Providing Community-Based Effective e-Health Services in Bangladesh: An Analysis on Sylhet Sadar Upazila

Jobayda Gulshan Ara, S. M. Rafid Amin, Khadiza Zannat Sheuli


E-Health is the new component of e-governance which can give cost-effective, efficient, less time-consuming services and a key strategy to meet people health related needs by using different electronic devices. The aim of this study is to identify the effectiveness of e-health services provided by community clinics situated in Sylhet sadar upazila and also discover the major challenges faced by community clinics to provide e-health services. In order to explain and exploring the effectiveness of e-health services provided by Community Clinics social survey method has been used in this study. E-health initiative through community clinics are creating a great opportunity for the rural backward people to access primary treatment and helping them to connect with specialized doctors using electronic devices. For these purpose laptops, modems and others electronic devices are provided in every community clinic but the majority of service providers said the standards of these are not satisfactory. Service receivers (68.00%) said there has a limited access to consult with specialized doctors in their CC’s means telemedicine facilities are not available. Inadequate ICT infrastructure, insufficient training program and other instruments create difficulty in terms of ensuring safe and effective health services in rural area. The government should provide sufficient training facility for the service providers, ensure sound development of ICT infrastructures and arrange different program to inform the public about the available facilities of community clinics can create a more effectual system of health care service delivery.

Full Text:



Afroz, T. (2012). Delivery of Mobile Phone Aided Health Services in Rural Bangladesh: A Study on Two Upazilas, Department of General and Continuing Education. North South University, Bangladesh.

Alvarez, R. C. (2002). The promise of e-Health – a Canadian perspective. E-health International, 1(1).

Community Based Health Care. (CBHC). (2018). Ministry of Health and Family Welfare. Viewed: 12 October 2018.

Facility Registry, Ministry of Health and Family Welfare, Government of Peoples Republic of Bangladesh, Retrieved From:

Hoque, M. R., Mazmum, A. F., & Bao, Y. (2014). E-Health in Bangladesh: Current Status, Challenges, and Future Direction. The International Technology Management Review, 4(2), 87-96. [Online] Available:

Karim, S. M. T. (2017). E-health records: A way for better health outcomes. The Daily Star, Bangladesh, 05 March 2017, [Online] Available:

Kay, M., Santos, J., & Takane, M. (2011). TELEMEDICINE: Opportunities and developments in Member States Report on the second global survey on e-Health World Health Organization.

Khatun, F., & Sima, R. K. (2015). Impact of ICT on Health Services in Bangladesh: A Study on Hobiganj Adhunik Zila Sadar Hospital. Bangladesh Development Research Working Paper Series (BDRWPS), SSRN. [Online] Available:

Mostafa, R., EhsanurRahman, G. M. A., Hasan, G. M., Kabir, A., Rahman, A., & Ashik, S. (2010). Proposed Deployments to Provide E-Healthcare in Bangladesh: Urban and Rural Perspectives. 12th IEEE International Conference on e-Health Networking Applications and Service.

Nessa, A., Ameen, M., Ullah, S., Kwak, K. (2008). Applicability of Telemedicine in Bangladesh: Current Status and Future Prospects. The International Arab Journal of Information Technology (IAJIT), abs/0911.1(2), 138-145.

Nyella, E., & Mndeme, M. (2010). Power tensions in health information system integration in developing countries: the need for distributed control. Electronic journal of information systems in developing countries, 43(4), 1-19.

Rahman, A. (2016). Current Status and Potential of E-health in Developing Countries: A Review. A Project Paper of BRAC University, [Online] Available:

Rahman, B. (2017). Community Clinic in Bangladesh: Taking Health Services to Rural People. The Daily Sun, Bangladesh 31 October [Online] Available: http://www.daily Taking-Health-Services-to-Rural-People

Sharifi, M., Ayat, M., Jahanbakhsh, M., Tavakoli, N., Mokhtari, H., & Wan Ismail, W. K. (2013). E-Health implementation challenges in Iranian medical centers: a qualitative study in Iran. Telemedicine and e-Health, NCBI, 19(2), 122-128.

Suggs, S. L., Rangelov, N., Schmeil, et al. (2015). E-Health Services, Willy Online Service.


Copyright (c) 2020 Jobayda Gulshan Ara, S. M. Rafid Amin, Khadiza Zannat Sheuli

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Journal of Public Administration and Governance  ISSN 2161-7104


Copyright © Macrothink Institute

To make sure that you can receive messages from us, please add the '' domain to your e-mail 'safe list'. If you do not receive e-mail in your 'inbox', check your 'bulk mail' or 'junk mail' folders.