Non-communicable disease (NCD) corners in public sector health facilities in Bangladesh: A qualitative study assessing challenges and opportunities for improving NCD services at the primary healthcare level

This article was published in The BMJ Open [ © Author(s) (or their employer(s)) 2019. 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: http://dx.doi.org/10.1136/bmjopen-2019-029562. The Journal's webs...

Full description

Bibliographic Details
Main Authors:	Rawal, Lal B, Kanda, Kie, Biswas, Tuhin, Tanim, Md. Imtiaz, Poudel, Prakash, Renzaho, Andre M N, Abdullah, Abu S, Shariful Islam, Sheikh Mohammed, Ahmed, Syed Masud
Other Authors:	Brac James P. Grant School of Public Health
Format:	Journal Article
Language:	en_US
Published:	BMJ Journals 2022
Subjects:	Health policy Health services administration & management Non-communicable disease Organisation of health services Public health Service delivery
Online Access:	http://hdl.handle.net/10361/16519 http://dx.doi.org/10.1136/bmjopen-2019-029562

id	10361-16519
record_format	dspace
spelling	10361-165192022-04-05T21:01:30Z Non-communicable disease (NCD) corners in public sector health facilities in Bangladesh: A qualitative study assessing challenges and opportunities for improving NCD services at the primary healthcare level Rawal, Lal B Kanda, Kie Biswas, Tuhin Tanim, Md. Imtiaz Poudel, Prakash Renzaho, Andre M N Abdullah, Abu S Shariful Islam, Sheikh Mohammed Ahmed, Syed Masud Brac James P. Grant School of Public Health Health policy Health services administration & management Non-communicable disease Organisation of health services Public health Service delivery This article was published in The BMJ Open [ © Author(s) (or their employer(s)) 2019. 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: http://dx.doi.org/10.1136/bmjopen-2019-029562. The Journal's website is at: https://bmjopen.bmj.com/content/9/10/e029562 Objective To explore healthcare providers’ perspective on non-communicable disease (NCD) prevention and management services provided through the NCD corners in Bangladesh and to examine challenges and opportunities for strengthening NCD services delivery at the primary healthcare level. Design We used a grounded theory approach involving in-depth qualitative interviews with healthcare providers. We also used a health facility observation checklist to assess the NCD corners’ service readiness. Furthermore, a stakeholder meeting with participants from the government, non-government organisations (NGOs), private sector, universities and news media was conducted. Setting Twelve subdistrict health facilities, locally known as upazila health complex (UHC), across four administrative divisions. Participants Participants for the in-depth qualitative interviews were health service providers, namely upazila health and family planning officers (n=4), resident medical officers (n=6), medical doctors (n=4) and civil surgeons (n=1). Participants for the stakeholder meeting were health policy makers, health programme managers, researchers, academicians, NGO workers, private health practitioners and news media reporters. Results Participants reported that diabetes, hypertension and chronic obstructive pulmonary disease were the major NCD-related problems. All participants acknowledged the governments’ initiative to establish the NCD corners to support NCD service delivery. Participants thought the NCD corners have contributed substantially to increase NCD awareness, deliver NCD care and provide referral services. However, participants identified challenges including lack of specific guidelines and standard operating procedures; lack of trained human resources; inadequate laboratory facilities, logistics and medications; and poor recording and reporting systems. Conclusion The initiative taken by the Government of Bangladesh to set up the NCD corners at the primary healthcare level is appreciative. However, the NCD corners are still at nascent stage to provide prevention and management services for common NCDs. These findings need to be taken into consideration while expanding the NCD corners in other UHCs throughout the country Published 2022-04-05T05:05:15Z 2022-04-05T05:05:15Z 2019 2019-10-07 Journal Article Rawal, L. B., Kanda, K., Biswas, T., Tanim, M. I., Poudel, P., Renzaho, A., Abdullah, A. S., Shariful Islam, S. M., & Ahmed, S. M. (2019). Non-communicable disease (NCD) corners in public sector health facilities in Bangladesh: a qualitative study assessing challenges and opportunities for improving NCD services at the primary healthcare level. BMJ open, 9(10), e029562. https://doi.org/10.1136/bmjopen-2019-029562 http://hdl.handle.net/10361/16519 http://dx.doi.org/10.1136/bmjopen-2019-029562 en_US https://bmjopen.bmj.com/content/9/10/e029562 BMJ Open application/pdf BMJ Journals
institution	Brac University
collection	Institutional Repository
language	en_US
topic	Health policy Health services administration & management Non-communicable disease Organisation of health services Public health Service delivery
spellingShingle	Health policy Health services administration & management Non-communicable disease Organisation of health services Public health Service delivery Rawal, Lal B Kanda, Kie Biswas, Tuhin Tanim, Md. Imtiaz Poudel, Prakash Renzaho, Andre M N Abdullah, Abu S Shariful Islam, Sheikh Mohammed Ahmed, Syed Masud Non-communicable disease (NCD) corners in public sector health facilities in Bangladesh: A qualitative study assessing challenges and opportunities for improving NCD services at the primary healthcare level
description	This article was published in The BMJ Open [ © Author(s) (or their employer(s)) 2019. 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: http://dx.doi.org/10.1136/bmjopen-2019-029562. The Journal's website is at: https://bmjopen.bmj.com/content/9/10/e029562
author2	Brac James P. Grant School of Public Health
author_facet	Brac James P. Grant School of Public Health Rawal, Lal B Kanda, Kie Biswas, Tuhin Tanim, Md. Imtiaz Poudel, Prakash Renzaho, Andre M N Abdullah, Abu S Shariful Islam, Sheikh Mohammed Ahmed, Syed Masud
format	Journal Article
author	Rawal, Lal B Kanda, Kie Biswas, Tuhin Tanim, Md. Imtiaz Poudel, Prakash Renzaho, Andre M N Abdullah, Abu S Shariful Islam, Sheikh Mohammed Ahmed, Syed Masud
author_sort	Rawal, Lal B
title	Non-communicable disease (NCD) corners in public sector health facilities in Bangladesh: A qualitative study assessing challenges and opportunities for improving NCD services at the primary healthcare level
title_short	Non-communicable disease (NCD) corners in public sector health facilities in Bangladesh: A qualitative study assessing challenges and opportunities for improving NCD services at the primary healthcare level
title_full	Non-communicable disease (NCD) corners in public sector health facilities in Bangladesh: A qualitative study assessing challenges and opportunities for improving NCD services at the primary healthcare level
title_fullStr	Non-communicable disease (NCD) corners in public sector health facilities in Bangladesh: A qualitative study assessing challenges and opportunities for improving NCD services at the primary healthcare level
title_full_unstemmed	Non-communicable disease (NCD) corners in public sector health facilities in Bangladesh: A qualitative study assessing challenges and opportunities for improving NCD services at the primary healthcare level
title_sort	non-communicable disease (ncd) corners in public sector health facilities in bangladesh: a qualitative study assessing challenges and opportunities for improving ncd services at the primary healthcare level
publisher	BMJ Journals
publishDate	2022
url	http://hdl.handle.net/10361/16519 http://dx.doi.org/10.1136/bmjopen-2019-029562
work_keys_str_mv	AT rawallalb noncommunicablediseasencdcornersinpublicsectorhealthfacilitiesinbangladeshaqualitativestudyassessingchallengesandopportunitiesforimprovingncdservicesattheprimaryhealthcarelevel AT kandakie noncommunicablediseasencdcornersinpublicsectorhealthfacilitiesinbangladeshaqualitativestudyassessingchallengesandopportunitiesforimprovingncdservicesattheprimaryhealthcarelevel AT biswastuhin noncommunicablediseasencdcornersinpublicsectorhealthfacilitiesinbangladeshaqualitativestudyassessingchallengesandopportunitiesforimprovingncdservicesattheprimaryhealthcarelevel AT tanimmdimtiaz noncommunicablediseasencdcornersinpublicsectorhealthfacilitiesinbangladeshaqualitativestudyassessingchallengesandopportunitiesforimprovingncdservicesattheprimaryhealthcarelevel AT poudelprakash noncommunicablediseasencdcornersinpublicsectorhealthfacilitiesinbangladeshaqualitativestudyassessingchallengesandopportunitiesforimprovingncdservicesattheprimaryhealthcarelevel AT renzahoandremn noncommunicablediseasencdcornersinpublicsectorhealthfacilitiesinbangladeshaqualitativestudyassessingchallengesandopportunitiesforimprovingncdservicesattheprimaryhealthcarelevel AT abdullahabus noncommunicablediseasencdcornersinpublicsectorhealthfacilitiesinbangladeshaqualitativestudyassessingchallengesandopportunitiesforimprovingncdservicesattheprimaryhealthcarelevel AT sharifulislamsheikhmohammed noncommunicablediseasencdcornersinpublicsectorhealthfacilitiesinbangladeshaqualitativestudyassessingchallengesandopportunitiesforimprovingncdservicesattheprimaryhealthcarelevel AT ahmedsyedmasud noncommunicablediseasencdcornersinpublicsectorhealthfacilitiesinbangladeshaqualitativestudyassessingchallengesandopportunitiesforimprovingncdservicesattheprimaryhealthcarelevel
_version_	1814308145078468608

Non-communicable disease (NCD) corners in public sector health facilities in Bangladesh: A qualitative study assessing challenges and opportunities for improving NCD services at the primary healthcare level

Similar Items