-
Tytuł:
-
Assessing service availability and readiness to manage Chronic Respiratory Diseases (CRDs) in Bangladesh.
-
Autorzy:
-
Paromita P; Kirtipasha Union Health and Family Welfare Centre, Jhalokathi Sadar Upazila, Barishal, Bangladesh.
Chowdhury HA; Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, Bangladesh.
Mayaboti CA; Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, Bangladesh.
Rakhshanda S; Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, Bangladesh.
Rahman AKMF; Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, Bangladesh.
Karim MR; Department of Non Communicable Disease Control, Directorate General of Health and Services, Dhaka, Bangladesh.
Mashreky SR; Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, Bangladesh.
-
Źródło:
-
PloS one [PLoS One] 2021 Mar 04; Vol. 16 (3), pp. e0247700. Date of Electronic Publication: 2021 Mar 04 (Print Publication: 2021).
-
Typ publikacji:
-
Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't
-
Język:
-
English
-
Imprint Name(s):
-
Original Publication: San Francisco, CA : Public Library of Science
-
MeSH Terms:
-
Health Care Surveys/*statistics & numerical data
Health Facilities/*statistics & numerical data
Health Services Accessibility/*statistics & numerical data
Noncommunicable Diseases/*therapy
Respiration Disorders/*therapy
Bangladesh ; Chronic Disease ; Cross-Sectional Studies ; Health Care Surveys/methods ; Humans ; Respiration Disorders/pathology ; World Health Organization
-
References:
-
BMJ Open. 2019 Oct 7;9(10):e029562. (PMID: 31594874)
BMJ Open. 2017 Mar 6;7(3):e014496. (PMID: 28264832)
Lancet Glob Health. 2018 Dec;6(12):e1363-e1374. (PMID: 30219316)
J Health Popul Nutr. 2010 Aug;28(4):399-404. (PMID: 20824984)
BMC Health Serv Res. 2020 May 26;20(1):465. (PMID: 32456706)
BMC Health Serv Res. 2018 Jan 25;18(1):39. (PMID: 29370842)
Cureus. 2019 Jan 28;11(1):e3970. (PMID: 30956922)
Lancet Glob Health. 2019 Oct;7(10):e1295-e1296. (PMID: 31537347)
BMJ Open. 2018 Oct 31;8(10):e022817. (PMID: 30385441)
Bull World Health Organ. 2017 Nov 01;95(11):738-748. (PMID: 29147054)
Int J Health Policy Manag. 2018 Nov 04;8(3):150-157. (PMID: 30980631)
PLoS One. 2018 Aug 23;13(8):e0200994. (PMID: 30138318)
Simul Healthc. 2014 Feb;9(1):40-7. (PMID: 24492338)
Bull World Health Organ. 2013 Dec 1;91(12):923-31. (PMID: 24347731)
-
Entry Date(s):
-
Date Created: 20210304 Date Completed: 20210909 Latest Revision: 20240331
-
Update Code:
-
20240331
-
PubMed Central ID:
-
PMC7932138
-
DOI:
-
10.1371/journal.pone.0247700
-
PMID:
-
33661982
-
Introduction: Chronic Respiratory Diseases (CRDs) are some of the most prevailing non-communicable diseases (NCDs) worldwide and cause three times higher morbidity and mortality in low- and middle-income countries (LMIC) than in developed nations. In Bangladesh, there is a dearth of data about the quality of CRD management in health facilities. This study aims to describe CRD service availability and readiness at all tiers of health facilities using the World Health Organization's (WHO) Service Availability and Readiness Assessment (SARA) tool.
Methods: A cross-sectional study was conducted from December 2017 to June 2018 in a total of 262 health facilities in Bangladesh using the WHO SARA Standard Tool. Surveys were conducted with facility management personnel by trained data collectors using REDCap software. Descriptive statistics for the availability of CRD services were calculated. Composite scores for facility readiness (Readiness Index 'RI') were created which included four domains: staff and guideline, basic equipment, diagnostic capacity, and essential medicines. RI was calculated for each domain as the mean score of items expressed as a percentage. Indices were compared to a cutoff of70% which means that a facility index above 70% is considered 'ready' to manage CRDs at that level. Data analysis was conducted using SPSS Vr 21.0.
Results: It was found, tertiary hospitals were the only hospitals that surpassed the readiness index cutoff of 70%, indicating that they had adequate capacity and were ready to manage CRDs (RI 78.3%). The mean readiness scores for the other hospital tiers in descending order were District Hospitals (DH): 40.6%, Upazila Health Complexes (UHC): 33.3% and Private NGOs: 39.5%).
Conclusion: Only tertiary care hospitals, constituting 3.1% of sampled health facilities, were found ready to manage CRD. Inadequate and unequal supplies of medicine as well as a lack of trained staff, guidelines on the diagnosis and treatment of CRDs, equipment, and diagnostic facilities contributed to low readiness index scores in all other tiers of health facilities.
Competing Interests: The authors have declared that no competing interests exist.
Zaloguj się, aby uzyskać dostęp do pełnego tekstu.
