Evidence map›Paper›PMID 33131501›Full record

ArticleInternational journal for equity in health2020

Do community scorecards improve utilisation of health services in community clinics: experience from a rural area of Bangladesh.

S M A Hanifi, Aazia Hossain, Asiful Haidar Chowdhury, Shahidul Hoque, Mohammad Abdus Selim, Shehrin Shaila Mahmood, Abbas Bhuiya

Abstract read
In one paragraph

Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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  3. Observational
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

S M A HanifiHealth Systems and Population Studies Division, Universal Health Coverage, icddr,b. 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh. hanifi@icddrb.org.
Aazia HossainHealth Systems and Population Studies Division, Universal Health Coverage, icddr,b. 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh.
Asiful Haidar ChowdhuryHealth Systems and Population Studies Division, Universal Health Coverage, icddr,b. 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh.
Shahidul HoqueHealth Systems and Population Studies Division, Universal Health Coverage, icddr,b. 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh.
Mohammad Abdus SelimHealth Systems and Population Studies Division, Universal Health Coverage, icddr,b. 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh.
Shehrin Shaila MahmoodHealth Systems and Population Studies Division, Universal Health Coverage, icddr,b. 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh.
Abbas BhuiyaSchool of Health Sciences and Social Work, University of Portsmouth, Portsmouth, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe government of Bangladesh initiated community clinics (CC) to extend the reach of public health services and these facilities were planned to be run through community participation. However, utilisation of CC services is still very low. Evidence indicates community score card is an effective tool to increase utilisation of services from health facility through regular interface meeting between service providers and beneficiary. We investigated whether community scorecards (CSC) improve utilisation of health services provided by CCs in rural area of Bangladesh.

methodsThis study was conducted from December 2017 to November 2018. Three intervention and three control CCs were selected from Chakaria, a rural sub-district of Bangladesh. CSC was introduced with the Community Groups and Community Support Groups in intervention CCs between January to October 2018. Data were collected through observation of CCs during operational hours, key informant interviews, focus group discussions, and from DHIS2. Utilisation of CC services was compared between intervention and control areas, pre and post CSC intervention.

resultsPost CSC intervention, community awareness about CC services, utilisation of clinic operational hours, and accountability of healthcare providers have increased in the intervention CCs. Utilisation of primary healthcare services including family planning services, antenatal care, postnatal care and basic health services have significantly improved in intervention CCs.

conclusionCSC is an effective tool to increase the service utilization provided by CCs by ensuring community awareness and participation, and service providers' accountability. Policy makers and concerned authorities may take necessary steps to integrate community scorecard in the health system by incorporating it in CCs.

Indexed as

Community ParticipationAdolescentAdultAmbulatory Care FacilitiesBangladeshFacilities and Services UtilizationFemaleHumansMaleMiddle AgedPregnancyRural Health ServicesSocial ResponsibilityYoung AdultCommunity clinicCommunity participationCommunity scorecardService utilisation

Identifiers

PMID33131501
PMCPMC7604960

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.