Exploring the context in which different close-to-community sexual and reproductive health service providers operate in Bangladesh: a qualitative study
This article was published in Human Resources for Health [© 2015 BioMed Central Ltd.] and the definite version is available at: https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-015-0045-z
| Autori principali: | , , , , , , , , |
|---|---|
| Altri autori: | |
| Natura: | Articolo |
| Lingua: | English |
| Pubblicazione: |
© 2015 BioMed Central Ltd.
2016
|
| Soggetti: | |
| Accesso online: | http://hdl.handle.net/10361/7367 http://doi.org/10.1186/s12960-015-0045-z |
| id |
10361-7367 |
|---|---|
| record_format |
dspace |
| spelling |
10361-73672018-03-27T04:58:19Z Exploring the context in which different close-to-community sexual and reproductive health service providers operate in Bangladesh: a qualitative study Mahmud, Ilias Chowdhury, Sadia Ashraf Siddiqi, Bulbul Theobald, Sally Ormel, Hermen Biswas, Salauddin Tauseef Jahangir, Yamin Sarker, Malabika Faiz Rashid, Sabina James P Grant School of Public Health, BRAC University Bangladesh Close-to-community health service providers Informal health service providers Menstrual regulation Sexual and reproductive health This article was published in Human Resources for Health [© 2015 BioMed Central Ltd.] and the definite version is available at: https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-015-0045-z Background: A range of formal and informal close-to-community (CTC) health service providers operate in an increasingly urbanized Bangladesh. Informal CTC health service providers play a key role in Bangladesh's pluralistic health system, yet the reasons for their popularity and their interactions with formal providers and the community are poorly understood. This paper aims to understand the factors shaping poor urban and rural women's choice of service provider for their sexual and reproductive health (SRH)-related problems and the interrelationships between these providers and communities. Building this evidence base is important, as the number and range of CTC providers continue to expand in both urban slums and rural communities in Bangladesh. This has implications for policy and future programme interventions addressing the poor women's SRH needs. Methods: Data was generated through 24 in-depth interviews with menstrual regulation clients, 12 focus group discussions with married men and women in communities and 24 semi-structured interviews with formal and informal CTC SRH service providers. Data was collected between July and September 2013 from three urban slums and one rural site in Dhaka and Sylhet, Bangladesh. Atlas.ti software was used to manage data analysis and coding, and a thematic analysis was undertaken. Results: Poor women living in urban slums and rural areas visit a diverse range of CTC providers for SRH-related problems. Key factors influencing their choice of provider include the following: availability, accessibility, expenses and perceived quality of care, the latter being shaped by notions of trust, respect and familiarity. Informal providers are usually the first point of contact even for those clients who subsequently access SRH services from formal providers. Despite existing informal interactions between both types of providers and a shared understanding that this can be beneficial for clients, there is no effective link or partnership between these providers for referral, coordination and communication regarding SRH services. Conclusion: Training informal CTC providers and developing strategies to enable better links and coordination between this community-embedded cadre and the formal health sector has the potential to reduce service cost and improve availability of quality SRH (and other) care at the community level. Published 2016-12-27T05:03:12Z 2016-12-27T05:03:12Z 2015 Article Mahmud, I., Chowdhury, S., Siddiqi, B. A., Theobald, S., Ormel, H., Biswas, S., . . . Rashid, S. F. (2015). Exploring the context in which different close-to-community sexual and reproductive health service providers operate in bangladesh: A qualitative study. Human Resources for Health, 13(1) doi:10.1186/s12960-015-0045-z 14784491 http://hdl.handle.net/10361/7367 http://doi.org/10.1186/s12960-015-0045-z en https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-015-0045-z © 2015 BioMed Central Ltd. |
| institution |
Brac University |
| collection |
Institutional Repository |
| language |
English |
| topic |
Bangladesh Close-to-community health service providers Informal health service providers Menstrual regulation Sexual and reproductive health |
| spellingShingle |
Bangladesh Close-to-community health service providers Informal health service providers Menstrual regulation Sexual and reproductive health Mahmud, Ilias Chowdhury, Sadia Ashraf Siddiqi, Bulbul Theobald, Sally Ormel, Hermen Biswas, Salauddin Tauseef Jahangir, Yamin Sarker, Malabika Faiz Rashid, Sabina Exploring the context in which different close-to-community sexual and reproductive health service providers operate in Bangladesh: a qualitative study |
| description |
This article was published in Human Resources for Health [© 2015 BioMed Central Ltd.] and the definite version is available at: https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-015-0045-z |
| author2 |
James P Grant School of Public Health, BRAC University |
| author_facet |
James P Grant School of Public Health, BRAC University Mahmud, Ilias Chowdhury, Sadia Ashraf Siddiqi, Bulbul Theobald, Sally Ormel, Hermen Biswas, Salauddin Tauseef Jahangir, Yamin Sarker, Malabika Faiz Rashid, Sabina |
| format |
Article |
| author |
Mahmud, Ilias Chowdhury, Sadia Ashraf Siddiqi, Bulbul Theobald, Sally Ormel, Hermen Biswas, Salauddin Tauseef Jahangir, Yamin Sarker, Malabika Faiz Rashid, Sabina |
| author_sort |
Mahmud, Ilias |
| title |
Exploring the context in which different close-to-community sexual and reproductive health service providers operate in Bangladesh: a qualitative study |
| title_short |
Exploring the context in which different close-to-community sexual and reproductive health service providers operate in Bangladesh: a qualitative study |
| title_full |
Exploring the context in which different close-to-community sexual and reproductive health service providers operate in Bangladesh: a qualitative study |
| title_fullStr |
Exploring the context in which different close-to-community sexual and reproductive health service providers operate in Bangladesh: a qualitative study |
| title_full_unstemmed |
Exploring the context in which different close-to-community sexual and reproductive health service providers operate in Bangladesh: a qualitative study |
| title_sort |
exploring the context in which different close-to-community sexual and reproductive health service providers operate in bangladesh: a qualitative study |
| publisher |
© 2015 BioMed Central Ltd. |
| publishDate |
2016 |
| url |
http://hdl.handle.net/10361/7367 http://doi.org/10.1186/s12960-015-0045-z |
| work_keys_str_mv |
AT mahmudilias exploringthecontextinwhichdifferentclosetocommunitysexualandreproductivehealthserviceprovidersoperateinbangladeshaqualitativestudy AT chowdhurysadia exploringthecontextinwhichdifferentclosetocommunitysexualandreproductivehealthserviceprovidersoperateinbangladeshaqualitativestudy AT ashrafsiddiqibulbul exploringthecontextinwhichdifferentclosetocommunitysexualandreproductivehealthserviceprovidersoperateinbangladeshaqualitativestudy AT theobaldsally exploringthecontextinwhichdifferentclosetocommunitysexualandreproductivehealthserviceprovidersoperateinbangladeshaqualitativestudy AT ormelhermen exploringthecontextinwhichdifferentclosetocommunitysexualandreproductivehealthserviceprovidersoperateinbangladeshaqualitativestudy AT biswassalauddin exploringthecontextinwhichdifferentclosetocommunitysexualandreproductivehealthserviceprovidersoperateinbangladeshaqualitativestudy AT tauseefjahangiryamin exploringthecontextinwhichdifferentclosetocommunitysexualandreproductivehealthserviceprovidersoperateinbangladeshaqualitativestudy AT sarkermalabika exploringthecontextinwhichdifferentclosetocommunitysexualandreproductivehealthserviceprovidersoperateinbangladeshaqualitativestudy AT faizrashidsabina exploringthecontextinwhichdifferentclosetocommunitysexualandreproductivehealthserviceprovidersoperateinbangladeshaqualitativestudy |
| _version_ |
1814308298618306560 |