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FIELD ACTION REPORT
Open Access

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
Md. Eklas Uddin
aSave the Children, Dhaka, Bangladesh.
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  • For correspondence: eklas.uddin@savethechildren.org
Joby George
bIndependent consultant, Hargeisa, Somalia.
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Shamim Jahan
aSave the Children, Dhaka, Bangladesh.
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Zubair Shams
aSave the Children, Dhaka, Bangladesh.
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Nazmul Haque
aSave the Children, Dhaka, Bangladesh.
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Henry B. Perry
cJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
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  • FIGURE 1
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    FIGURE 1

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

  • FIGURE 2
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    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
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    FIGURE 3

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

    Abbreviation: CSG, community support group.

  • FIGURE 4
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    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
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    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
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    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

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    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
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    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)

Additional Files

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    • 20-00466-Uddin-Supplement1.pdf
    • 20-00466-Uddin-Supplement2.pdf
    • 20-00466-Uddin-Supplement3.pdf
  • Supplemental material

    • Text s01, DOCX - Text s01, DOCX
    • Text s02, DOCX - Text s02, DOCX
    • Text s03, DOCX - Text s03, DOCX
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Global Health: Science and Practice: 9 (Supplement 1)
Global Health: Science and Practice
Vol. 9, No. Supplement 1
March 15, 2021
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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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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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  • Article
    • ABSTRACT
    • BACKGROUND
    • IMPROVING COMMUNITY HEALTH WORKERS PROJECT
    • THE COMMUNITY-CLINIC-CENTERED HEALTH SERVICE MODEL
    • METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSION
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