DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20185229

A field survey on provision of health care service in a community clinic of Bangladesh: a case study of Raicho community clinic

Sowrav Barman, Muhammad Abu Nayeem

Abstract


Background: Community clinics have been restarted in 2009 by government of Bangladesh through a project called “Revitalization of Community Health Care Initiatives in Bangladesh” (RCHCIB) to enhance provision of healthcare services at community level. We have conducted a survey on provision of health care service to recognize the availability and extent of health services provided in a community clinic of Bangladesh.

Methods: 25 respondents who usually receive primary health care service from Raicho community clinic situated in Comilla district of Bangladesh were included in the survey.

Results: The highest number of respondents was male (52%) and the majority of them were literate (96%).36% of study population were included in no income group, whereas 20% belong to rich population group. 32% people presented with fever (32%) followed by weakness (24%) in the community clinic. 32% respondents went to community clinic for him/her and that was the highest. The highest number of people were referred to private clinic (32%). 70% respondents think that women are receiving maternal service in the clinic. 88% respondents have participated in EPI vaccination program. 80% respondents use contraceptive method and majority used contraceptive pill. 68% people received sufficient medicine, whereas 32% respondents did not receive medication from the clinic. 75% respondents think that during working hours CHCP and HA are available in the clinic. 48% population mentioned corruption is the most possible responsible factor for heath service inequalities at grass-root level.

Conclusions: Although standards are lacking in providing services, community clinics have opened a new era in health service of Bangladesh. 


Keywords


Community clinics, Community health care providers, Health service

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References


Community clinic. Community based health care, 2018. Available at: http://www.communityclinic. gov.bd. Accessed 9 September 2018.

Guilbert JJ. The World Health Report 2006: Working Together with Health. Geneva, Switzerland, World Health Organization. Educ Health. 2006;19(3):385-7.

Primary healthcare. Revitalization of community clinics. Chapter 4. Health bulletin 2012. Available at www.dghs.gov.bd/licts_file/Health_Bulletin/...CH/HB2012_CH4_PHC.pdf. Accessed on 9 April 2015.

Normand C, Iftekar MH, Rahman SA. Assessment of the community clinics: effects on service delivery, quality and utilization of services. Health Systems Development Programme, Bangladesh. 2002

Mitra SN, Al-Sabir A, Cross AR, Jamil K. Bangladesh Demographic and Health Survey 1996-1997. Dhaka and Calverton, Maryland: National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International Inc.1997.

Rahman SA, Parkhurst JO, Normand C. Maternal Health Review: Bangladesh. 2003.

Islam MD, Alam HSK, Islam MR. EPI programme: An excellent success for prevention of communicable diseases in Bangladesh. DS (Child) H J. 2010;26(2):113-8.

Bangladesh Demographic and Health Survey 2014. National Institute of Population Research and Training (NIPORT). Dhaka: Ministry of Health and Family Welfare. 2015.

Huda FA, Robertson Y, Chowdhuri S, Sarker BK, Reichenbach L, Somrongthong R. Contraceptive practices among married women of reproductive age in Bangladesh: A review of the evidence. Reprod Health. 2017;14:69.