Implementation status of non-communicable disease control program at primary health care level in Bangladesh: Findings from a qualitative research.
Health systems strengthening
Non-communicable diseases
Primary health care
Journal
Public health in practice (Oxford, England)
ISSN: 2666-5352
Titre abrégé: Public Health Pract (Oxf)
Pays: England
ID NLM: 101774776
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
08
01
2022
revised:
14
04
2022
accepted:
05
05
2022
entrez:
14
9
2022
pubmed:
15
9
2022
medline:
15
9
2022
Statut:
epublish
Résumé
Bangladesh has 67% of estimated deaths caused by non-communicable diseases (NCDs). The country aimed to reduce NCD-related premature deaths by one-third by 2030. This study aimed to explore the overall implementation status of the NCD control program at the primary health care (PHC) level in Bangladesh, explore the challenges, and identify the way forward for better implementation. Qualitative study. Key informant interviews and observations of NCD service delivery at Upazila Health Complexes (UzHC) were conducted. Data were analyzed using framework analysis. NCD is prioritized in policy documents however, implementation remains weak. The operational plan indicators focus mostly on the process, which is hampering the quality of care. The primary health care (PHC) facilities are not yet fully ready to deliver all ranges of NCD care including mental health. The national NCD management protocol for PHC addressed health workforce scarcity through task shifting and team-based care which is yet to be scaled up nationwide. Record-keeping is poor as it is done manually. District health information software (DHIS2) is not yet capturing NCD monthly service provision data and not tracking indicators. Awareness for NCD screening at community clinics, and referral to the NCD corner of UzHC is operational in around 66 Upazilas of 31 districts, which needs to scale up nationwide. NCD management protocol implementation, availability of drugs, diagnostics, electronic database development, updated DHIS2 to track indicators, and engagement of stakeholders to influence public policies on shared risk factors are important to achieve universal primary care for NCDs.
Identifiants
pubmed: 36101774
doi: 10.1016/j.puhip.2022.100271
pii: S2666-5352(22)00047-7
pmc: PMC9461504
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100271Informations de copyright
© 2022 The Authors.
Déclaration de conflit d'intérêts
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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