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upazila health complexes uhcs district hospitals dhs play crucial role healthcare delivery system bangladesh research conducted find prevailing challenges medical officers working tiers objective study identify challenges faced medical officers providing healthcare services uhcs dhs indepth interviews 51 medical officers 17 uhcs nine dhs done march april 2021 participants purposively sampled data transcribed verbatim analysed using thematic analysis inadequate service rooms unavailability proper medical equipment poor housing conditions lack public amenities shortage health workforce lack laboratory services excessive workload common challenges mentioned medical officers providing healthcare services uhcs dhs lack workplace safety security undue pressure local political leaders journalists made work environment fearful absence proper implementation policy related higher education posting transfer promotion also stated challenge medical officers infrastructural improvements along increased safety security doctors workplace transparent implementation reformed policies essential reduce workplace challenges medical officers uhcs dhs bangladesh study funded hospital services management directorate general health services dghs mohakhali dhaka bangabandhu sheikh mujib medical university