COMMUNITY HEALTH CLINIC IN BANGLADESH: AN ASSESSMENT OF THE ESSENTIAL SERVICE PACKAGE (ESP) DELIVERY
Keywords:COMMUNITY HEALTH CLINIC, ESSENTIAL SERVICE PACKAGE
Much improvement is noticed in Bangladesh in some of the health indicators over last decades, but the utilization of health care service in public sector still remains very low. The study was to see the utilization of services provided by Community Clinic, assessing its performance in achieving delivery of Essential Service Package (ESP) and also to see the perception of the community people regarding the quality of services including community participation for its smooth functioning.
The paper is based on research work, which was conducted using primary and secondary data utilizing qualitative and quantitative approach. To collect primary data a cross-sectional study was conducted in the ﬁfty household having children less than 2 years of age in the catchments area of Mirergoan Community Clinic in Gazipur district from February 2012 to August 2012, adopting purposive sampling and utilizing semi structured questionnaire.
Community Clinics were established with a view to cover 80% rural population but except partial immunization coverage (72%) all other services were found behind the target. Perceived quality of health care greatly inﬂuences the utilization. Perception was mostly dependent on availability of drugs and attitude and behaviour of health personnel to the patient. The waiting time, nonavailability of water and lavatory facilities etc in Community Clinic is also found signiﬁcant in building client’s perception.
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Focus Group Discussions (FGD)
FGD-1 with Community Group (Management Body of Community Clinic), at Mirergoan Community Clinic, 06 June 2012.
FGD-2 with Mother of Children < 2 years of age, at Mirergoan Community Clinic, 06 June 2012.
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