Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: A Cross-sectional survey

This article was published in the BMC Nephrology [© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: 10.1136/bmjopen-2018-022817 The Journal's website is at: htt...

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Main Authors:	Biswas, Tuhin, Haider, M Moinuddin, Gupta, Rajat Das, Uddin, Jasim
Outros Autores:	Brac James P. Grant School of Public Health
Formato:	Journal Article
Idioma:	en_US
Publicado em:	BMJ Open 2022
Assuntos:	Human resource management Organisational development Quality In health care
Acesso em linha:	http://hdl.handle.net/10361/16444 http://dx.doi.org/10.1136/bmjopen-2018-022817

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spelling	10361-164442022-03-13T21:01:30Z Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: A Cross-sectional survey Biswas, Tuhin Haider, M Moinuddin Gupta, Rajat Das Uddin, Jasim Brac James P. Grant School of Public Health Human resource management Organisational development Quality In health care This article was published in the BMC Nephrology [© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: 10.1136/bmjopen-2018-022817 The Journal's website is at: https://bmjopen.bmj.com/content/8/10/e022817 Objective: The objective of this study was to assess the readiness of health facilities for diabetes and cardiovascular services in Bangladesh. Design: This study was a cross-sectional survey. Setting: This study used data from a nationwide Bangladesh Health Facility Survey conducted by the Ministry of Health and Social Welfare in 2014. Participants: A total of 319 health facilities delivering services focused on diabetes and cardiovascular diseases (CVD) were included in the survey. Some of these facilities were run by the public sector while others were managed by the private sector and non-governmental organisations. It was a mix of primary and secondary care facilities. Primary and secondary outcome measures: The primary outcome was readiness of health facilities for diabetes and cardiovascular services. We analysed relevant data following the Service Availability and Readiness Assessment manual of the WHO to assess the readiness of selected health facilities towards services for diabetes and CVD. Results: 58% and 24.1% of the facilities had diagnosis and treatment services for diabetes and CVD, respectively. Shortage of trained staff (18.8% and 14.7%) and lack of adequate medicine supply (23.5% and 43.9%) were identified to be factors responsible for inadequate services for diabetes and CVD. Among the facilities that offer services for diabetes and CVD, only 0.4% and 0.9% had all the four service readiness factors (guideline, trained staff, equipment and medicine). Conclusions: The study suggests that health facilities suffered from numerous drawbacks, such as shortage of trained staff and required medicine. Most importantly, they lack effective guidelines on the diagnosis and treatment for diabetes and CVD. It is, therefore, essential now to ensure that there are trained staff, adequate medicine supply, and appropriate guidelines on the diagnosis and treatment for diabetes and CVD in Bangladesh. Published 2022-03-13T04:48:47Z 2022-03-13T04:48:47Z 2018 2018-10-31 Journal Article Biswas, T., Haider, M. M., Das Gupta, R., & Uddin, J. (2018). Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: A cross-sectional survey. BMJ Open, 8(10) doi:10.1136/bmjopen-2018-022817 http://hdl.handle.net/10361/16444 http://dx.doi.org/10.1136/bmjopen-2018-022817 en_US https://bmjopen.bmj.com/content/8/10/e022817 application/pdf BMJ Open
institution	Brac University
collection	Institutional Repository
language	en_US
topic	Human resource management Organisational development Quality In health care
spellingShingle	Human resource management Organisational development Quality In health care Biswas, Tuhin Haider, M Moinuddin Gupta, Rajat Das Uddin, Jasim Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: A Cross-sectional survey
description	This article was published in the BMC Nephrology [© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: 10.1136/bmjopen-2018-022817 The Journal's website is at: https://bmjopen.bmj.com/content/8/10/e022817
author2	Brac James P. Grant School of Public Health
author_facet	Brac James P. Grant School of Public Health Biswas, Tuhin Haider, M Moinuddin Gupta, Rajat Das Uddin, Jasim
format	Journal Article
author	Biswas, Tuhin Haider, M Moinuddin Gupta, Rajat Das Uddin, Jasim
author_sort	Biswas, Tuhin
title	Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: A Cross-sectional survey
title_short	Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: A Cross-sectional survey
title_full	Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: A Cross-sectional survey
title_fullStr	Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: A Cross-sectional survey
title_full_unstemmed	Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: A Cross-sectional survey
title_sort	assessing the readiness of health facilities for diabetes and cardiovascular services in bangladesh: a cross-sectional survey
publisher	BMJ Open
publishDate	2022
url	http://hdl.handle.net/10361/16444 http://dx.doi.org/10.1136/bmjopen-2018-022817
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Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: A Cross-sectional survey

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