Perceptions of appropriate treatment among the informal allopathic providers: Insights from a qualitative study in two peri-urban areas in Bangladesh
This article was published in the BMC Health Services Research [© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)] and the definite version is available at: https:/...
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2022
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| Онлайн доступ: | http://hdl.handle.net/10361/16498 https://doi.org/10.1186/s12913-019-4254-3 |
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10361-164982022-03-31T21:01:29Z Perceptions of appropriate treatment among the informal allopathic providers: Insights from a qualitative study in two peri-urban areas in Bangladesh Sizear, M. Monaemul Islam Nababan, Herfina Y. Bin Siddique, Md. Kaoser Islam, Shariful Paul, Sukanta Paul, Anup Kumar Ahmed, Syed Masud Brac James P. Grant School of Public Health Informal providers Private sector for health Health service delivery Appropriate treatment Patient safety This article was published in the BMC Health Services Research [© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)] and the definite version is available at: https://doi.org/10.1186/s12913-019-4254-3 The Journal's website is at: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4254-3#citeas Background: How the informal providers deliver health services are not well understood in Bangladesh. However, their practices are often considered inappropriate and unsafe. This study attempted to fill-in this knowledge gap by exploring their perceptions about diagnosis and appropriate treatment, as well as identifying existing barriers to provide appropriate treatment. Methods: This exploratory study was conducted in two peri-urban areas of metropolitan Dhaka. Study participants were selected purposively, and an interview guideline was used to collect in-depth data from thirteen providers. Content analysis was applied through data immersion and themes identification, including coding and sub-coding, as well as data display matrix creation to draw conclusion. Results: The providers relied mainly on the history and presenting symptoms for diagnosis. Information and guidelines provided by the pharmaceutical representatives were important aids in their diagnosis and treatment decision making. Lack of training, diagnostic tools and medicine, along with consumer demands for certain medicine i.e. antibiotics, were cited as barriers to deliver appropriate care. Effective and supportive supervision, training, patient education, and availability of diagnostics and guidelines in Bangla were considered necessary in overcoming these barriers. Conclusion: Informal providers lack the knowledge and skills for delivering appropriate treatment and care. As they provide health services for substantial proportion of the population, it’s crucial that policy makers become cognizant of the fact and take measures to remedy them. This is even more urgent if government’s goal to reach universal health coverage by 2030 is to be achieved. Published 2022-03-31T06:04:40Z 2022-03-31T06:04:40Z 2019 2019-06-26 Journal Article Sizear, M. M. I., Nababan, H. Y., Siddique, M. K. B., Islam, S., Paul, S., Paul, A. K., & Ahmed, S. M. (2019). Perceptions of appropriate treatment among the informal allopathic providers: Insights from a qualitative study in two peri-urban areas in bangladesh. BMC Health Services Research, 19(1) doi:10.1186/s12913-019-4254-3 http://hdl.handle.net/10361/16498 https://doi.org/10.1186/s12913-019-4254-3 en_US https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4254-3#citeas BMC Health Services Research application/pdf BMC |
| institution |
Brac University |
| collection |
Institutional Repository |
| language |
en_US |
| topic |
Informal providers Private sector for health Health service delivery Appropriate treatment Patient safety |
| spellingShingle |
Informal providers Private sector for health Health service delivery Appropriate treatment Patient safety Sizear, M. Monaemul Islam Nababan, Herfina Y. Bin Siddique, Md. Kaoser Islam, Shariful Paul, Sukanta Paul, Anup Kumar Ahmed, Syed Masud Perceptions of appropriate treatment among the informal allopathic providers: Insights from a qualitative study in two peri-urban areas in Bangladesh |
| description |
This article was published in the BMC Health Services Research [© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)] and the definite version is available at: https://doi.org/10.1186/s12913-019-4254-3 The Journal's website is at: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4254-3#citeas |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Sizear, M. Monaemul Islam Nababan, Herfina Y. Bin Siddique, Md. Kaoser Islam, Shariful Paul, Sukanta Paul, Anup Kumar Ahmed, Syed Masud |
| format |
Journal Article |
| author |
Sizear, M. Monaemul Islam Nababan, Herfina Y. Bin Siddique, Md. Kaoser Islam, Shariful Paul, Sukanta Paul, Anup Kumar Ahmed, Syed Masud |
| author_sort |
Sizear, M. Monaemul Islam |
| title |
Perceptions of appropriate treatment among the informal allopathic providers: Insights from a qualitative study in two peri-urban areas in Bangladesh |
| title_short |
Perceptions of appropriate treatment among the informal allopathic providers: Insights from a qualitative study in two peri-urban areas in Bangladesh |
| title_full |
Perceptions of appropriate treatment among the informal allopathic providers: Insights from a qualitative study in two peri-urban areas in Bangladesh |
| title_fullStr |
Perceptions of appropriate treatment among the informal allopathic providers: Insights from a qualitative study in two peri-urban areas in Bangladesh |
| title_full_unstemmed |
Perceptions of appropriate treatment among the informal allopathic providers: Insights from a qualitative study in two peri-urban areas in Bangladesh |
| title_sort |
perceptions of appropriate treatment among the informal allopathic providers: insights from a qualitative study in two peri-urban areas in bangladesh |
| publisher |
BMC |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16498 https://doi.org/10.1186/s12913-019-4254-3 |
| work_keys_str_mv |
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