Client’s Satisfaction With Disability care Services Available in a Selected District in Bangladesh

Document Type: Original Article


1 School of Public Health, International Campus, Tehran University of Medical Sciences

2 Department of Public Health, School of Health Sciences, State University of Bangladesh, Dhaka, Bangladesh.

3 Assistant Professor, School of Health Sciences, State University of Bangladesh, Dhaka, Bangladesh.


Background and aims: Increasing prevalence of disability in Bangladesh indicates the need of special attention to disability care services within the healthcare setting. Our study aims to identify the level of satisfaction of clients using disability services as well as their opinions to improve those facilities. Methods: We have conducted a cross-sectional study in six disability service centers from Kurigram district of Bangladesh. We have chosen our study participants conveniently during each visit to the service centers. Using a structured questionnaire, the interview process was done. We excluded mentally impaired participants from the study. We have used descriptive analysis of data using appropriate statistical technique. Results: We have interviewed a total of 384 individuals. Respondents mean ± standard deviation (SD) age was 38.35±16.01 years with a range of 12 to 65 years. Most of our participants were physically disabled (63%). Participants were found to be moderately satisfied with the service providers, but marked dissatisfaction were observed among the participants regarding available services and 61.7% participants were dissatisfied with the overall services. The service was not easily accessible reported by the respondents. Lack of physician was the most common complaint. Despite of indicating positive aspects, they recommended employing at least 1 physician for medical treatments and improving positive attitude towards disabled persons. Conclusion: Poor level of satisfaction towards overall disability services were observed in this surveyed community. Policy makers should initiate appropriate measures to ensure easy access and better quality of services based on the results and guidelines discussed in this study.


Main Subjects

1. Bara AC, Van den Heuvel WJ, Maarse JA, Van Dijk JP. Users’ satisfaction with the Romanian health care system: an evaluation of recent health care reforms. Eur J Public Health. 2002;12(4):39-40.

2. Peprah AA. Determinants of patients’ satisfaction at Sunyani regional hospital, Ghana. Int J Bus Soc Res. 2014;4(1):96-108.

3. Mohsin Muhammad B, Ernest Cyril de R. Private healthcare quality: applying a SERVQUAL model.Int J Health Care Qual Assur.2010;23(7):658-73. doi: 10.1108/09526861011071580.

4. World Health Organization. World report on disability. Geneva: WHO; 2011.

5. The global burden of disease: 2004 update. Geneva: WHO; 2008.

6. WHO World Health Survey. survey/en/. Accessed December 9, 2009.

7. Strengthening Employment Prospects for Persons with Disabilities in Asia and the Pacific, Disability at a Glance. United Nations ESCAP; 2015.

8. Titumir RA, Hossain J. Disability in Bangladesh: prevalence, knowledge, attitudes and practices. Dhaka: Unnayan Onneshan; 2005.

9. People with disabilities in India: from commitments to outcomes. Washington, DC: World Bank; 2009.

10. Tareque MI, Begum S, Saito Y. Inequality in disability in Bangladesh. PLoS One. 2014;9(7):e103681. doi: 10.1371/ journal.pone.0103681.

11. Andaleeb SS. Service quality perceptions and patient satisfaction: a study of hospitals in a developing country. Soc Sci Med. 2001;52(9):1359-70

12. Mendoza Aldana J, Piechulek H, al-Sabir A. Client satisfaction and quality of health care in rural Bangladesh. Bull World Health Organ. 2001;79(6):512-7.

13. Hossain SJ, Ferdousi J, Biswas MK, Mahfuz N, Biswas G. Quality of care: view of patient satisfaction with physiotherapy in government and private settings in Dhaka, Bangladesh. Faridpur Med Coll J. 2013;7(2):71-4. doi: 10.3329/fmcj. v7i2.13502.

14. Khandakar MS. Rural health care system and patients’ satisfaction towards medical care in Bangladesh: an empirical Study. J Bus Stud. 2014;35(2);83-102.

15. Rahman MM, Shahidullah M, Shahiduzzaman M, Rashid HA. Quality of health care from patient perspectives. Bangladesh Med Res Counc Bull. 2002;28(3):87-96.

16. Ferdousi MJ. Patient satisfaction with community clinic care: facility and household based survey in a sub-district in Bangladesh. Mediscope. 2015;1(1):6. doi: 10.3329/ mediscope.v1i1.21633.

17. Zeithaml VA, Bitner MJ. Services Marketing. New York: McGraw Hill; 2003.

18. Schutt RK, Cruz ER, Woodford ML. Client satisfaction in a breast and cervical cancer early detection program: the influence of ethnicity and language, health, resources, and barriers. Women Health. 2008;48(3):283-302. doi: 10.1080/03630240802463475.

19. Alden DL, Do MH, Bhawuk D. Client satisfaction with reproductive health-care quality: integrating business approaches to modeling and measurement. Soc Sci Med. 2004;59(11):2219-32. doi: 10.1016/j. socscimed.2004.03.026.