The Power of Culture in Selecting Health Care Providers in Rural Bangladesh: An Ethno Scientific Analysis

2007 ◽  
pp. 35-53
Author(s):  
Azizur R. Molla
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Rural Bangladesh ◽  
Scientific Analysis

scholarly journals Cancer related knowledge, attitude, and practice among community health care providers and health assistants in rural Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nazirum Mubin ◽  
Redwan Bin Abdul Baten ◽  
Sayeeda Jahan ◽  
Fatema Tuz Zohora ◽  
Naim Mahmud Chowdhury ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Providers ◽  
Rural Areas ◽  
Cancer Control ◽  
Community Health Care ◽  
Care Providers ◽  
Rural Bangladesh ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Abstract Background Cancer remains one of the primary causes of death in Bangladesh. The success of cancer control in rural areas depends on the ability of the health care system and workforce to identify and manage cases properly at early stages. Community Health Workers (CHW) can play a vital role in this process. The present study aims to assess cancer related Knowledge, Attitude, and Practice (KAP) among 2 categories of CHWs - Community Health Care Providers (CHCP) and Health Assistants (HA) in rural Bangladesh. Methods A descriptive cross-sectional study was conducted using a self-administered questionnaire from July 2019 to June 2020. Multi-stage sampling technique was used to determine the sample. One Upazilla Health Complex (UHC) from each of the eight administrative divisions of Bangladesh were randomly chosen as study sites, from which 325 CHCPs and HAs were in the final sample. Multivariate logistic regression models were developed to determine the association between KAP scores and demographic variables. Results Our study shows that a modest number of respondents scored above average in the knowledge (54.15%), attitude (58.15%), and practice (65.54%) sections. Majority CHCPs (90.91%) and HAs (96.06%) did not receive govt. training on cancer. Only 20.71% HAs and 25.2% CHCPs knew about the availability of cancer treatment options in Bangladesh. Uncertainty about the availability of relevant treatments or vaccinations at public facilities was also high. Having cancer in the family, income, duration of employment and workplace locations were important predictors of cancer related KAP scores. Conclusion Healthcare workforce’s knowledge gap and unfavorable attitude towards cancer may result in poor delivery of care at the rural level. For many people in rural areas, CHCPs and HAs are the first point of contact with the healthcare system and thus effective cancer control strategies must consider them as key stakeholders. Targeted training programs must be adopted to address the cancer related KAP gaps among CHCPs and HAs.

scholarly journals Dynamics of Health Care Seeking Behaviour of Elderly People in Rural Bangladesh

2006 ◽  
Vol 1 (1) ◽  
pp. 69-89 ◽  
Author(s):  
Priti Biswas ◽  
Zarina Nahar Kabir ◽  
Jan Nilsson ◽  
Shahaduz Zaman
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Health Care Providers ◽  
Elderly Persons ◽  
Care Seeking ◽  
Care Providers ◽  
Health Seeking Behaviour ◽  
Contributing Factors ◽  
Health Seeking ◽  
Rural Bangladesh

Bangladesh is projected to experience a doubling of its elderly population from the current level of 7 million to 14 million by the end of the next decade. Drawing upon qualitative evidence from rural Bangladesh, this article focuses on coping strategies in cases of illness of elderly people and the contributing factors in determining the health-seeking behaviour of elderly persons. The sample for this study consisted of elderly men and women aged 60 years or older and their caregivers. Nine focus group discussions and 30 in-depth interviews were conducted. Findings indicate that old age and ill-health are perceived to be inseparable entities. Seeking health care from a formally qualified doctor is avoided due to high costs. Familiarity and accessibility of health care providers play important roles in health-seeking behaviour of elderly persons. Flexibility of health care providers in receiving payment is a crucial deciding factor of whether or not to seek treatment, and even the type of treatment sought.

POLICY OPTIONS FOR INCREASING UTILIZATION OF COMMUNITY CLINIC SERVICES: A STUDY IN RURAL BANGLADESH

2021 ◽  
Vol 9 (1) ◽  
pp. 73-90
Author(s):  
Tahmina Sultana
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Service Providers ◽  
Policy Options ◽  
Care Providers ◽  
Community Clinic ◽  
Rural Bangladesh ◽  
Directorate General ◽  
Document Review ◽  
Policy Elites

This paper aims to identify the problems of Community Clinic (CC) services in rural Bangladesh and to provide some policy options to increase the utilization. Here qualitative methods have been used, including document review, observation, fact check and key informant interviews with policy elites. Among those, the option relating to the absenteeism of health care providers at CC, scored the highest total value of 2.7 in multi criteria analysis as well as viable in PESTLE analy-sis. Therefore, the recommended option is introduction of biometric system at the CCs. This system is necessary in the CCs to ensure timely presence of the service providers to promote quality and safety in health care towards healthy communities. This system will also assist in implementing the plan of Digital Bangladesh by directly connecting the CCs with the main serv-er of Management Information System of Directorate General of Health Services.

scholarly journals Beliefs, Practices, and Advice Received on Nutrition and Health During Pregnancy: Qualitative Reports from Pregnant Women in Rural Bangladesh (P10-021-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Preyanka Nath ◽  
Kendra Byrd ◽  
Jyoti Das ◽  
Afsana Sharmin ◽  
Ruhul Amin ◽  
...  
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Fruits And Vegetables ◽  
Health Workers ◽  
Group Discussion ◽  
Family Members ◽  
Care Providers ◽  
Rural Bangladesh

Abstract Objectives Many Bangladeshi women consume a diet that is low in nutrients, and in addition do not gain enough weight during pregnancy. We sought out to identify practices and perceptions that act as barriers to consuming both enough food and nutrient-dense foods during the pregnancy period. We also asked women where they received support and information regarding their pregnancy. Methods We randomly selected households in two villages of the Kishorganj district in rural Bangladesh and conducted purposive sampling to identify households with currently pregnant women. Women were invited to a central location to attend a focus group discussion (FGD) in a small group of other pregnant women. Discussion guides were created based on barriers to healthy eating that had been documented in the literature in similar settings. All interviews were conducted in Bengali with a trained field staff. Interviews were recorded and transcribed in Bengali. Data reduction was achieved by using an analytic questionnaire. Results Four focus group discussions were carried out with 40 pregnant women, of which the average age was 24 years. Data collection was done during the month of May 2017. Some women reported that they increased their food consumption during pregnancy, while others reported that they had trouble consuming enough food as fatigue and nausea decreased their desire to eat. Regardless of amount, most women reported consumption patterns of rice and vegetables daily, fish weekly, and meat fortnightly. However, many women reported the avoidance of certain foods such as specific fish, fruits, and vegetables according to the advice from the family members and/or health care providers. Additionally, we uncovered some knowledge gaps regarding recommended weight gain during pregnancy. Family members, neighbors, and health workers were found as part of the support system for pregnant women. Conclusions Women overall have many positive dietary practices in this region of rural Bangladesh, but there is potential to increase both the quality and quantity with additional community-wide sensitization on nutrition. Community health programs may consider incorporating more messages on nutrition during pregnancy for all family members and rural health care providers. Funding Sources Bill & Melinda Gates Foundation.

scholarly journals Cancer Related Knowledge, Attitude, and Practice Among Community Health Care Providers and Health Assistants in Rural Bangladesh

2020 ◽  
Author(s):  
Nazirum Mubin ◽  
Redwan Bin Abdul Baten ◽  
Sayeeda Jahan ◽  
Fatema Tuz Zohora ◽  
Naim Chowdhury ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Providers ◽  
Rural Areas ◽  
Cancer Control ◽  
Community Health Care ◽  
Care Providers ◽  
Rural Bangladesh ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Abstract Background: Cancer remains one of the primary causes of death in Bangladesh. The success of cancer control in rural areas depends on the ability of the health care system and workforce to identify and manage cases properly at early stages. Community Health Workers (CHW) can play a vital role in this process. The present study aims to assess cancer related Knowledge, Attitude, and Practice (KAP) among 2 categories of CHWs - Community Health Care Providers (CHCP) and Health Assistants (HA) in rural Bangladesh. Methods: A descriptive cross-sectional study was conducted using a self-administered questionnaire from July 2019 to June 2020. Multi-stage sampling technique was used to determine the sample. One Upazilla Health Complex (UHC) from each of the eight administrative divisions of Bangladesh were randomly chosen as study sites, from which 325 CHCPs and HAs were in the final sample. Multivariate logistic regression models were developed to determine the association between KAP scores and demographic variables. Results: Our study shows that a modest number of respondents scored above average in the knowledge (54.15%), attitude (58.15%), and practice (65.54%) sections. Majority CHCPs (90.91%) and HAs (96.06%) did not receive govt. training on cancer. Only 20.71% HAs and 25.2% CHCPs knew about the availability of cancer treatment options in Bangladesh. Uncertainty about the availability of relevant treatments or vaccinations at public facilities was also high. Having cancer in the family, income, duration of employment and workplace locations were important predictors of cancer related KAP scores. Conclusion: Healthcare workforce’s knowledge gap and unfavorable attitude towards cancer may result in poor delivery of care at the rural level. For many people in rural areas, CHCPs and HAs are the first point of contact with the healthcare system and thus effective cancer control strategies must consider them as key stakeholders. Targeted training programs must be adopted to address the cancer related KAP gaps among CHCPs and HAs.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

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