NCD Corners in Bangladesh: Strengthening Primary Health Care for Noncommunicable Diseases

Mohammad Robed Amin

Background: Noncommunicable diseases (NCDs) are a leading cause of death and morbidity in Bangladesh and are placing increasing pressure on the health system. The country has responded through national planning for NCD prevention and control and through efforts to strengthen primary health care.

Approach: Bangladesh has adopted policy commitments for the prevention and control of NCDs, and the World Health Organization Package of Essential Noncommunicable Disease Interventions (WHO PEN) supports the delivery of essential chronic disease interventions in primary care settings. Drawing on the policy triangle framework and a structured comparison with WHO PEN, this commentary examines NCD Corners as a policy instrument for integrating chronic disease services into frontline public facilities.

Key messages: Policy content alone does not determine the success of NCD Corners. Context, actor relationships, and implementation processes determine whether the model moves beyond a nominal facility-level innovation to deliver effective chronic disease care.

Conclusion: NCD Corner services should be more closely integrated within primary health care reform, with particular attention to workforce development, medicine availability, referral systems, digital interoperability, and independent evaluation.

THE INFLUENCE OF DIGITAL HEALTH SERVICE, GREEN HOSPITAL, AND PERCEIVED VALUE ON PATIENT SATISFACTION WITH DIGITAL LITERACY AS A MODERATING VARIABLE

Rizka Usi Nadhifa, Nabila Chairani Achsan , Innocentius Bernarto

The impact of digital health services is the focus of this study, green hospital, and the assessment of patient satisfaction, as well as an analysis of the synergy of digital moderation within that causal relationship. An associative design within the quantitative method was used in this study. Data were collected from 396 patients who used healthcare services at the trisakti university faculty of dentistry educational dental and oral hospital. SEM-PLS (via SmartPLS 3.2.9 software) was used for the analysis in this study. The results show that digital health services have a significant positive influence on patient satisfaction (β = 0.273; t = 7.460; p < 0.001). Green hospital also has a positive and significant effect on Patient satisfaction (β = 0.188; t = 4.993; p < 0.001), while perceived value has the strongest positive and significant effect (β = 0.326; t = 8.938; p < 0.001). Furthermore, digital literacy positively and significantly moderates the relationships between digital health service and Patient satisfaction (β = 0.168; t = 4.493; p < 0.001), green hospital and Patient satisfaction (β = 0.158; t = 4.617; p < 0.001), and perceived value and Patient satisfaction (β = 0.136; t = 3.592; p < 0.001). The model explains 63.6% of the variance in Patient satisfaction. These findings indicate that improving digital healthcare services, implementing sustainable hospital practices, and strengthening Patient perceived value can enhance patient satisfaction, particularly when supported by adequate digital literacy.

Asia Pacific Journal of Health Management

NCD Corners in Bangladesh: Strengthening Primary Health Care for Noncommunicable Diseases

THE INFLUENCE OF DIGITAL HEALTH SERVICE, GREEN HOSPITAL, AND PERCEIVED VALUE ON PATIENT SATISFACTION WITH DIGITAL LITERACY AS A MODERATING VARIABLE