Evidence map›Paper›PMID 42116108›Full record

ArticleBMC health services research2026

Capacity and service readiness of facilities for non-communicable diseases in Bangladesh: a health system perspective from two selected districts.

Masudur Rahman Kanchon, Md Rakib Akon, Zarin Tasnim, Nahitun Naher, Lamisa Rahman, Nicole Fraser-Hurt, Syed Masud Ahmed

Abstract read
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Masudur Rahman KanchonCentre of Excellence for Health Systems and Universal Health Coverage, BRAC James P Grant School of Public Health, BRAC University, 65, Bir Uttam AK Khandakar Road, Mohakhali, Dhaka, 1212, Bangladesh. mrkanchon18@gmail.com.ORCID http://orcid.org/0009-0000-8322-5798
Md Rakib AkonCentre of Excellence for Health Systems and Universal Health Coverage, BRAC James P Grant School of Public Health, BRAC University, 65, Bir Uttam AK Khandakar Road, Mohakhali, Dhaka, 1212, Bangladesh.ORCID http://orcid.org/0009-0007-3265-5190
Zarin TasnimCentre of Excellence for Health Systems and Universal Health Coverage, BRAC James P Grant School of Public Health, BRAC University, 65, Bir Uttam AK Khandakar Road, Mohakhali, Dhaka, 1212, Bangladesh.ORCID http://orcid.org/0000-0001-8740-6836
Nahitun NaherCentre of Excellence for Health Systems and Universal Health Coverage, BRAC James P Grant School of Public Health, BRAC University, 65, Bir Uttam AK Khandakar Road, Mohakhali, Dhaka, 1212, Bangladesh.ORCID http://orcid.org/0000-0002-7593-8613
Lamisa RahmanCentre of Excellence for Health Systems and Universal Health Coverage, BRAC James P Grant School of Public Health, BRAC University, 65, Bir Uttam AK Khandakar Road, Mohakhali, Dhaka, 1212, Bangladesh.ORCID http://orcid.org/0000-0002-6100-6276
Nicole Fraser-HurtWorld Bank, Washington, DC, USA.ORCID http://orcid.org/0000-0003-3065-8666
Syed Masud AhmedCentre of Excellence for Health Systems and Universal Health Coverage, BRAC James P Grant School of Public Health, BRAC University, 65, Bir Uttam AK Khandakar Road, Mohakhali, Dhaka, 1212, Bangladesh.ORCID http://orcid.org/0000-0001-5032-7181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-communicable diseases (NCDs) are a growing health crisis in Bangladesh and a leading cause of morbidity and mortality. This study assessed the capacity and service readiness of healthcare facilities for the management of NCDs, including hypertension (HTN), diabetes mellitus (DM), and chronic respiratory diseases (CRDs), in two selected districts of Bangladesh.

methodsA cross-sectional study was conducted in 328 public and private health facilities utilising the World Health Organisation's Service Availability and Readiness Assessment manual. The study assessed the facilities' readiness to manage NCDs across four domains: trained staff & guidelines, basic equipment, diagnostics, and essential medicines. A composite mean readiness index (RI) score was calculated using these domains. A facility with a composite RI score of 70% or higher was considered ready to manage NCDs.

resultsA total of 84% (n = 277) of facilities belong to the public sector. District hospitals (DH) and Upazila Health Complexes (UHCs) demonstrated high readiness for HTN (83% and 78%, respectively) and DM (78% and 71%, respectively), surpassing the 70% cutoff. However, no facilities met this criterion for CRDs. The highest RI scores were found for equipment for HTN and DM, and in staff & guidelines for CRDs. In contrast, the lowest RI scores were: medicines for HTN (8% in Union-level Facilities and 3% in Community Clinics (CCs)) and diagnostics for DM (4% and 2% respectively).

conclusionPHC-level health facilities, particularly Union-level Health Facilities and CCs in Bangladesh, are critically underprepared for NCD management, with key deficiencies in staffing, diagnostics, and medicine supply. This necessitates an effective, equity-driven approach to equip both public and private healthcare facilities and improve overall NCD care in the country.

Indexed as

Health FacilitiesNoncommunicable DiseasesBangladeshCross-Sectional StudiesDiabetes MellitusHealth Services AccessibilityHumansHypertensionPublic Health InfrastructureBangladeshChronic respiratory diseasesDiabetes mellitusHypertensionNon-communicable diseasesService Availability and Readiness Assessment (SARA)

Identifiers

PMID42116108
PMCPMC13339452

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LicenceCC BY-NC-ND
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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.