none of these specifically analyzed standard precautions, which is of particular importance to evaluate the preparedness of healthcare facilities in the context of a pandemic. 20 – 23 Thus, our analysis provides baseline data to monitor progress over time.…”

Section: Discussionmentioning

confidence: 99%

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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Understanding general health service readiness and its correlates in the health facilities of Bangladesh: evidence from the Bangladesh Health Facility Survey 2017

Cited by 7 publications

References 65 publications

Clients satisfaction at primary healthcare facilities and its association with implementation of client service charter in Tanzania

Clients satisfaction at primary healthcare facilities and its association with implementation of client service charter in Tanzania

The availability of essential medicines for cardiovascular diseases at healthcare facilities in low- and middle-income countries: The case of Bangladesh

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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