Training mid-level health cadres to improve health service delivery in rural Bangladesh

This article was published in Primary Health Care Research and Development [© 2016 Cambridge University Press] and the definite version is available at: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1463423616000104

Bibliografiset tiedot
Päätekijät:	Rawal, Lal B., Mahmud, Kawkab, Islam, Sheikh Md. S., Mahumud, Rashidul A., Nuruzaman, Md., M. Ahmed, Syed
Muut tekijät:	James P Grant School of Public Health, BRAC University
Aineistotyyppi:	Artikkeli
Kieli:	English
Julkaistu:	© 2016 Cambridge University Press 2016
Aiheet:	Bangladesh Health cadres Human resources for health Medical assistant training
Linkit:	http://hdl.handle.net/10361/7244 http://doi.org/10.1017/S1463423616000104

id	10361-7244
record_format	dspace
spelling	10361-72442018-03-27T05:18:29Z Training mid-level health cadres to improve health service delivery in rural Bangladesh Rawal, Lal B. Mahmud, Kawkab Islam, Sheikh Md. S. Mahumud, Rashidul A. Nuruzaman, Md. M. Ahmed, Syed James P Grant School of Public Health, BRAC University Bangladesh Health cadres Human resources for health Medical assistant training This article was published in Primary Health Care Research and Development [© 2016 Cambridge University Press] and the definite version is available at: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1463423616000104 Introduction In recent years, the government of Bangladesh has encouraged private sector involvement in producing mid-level health cadres including Medical Assistants (MAs). The number of MAs produced has increased significantly. We assessed students' characteristics, educational services, competencies and perceived attitudes towards health service delivery in rural areas. Methods We used a mixed method approach using quantitative (questionnaire survey) and qualitative (key informant interviews and roundtable discussion) methods. Altogether, five public schools with 238 students and 30 private schools with 732 students were included. Statistical analyses were performed using STATA v-12. Qualitative data were analyzed thematically. Findings The majority of the students in both public (66%) and private medical assistant training schools (MATS) (61%) were from rural backgrounds. They spent the majority of their time in classroom learning (public 45% versus private 42%) and the written essay exam was the common form of a students' performance assessment. Compared with students of public MATS, students of private MATS were more confident in different aspects of educational areas, including managing emerging health needs (P<0.001); evidence-based practice (P=0.002); critical thinking and problem solving (P=0.02), and use of IT/computer skills (P<0.001). Students were aware of not having adequate facilities in rural areas (public 71%, private 65%), but they perceived working in rural areas will offer several benefits, including use of learnt skills; friendly rural people; and opportunities for real-life problem solving, etc. Conclusion This study provides a current picture of MATS students' characteristics, educational services, competencies and perception towards working in rural areas. The MA students in both private and public sectors showed a greater level of willingness to serve in rural health facilities. The results are promising to improve health service delivery, particularly in rural and hard-to-reach areas of Bangladesh. Published 2016-12-14T10:31:26Z 2016-12-14T10:31:26Z 2016 Article Rawal, L. B., Mahmud, K., Islam, S. M. S., Mahumud, R. A., Nuruzaman, M., & Ahmed, S. M. (2016). Training mid-level health cadres to improve health service delivery in rural bangladesh. Primary Health Care Research and Development, 17(5), 503-513. doi:10.1017/S1463423616000104 14634236 http://hdl.handle.net/10361/7244 http://doi.org/10.1017/S1463423616000104 en https://goo.gl/3MUWzy © 2016 Cambridge University Press
institution	Brac University
collection	Institutional Repository
language	English
topic	Bangladesh Health cadres Human resources for health Medical assistant training
spellingShingle	Bangladesh Health cadres Human resources for health Medical assistant training Rawal, Lal B. Mahmud, Kawkab Islam, Sheikh Md. S. Mahumud, Rashidul A. Nuruzaman, Md. M. Ahmed, Syed Training mid-level health cadres to improve health service delivery in rural Bangladesh
description	This article was published in Primary Health Care Research and Development [© 2016 Cambridge University Press] and the definite version is available at: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1463423616000104
author2	James P Grant School of Public Health, BRAC University
author_facet	James P Grant School of Public Health, BRAC University Rawal, Lal B. Mahmud, Kawkab Islam, Sheikh Md. S. Mahumud, Rashidul A. Nuruzaman, Md. M. Ahmed, Syed
format	Article
author	Rawal, Lal B. Mahmud, Kawkab Islam, Sheikh Md. S. Mahumud, Rashidul A. Nuruzaman, Md. M. Ahmed, Syed
author_sort	Rawal, Lal B.
title	Training mid-level health cadres to improve health service delivery in rural Bangladesh
title_short	Training mid-level health cadres to improve health service delivery in rural Bangladesh
title_full	Training mid-level health cadres to improve health service delivery in rural Bangladesh
title_fullStr	Training mid-level health cadres to improve health service delivery in rural Bangladesh
title_full_unstemmed	Training mid-level health cadres to improve health service delivery in rural Bangladesh
title_sort	training mid-level health cadres to improve health service delivery in rural bangladesh
publisher	© 2016 Cambridge University Press
publishDate	2016
url	http://hdl.handle.net/10361/7244 http://doi.org/10.1017/S1463423616000104
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Training mid-level health cadres to improve health service delivery in rural Bangladesh

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