ArticleBMC primary care2023
The capacity of primary healthcare facilities in Bangladesh to prevent and control non-communicable diseases.
Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effect of family doctor contract services on non-communicable disease management among the elderly: a systematic review and meta-analysis.Frontiers in health services · 2025Pooled it
- Diabetes mellitus service preparedness and availability: a systematic review and meta-analysis.Frontiers in endocrinology · 2024Pooled it
- Integration of Cardiovascular Disease Services within Primary Health Care Systems: Insights from South Asia.Current atherosclerosis reports · 2026Review
- Determinants of Patient Satisfaction With Primary Health Care Among the Rural Community People: A Cross-Sectional Evidence From Khulna Division, Bangladesh.Health science reports · 2026Article
- The readiness of primary healthcare facilities to address non-communicable diseases in rural Bangladesh.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
- Challenges in non-communicable disease management at primary healthcare facilities in rural Bangladesh: a cross-sectional mixed-methods study of patient non-retention and system readiness.BMC health services research · 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
- Primary healthcare system readiness for the prevention and management of non-communicable diseases in Nepal.Discover public health · 2026Article
- Article
- Prevalence and correlates of health care utilization for non-communicable diseases in Bangladesh.BMC health services research · 2025Article
- Physicians' Perspectives Regarding Informal Health Practitioners in Bangladesh.The American journal of tropical medicine and hygiene · 2025Article
- Barriers to contraceptive use among people living with diabetes and/or hypertension: a qualitative study.BMC public health · 2025Article
- Article
- A quantitative assessment of current practice in diabetes and hypertension services in pharmacies in urban Nepal.PloS one · 2025Article
- Healthcare services access challenges and determinants among persons with disabilities in Bangladesh.Scientific reports · 2024Article
- The Enterics for Global Health (EFGH)Open forum infectious diseases · 2024Article
- Article
- Article
- Challenges and Strategies in Conducting Population Health Research during the COVID-19 Pandemic: Experience from a Nationwide Mixed-Methods Study in Bangladesh.International journal of environmental research and public health · 2023Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundThe rapid rise of non-communicable diseases (NCDs) has become a significant public health concern in Bangladesh. This study assesses the readiness of primary healthcare facilities to manage the following NCDs: diabetes mellitus (DM), cervical cancer, chronic respiratory diseases (CRIs), and cardiovascular diseases (CVDs).
methodsA cross-sectional survey was conducted between May 2021 and October 2021 among 126 public and private primary healthcare facilities (nine Upazila health complexes (UHCs), 36 union-level facilities (ULFs), 53 community clinics (CCs), and 28 private hospitals/clinics). The NCD-specific service readiness was assessed using the World Health Organization's (WHO) Service Availability and Readiness Assessment (SARA) reference manual. The facilities' readiness was assessed using the following four domains: guidelines and staff, basic equipment, diagnostic facility, and essential medicine. The mean readiness index (RI) score for each domain was calculated. Facilities with RI scores of above 70% were considered 'ready' to manage NCDs.
resultsThe general services availability ranged between 47% for CCs and 83% for UHCs and the guidelines and staff accessibility were the highest for DM in the UHCs (72%); however, cervical cancer services were unavailable in the ULFs and CCs. The availability of basic equipment was the highest for cervical cancer (100%) in the UHCs and the lowest for DM (24%) in the ULFs. The essential medicine for CRI was 100% in both UHCs and ULFs compared to 25% in private facilities. The diagnostic capacity for CVD and essential medicine for cervical cancer was unavailable at all levels of public and private healthcare facilities. The overall mean RI for each of the four NCDs was below the cut-off value of 70%, with the highest (65%) for CRI in UHCs but unavailable for cervical cancer in CCs.
conclusionAll levels of primary healthcare facilities are currently not ready to manage NCDs. The notable deficits were the shortage of trained staff and guidelines, diagnostic facilities, and essential medicine. This study recommends increasing service availability to address the rising burden of NCDs at primary healthcare levels in Bangladesh.
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