1. Establishing a nurse‐managed health center for the urban poor in Dhaka, Bangladesh.
- Author
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Lee, Tae Wha, Lee, Su Jeong, Kim, Myeong Seon, and Choi, Yoona
- Subjects
ANALYSIS of variance ,CHI-squared test ,COMMUNITY health services ,HEALTH risk assessment ,INTERVIEWING ,RESEARCH methodology ,METROPOLITAN areas ,NURSE administrators ,PHYSICAL diagnosis ,POVERTY ,RESEARCH ,RESEARCH funding ,T-test (Statistics) ,OUTPATIENT medical care management ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
Objectives: Despite the rise in community health problems in populations living in urban slums, activities of community health nurses are limited in Bangladesh. This study aimed to describe how a nurse‐managed health center (NMHC) was developed in Dhaka, Bangladesh. Design: An exploratory‐descriptive research design was used. Sample and Measurements: The commitment phase was conducted to establish partnerships in the community. Involvement of community leaders and members and partnerships with various organizations were established successfully in the commitment phase. The assessment phase was completed by implementing personal interviews, community site visits, and household surveys of 172 households in the community. Action plans were developed and strategies were followed to change the community during the planning phase. Results: Household survey results showed that community people suffered from non‐communicable diseases, risk behaviors, and inadequate housing conditions. The high‐priority community needs included nutrition and chronic management services, behavior change programs, and a clean environment. Action plans for health programs based on community needs and strategies such as securing manpower and equipment were developed. Conclusions: The systematic process of creating a NMHC, and the necessity of the community health nurse's role in responding to health needs of the urban poor in Dhaka, Bangladesh was confirmed. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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