Understanding Client Preferences to Guide the Prioritization of Interventions for increasing Demand at NGO Health Service Delivery Project (NHSDP) clinics in Bangladesh

Overview
The objective of this activity was to identify which health service attributes are most likely to influence demand for services at USAID supported NGOs offering primary health care services. This was conducted to identify ways in which Pathfinder and the partner NGOs may best alter their services in order to maximise client flow. The relative importance of attributes factors in rural vs urban settings and amongst the poor vs non-poor had been assessed. Preference data was collected from 600 households from urban and peri-urban populations within the catchment area of Smiling Sun facilities. Utilities were estimated for the following attributes: provider attitude; provider type; comprehensiveness of maternal health care; comprehensiveness of child health care; price; drug availability; cleanliness of facility environments; availability of diagnostic services; accountability; and waiting times. These attributes were determined after a literature review, expert interviews, and focus group discussions. Although this population expressed (as expected) strong preferences for a continuum of care that includes effective referral services, higher preference scores for provider attitudes and the availability of brand drugs were observed, suggesting that these should be considered for prioritisation.

Partners/Donor: Health Finance and Governance Project, ABT ASSOCIATES INC.

Highlights

Dissemination Workshop of Understanding Client Preferences to Guide the Prioritization of Interventions for increasing Demand at NGO Health Service Delivery Project (NHSDP) clinics in Bangladesh
A dissemination workshop was held for the study ‘Understanding Client Preferences to Guide the Prioritization of Interventions for increasing Demand at NGO Health Service Delivery Project (NHSDP) clinics in Bangladesh’ on 10 November 2014. This study aimed to identify the factors that are most likely to influence demand for services at the NHSDP network clinics. The findings are expected to help the NGOs to modify their service delivery approaches in order to maximise the client flow. Director of CoE-UHC, Professor Syed Masud Ahmed welcomed the participants and Dr Halida H. Akhter (Chief of Party, USAID/DFID NGO Health Service Delivery Project) chaired the workshop. A total of around 40 participants including NSHSDP staffs, Project directors, clinic managers, service promoters/providers, field supervisors participated in the workshop.