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    Users discourses about primary health care professionals in rural Bangladesh

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    Users discourses about primary health care professionals in rural Bangladesh.pdf (356.8Kb)
    Date
    2014-12
    Publisher
    © 2014 Department of Public Health, School of Public Health and Psychosocial Studies, Auckland University of Technology
    Author
    Hasan, Md. Kamrul
    Conn, Cath
    Wilson, Kaisa
    Metadata
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    URI
    http://hdl.handle.net/10361/6271
    Citation
    Hasan, M. K., Conn, C., & Wilson, K. (2014). Users discourses about primary health care professionals in rural Bangladesh. AUT’s Public Health Bulletin, (01).
    Abstract
    Evidence from earlier studies in Bangladesh indicates that an imbalance in status between health professionals and primary healthcare users in rural Bangladesh can lead to corrupt behaviour among health professionals. This behaviour, it has been shown, may negatively impact on the quality of primary health care (PHC) and health outcomes among those using the service. Using narrative interviews with a small sample of PHC users, in a rural population in Bangladesh this study sought to explore the ways in which participants discussed the quality of healthcare provided by their local PHC facility. Issues raised by participants in interviews included misuse of resources and embezzlement of state funding, particularly by doctors. These abuses were buttressed by discourses in local communities – and indeed it has been shown in many other communities – in which healthcare professionals are treated as acting within ethical boundaries. However participants in this study expressed dissatisfaction with what they characterised as the corrupt behaviour of health professionals, and displayed resistance to this in the context of the interview.
    Keywords
    User resistance; Primary health care; Bangladesh
     
    Description
    This article was published in the AUT's Public Health Bulletin [© 2014 Department of Public Health, School of Public Health and Psychosocial Studies, Auckland University of Technology] and the definite version is available at : http://www.aut.ac.nz/__data/assets/pdf_file/0004/512977/Hasan-Conn-and-Wilson-2014-bulletin.pdf The article website is at: http://www.aut.ac.nz/study-at-aut/study-areas/health-sciences/Public-Health/research/auts-public-health-bulletin
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