The 2017 Bangladesh Health Facility Survey (2017 BHFS) is the fourth nationally representative sample health facility survey (follows the 2009, 2011 and 2014 BHFS surveys) implemented in Bangladesh by the National Institute of Population Research and Training (NIPORT) with technical assistance from ICF, USA. The survey was funded by the Government of Bangladesh and the United States Agency for International Development (USAID).
The 2017 BHFS is an assessment of health care facilities in the formal sector of Bangladesh. The survey provides information on the availability of basic and essential health care services and the readiness of health facilities to provide quality services to clients.
The main objectives of the 2017 BHFS were to:
- Assess the availability of health services, including maternal and child health, family planning, diabetes, cardiovascular disease, tuberculosis, and nutrition services.
- Ascertain general preparedness of the health facilities and availability of basic amenities, equipment, laboratory services, essential medicines, standard precautions for infection control, and human resources at the facilities.
- Assess service-specific readiness of health facilities to provide maternal, newborn, and child health care; FP services; and treatment of diabetes, cardiovascular disease, and tuberculosis, measured in terms of the WHO-recommended minimum conditions required to provide quality services.
- Compare findings among facility types and managing authorities.
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Health establishments, hospitals, health centers, health workers
The 2017 Bangladesh Health Facility Survey covered the following topics:
General information and service availability
- General service availability and inpatient services
- General filter questions
General service readiness
- 24 hours staff coverage, infrastructure, external supervision, user fees, sources of revenue
- Staffing, management, client opinion, quality assurance, transport, HMIS and health statistics
- Processing of instruments for reuse
- Health care waste management and client latrine
- Basic supplies, client examination room client waiting area
- Medicines and commodities
- Child vaccination
- Child growth monitoring services
- Child curative care services
- Family planning
- Antenatal care
- Delivery and newborn care
- Non-communicable diseases
- Cesarean delivery
- Blood Typing and compatibility testing
- Blood transfusion services
- General facility level cleanliness
Health provider interview
Staff listing (health workers available on day of visit)
Producers and sponsors
National Institute of Population Research and Training (NIPORT)
Government of Bangladesh
The DHS Program
Provided technical assistance through the worldwide DHS Program
Government of Bangladesh
United States Agency for International Development
The sample for the 2017 Bangladesh Health Facility Survey (BHFS) was a stratified random sample of 1,600 health facilities designed to provide representative results for Bangladesh, for the different facility types and different management authorities, and for each of the eight divisions of the country. Stratification was achieved by separating the health facilities by facility type within each division. Implicit stratification by management authorities was achieved by sorting the frame based on the management authorities within each explicit sampling stratum before sample selection.
The sample for the 2017 BHFS covered all types of registered health facilities in all eight divisions of the country: Barisal, Chittagong, Dhaka, Khulna, Mymensingh, Rajshahi, Rangpur, and Sylhet. The survey was designed to report results separately for the eight divisions and the six types of public health facilities included: community clinics (CCs), union subcenters/rural dispensaries (USC/RDs), union health and family welfare centers (UHFWCs), upazila health complexes (UHCs), mother and child welfare centers (MCWCs), and district hospitals (DHs). Results are also reported separately for NGO clinics and hospitals and private hospitals. UHFWCs include regular FWCs and upgraded FWCs (UpFWCs).
For further details on sample selection, see Section 2.5 of the final report.
Dates of Data Collection
Data Collection Mode
Computer Assisted Personal Interview [capi]
Data Collection Notes
The main training for the 2017 BHFS was conducted from July 9-27, 2017, in Dhaka. Eighty enumerators were recruited for data collection (40 interviewers [sub-assistant community medical officers] and 40 team leaders [medical doctors]) and trained as interviewers in the application of survey instruments and computer programs.
After the training, 40 data collection teams with two interviewers were formed, with one interviewer on each team assigned to the role of team leader. Data collection was conducted from July to October 2017. On average, data collection took 1 day for each health facility.
Fieldwork supervision was coordinated by ACPR and NIPORT. The eleven medical doctor master trainers and seven trained data processing specialists formed the seven field supervision teams. The field supervision teams conducted periodic visits to their assigned data collection teams to review work and monitor data quality. Eight master trainers from icddr,b served as independent field monitors during data collection. In addition, supervisory teams and professionals from NIPORT periodically and simultaneously visited and monitored the data collection exercise.
Associates for Community and Population Research
Private research agency
The 2017 BHFS used two types of data collection tools:
- Facility Inventory Questionnaire
- Health Care Provider Interview Questionnaire
Both the Facility Inventory and Health Care Provider Interview questionnaires were loaded onto tablet computers and administered as computer-assisted personal interviews (CAPIs).
The Facility Inventory Questionnaire was organized into three modules:
- Module 1 collected information on service availability and included two sections.
- Module 2 collected information on general facility readiness. This module included seven sections that covered topics such as facility infrastructure (i.e., sources of water and electricity), staffing, health management information systems, health statistics, processing of instruments for re-use, health care waste management, availability of basic supplies and equipment, laboratory diagnostic capacity, and medicines and commodities.
- Module 3 collected information on service-specific readiness. The 12 sections in this module included specific service areas such as child health (child vaccination, growth monitoring, and curative care), FP, adolescent health, nutrition, antenatal care (ANC), delivery and newborn care, tuberculosis, NCDs, caesarean delivery, blood typing and compatibility, blood transfusion services, and general facility cleanliness.
The Health Care Provider Interview Questionnaire collected information from a sample of health service providers. The data included qualifications, training, experience, continuing education, supervision received, and perceptions of the service delivery environment.
Information about The DHS Program
The DHS Program
The DHS Program
Data and Data Related Resources
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DDI Document ID
Development Economics Data Group
World Bank Group
Documentation of the DDI
Date of Metadata Production
DDI Document version
Version 01 (March 2020). Metadata is excerpted from "Bangladesh Health Facility Survey 2017" Report.