A Study on Service Availability and Readiness Assessment of Non-Communicable Diseases Using the WHO Tool for Gazipur District in Bangladesh

Abstract

Non-communicable diseases (NCDs) disproportionately affect low and middle-income countries where nearly three quarters of NCD deaths occur. Bangladesh is also in NCD burden. This cross-sectional study was done on 50 health facilities centres at Gazipur district in Bangladesh from July 2015 to December 2015 to introduce SARA for better monitoring and evaluation of non-communicable diseases health service delivery. The General Service readiness index score was 61.52% refers to the fact that about 62% of all the facilities were ready to provide general services like basic amenities, basic equipment, standard precautions for infection prevention, and diagnostic capacity and essential medicines to the patients. But in case of non-communicable diseases, among all the health facilities 40% had chronic respiratory disease and cardiovascular diseases diagnosis/ management and only 32% had availability of diabetes diagnosis/management. Overall readiness score was 52% in chronic respiratory disease, 73% in cardiovascular disease and 70% in diabetes. Therefore, service availability and readiness of the health facilities to provide NCD related health services were not up to the mark for facing future targets. A full-scale census survey of all the facilities of the study area would give a better understanding of the availability and service readiness.

Capacity and readiness of primary health care centers for implementation of the basic strategy for prevention and control of non-communicable diseases in Saudi Arabia.

“…Our findings are not unique to Saudi Arabia, similar studies were conducted in other countries where marked deficiencies were found in health system infrastructure, workforce capacity, surveillance, planning, policy, and program management. 10 - 13 Our study has revealed that nearly all PHC facilities of category (A and B) could meet the minimum threshold to manage NCDs in line with WHO recommendations. It brings to focus the need to empower category (C) PHC centers to deliver NCD interventions consistent with their level of care as has been carried out elsewhere with satisfactory results.…”

Readiness of health facilities for the outpatient management of non-communicable diseases in a low-resource setting: an example from a facility-based cross-sectional survey in Tanzania

“…The questionnaire and variables used in the current study have been published elsewhere. [27][28][29] The data for the 2014-2015 TSPA survey were collected between 20 October 2014 and 21 February 2015, and revisit of some facilities that were not covered previously was conducted from 2 to 13 March 2015. On average, data collection took 1 day for small facilities (dispensary, clinics and some health centres) and 2 or 3 days for large facilities (mostly hospitals).…”

Health systems readiness to provide geriatric friendly care services in Uganda: a cross-sectional study

“…The SARA methodology has effectively been used in resource-limited countries to assess: general health facility readiness [31], progress towards universal health coverage [32], maternal and child health services and non-communicable diseases in Bangladesh [33, 34], surgical services in Africa [35], and readiness of Ugandan health services for the management of outpatients with chronic diseases [36]. That said, based on a rigorous internet-based review of literature search, there are no studies that have been conducted to assess the readiness of public health facilities to provide geriatric friendly services in low- and middle-income countries.…”