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Improving the quality of care of children in community clinics – an intervention and evaluation in Bangladesh

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Community health care providers (CHCPs) in 40 rural community clinics of Comilla district, Bangladesh, were trained using a newly developed case-management job aid based on the World Health Organization Integrated Management of Childhood Illness and a communication guide. To read the whole article, please download the PDF. PDF Version 
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Improving the quality of care at community clinics in rural Bangladesh through new approaches

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Our research shows that there can be substantial benefits to healthcare provision if countries develop tailored materials and training packages for lower-level health workers. Regular refresher training for community health care providers, specially-adapted job aids and help to improve communication skills are among the key recommendations from our study. PDF Version  | HTML Version 
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Secondhand Smoke Exposure in Primary School Children: A Survey in Dhaka, Bangladesh

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We report on second-hand smoke (SHS) exposure based on saliva cotinine levels among children in Bangladesh—a country with laws against smoking in public places. To read the article, please download the PDF. PDF Version 
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Protocol for the mixed-methods process and context evaluation of the TB & Tobacco randomised controlled trial in Bangladesh and Pakistan: a hybrid effectiveness–implementation study

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Tuberculosis (TB) remains a significant public health problem in South Asia. Tobacco use increases the risks of TB infection and TB progression. The TB& Tobacco placebo-controlled randomised trial aims to (1) assess the effectiveness of the tobacco cessation medication cytisine versus placebo when combined with behavioural support and (2) implement tobacco cessation medication and behavioural
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Children Learning About Second-hand Smoke (CLASS II): a pilot cluster randomised controlled trial

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Children exposed to secondhand smoke (SHS) are at increased risk of respiratory illnesses. We piloted a Smoke Free Intervention (SFI) and trial methods before investigating its effectiveness and cost-effectiveness in primary school children. To read the article, choose one of the following buttons below. PDF Version  | HTML Version 
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Embedded health service development and research: why and how to do it (a ten-stage guide)

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In a world of changing disease burdens, poor quality care and constrained health budgets, finding effective approaches to developing and implementing evidence-based health services is crucial. Much has been published on developing service tools and protocols, operational research and getting policy into practice but these are often undertaken in isolation from one another. This paper,
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Muslim Communities Learning About Second-hand Smoke in Bangladesh (MCLASS II) study protocol for a cluster randomised controlled trial of a community based smoke-free homes intervention, with or without Indoor Air Quality feedback

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Second-hand smoke (SHS) is a serious health hazard costing 890,000 lives a year globally. Women and children in many economically developing countries are worst affected as smoke-free laws are only partially implemented and homes remain a major source of SHS exposure. There is limited evidence on interventions designed to reduce SHS exposure in homes, especially
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Behaviour change interventions to reduce second-hand smoke exposure at home in pregnant women – a systematic review and intervention appraisal

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Second-hand smoke (SHS) exposure during pregnancy is associated with poor pregnancy and foetal outcomes. Theory-based behaviour change interventions (BCI) have been used successfully to change smoking related behaviours and offer the potential to reduce exposure of SHS in pregnant women. Systematic reviews conducted so far do not evaluate the generalisability and scalability of interventions. The
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Protocol for a mixed-methods realist evaluation of a health service user feedback system in Bangladesh

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Responsiveness to service users’ views is a widely recognised objective of health systems. A key component of responsive health systems is effective interaction between users and service providers. Despite a growing literature on patient feedback from high-income settings, less is known about effectiveness of such systems in low-income and middle-income countries. PDF Version  | HTML Version 
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Integrating a diabetes and hypertension case management package within primary health care: a mixed methods feasibility study in Bangladesh

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Almost three quarters of non-communicable disease (NCD) deaths, and 82% of premature NCD deaths, occur in low- and middle-income countries. Bangladesh has an estimated 7 million hypertensives and 10 million diabetics, and primary care is struggling to respond. Our aim was to develop and support implementation of a diabetes and hypertension case management package, and
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ARK Foundation is a non-government, non-political and not-for-profit organization dedicated to the socio-economic development of Bangladesh. Through evidence-based research, training and communications it provides sustainable solutions for health, education and social development.

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