In Bhutan, recent increases in annual teacher attrition rates, particularly in rural areas, pose significant challenges for the government and concerned agencies in terms of retaining qualified teachers and reducing teacher attrition rates and turnover. This article, partly based on a field study exploring the quality of work life (QWL) and well-being of school teachers in rural Bhutan, explores the possible reasons why such teachers might seek to resign. Using mixed methodology, the study reveals poor QWL and well-being of teachers, caused by a variety of factors. In view of such findings, the Ministry of Education and the government need to ensure better all-round protection for teachers to avoid the risk of large-scale resignations.

Objectives: The majority (80%) of stroke survivors in Bangladesh have lived with either minor or major physical, emotional, and cognitive disabilities. Due to patients’ poor perceived experience in healthcare services, participation in rehabilitation care has become a significant challenge for them. Consequently, it increases the burden of stroke disability. Therefore, this study aimed to measure the gaps in post-stroke outpatients’ rehabilitation Service Quality (SQ) and factors related to these gaps. Methods: A cross-sectional descriptive study was administered on 311 post-stroke outpatients who were selected by stratified sampling method from 5 divisional centers of a rehabilitation hospital. Data collection tools consisted of the following: a demographic information form and a modified Service Quality (SERVQUAL) questionnaire. Cronbach’s alpha coefficient was applied to analyze the internal consistency. Besides, Pearson’s (r) correlation test was applied to examine the correlation coefficient between the explored items. The obtained data were analyzed by descriptive statistics, Paired Samples t-test, and Eta-statistic (δ) of the Analysis of Variance (ANOVA). Results: Patients’ expectations were rated higher than the perceptions in all dimensions of rehabilitation SQ and indicated a significant gap (t=-29.604, P<0.001). Patients’ occupation (δ=0.189), family status (δ=0.289), pre-stroke daily activities (δ=0.235), and post-stroke disability (δ=0.286) indicated a significant relationship with the gaps in rehabilitation SQ. Discussion: Post-stroke rehabilitation SQ gaps are required to be addressed by considering the factors related to these gaps. Most importantly, the rehabilitation hospital must integrate the continuous quality improvement monitoring systems to enhance SQ as well as patients’ participation in rehabilitation care programs.

Purpose: For enhancing patients’ participation, this study aims to identify the patient-related factors that relate to the expectations and perceptions of post-stroke outpatients’ in the rehabilitation services of Bangladesh. Methods: A questionnaire survey was administered to 342 outpatients from the stroke rehabilitation department. Descriptive statistical analysis was applied to measure patients’ perceptions and expectations. Eta statistic from ANOVA was applied to examine the relationship between patient-related factors and the patients’ expectations and perceptions of the rehabilitation services. Findings: Patients’ expectations rated higher than the perceptions in all the dimensions of rehabilitation services. Factors such as; (i) patients' education (0.222, p=0.005) and post-stroke disability (0.447, p<0.001) indicated a significant relationship with patients' expectations. (ii) Patients' education (0.210, p=0.010), occupation (0.226, p=0.003), family status (0.180, p=0.048) and daily activities before the stroke (0.169, p=0.044), post-stroke disability (0.195, p=0.004) and distance from home to the hospital (0.190, p=0.006) indicated a significant relationship with their perceptions in the rehabilitation services. Conclusion: The findings of this study concluded that the rehabilitation manager needs to work on these factors and recommended developing a continuing education program to minimize these factors of poor perceptions in the rehabilitation services.