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Fragmentation in urban health service provision? A plurality of providers is the answer

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Abdullah Rafi, from ARK Foundation in Bangladesh, discusses how the perceived fragmentation of urban healthcare in low- and middle-income countries (LMICs) should be viewed as a symptom of unmanaged plurality rather than a system failure. The majority of the world’s population is now urbanised, with 55% of humanity currently living in urban areas. According to
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Precision at Scale: Managing 3,559 Survey Clusters in the World’s Largest Refugee Settlement

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Find the pdf version here or read it here By  Zunayed Al Azdi When we began planning the Routine EPI Coverage Evaluation Survey in the Rohingya camps of Cox’s Bazar, the numbers were daunting. Thirty-three camps. 3,559 clusters. More than 25,000 households. Over 100 field personnel operating in one of the most densely populated refugee settlements
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Why does it matter? Childhood obesity among school going children in Urban Bangladesh: Potential Way Forward

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Read the PDF here Written by Badruddin Saify For decades, the image of a chubby child in Bangladesh has served as a profound source of pride, probably a visual rebuttal to the historical specter of famine and chronic undernutrition in the country. In our collective cultural memory, physical weight is frequently synonymized with wealth and
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Where antibiotics enter the city: what we are learning with drug sellers in Mirpur

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Written by: Asiful Haidar Chowdhury (Senior Research Fellow) Late afternoon in Mirpur, the pharmacy counter is busy. Someone wants “something strong” for a cough that has not gone away. Another person asks for an antibiotic by name, confidently, like it’s a household staple. The drug seller has seconds to respond. Refuse, and risk losing the customer
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Closing the Gap: How Urban Primary Health Care Can Achieve Health Equity

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Written by: Marhouba Khan Asfi (Research Assistant) Bangladesh is urbanizing rapidly. More people are living in cities every year, and that growth increases demand for services of every kind, including health care. City corporations and municipalities are expected to deliver public services in urban areas, but they face real limits in staffing, funding, space, coordination, and
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Listening Between Appointments, Streets, and Silence

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Written by: Nabila Binth Jahan (Junior Research Associate) Fieldwork rarely begins with a recorder switched on. More often, it begins with waiting, outside clinics, in narrow lanes, beside busy roads, or under the sun, hoping someone will spare a few minutes to talk. In the urban slum areas of Dhaka where CHORUS Projects 1 and 2
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When Public Spaces Aren’t Truly Public: Making Physical Activity Safer for Women and Girls in Urban Bangladesh

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Written by: Umme Salma Anee (Senior Research Assistant) A park can be five minutes away and still feel unreachable. For many women and adolescent girls in urban Bangladesh, the barrier is not a lack of interest in being active. It is what surrounds the activity itself: the walk to the space, the fear of harassment, the
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Addressing the Knowledge Deficit: Health Education and Public Awareness in Bangladesh

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Written by: Kazi Fatin Sami (Research Assistant) Whenever someone goes through a difficult moment in life, a familiar regret tends to appear: “I wish someone had warned me earlier,” or “If only I had known about this risk in advance.” The same pattern holds true for health. For many diseases and health-related conditions, warning signs are
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Behind the Numbers: Verifying Immunization Coverage in the Rohingya Camps

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Written by: Ibrahim Hasan (Research Assistant) Some vaccination cards were crisp and complete, the kind you can read in seconds. Others arrived as blurred photos taken in low light, with smudged ink and handwritten dates that could be read two different ways. I spent a lot of time zooming in until the text almost broke apart,
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Field Reality: What We Learned While Assessing Smoke-Free Public Places

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Written by: Lenik Chakma (Research Assistant) In some restaurants, the “No Smoking” sign was there, neatly placed on a wall. The smell told a different story. In transport hubs, the rules were visible on paper, but the pace and crowd made enforcement feel like an afterthought. That gap, between what the law says and what people
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    স্বাস্থ্যসেবার ব্যয় কি নাগালের বাইরে চলে যাচ্ছ...
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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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