Global populations are ageing, and non-communicable diseases (NCDs) are growing fast. In Bangladesh, Cardiovascular diseases (CVDs) especially, Ischaemic Heart Disease (IHD) and Stroke are the major killers. Ageing is a strong determining factor for NCDs development. On current trends, the population aged over sixty-years is projected to rise from 11.3 million in 2016 to 44.1 million in 2051 in Bangladesh. Therefore, the country will face an increase in age-related health issues especially, NCDs. This burden will cause major problems to the existing health system of Bangladesh. The current study aims to evaluate the preparedness of the healthcare system to provide IHD and Stroke management to the growing elderly population in Bangladesh. This is a mixed method study. Selective public hospitals from all three tier of the healthcare delivery system of Bangladesh; primary, secondary and tertiary levels of care at Dhaka and Mymensingh division have been included. This study involves health facility survey, structured questionnaire survey and qualitative study. Preparedness of the health facilities to provide IHD and Stroke management will be assessed through the survey using 'service availability and readiness assessment' (SARA) tools of the World Health Organization (WHO). Formal caregivers will take part in interviews and focus group discussion to share their perspectives on preparedness of health system to manage IHD and Stroke. Also, service users or their family members will participate in interviews and focus group discussion to share their experiences on receiving IHD and Stroke related services from hospitals.
Shiny Jabin, Anglia Ruskin University, United Kingdom
Ali Davod Parsa, Anglia Ruskin University, United Kingdom
Oonagh Corrigan, Anglia Ruskin University, United Kingdom