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Learnings From a Pilot Study to Strengthen Primary Health Care Services: The Community-Clinic-Centered Health Service Model in Barishal District, Bangladesh

Md. Eklas Uddin, Joby George, Shamim Jahan, Zubair Shams, Nazmul Haque and Henry B. Perry
Global Health: Science and Practice March 2021, 9(Supplement 1):S179-S189; https://doi.org/10.9745/GHSP-D-20-00466

Figures & Tables

Figures

  • FIGURE 1
    FIGURE 1

    Components of the Community-Clinic-Centered Health Service Model Piloted in Bangladesh

  • FIGURE 2
    FIGURE 2

    Social Map Showing Typical Distribution of Community Group and Community Support Group Members Before and After Reformation of Group Membershipa

    a Each dot refers to the residence location of a group member.

  • FIGURE 3
    FIGURE 3

    Organizational Hierarchy and Relationship Between Local Government and Rural Community Health Service Delivery System, Bangladesh

    Abbreviation: CSG, community support group.

  • FIGURE 4
    FIGURE 4

    Difference in Maternal and Child Health Community Clinic Services Utilization Between the Pre-pilot Period (October 2017–September 2018) and the Community-Clinic-Centered Health Service Model Pilot Period (October 2018–September 2019), Barishal District, Bangladesh

    Abbreviations: ANC, antenatal care; PNC, postnatal care.

  • FIGURE 5
    FIGURE 5

    Difference in Antenatal Care Visits at Community Clinics (%) Between the Pre-pilot Period (October 2017–September 2018) and the Community-Clinic-Centered Health Service Model Pilot Period (October 2018–September 2019), Barishal District, Bangladesh

  • FIGURE 6
    FIGURE 6

    Difference in Referral Cases From Community Clinics Between the Pre-pilot Period (October 2017–September 2018) and the Community-Clinic-Centered Health Service Model Pilot Period (October 2018–September 2019), Barishal District, Bangladesh

Tables

  • TABLE 1.

    Study Intervention and Control Areas of the Community-Clinic-Centered Health Service Model Pilot Intervention, Bangladesh

    Intervention Area DistrictUpazilaUnion ParishadDistrictControl Area UpazilaUnion Parishad
    BarishalBabuganjRahamatpurBarishalAgailjharaGoila
    BakerganjRangashreeRajihar
    GaurnadiMahilaraMuladiCharkalekhan
    BanariparaSoliabagpurKazirchar
    WazirpurBamrailPatuakhaliSadarLaukathi
    SadarRaypasha korapurBorobighai
  • TABLE 2.

    Qualitative Data Collection of the Community-Clinic-Centered Health Service Model Pilot Intervention, Bangladesh

    Type of RespondentRespondents
    Community health worker supervisorsAssistant Health Inspector12 key informant interviews
    Expanded Program on Immunization12 key informant interviews
    Supervisor: nongovernmental organization12 key informant interviews
    Health service managersUpazila Health and Family Planning Officer9 key informant interviews
    Upazila Family Planning Officer9 key informant interviews
    Local government representativeUnion parishad chairman/ Union Parishad Education, Health & Family Planning Standing Committee member12 key informant interviews
    Total66 persons interviewed
    Community representativeCommunity group and community support group member12 focus group discussions (96 total focus group discussion participants)
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Learnings From a Pilot Study to Strengthen Primary Health Care Services: The Community-Clinic-Centered Health Service Model in Barishal District, Bangladesh
Md. Eklas Uddin, Joby George, Shamim Jahan, Zubair Shams, Nazmul Haque, Henry B. Perry
Global Health: Science and Practice Mar 2021, 9 (Supplement 1) S179-S189; DOI: 10.9745/GHSP-D-20-00466
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