Implementation of health system assessment for system-level quality improvement in Bangladesh
CoE-HS&UHC
Year: 2023
IRB Number: IRB-3 October'23-036
Organaisation: BRAC JPGSPH
PI: Professor Syed Masud Ahmed
Objective:1. Inform MNH and NCD service delivery redesign within Comprehensive PHC in Bangladesh districts through formative research and recommendations with the goal to improve health outcomes
2. Assess GHG emissions (the carbon costs) of different service delivery models for diabetes, chronic respiratory diseases in Bangladesh to contribute evidence to CPHC service delivery redesign which includes climate considerations as well as care quality and effectiveness
Specific objectives:
1. To assess the current quality of MNH and NCD service delivery at the district, subdistrict, and below levels of PHC, including health facility preparedness, provider knowledge and capacity, and community and provider perspectives
2. To explore the healthcare-seeking behaviour of the consumers/community/patients/care-givers regarding MNH and NCDs at present, including their perception of QoC of the services received and levels of satisfaction.
3. To understand the current situation and gaps in digital architecture to ensure continuity of care and longitudinal tracking needed for quality service delivery
4. To explore and identify the challenges (barriers/bottlenecks), and the opportunities, in delivering quality MNH and NCD services, including the use of IT, among others, to overcome the situation.
5. To summarise findings, consolidate learnings and provide recommendations for future directions to a comprehensive, quality and patient-centred health system for MNH and NCDs, including system harmonization and seamless system interoperability.
6. Review and map the available data to guide the assessments, secondary data analysis, and new data collection.
7. Develop process maps to guide data collection needs to estimate the GHG emissions for different service delivery models for selected priority conditions (diabetes, chronic respiratory disease)
8. Integrate assessment into the overall study protocol, including proposed data collection sites, sampling approach, data collection tools, and data collection planning Implement the assessments with the necessary pilot testing, quality checks and supervision activities in place and regular feedback to the government and the World Bank team (pilot testing includes the appropriateness of collected data for calculation of GHG emission equivalents)
9. Conduct data analysis, interpretation of results and write-up based on the agreed-upon strategy of translating service delivery activity data into GHG emission equivalents and what they mean for the care pathways for diabetes, chronic respiratory disease in the Bangladesh health system.
Donor: The World Bank