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Taking a Pulse on Community Participation in Maternal Health through Community Clinics in Bangladesh

Bibliographic Data

ID15500052
AuthorsGoutom Banik (0009-0007-3171-999X, Save the Children), Tapas Mazumder (0000-0003-0229-4682, University of Canberra), Abu Bakkar Siddique (0000-0002-1484-0823, International Centre for Diarrhoeal Disease Research), A F M Azim Uddin (0000-0003-0137-1359, International Centre for Diarrhoeal Disease Research), Shams El Arifeen (0000-0002-5372-5932, International Centre for Diarrhoeal Disease Research), Janet Perkins (0000-0003-2868-1752, University of Edinburgh), Ahmed Ehsanur Rahman (0000-0001-9216-1079, International Centre for Diarrhoeal Disease Research, corresponding author)
Year2023
Volume20
Issue3
Pages2271-2271
Publication date2023-01-27
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20032271
PMID36767638
OpenAlexW4318475335
LanguageEN
Citations received1
References cited1

Bangladesh started institutionalising community participation by setting-up community clinics (CCs) during the mid-90 s. This paper presents the genealogy of CCs, the community participation mechanism embedded within CCs, and the case of 54 CCs in Brahmanbaria, through the lens of maternal health. We undertook a desk review to understand the journey of CCs. In 2018, we assessed the accessibility, readiness and functionality of CCs, and a household survey to know recently delivered women's perceptions of CC's community groups (CGs) and community support groups (CSGs). We performed multiple logistic regression to determine the association between the functionality of these groups and women's perception regarding these groups' activities on maternal health. The integration of community participation involving CCs started to roll out through the operationalisation of the Health and Population Sector Programme 1998-2003. In 2019, 13,907 CCs were operational. However, per our CC assessment, their accessibility and readiness were moderate but there were gaps in the functionality of the CCs. The perception of women regarding these groups' functionality was significantly better when the group members met regularly. The gaps in CCs are primarily induced by the shortcomings of its community participation model. Proper understanding is needed to address this problem which has many facets and layers, including political priorities, expectations, and provisions at a local level

Business · Community health · Community health workers · Environmental health · Health services · Logistic regression · Perception · Population · Public health · Child Nutrition and Water Access · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Nursing · Psychology

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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