Cargando…
Implementation status of non-communicable disease control program at primary health care level in Bangladesh: Findings from a qualitative research
OBJECTIVE: Bangladesh has 67% of estimated deaths caused by non-communicable diseases (NCDs). The country aimed to reduce NCD-related premature deaths by one-third by 2030. This study aimed to explore the overall implementation status of the NCD control program at the primary health care (PHC) level...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9461504/ https://www.ncbi.nlm.nih.gov/pubmed/36101774 http://dx.doi.org/10.1016/j.puhip.2022.100271 |
_version_ | 1784786983862665216 |
---|---|
author | Islam, Khaleda Huque, Rumana Saif-Ur-Rahman, K.M. Ehtesham Kabir, A.N.M. Enayet Hussain, A.H.M. |
author_facet | Islam, Khaleda Huque, Rumana Saif-Ur-Rahman, K.M. Ehtesham Kabir, A.N.M. Enayet Hussain, A.H.M. |
author_sort | Islam, Khaleda |
collection | PubMed |
description | OBJECTIVE: Bangladesh has 67% of estimated deaths caused by non-communicable diseases (NCDs). The country aimed to reduce NCD-related premature deaths by one-third by 2030. This study aimed to explore the overall implementation status of the NCD control program at the primary health care (PHC) level in Bangladesh, explore the challenges, and identify the way forward for better implementation. STUDY DESIGN: Qualitative study. METHODS: Key informant interviews and observations of NCD service delivery at Upazila Health Complexes (UzHC) were conducted. Data were analyzed using framework analysis. RESULTS: NCD is prioritized in policy documents however, implementation remains weak. The operational plan indicators focus mostly on the process, which is hampering the quality of care. The primary health care (PHC) facilities are not yet fully ready to deliver all ranges of NCD care including mental health. The national NCD management protocol for PHC addressed health workforce scarcity through task shifting and team-based care which is yet to be scaled up nationwide. Record-keeping is poor as it is done manually. District health information software (DHIS2) is not yet capturing NCD monthly service provision data and not tracking indicators. Awareness for NCD screening at community clinics, and referral to the NCD corner of UzHC is operational in around 66 Upazilas of 31 districts, which needs to scale up nationwide. CONCLUSIONS: NCD management protocol implementation, availability of drugs, diagnostics, electronic database development, updated DHIS2 to track indicators, and engagement of stakeholders to influence public policies on shared risk factors are important to achieve universal primary care for NCDs. |
format | Online Article Text |
id | pubmed-9461504 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94615042022-09-12 Implementation status of non-communicable disease control program at primary health care level in Bangladesh: Findings from a qualitative research Islam, Khaleda Huque, Rumana Saif-Ur-Rahman, K.M. Ehtesham Kabir, A.N.M. Enayet Hussain, A.H.M. Public Health Pract (Oxf) Original Research OBJECTIVE: Bangladesh has 67% of estimated deaths caused by non-communicable diseases (NCDs). The country aimed to reduce NCD-related premature deaths by one-third by 2030. This study aimed to explore the overall implementation status of the NCD control program at the primary health care (PHC) level in Bangladesh, explore the challenges, and identify the way forward for better implementation. STUDY DESIGN: Qualitative study. METHODS: Key informant interviews and observations of NCD service delivery at Upazila Health Complexes (UzHC) were conducted. Data were analyzed using framework analysis. RESULTS: NCD is prioritized in policy documents however, implementation remains weak. The operational plan indicators focus mostly on the process, which is hampering the quality of care. The primary health care (PHC) facilities are not yet fully ready to deliver all ranges of NCD care including mental health. The national NCD management protocol for PHC addressed health workforce scarcity through task shifting and team-based care which is yet to be scaled up nationwide. Record-keeping is poor as it is done manually. District health information software (DHIS2) is not yet capturing NCD monthly service provision data and not tracking indicators. Awareness for NCD screening at community clinics, and referral to the NCD corner of UzHC is operational in around 66 Upazilas of 31 districts, which needs to scale up nationwide. CONCLUSIONS: NCD management protocol implementation, availability of drugs, diagnostics, electronic database development, updated DHIS2 to track indicators, and engagement of stakeholders to influence public policies on shared risk factors are important to achieve universal primary care for NCDs. Elsevier 2022-05-10 /pmc/articles/PMC9461504/ /pubmed/36101774 http://dx.doi.org/10.1016/j.puhip.2022.100271 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Islam, Khaleda Huque, Rumana Saif-Ur-Rahman, K.M. Ehtesham Kabir, A.N.M. Enayet Hussain, A.H.M. Implementation status of non-communicable disease control program at primary health care level in Bangladesh: Findings from a qualitative research |
title | Implementation status of non-communicable disease control program at primary health care level in Bangladesh: Findings from a qualitative research |
title_full | Implementation status of non-communicable disease control program at primary health care level in Bangladesh: Findings from a qualitative research |
title_fullStr | Implementation status of non-communicable disease control program at primary health care level in Bangladesh: Findings from a qualitative research |
title_full_unstemmed | Implementation status of non-communicable disease control program at primary health care level in Bangladesh: Findings from a qualitative research |
title_short | Implementation status of non-communicable disease control program at primary health care level in Bangladesh: Findings from a qualitative research |
title_sort | implementation status of non-communicable disease control program at primary health care level in bangladesh: findings from a qualitative research |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9461504/ https://www.ncbi.nlm.nih.gov/pubmed/36101774 http://dx.doi.org/10.1016/j.puhip.2022.100271 |
work_keys_str_mv | AT islamkhaleda implementationstatusofnoncommunicablediseasecontrolprogramatprimaryhealthcarelevelinbangladeshfindingsfromaqualitativeresearch AT huquerumana implementationstatusofnoncommunicablediseasecontrolprogramatprimaryhealthcarelevelinbangladeshfindingsfromaqualitativeresearch AT saifurrahmankm implementationstatusofnoncommunicablediseasecontrolprogramatprimaryhealthcarelevelinbangladeshfindingsfromaqualitativeresearch AT ehteshamkabiranm implementationstatusofnoncommunicablediseasecontrolprogramatprimaryhealthcarelevelinbangladeshfindingsfromaqualitativeresearch AT enayethussainahm implementationstatusofnoncommunicablediseasecontrolprogramatprimaryhealthcarelevelinbangladeshfindingsfromaqualitativeresearch |