Background As the 2016 Global Strategy on Human Resources for Health: Workforce 2030 (GSHRH) outlines, health systems can only function with health workforce (HWF). Bangladesh is committed to achieving universal health coverage (UHC) hence a comprehensive understanding of the existing HWF was deemed necessary informing policy and funding decisions to the health system. Methods The health labour market analysis (HLMA) framework for UHC cited in the GSHRH was adopted to analyse the supply, need and demand of all health workers in Bangladesh. Government’s information systems provided data to document the public sector HWF. A national-level assessment (2019) based on a country representative sample of 133 geographical units, served to estimate the composition and distribution of the private sector HWF. Descriptive statistics served to characterize the formal and informal HWF. Results The density of doctors, nurses and midwives in Bangladesh was only 9.9 per 10 000 population, well below the indicative sustainable development goals index threshold of 44.5 outlined in the GSHRH. Considering all HWFs in Bangladesh, the estimated total density was 49 per 10 000 population. However, one-third of all HWFs did not hold recognized roles and their competencies were unknown, taking only qualified and recognized HWFs into account results in an estimated density 33.2. With an estimate 75 nurses per 100 doctors in Bangladesh, the second area, where policy attention appears to be warranted is on the competencies and skill-mix. Thirdly, an estimated 82% of all HWFs work in the private sector necessitates adequate oversight for patient safety. Finally, a high proportion of unfilled positions in the public sector, especially in rural areas where 67% of the population lives, account only 11% of doctors and nurses. Conclusion Bangladesh is making progress on many of the milestones of the GSHRH, notably, the establishment of the HWF unit and reporting through the national health workforce accounts. However, particular investment on strengthening the intersectoral HWF coordination across sectors; regulation for assurance of patient safety and adequate oversight of the private sector; establishing accreditation mechanisms for training institutions; and halving inequalities in access to a qualified HWF are important towards advancing UHC in Bangladesh.
This descriptive type of cross-sectional study was conducted with the aim to find out the students’ perceptions on educational environment of selected dental colleges in Bangladesh. The study was carried out in ten selected dental colleges (4 government & 6 non-government) of Bangladesh. Total sample size was 1169 of different years of BDS students. Dental colleges were selected purposively & data was collected from students by adopting convenience sampling technique. Data collection was done with self-administered semi-structured questionnaire with two open questions using Dundee Ready Educational Environment Measurement (DREEM) inventory with some modification. There were five subscales of DREEM for students. Study results revealed that total DREEM score of students were 142. Mean score of students’ perceptions by subscale of DREEM were “students’ perception of their learning (34.95); students’ perception of their teachers (30.36); students’ academic self-perception (24.94); students’ perception of educational atmosphere (32.82) and students’ social self-perception (18.83). All these values indicated that the students’ perception were in the right & mostly positive direction. Study recommended that significant attention should be paid in few problematic areas specially for “too much teacher centered learning and over emphasized factual learning. Study also recommended to improve the logistic support for students of dental colleges to ensure better educational environment of Bangladesh. Bangladesh Journal of Medical Education Vol.11(2) 2020: 27-33
This descriptive type of cross-sectional study was carried out in 4 government and 4 non-government medical colleges of Bangladesh to assess the quality of undergraduate medical education. The study was conducted during the period of July 2018 to June 2019. The total sample size was 576, out of which there were 440 fifth year medical students, 114 clinical teachers and 22 Key informants. Convenience sampling technique was adopted. Two self - administered semi- structured questionnaires and one in-depth-interview schedule were utilized for the study. The study revealed that there was shortage of teaching staffs and infrastructure facilities. However numbers of hospital beds, indoor and outdoor patients were found to be sufficient. Study revealed that most of the students learned to take history, examine the patients; but had difficulties to make a provisional diagnosis. The clinical teaching in evening session was found to be neglected. Teachers could not ensure students’ learning of optimum skills and attitude. The study recommended reviewing the curriculum. Course burden should be reduced by removing redundant contents. The subjects namely Pathology, Microbiology and Pharmacology need to be rearranged to shift those to second phase. Emphasis is required to be given on behavioural science, communication skills and medical ethics. Bangladesh Journal of Medical Education Vol.11(2) 2020: 34-42
Introduction: This descriptive type of cross sectional study was conducted to assess teachers’ views regarding the alignment of contents of curriculum of undergraduate medical education in Bangladesh with the health related targets of Sustainable Development Goals. Methods: The study was conducted during the period of July 2018 to June 2019. The study used standardized pre-tested instruments. Convenience sampling technique was employed to include 04 public and 04 private medical colleges, of which 05 were located in Dhaka city and 03 were located outside Dhaka city. Data were collected from 123 faculty members by using self-administered semi-structured questionnaire and from 25 Key informants by using in-depth Interview schedule. Data entry and analysis was done using SPSS 19.0. Results: Among 123 medical teachers 84(68.3%) opined inadequacy of contents about neglected tropical diseases, 97(78.9%) about road traffic accidents, 103(83.7%) about narcotic drug abuse, 93(75.6%) about universal health coverage, 108(87.8%) about sexual health care services, 97(78.9%) viewed about tobacco control and 116(94.3%) about early warning about national and global health risks. Conclusion: To achieve the health related targets of SDG, the curriculum of undergraduate medical education should be reviewed with inclusion of relevant contents which will help students to achieve relevant competencies of SDGs. Bangladesh Journal of Medical Education Vol.11(2) 2020: 21-26
not available Bangladesh Journal of Medical Education Vol.14(1) January 2023: 1-2
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