ArticleBMC health services research2022
Disability-friendly healthcare at public health facilities in Bangladesh: a mixed-method study to explore the existing situation.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed.
- Are primary healthcare facilities in Ethiopia complying with accessibility standards for disability-inclusion? an accessibility audit in Bahir Dar City.BMC health services research · 2026Article
- Experiences of women with disabilities accessing maternal and newborn health services in Mogadishu, Somalia.Reproductive health · 2026Article
- Article
- Adapting and pilot testing a tool to assess the accessibility of primary health facilities for people with disabilities in Luuka District, Uganda.International journal for equity in health · 2024Article
- "Nothing about us, without us": stakeholders perceptions on strategies to improve persons with disabilities' sexual and reproductive health outcomes in Ghana.International journal for equity in health · 2024Article
- Patient satisfaction with quality of care at out-patient departments in selected health facilities in Kumasi, Ghana.BMC health services research · 2024Article
- Healthcare services access challenges and determinants among persons with disabilities in Bangladesh.Scientific reports · 2024Article
- Effects of disability on adverse health outcomes and anthropometric deficits among under-five children in South Asian countries: evidence from multiple indicator cluster surveys.The Lancet regional health. Southeast Asia · 2024Article
- Prevalence and patterns of comorbidities in people with disabilities and their associated socio-demographic factors.Scientific reports · 2024Article
- Health-related quality of life in post-stroke patients attended at tertiary-level hospitals in Bangladesh.Frontiers in stroke · 2024Article
- Inequalities changes in health services utilization among middle-aged and older adult disabled people in China: based on CHARLS 2011-2018.Frontiers in public health · 2024Article
- Working conditions of the clinical health workforce in the public health facilities in Bangladesh.PloS one · 2023Article
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8 authors.
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Abstract
backgroundSeveral strategies and policies are being implemented in Bangladesh to address the healthcare needs of people with disabilities, who comprise about 10% of the country's total population. However, these measures are not adequate to provide accessible or friendly healthcare to the people with disabilities. This study aimed to explore the disability-friendliness of healthcare facilities, and the challenges of people with disabilities in terms of access to 1) information and communication, 2) access to infrastructure, and 3) providers' capacity in Bangladesh.
methodsAn explanatory sequential mixed-method study was conducted, including a cross-sectional survey of healthcare facilities, followed by structured-interview with people with disabilities and healthcare managers, and qualitative interviews among people with disabilities or their caregivers, healthcare providers (HCPs), policymakers, and community leaders. Data were collected from 150 public healthcare (primary-to-tertiary) facilities and from 300 people with disabilities in 16 districts across Bangladesh between January-December 2019. An observational checklist and structured questionnaires were used to assess the situation of healthcare facilities, and literature-guided guidelines were used for qualitative interviews. During analysis, the disability-friendliness of healthcare facilities were quantified through a scoring system, and thematic analysis of qualitative data was performed to identify the challenges of implementing disability-friendly healthcare (DFHC).
resultsThe score for providing DFHC was low across all the four objectives in the healthcare facilities. The highest score (mean percentage) was observed in the infrastructure domain: 29.3 ± 20.5, followed by communication: 18.2 ± 4.8, and information: 14.6 ± 6.22, and the lowest (0.93 ± 7.1) score was for capacity of the HCPs to provide DFHC. Mean percentage scores for access to 13 infrastructure points were low, and extremely low scores were found in areas such as access to elevators (5.6 ± 5.0), ticket counters (7.3 ± 17.7) and toilets (10.6 ± 9.3). Furthermore, about 59.1% of people with disabilities expressed dissatisfaction regarding access to information and communication. The majority (98.2%) recommended that training of HCPs can improve the situation.
conclusionThis study revealed that most of the public health facilities in Bangladesh were not disability-friendly. Findings can inform development of a national disability-friendly policy with implementation guidelines.
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