792
Community Clinics
Assessed across Narsingdi, Cumilla & Cox's Bazar
23
UHCs & DHs
Upazila Health Complexes and District Hospitals evaluated
43
In-Depth Sessions
KIIs, IDIs and focus group discussions conducted
Enhancing NCD Service Delivery Nationwide
Within this context, the SHASTO and SHASTO-2 projects have been implemented to enhance NCD service delivery in selected districts, focusing on improving quality of care, strengthening health system governance, and promoting community-level awareness.
The present study was conducted to assess the current status of NCD service delivery, particularly for hypertension and diabetes, across District Hospitals (DHs), UHCs, and Community Clinics (CCs) in Narsingdi, Cumilla, and Cox's Bazar districts.
Methodology
A mixed-methods approach was employed to comprehensively evaluate health system readiness and service provision. The study included a desk review of existing records to understand service utilization patterns and quality improvement activities. A cross-sectional facility-based survey was conducted using structured assessment checklists and direct observations to evaluate the implementation of the NCD management model.
The scope of the study encompassed assessing infrastructure, human resources, logistics, service delivery practices, quality improvement mechanisms, and community engagement activities. It also explored governance structures such as Quality Improvement Committees (QIC), Work Improvement Teams (WIT), and CORE teams.
Policy Outcome
The study highlights critical needs: addressing human resource shortages through continuous training, ensuring uninterrupted availability of essential medicines at all care levels, establishing a standardized referral system linking Clinics to District Hospitals, and strengthening digital health systems aligned with DHIS2.