Bangladesh has achieved significant progress over the years in providing healthcare services to people. Despite the commendable progress, it struggles to ensure equity in providing healthcare services for rural and underprivileged people. The realization of equitable health coverage is hindered by several key factors including a shortage of trained health workers, inadequate public health infrastructure, and financial constraints. This healthcare system still lacks inclusive primary healthcare services despite their efforts to attain Universal Health Coverage (UHC) and meet the health-related Sustainable Development Goals (SDGs) by 2030.

The healthcare system in Bangladesh comprises various tiers, including Community Clinics (CCs), Upazila Health Complexes (UHCs), and District Hospitals (DHs). In rural areas Community Clinics serve as vital access points, offering basic health services, family planning, and nutrition services. Shortages of skilled providers and drug supply are common in this healthcare sector. Besides along with primary health care, UHC handles childbirth, immunization, and reproductive health. Lastly District Hospitals, comprehensive facilities at the district level, offer specialized care and serve as referral centers for patients coming from Upazila Health Complexes and Community Clinics.

This study endeavors to address the existent gap in research findings concerning the satisfaction of patients and the standard of services delivered at all three tiers: CCs, UHCs and DHs. by investigating and collecting feedback from both demand and supply-side challenges associated with delivering equitable healthcare services in specific health facilities located within the jurisdiction of BHW Regional Chapters.