Abstract
Bangladesh has achieved remarkable success in improving most of the health indicators over the last couple of decades despite pervasive economic poverty. However, for a sustainable growth health sector should be among the top lists at Governments policy table. Unfortunately, the recent trend in budget allocation portrayed just the opposite and is concerning as expressed by health experts. Over the last seven fiscal years, budgetary allocation for health dropped from 6.2% to 4.3% of total government expenditure. Due to insufficient public spending, out of pocket payment (OPP) is much higher which is about two-third (64.7%) of total health care spending in Bangladesh. Inadequate and inefficient public healthcare and profiteering tendency of the private healthcare sector are two major factors behind such high private spending. Suffering from a massive shortage of health workforce and with such low public funding it would be very difficult for Bangladesh to fight against upcoming challenges like increasing burden of non communicable diseases (NCDs) and emerging threats due to climate change.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.505-510
Highlights
Bangladesh has made substantial progress in most health indicators over the last two decades[1]
In fiscal year (FY) 2009-10, the allocation for health was 6.2% of total budget which dropped to 4.3% in 2015-16 FY12, 13
What is needed first is to remove the barriers to improve their performance and strengthen their functional capacity. Due to their proximity to people, we propose that in addition to the primary health care, the community clinics can serve as a potential platform for preventive service package
Summary
Bangladesh has made substantial progress in most health indicators over the last two decades[1]. Healthcare Financing Features: In practice, the government of any country has a prime responsibility about the development of health facilities as well as medical system which should be applied through allocating a significant percentage of total expenditures in health sector. We need to reach this quintal of the population and special fund for mother would help to improve maternal health indicators 9 In this year Budget, GoB took an initiative for the mothers named ‘Maternal Health Voucher Scheme’ 15. Government of Bangladesh plan to provide 13,861 mini laptops to community clinics 15, But a recent study by World Vision identified several potential barriers to delivering expected healthcare services from community health clinics including infrastructural weakness, irregular medicine supply, a lack of monitoring and negligence in duties of caregivers. We recommend investing for strong, equitable health systems to be prepared to fight against emerging threats and increasingly severe natural disasters
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