173 Annals of Community Health JAN - MAR 2021 | Vol 9 | Issue 01 The Determinants of Utilizing Primary Health-care Facilities from Community Clinic in Rural Bangladesh Md. Nure Alam Siddiqi 1 , Abdul Muyeed 2 , Md. Abdul Goni 3 , Md. Nuruzzaman Haque 3 INTRODUCTION C ommunity clinic is the community-based health-care center which is considered as the vital source of primary health care in Bangladesh, especially in rural areas of the country. Primary health care is the most important tool for the health-care services system in any society or any country. [1-3] It is an integral part of the national health system of a country and the main focus of primary health care is the overall socioeconomic development of the country. [4] The fundamental aim of primary health care is to ensure universal access to essential health services and commodities for the most important health needs of the people living in a community using available, acceptable, and sustainable resources. [5] The primary health care is accessible to individuals and their families within the community and it focuses on disease prevention and health promotion through full participation of the community at a cost that community and country can afford to maintain its socioeconomic development. [6,7] Thus, the innovation of community clinic has aroused from the concept of providing primary health care to the people who are deprived of access to health care through full participation of the people of the community within the general health-care structure of the country. According to the constitution, the government of Bangladesh is committed to providing essential medical care to all segments ABSTRACT Background: Community clinic is considered as the vital source of primary health care in Bangladesh. In this study, attempts have been made to identify and evaluate the factors that are associated with the utilizing of primary health-care facilities from community clinics among the rural population of Bangladesh. Materials and Methods: Data have been collected from persons living in rural areas of Haripur Upazila under Thakurgaon district, Bangladesh. The Chi-square test and binary logistic regression technique were used to find out the significant factors associated with utilizing primary health-care facilities from community clinic. Results: The findings of this study showed that 51% of respondents of the study areas were found utilizing primary health-care facilities from the nearest community clinic. Age, education, marital status, occupation of the respondent, monthly family income, distance from the nearest community clinic, number of family members, occupation, and literacy status of the family head have been found as the important determinants of utilizing primary health-care facilities from the community clinic. The result of the study also revealed that less educated and low- income category peoples more utilized the community clinic services than the educated and higher income category peoples. Conclusion: The success of a community clinic depends on community participation so the active participation of people of all classes and professions in the rural area must be ensured in the management of community clinics. Engagement of staffs with required skills should be ensured in community clinics to provide essential primary health-care services. Key words: Community clinic, Primary health-care service, Rural Bangladesh ORIGINAL ARTICLE Annals of Community Health (AoCH) pISSN 2347-5455 | eISSN 2347-5714 An Indexed (Index Medicus, DOAJ and More), Peer Reviewed, Quarterly, International Journal focusing exclusively on Community Medicine and Public Health Correspondence: Md. Nure Alam Siddiqi, Department of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh, Bangladesh. E-mail: nurealam_rasel@yahoo.com How to cite: Siddiqi MNA, Muyeed A, Goni MA, Haque MN. The Determinants of Utilizing Primary Health-care Facilities from Community Clinic in Rural Bangladesh. Ann Community Health 2021;9(1):173-180. 1 Department of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh, Bangladesh 2 Department of Statistics, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh, Bangladesh 3 Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh