---
title: "Equity in Accessing Healthcare Services"
date: '14 March - 13 April 2022'
output: 
  flexdashboard::flex_dashboard:
      source_code: embed
      social: menu
      
---
```{css}
body > div.navbar.navbar-inverse.navbar-fixed-top > div > div.navbar-header > span.navbar-brand {
    font-size: 30px;
    color: white;
}
```

```{r setup, include=FALSE}
library(flexdashboard)
library(knitr)
```


## Column 1 {data-width=650, .tabset}

### Overview


About this course 


**Equity in Accessing Healthcare Services** short course is designed for public 
health professionals developed by the Centre for Professional Skills 
Development in Public Health (CPSD) at [BRAC James P Grant School of Public 
Health](https://bracjpgsph.org/), BRAC University in collaboration with [Bangladesh Health Watch (BHW)](https://bangladeshhealthwatch.org/). 
The course focuses on health equity and the social determinants of health (SDOH). It introduces participants to the core concepts of health equity. Participants 
will learn that health inequities are not only a result of deficiencies in the 
health system but diversity in vulnerabilities within the population, social, 
economic, political, cultural and environmental conditions in which people live, 
grow and work that determine health and health inequities. 



Who is this course for

This course is for: health programme planners and managers of Government, 
NGO/INGO and private sector, University faculty (particularly public health), 
other professionals in the health sector, and journalists.


Outline of the course

This course is divided into four themes and organized as follows: 

***Theme-1: 
Foundational knowledge on Health Equity: Importance of Health Equity to public 
health and society as whole*** - introduces the concept of health inequities, 
as well as data that demonstrates gaps in health status between groups in 
Bangladesh. It also presents different measures of health (in)equity 
drawing examples from Bangladesh. 

***Theme-2: Health inequities and their root 
causes: Social Determinants of Health (SDOH)*** - introduces the social determinants 
of health (SDOH) which are the root causes of health inequities. It also presents 
some ideas how to eliminate social inequities in Health. It encourages participants 
to explore inequities in maternal and child health indicators by residency of 
population (rural/urban/hard-to-reach) and sociodemographic characteristics of 
population groups (age, sex, income, education, ethnicity, religion etc.) in Bangladesh. 

Then, ***Theme-3: Pathways to Health Equity: Achieving of Universal Health Coverage (UHC), its challenges and ways forward*** - explores pathways to health equity: achieving of universal health coverage (UHC), the challenges and ways forward. 

Finally, ***Theme-4: The Service Delivery Improvement Project (SDIP): A practical tool for equity related project planning and management*** - focuses on useful practical tools for project planning and management to address health equity related problems under participants' SDIP project. It guides participants to explore root causes of health inequity through problem tree and stakeholder analysis focusing on equity issues.
 


### Learning Outcomes 

Course learning outcomes  

By the end of this course, participants will be able to:
 
  - Describe key health equity concepts, differential between equality and equity e.g., equality is sameness and equity is fairness 

  - Describe why health equity is important, and find data that illustrates the state of and trends in health inequities within country (Bangladesh) and between developing countries
  
  - Describe the pathways through which health inequities are created and persist; more specifically broader social, economic, political and legal factors influencing the health of marginalized populations in the country 
    
  - Describe the pathways to improve health equity through universal health coverage (UHC) overcoming challenges 
    
  - Develop a project focusing on solving health inequities using the Service Delivery Improvement Project (SDIP) tools 

 
Teaching and structure
 
This **ONLINE** course was held between 14 March - 13 April 2022, three days a week 
(Mondays, Wednesdays, Thursdays), from 2:30PM to 4:30PM each day (sometimes sessions maybe continued up to 5PM). Teaching and Learning (T&L) methodologies of the course involves facilitator led interactive discussions, case studies, group discussions, exercises (think-pair-share), brainstorming/free listing, and panel discussions with public health specialists and experts. Participants will also need to spend time about 1-2 hour a week on self-directed reading. Finally, participants have to submit a SDIP (group assignment) to successfully complete the course within next one month. Participants will evaluate the course on daily basis via a Google Survey Form. 

Assessment and certificates

All participants would receive certificates from the BRAC James P Grant School of Public Health (BRAC JPGSPH), BRAC University who successfully 
complete the course including final submission of practical work called Service Delivery Improvement Project (SDIP) Plan. Participants will be expected to take part in presentations and will receive feedback on these. Each participant will be assessed through a presentation and submission of written report. Additionally, BRAC JPGSPH keeps daily attendance through a google attendance sheet which carries 10% of total assessment. 

Structured follow-up

Three TEAMS were formed with all course participants. They had been followed up for four weeks between 18 April to 26 May 2022 after completion of the course on 13 April 2022. It should be noted that this follow up is critical to reinforce their learning as they intend to apply their learning through a practical project called Service Delivery Improvement Project (SDIP). We used to meet one a week with each of thee teams (Monday, Wednesday, Thursday). During this follow up, the Lead Facilitator provided feedback on their final draft SDIP and each team was supposed to address those feedback and resubmit the updated SDIP for further comments. Thus, each team completed SDIP through iterative process which is unique feature of this experiential learning course. 

Course evaluation

We followed a Daily Evaluation strategy instead of end of the course evaluation approach. We sent a Google Form to each participant after each session and requested them to return the form before next session. Participants evaluated three aspects of the course: learning content, teaching and learning (T&L) methods used, and facilitation. There were open ended question in the form to receive participants' feedback on the course. Participants feedback helped us to improve the short course.

### Course Resource Persons 



Course team

Dr Sabina Faiz Rashid

Dean and Professor

BRAC James P Grant School of Public Health (JPGSPH), BRAC University


Dr Rizwan Khair

Technical Advisor

BRAC James P Grant School of Public Health, BRAC University

and

Associate Professor, North South University, Dhaka


Mr. Kazi Hasan Imam

Lead Facilitator

BRAC James P Grant School of Public Health (BRAC JPGSPH)

BRAC University, Mohakhali, Dhaka

Dr. Proloy Barua
 
Assistant Scientist

BRAC James P Grant School of Public Health (BRAC JPGSPH)

BRAC University, Mohakhali, Dhaka

Dr. Kazi Haque

Assistant Scientist

BRAC James P Grant School of Public Health (BRAC JPGSPH)

BRAC University, Mohakhali, Dhaka
 
 Mr. Munirul Islam
 
Senior Project Officer

BRAC James P Grant School of Public Health (BRAC JPGSPH)

BRAC University, Mohakhali, Dhaka


Resource persons 
 
(*Alphabetical order of last name*) 
 
Dr. Syed Abdul Hamid
 
Professor
 
Institute of Health Economics (IHE), University of Dhaka
 
Dr. Rumana Huque
 
Professor
 
Department of Economics, Faculty of Social Sciences, University of Dhaka
 
Mr. Md. Ashadul Islam
 
[Former Senior Secretary](https://en.shampratikdeshkal.com/bangladesh/news/20068100/md-ashadul-islam-made-senior-secretary)
 
Planning Division of the Ministry of Planning 

Previously, he was in  Health Economics Unit (HEU) of Ministry of Health and Family Welfare (MoHFW), Government of Bangladesh (GoB)
 
Dr. Taufique Joarder

Vice-Chairperson 
 
Public Health Foundation, Bangladesh
 
Mr. Md. Abdus Salam Khan
 
Joint Secretary (Planning)
 
Medical Education and Family Welfare Division, Ministry of Health and Family Welfare (MoHFW), Government of Bangladesh (GoB)
 
Dr. Zahidul Quayyum
 
Professor (Health Economics) and Director Research
 
Co-Director Centre of Excellence for Urban Equity and Health (CUEH)
 
BRAC James P Grant School of Public Health, BRAC University
 
Dr. Mohammod Abdus Sabur
 
Public Health Specialist
Dhaka, Bangladesh 
 
Dr. Sohana Shafique
 
Deputy Project Coordinator and Facilitator
 
Urban Health Research Group, Health System and Population Studies Division, icddr,b 
 
Mr. Md. Helal Uddin
 
Former Additional Secretary (Planning)
 
Health Service Division, Ministry of Health and Family Welfare (MoHFW), Government of Bangladesh (GoB)
 

### Course Participants 
 
Course participants

```{r echo=FALSE, eval=TRUE, message=FALSE, warning=FALSE}
library("reactable")
library("htmlwidgets")
library("htmltools")
library("data.table")
equity_trainees <- data.table::fread("F:/R practice/Participants_data_equity.csv")
reactable::reactable(equity_trainees,highlight = TRUE,
                            outlined = TRUE,
                            bordered = TRUE,
                            borderless = FALSE,
                            striped = TRUE,
                            compact = TRUE,
                            searchable = TRUE,
                            wrap = TRUE,
                     showPageSizeOptions = TRUE,
                     defaultPageSize = 50)
                     
                            
``` 


### Course at a Glance 

Course at a glance

```{r, echo=FALSE, out.width="50%", fig.cap=""}
knitr::include_graphics("F:/BHW Dcuments/Main courses/Health equity/Resources/Course Flyers/Flyerataglancewithdates.png")
```

### Course Gallery 

Orientation Day

```{r, echo = FALSE, out.width="100%"}
myimages<-list.files("F:/BHW Dcuments/Main courses/Health equity/COURSE SESSIONS BY DAYS/ORIENTATION/", pattern = ".png", full.names = TRUE)
include_graphics(myimages)
```


Panel Discussion

```{r, echo = FALSE, out.width="100%"}
myimages<-list.files("F:/BHW Dcuments/Main courses/Health equity/COURSE SESSIONS BY DAYS/DAY-7/", pattern = ".png", full.names = TRUE)
include_graphics(myimages)
```