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Table 1 Assessment of general service readiness by healthcare facility levels in a selected high-performing division (Rajshahi) and a low-performing division (Sylhet) in Bangladesh

From: General service and child immunization-specific readiness assessment of healthcare facilities in two selected divisions in Bangladesh

Variable

Rajshahi (N = 61)

Sylhet (N = 62)

 

Pharmacy

Community clinic

Primary care facilities

Higher care facilities

Pharmacy

Community clinic

Primary care facilities

Higher care facilities

General characteristics

 Number of facilities [n (% of total)]

12 (19.4)

12 (19.4)

15 (24.2)

22 (35.5)

12 (19.7)

13 (21.3)

15 (24.6)

22 (36.1)

 Public facilities [n (%)]

0 (0.0)

12 (100.0)

12 (80.0)

4 (18.2)

0 (0.0)

13 (100.0)

12 (80.0)

4 (18.2)

 Area [n (%)]

  Rural

6 (50.0)

12 (100.0)

13 (86.7)

10 (45.5)

6 (50.0)

13 (100.0)

13 (86.7)

11 (50.0)

  Urban

6 (50.0)

0 (0.0)

2 (13.3)

12 (54.5)

6 (50.0)

0 (0.0)

2 (13.3)

11 (50.0)

 Duration of service, in years [Mean (SD)]

4 (2.9)

13 (3.3)

28 (15.1)

16 (16.1)

9 (10.4)

10 (5.6)

28 (14.1)

20 (17.4)

Basic amenities

 Power [n (%)]

4 (33.3)

5 (41.7)

12 (80.0)

20 (90.9)

7 (58.3)

0 (0.0)

4 (26.7)

18 (81.8)

 Improved water source within 500 m of facility [n (%)]

11 (91.7)

12 (100.0)

15 (100.0)

22 (100.0)

9 (75.0)

10 (76.9)

14 (93.3)

22 (100.0)

 Room with auditory and visual privacy for patient consultations [n (%)]

1 (8.3)

9 (75.0)

11 (73.3)

22 (100.0)

4 (33.3)

12 (92.3)

12 (80.0)

21 (95.5)

 Access to adequate sanitation facilities for clients [n (%)]

1 (8.3)

12 (100.0)

15 (100.0)

22 (100.0)

3 (25.0)

12 (92.3)

15 (100.0)

22 (100.0)

 Communication equipment (phone or SW radio) [n (%)]

12 (100.0)

0 (0.0)

6 (40.0)

22 (100.0)

10 (83.3)

1 (7.7)

4 (26.7)

20 (90.9)

 Facility has access to computer [n (%)]

0 (0.0)

11 (91.7)

11 (73.3)

18 (81.8)

3 (25.0)

11 (84.6)

10 (66.7)

17 (77.3)

 Emergency transportation [n (%)]

3 (25.0)

12 (100.0)

5 (33.3)

9 (40.9)

1 (8.3)

10 (76.9)

4 (26.7)

15 (68.2)

 Domain score (Mean availability of items as percentage) [Mean (SE)]

38.1 (15.5)

72.6 (14.5)

71.4 (9.9)

87.7 (8.2)

44.0 (10.7)

61.5 (15.1)

60.0 (12.4)

87.7 (4.6)

Basic equipment

 Adult scale [n (%)]

3 (25.0)

11 (91.7)

15 (100.0)

21 (95.5)

2 (16.7)

12 (92.3)

9 (60.0)

19 (86.4)

 Child scale [n (%)]

0 (0.0)

4 (33.3)

10 (66.7)

16 (72.7)

0 (0.0)

6 (46.2)

11 (73.3)

19 (86.4)

 Thermometer [n (%)]

10 (83.3)

12 (100.0)

13 (86.7)

22 (100.0)

10 (83.3)

12 (92.3)

12 (80.0)

21 (95.5)

 Stethoscope [n (%)]

9 (75.0)

12 (100.0)

15 (100.0)

22 (100.0)

6 (50.0)

10 (76.9)

14 (93.3)

22 (100.0)

 Blood pressure apparatus [n (%)]

9 (75.0)

10 (83.3)

15 (100.0)

22 (100.0)

9 (75.0)

9 (69.2)

14 (93.3)

22 (100.0)

 Domain score (Mean availability of items as percentage) [Mean (SE)]

51.7 (16.5)

81.7 (12.5)

90.7 (6.5)

93.6 (5.3)

75.4 (8.6)

75.4 (8.6)

80.0 (6.3)

93.7 (3.1)

Standard precautions for infection prevention

 Safe final disposal of sharps [n (%)]

6 (50.0)

11 (91.7)

15 (100.0)

22 (100.0)

6 (50.0)

13 (100.0)

12 (80.0)

21 (95.5)

 Safe final disposal of infectious wastes [n (%)]

6 (50.0)

11 (91.7)

13 (86.7)

22 (100.0)

6 (50.0)

13 (100.0)

14 (93.3)

21 (95.5)

 Appropriate storage of sharps waste [n (%)]

0 (0.0)

0 (0.0)

5 (33.3)

21 (95.5)

0 (0.0)

2 (15.4)

7 (46.7)

20 (90.9)

 Domain score (Mean availability of items as percentage) [Mean (SE)]

33.3 (16.7)

61.1 (30.6)

73.3 (20.4)

98.5 (1.5)

33.3 (16.7)

71.8 (28.2)

73.3 (13.9)

94.0 (1.5)

Diagnostic capacity

 Hemoglobin [n (%)]

0 (0.0)

0 (0.0)

5 (33.3)

14 (63.6)

0 (0.0)

0 (0.0)

6 (40.0)

11 (50.0)

 Blood glucose [n (%)]

6 (50.0)

0 (0.0)

4 (26.7)

15 (68.2)

4 (33.3)

0 (0.0)

5 (33.3)

18 (81.8)

 Malaria diagnostic capacity [n (%)]

0 (0.0)

0 (0.0)

3 (20.0)

6 (27.3)

0 (0.0)

0 (0.0)

1 (6.7)

10 (45.5)

 Urine dipstick- protein, glucose [n (%)]

0 (0.0)

0 (0.0)

5 (33.3)

15 (68.2)

0 (0.0)

0 (0.0)

6 (40.0)

10 (45.5)

 Syphilis rapid test [n (%)]

0 (0.0)

0 (0.0)

0 (0.0)

8 (36.4)

0 (0.0)

0 (0.0)

0 (0.0)

10 (45.5)

Domain score (Mean availability of items as percentage) [Mean (SE)]

10.0 (10.0)

0.0 (0.0)

22.7 (6.2)

52.7 (8.7)

6.7 (6.7)

0.0 (0.0)

24.0 (8.6)

53.6 (7.1)

  1. N Total number of facilities, n Number of facilities in specific category, SD Standard Deviation, SE Standard error