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Access to primary health care for acute vascular events in rural low income settings: a mixed methods study

Overview of attention for article published in BMC Health Services Research, January 2017
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Title
Access to primary health care for acute vascular events in rural low income settings: a mixed methods study
Published in
BMC Health Services Research, January 2017
DOI 10.1186/s12913-017-1987-8
Pubmed ID
Authors

Shyfuddin Ahmed, Muhammad Ashique Haider Chowdhury, Md. Alfazal Khan, Nafisa Lira Huq, Aliya Naheed

Abstract

Cardiovascular diseases (CVDs) are the leading cause of global mortality. Among the CVDs, acute vascular events (AVE) mainly ischemic heart diseases and stroke are the largest contributors. To achieve 25% reduction in preventable deaths from CVDs by 2025, health systems need to be equipped with extended service coverage in order to provide person-centered care. The overall goal of this proposed study is to assess access to health care in-terms of service availability, care seeking patterns and barriers to access care after AVE in rural Bangladesh. We will consider myocardial infarction (MI) and stroke as acute vascular events. We will conduct a mixed methods study in rural Matlab, Bangladesh. This study will comprise of a) health facility survey, b) structured questionnaire interview and c) qualitative study. We will assess service availabilities by creating an inventory of public and private health facilities. Readiness of the facilities to deliver services for AVE will be assessed through a health facility survey using 'service availability and readiness assessment' (SARA) tools of the World Health Organization (WHO). We will interview survivors of AVE and caregivers (present and accompanied the person during the event) of person who died from AVE for exploring patterns of care seeking during an AVE. For exploring barriers to access care for AVE, we will conduct in-depth interview with survivors of AVE and caregivers of the person who died from AVE. We will also conduct key informant interviews with the service providers at primary health care (PHC) facilities and government high level officials at central health administration of Bangladesh. This study will provide a comprehensive picture of access to primary health care services during acute cardiovascular events as stroke & MI in rural context of Bangladesh. It will explore available service facilities in rural area for management, utilization of services and barriers to access care during an acute emergency. This study will help to generate hypothesis, develop programs and policies for better access to care for AVE in similar rural settings considering barriers of access and improving utilization.

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The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 109 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Bangladesh 1 <1%
Unknown 108 99%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 17 16%
Researcher 17 16%
Student > Master 15 14%
Student > Doctoral Student 8 7%
Student > Ph. D. Student 5 5%
Other 9 8%
Unknown 38 35%
Readers by discipline Count As %
Medicine and Dentistry 31 28%
Nursing and Health Professions 11 10%
Psychology 6 6%
Social Sciences 5 5%
Agricultural and Biological Sciences 2 2%
Other 10 9%
Unknown 44 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 January 2017.
All research outputs
#15,490,822
of 23,020,670 outputs
Outputs from BMC Health Services Research
#5,626
of 7,707 outputs
Outputs of similar age
#256,008
of 418,735 outputs
Outputs of similar age from BMC Health Services Research
#93
of 129 outputs
Altmetric has tracked 23,020,670 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,707 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.8. This one is in the 17th percentile – i.e., 17% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 418,735 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 30th percentile – i.e., 30% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 129 others from the same source and published within six weeks on either side of this one. This one is in the 17th percentile – i.e., 17% of its contemporaries scored the same or lower than it.