Responsiveness of the urban primary health care delivery system in Bangladesh: A comparative analysis

The International Journal of Health Planning and Management
Syed Abdul Hamid, Afroza Begum

Abstract

This study analyses the responsiveness of outpatient care to assess the quality of urban primary health care among all 5 types of health care providers in Bangladesh, namely, the Urban Primary Health Care Services Delivery Project, the NGO Health Services Delivery Project (NHSDP), NGOs, private hospitals, and the Ministry of Health and Family Welfare (MOHFW). Other than some public-private comparisons, there is an absolute knowledge gap regarding responsiveness in urban health systems, particularly in the context of Bangladesh, and this gap motivates this study. The study used primary data collected from 810 randomly selected outpatients. The survey used a structured questionnaire on all 7 domains of responsiveness of outpatient care suggested by the World Health Organization. The estimated mean responsiveness score reveals that overall, approximately 33% of the patients rated the responsiveness of the system as poor. In reported responsiveness, the NHSDP was ranked at the top and the MOHFW at the bottom. The latter is quite expected. Overall, prompt attention and autonomy were the worst-performing domains, and choice of provider, dignity, and clear communication were the better-performing ones. The results suggest the need to ...Continue Reading

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Citations

Jan 28, 2021·International Journal of Environmental Research and Public Health·XinXin PengJing Hua Zhang
Jul 16, 2021·International Quarterly of Community Health Education·Ifeyinwa ArizeObinna Onwujekwe
Sep 25, 2021·PloS One·Małgorzata Gałązka-SobotkaKarolina Szymaniec-Mlicka

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