Who serves the urban poor? A geospatial and descriptive analysis of health services in slum settlements in Dhaka, Bangladesh

Health Policy and Planning
Alayne M AdamsTanvir Ahmed

Abstract

In Bangladesh, the health risks of unplanned urbanization are disproportionately shouldered by the urban poor. At the same time, affordable formal primary care services are scarce, and what exists is almost exclusively provided by non-government organizations (NGOs) working on a project basis. So where do the poor go for health care? A health facility mapping of six urban slum settlements in Dhaka was undertaken to explore the configuration of healthcare services proximate to where the poor reside. Three methods were employed: (1) Social mapping and listing of all Health Service Delivery Points (HSDPs); (2) Creation of a geospatial map including Global Positioning System (GPS) co-ordinates of all HSPDs in the six study areas and (3) Implementation of a facility survey of all HSDPs within six study areas. Descriptive statistics are used to examine the number, type and concentration of service provider types, as well as indicators of their accessibility in terms of location and hours of service. A total of 1041 HSDPs were mapped, of which 80% are privately operated and the rest by NGOs and the public sector. Phamacies and non-formal or traditional doctors make up 75% of the private sector while consultation chambers account for 2...Continue Reading

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Citations

Apr 14, 2006·BMC International Health and Human Rights·Redwanur M Rahman
Oct 13, 2016·PloS One·Saira Parveen JollyAhmed M R Chowdhury
Nov 7, 2016·Thorax·Kamran Siddiqi, Helen Elsey
Dec 1, 2018·BMJ : British Medical Journal·Alayne M AdamsSrinath Reddy
Nov 23, 2019·BMC Health Services Research·Manuel Leonard F AlbisBrian Chin
Nov 21, 2019·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Abdur RazzaqueRandall Kuhn
Apr 26, 2020·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Jason CorburnHany Ayad
Feb 18, 2016·International Journal for Equity in Health·Nahid KamalKanta Jamil
Feb 29, 2016·Journal of Health, Population, and Nutrition·Dohyeong KimPriyanka Vyas
Apr 29, 2020·Public Health Nursing·Tae Wha LeeYoona Choi
Aug 31, 2018·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Gustavo AngelesKanta Jamil
Jun 6, 2017·Health Policy and Planning·Yusra Ribhi Shawar, Lani G Crane

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Methods Mentioned

BETA
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Software Mentioned

Google Earth

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