ArticleBMJ open2018
Assessing the readiness of health facilities for diabetes and cardiovascular services in Bangladesh: a cross-sectional survey.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Exploring barriers and enablers to diabetes self-care practice in Ethiopia, 2025: A qualitative systematic review.PloS one · 2026Pooled it
- Diabetes mellitus service preparedness and availability: a systematic review and meta-analysis.Frontiers in endocrinology · 2024Pooled it
- Health system readiness for non-communicable diseases at the primary care level: a systematic review.BMJ open · 2022Pooled it
- The readiness of primary healthcare facilities to address non-communicable diseases in rural Bangladesh.BMC health services research · 2026Article
- Specific service readiness for sick child health services and its relationship with quality of care and user experience in eight low-and middle-income countries.BMC health services research · 2026Article
- Capacity and service readiness of facilities for non-communicable diseases in Bangladesh: a health system perspective from two selected districts.BMC health services research · 2026Article
- From silos to synergy: assessing tuberculosis basic management units readiness for integrated diabetes mellitus care across different districts of Pakistan.Primary health care research & development · 2026Article
- How prepared are urban primary care facilities to manage hypertension and type 2 diabetes in Dhaka, Bangladesh? A cross-sectional descriptive study of government urban dispensaries and NGO clinics.BMC primary care · 2026Article
- Prevalence and correlates of health care utilization for non-communicable diseases in Bangladesh.BMC health services research · 2025Article
- A Readiness Level Assessment of Healthcare Facilities in the Democratic Republic of Congo for the Management of Cardiovascular Disease and Diabetes.Journal of clinical medicine · 2025Article
- Article
- Barriers and facilitators to primary care for people living with HIV and diabetes in Harare.African journal of primary health care & family medicine · 2024Article
- Readiness for non-communicable disease service delivery in Ethiopia: an empirical analysis.BMC health services research · 2024Article
- Article
- Article
- An analysis of health facility services readiness for non-communicable diseases in 8 LMICs in the universal health coverage era.Health promotion perspectives · 2024Article
- The burden of diseases and risk factors in Bangladesh, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.The Lancet. Global health · 2023Article
- Stochastic frontier approach to efficiency analysis of health facilities in providing services for non-communicable diseases in eight LMICs.International health · 2023Article
- A small area model to assess temporal trends and sub-national disparities in healthcare quality.Nature communications · 2023Article
- Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective of this study was to assess the readiness of health facilities for diabetes and cardiovascular services in Bangladesh.
designThis study was a cross-sectional survey.
settingThis study used data from a nationwide Bangladesh Health Facility Survey conducted by the Ministry of Health and Social Welfare in 2014.
participantsA total of 319 health facilities delivering services focused on diabetes and cardiovascular diseases (CVD) were included in the survey. Some of these facilities were run by the public sector while others were managed by the private sector and non-governmental organisations. It was a mix of primary and secondary care facilities. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was readiness of health facilities for diabetes and cardiovascular services. We analysed relevant data following the Service Availability and Readiness Assessment manual of the WHO to assess the readiness of selected health facilities towards services for diabetes and CVD.
results58% and 24.1% of the facilities had diagnosis and treatment services for diabetes and CVD, respectively. Shortage of trained staff (18.8% and 14.7%) and lack of adequate medicine supply (23.5% and 43.9%) were identified to be factors responsible for inadequate services for diabetes and CVD. Among the facilities that offer services for diabetes and CVD, only 0.4% and 0.9% had all the four service readiness factors (guideline, trained staff, equipment and medicine).
conclusionsThe study suggests that health facilities suffered from numerous drawbacks, such as shortage of trained staff and required medicine. Most importantly, they lack effective guidelines on the diagnosis and treatment for diabetes and CVD. It is, therefore, essential now to ensure that there are trained staff, adequate medicine supply, and appropriate guidelines on the diagnosis and treatment for diabetes and CVD in Bangladesh.
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