Child and Maternal Mortality
in Islamic Countries
78
Figure 3.24. Barriers that prevent families from seeking delivery care from SBA or facility,
Bangladesh
(1= Most significant barrier; 2= Second most significant barrier; 3= Moderate barrier; 4=
Somewhat of a barrier; 5= Not a barrier)
Overall health information systems and other surveillance systems
Most of the respondents considered that the overall HMIS is somewhat developed and about
one-third perceived that the health information technology and mHealth infrastructure are
developed. Cloud-based service centers and patient health records were the least developed.
Below are some relevant quotes from the participants:
“The Health information- we have been promoting for individual client electronic health records
but you can't do this unless you have the necessary resources (e.g., sufficient staff, infrastructure,
accountability) so it is a long journey. They are still struggling with basic health records. There are
also parallel systems and the numbers don't always add up. There is a lot of work that is happening
and investment that is being made but it hasn't yielded quality outputs yet. So, the data remains of
poor quality”.
"Health information system in Bangladesh is quite developed. Community health workers are using
it. Technology is there, but the thing is that sometimes it's too much work for them to enter the
data, and sometimes the technology including network might not work well. Also, the CHWs may
be too busy or they are not accountable for the work."