ArticleInternational journal of qualitative studies on health and well-being2026
Implementation challenges for achieving universal health coverage through social health protection scheme: what can we learn from Bangladesh?
Article in International journal of qualitative studies on health and well-being, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Bangladesh, households experience high out-of-pocket healthcare expenditure, with below-poverty-line population being disproportionately affected. To reduce financial hardship, the government piloted a social health protection scheme targeting poor households in selected sub-districts. This study examined the implementation barriers of the scheme.
methodA mixed-methods design was applied. Quantitative data were collected through survey of enrolled households (
resultsHousehold survey indicated low service utilization (16.1%) among cardholders. Awareness of specific benefits was also limited, with only 19.1 percent aware of free diagnostics and 9.4 percent aware of free referrals. Qualitative findings confirmed these demand-side barriers, highlighting inadequate knowledge of beneficiaries, dissatisfaction with care quality, and negligence in service delivery. Key supply-side challenges included staff shortages, low provider motivation, and delays in claim settlement. The absence of outpatient coverage emerged as a common concern across stakeholders. At the ecosystem level, weak local-level coordination and rigid public financial rules further hindered implementation.
conclusionImplementation challenges were largely systemic, reflecting misalignment between program design and operational realities. Addressing these challenges is essential to ensure the success of future initiatives in Bangladesh and comparable settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.