This research report provides a brief narrative of the demand side challenges experienced by rural, disadvantaged people seeking medical care in selected government primary and secondary healthcare facilities and supply side challenges exist in those facilities.

The report also sheds light on the initiatives undertaken by Bangladesh Health Watch, a multi-stakeholder civil society advocacy and monitoring network dedicated to improve the health system in Bangladesh, through establishing the Regional Chapters for overall improvements of the health facilities to increase patient satisfaction and reduce the inequity in access to health services. We would like to extend our gratitude to the study participants for their participation in the research and for sharing their experiences, perceptions, thoughts, and suggestions on how to improve functioning of healthcare facilities in the study sites, where the Regional Chapters work. We are also grateful to the health care professionals and health facility managers for their time during the interviews and assistance during facility assessment of the study. We also acknowledge the support of the host organizations of Bangladesh Health Watch Regional Chapters, namely Solidarity, ERA, Zabarang, Jago Nari, Rupantar, SUS, Proyas, and BARCIK during the data collection period. Finally, our appreciation goes to the youth volunteers of the Regional Chapters of Bangladesh Health Watch for their dedication, commitment, and hard work in collecting data from the study sites.