Access and Utilization of Services Provided through Community Clinic to the Rural People

1. Welcome

2. • Tiny Clinic
• At ward level 6000 / CC
• Delivering PHC
• Achieve MDG and SDG
• Dream of PM Sheikh Hasina
Community Clinic

3. History of Community Clinic
• Established: 26 April, 2000
• Location: Tungipara, Gopalgonj
• Now functioning: 13,376
• Land is donated by community people
• Infra-structure made & maintained by the
government

4. Presently working :13,376 Community Healthcare Provider (CHCP)
They provide:
• Health education
• Nutrition
• Education
• Treatment of minor illness
• Appropriate referral services.

5. CC
UHC
Flow Diagram of Primary Health Care
H&FWC
H&FWC

6. Primary
Level
Secondary
Level
Tertiary
Level

8. Title
Access and Utilization of the Services Provided
Through Community Clinic by the Rural People
RFST-2019

9. Methodology
• Study design: Cross sectional type of
Descriptive study
• Study period: 15th March-20th April 2019
• Study area: Surrounding 06 CC
• Sample size: 568 (3*200)
• Sampling technique: Convenient sampling

10. •Research instrument: Pretested Structured Questionnaire
•Data collection method: Face to face interview
•Data processing and analysis: SPSS
•Inclusion criteria: Married, 18 years and above

12. Result

13. 38.90%
45.40%
15.70%
18-30 Years 31-50 Years >50 Years
Percentage
Age group
Figure:1 Distribution of the respondents according to their
age (n=568)

14. 83%
17%
Figure:2 Sex distribution of the respondent
Female
Male

15. 32.7
25.4
29.6
6.7 4.4 1.1 0.2
Illiterate Primary Secondary Higher
Secondary
Graduate Masters Others
Percentage
Educational qualification
Figure: 3 Distribution of respondent according to their
educational qualification

16. 28.2
41.2
22.2
8.5
Low Middle Upper Middle High
Percentage
Health Index
Figure: 4 Respondent’s distribution according to wealth
index
Here, Low= 0-5000/, Middle= 5001-10000/, Upper middle=
10001-20000 /, High= >20000 Taka

17. 99%
1%
Figure: 5 Respondent’s distribution according to their
awareness about community clinic
Aware
Not aware

18. 30.6
44.4
14.8
4.8 3
Family
Members
Neighbors Health
Workers
Mass Media Others
Percentage
Source of Information
Figure: 6 Respondent’s distribution according to their
source of information about community clinic

19. 5.5
93.5
No Yes
Percentage
Visitation
Figure: 7 Distribution of the respondents according to
their visitation to community clinic

20. Table:8 Types of services received by the respondents
Health Education:
Hygiene, Diet,
Immunization,
Reproductive Health
No 284 50.0
Yes 260 45.8
Vit-A
Supplementation
No 174 30.6
Yes 371 65.3
Child Care No 203 35.7
Yes 340 59.9
Treatment of Minor
Diseases & Injuries
No 136 23.9
Yes 407 71.7
Referral No 444 78.2
Yes 99 17.4
Birth & Death
Registration
No 372 65.5
Yes 173 30.5
Pregnancy
Registration
No 381 67.1
Yes 157 27.6
Family Planning
Methods
No 263 46.3
Yes 280 49.3
Ante-natal &
Post-natal care
No 297 52.0
Yes 256 45.2
EPI No 168 29.6
Yes 376 66.2

22. 79.2
19
0.4
<1km 1-2.5km >2.5km
Percentage
Distance
Figure: 9 Respondent’s distribution according to
Distance of Community Clinic from Residence

23. 83.5
14.4 0.2
On Foot Rickshaw or Van Other Vehicles
Percentage
Mode of Communication
Figure: 10 Respondent’s distribution according to Mode
of Communication to CC from Residence

24. 60.2
23.4
5.6 3.3 2.3
0-15 min 16-30 min 31-45 min 46-60 min >60 min
Percentage
Time
Figure: 11 Distribution of respondent according to
Waiting Time During Receiving Service from CC

25. 43.8
41.2
9
Adequate Average Inadequate
Percentage
Opinion
Figure: 12 Respondent’s distribution according to their
opinion about Waiting and Examination Room of CC

26. 9%
91%
Figure: 13 Distribution of Respondents According to Their
Opinion about the Cordiality of the Service Provider
No Yes

27. 48.8
29
14.8
2.5
Good Average Not Good Medicine Not Given
Percentage
Opinion
Figure: 14 Respondent’s distribution according to their
opinion about Medicine Supplied by CC

28. Opinion Frequency Percent(%)
No 542 95.4
Yes 0 0
Not applicable 26 4.6
Total 568 100
Table:15 Respondent’s distribution about Normal
Delivery Service received from CC

29. 9.3
85.6
No Yes
Percentage
Opinion
Figure: 16 Respondents distribution according to their
opinion about Benefit from CC Service

30. 9%
91%
Figure: 17 Distribution of respondent
according to their Advice Others to go to CC
No Yes

32. Conclusion
• Well located in terms of access
• Within 30minutes walking distance
• Minimum waiting time
• Service providers are cordial
•Adequate supply of essential medicines

33. • Absence of Normal Delivery Service
• Inadequate MCH & FP services
• Improper pregnancy and birth
registration services
• Appropriate health education services
• Excellent referral services

34. Recommendation
• Provision of normal delivery services
• Ante natal and post natal care services should be
improved
• The family planning services needs to be improved

59. Thank You