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Provisions of water sanitation and hygiene (WASH) facilities are essential to make accessible and sustainable through Community Clinics (CCs) to control infection in primary health care service. However, there is scarcity of literature to observe the scenario. This cross-sectional study with mix-method approach conducted a comparative analysis with a focus on compliance with WASH facilities between two categories of CCs in Meherpur and Kustia District in Bangladesh. There were total 420 respondents out of which 400 were selected purposively from the 20 renovated and non-renovated CCs for quantitative approach and 20 respondents for qualitative approach. Data were collected using face-to-face interview method. The study revealed that all of the renovated CCs had safe drinking water source, functioning toilet, hand washing and dust bin facilities except for a few cases with technical problem in water supply. But the reverse scenario was observed in non-renovated CCs. Compliance on WASH facilities in renovated CCs was two times higher than the non-renovated CCs. Clients aged ≤40 years (AOR = 0.41, renovated CCs), and married (AOR = 4.03, non-renovated CCs) did not comply the use of safe drinking water in CCs. Noncompliance of toilet use (AOR = 12.15, renovated CCs and AOR = 8.96, non-renovated CCs) and hand washing facility use (AOR = 8.46, renovated CCs and AOR = 16.8, non-renovated CCs) significantly found higher among respondents who had no formal education. Non-renovated CCs need to develop their WASH facilities as well as ensure maintenance whereas the renovated CCs need dedicated human resource as well as effective policies to maintain the sustainability., Compliance; WASH facilities; Community Clinics; Comparison.

Background: Cancer is a major public health concern around the globe. It is the second leading cause of mortality in the United States. According to the American Cancer Society, breast cancer incidence rates for 2011-2015 was 124.7 per 100,000, placing breast cancer incidence rates at the top of the list. Breast cancer mortality rates for 2012-2016 was 20.9 people per 100,000, placing breast cancer mortality rates after Lung and bronchus cancer. Healthy People 2020 states that breast cancer is highly detectable in early stages through breast screening using mammography. Despite an increased in screening and a 10% improvement in breast cancer death rates, breast cancer remains the focus of public health prevention in the US. Objective: To identified factors which are associated with breast cancer screening: mammography among women in the United States. Methods: We analyzed logistic regression models using data from the 2015 National Health Interview Survey (NHIS) to evaluate factors which are associated with mammography screening among women in the United States. Results: The most important result from the study was the association between health insurance and access to mammography screening. Women without health insurance are less likely to access mammography screening compared to women with health insurance. African American woman had slightly higher rate of recent mammogram compared to non-Hispanic White women. Women aged 51-64 reported more recent mammogram compared to women aged 40-50. Women from southern region of United States reported less recent mammogram compared to rest of the United States. Non-smokers were more likely to access mammography screening compared to smokers. Women with education attainment of bachelor's degree or higher were more likely to access mammography screening compared to women with high-school degree or less. Conclusion: The study indicated the importance of health insurance and education attainment for the access to mammography screening. The results urge researchers and public health officials to promote health education at secondary educational institutions such as high school because it can increase women's understanding of health messages which may result in positive health behavior. The study highlights the importance of health insurance for ensuring positive healthy behaviors such as screening.