Health Care System In Bangladesh Research Articles

Unmasking the Hidden Burden: A Delayed Diagnosis of Leprosy Patients With Grade 2 Disability and Its Effects on the Healthcare System in Bangladesh.

Introduction Leprosy remains a significant cause of preventable disability worldwide. Early diagnosis and treatment of leprosy are critical not only to stop its spread but also to prevent physical and social complications and reduce the disease burden. Objectives The study aims to evaluate the factors that lead to a delayed leprosy diagnosis. Methods This study was conducted in the outpatient departments of Leprosy Control Institute and Hospital, Dhaka, Bangladesh, and at Medical College for Women and Hospital, Dhaka,Bangladesh, from March 2023 to June 2023. A total number of 252 male (148) and female (104) patients were selected with any sign of leprosy, including disability, age ranging from 15 to 74 years. Data was collected in a pre-designed structured questionnaire by the researchers. To assess the risk of independent exposures of Grade 2 leprosy disabilities, we used a logistic regression model. A chi-square test showed the association between significant effects and leprosy disabilities. A p-value of 0.05 was considered as significant. For statistical analysis, STATA version 15 (StataCorp LLC, College Station, Texas, USA) was used. Results The study participants exhibited a higher percentage of disability, with a rate of 25.8% for Grade 2 disabilities.In addition to this, males represented a more considerable proportion, 58.7%, than females among leprosy and disability patients across all levels of disability. In our study, lack of money and painless symptoms showed a significant association (p<0.001) with Grade 2 disability. Conclusion The study reveals that Grade 2 disabilities are more common in males and are particularly prevalent in lower socioeconomic groups.

Assessment of the Level of Knowledge Regarding Breast Cancer among the Female Students of Basic B.Sc. in Nursing at Square College of Nursing, Dhaka, Bangladesh

Health care system in Bangladesh has been achieved changed and improved status now. But there is still a field where we have to work a lot and that is the slow progress in improving health care system in Bangladesh. Specially, it is very important to increase knowledge and awareness and knowledge about breast cancer among young generation, however all ages people. Breast cancer is the highest public detected cancer among female population in the majority of countries worldwide. There are many risk factors that may increase the chances of developing breast cancer, these include - age, sex, family history of breast cancer, drug abuse, obesity, hormone replacement therapy. We collected some information about breast cancer from the SQUARE College of Nursing, among the female students about age of (19-23) years. The aim of this study was to find out the knowledge among the female students at the SQUARE College of Nursing in Dhaka city. This study adopted a descriptive type of cross-sectional study design. This study used questionnaire as data collection instruments. This study has been carried out for assessing the knowledge regarding about breast cancer among the female students using simple random sampling technique in face to face. The collected data was checked complied in various tables, charts, and analyzed by using SPSS (Statistical Package for Social Science) program. The mean age of the female respondents was 21 years, most of them were Muslims by religion. Educational qualification of female respondents was undergraduate B.Sc. in nursing students. Most (90%) respondents’ mother were housewife and most (35%) respondents’ father were business man. In this study 25% respondent's had excellent knowledge, 6.7% respondents had very good knowledge, 13.3% respondent's had good knowledge, 55% respondents had below average knowledge about breast cancer. On the other hand, breast cancer early detection purpose and the presence of family history of breast cancer were considered facilitators to regular practice BSE. A statistically significant relationship existed between knowledge about the steps of applying the BSE and regular practicing. A training program should be implemented to increase the level of awareness about BC and practicing BSE.

APPLICATION OF DATA MINING IN HEALTHCARE OF BANGLADESH

The paper intends to discuss the status of data mining applications in the normal and critical healthcare system of Bangladesh. The paper also focuses on the data mining strategies and processes in the current healthcare system in Bangladesh. This is a secondary source-based review paper. The methodology chosen for the study is a literature review and document analysis. The literature review was done through the analysis of book chapters, research-based articles, review-based journal articles, organizational reports, and conference papers. The key findings of the study indicate that as Bangladesh is not a developed country and is a developing one, the country’s healthcare system is not up to the required standard, and the application of data mining techniques is very limited and in most cases, it is at the policy level. The implementation and practice of data-mining techniques is available in internationally recognized organizations and institutions. In these circumstances, the country’s healthcare policymakers and administrators should employ experts in data mining in healthcare services and facilities and standard technologies should be included in their administering the data mining in healthcare facilities. Besides, data mining should be incorporated with other related concepts and strategies to make the highest outcomes in health care systems.

Knowledge, Attitude and Perception about Adverse Drug Reaction Reporting System among Pharmacy Students in Bangladesh

Inadequate resources and a fragmented healthcare system in Bangladesh lead to the practice of almost non-reporting of adverse drug reactions (ADR). Pharmacists may offer service in this regard to strengthen pharmacovigilance if given the appropriate opportunity. To evaluate their preparedness, the current cross-sectional study aims to assess the knowledge, attitude and perception (KAP) of pharmacy students about the ADR reporting system. A validated self-administered and structured questionnaire was filled out online upon informed consent by 400 final-year and master-level participants from 22 public and private universities. Data analysis was done using the Statistical Package for Social Science (SPSS, v.23.0) and Microsoft Excel. The average knowledge score of the students came out as 2.93 (SD=0.6) out of 5. While fundamental knowledge regarding ADR was displayed well by the participants such as agreeing to ‘side effects and ADRs are different’ (85%), advanced conceptual understanding exhibited lacking. For example, variable like ‘distinguishing between ADR and an adverse drug event’, ‘not all ADRs are known before a drug is marketed’, and ‘before ADR reporting, drug’s association needs no confirmation’ showed 14%, 41% and 5% correctness, respectively. However, 98% of the participants emphasized the need for ADR reporting, in both serious and non-serious cases, 85% knew that anybody can report ADR and approximately the same percentage of students could identify the organization receiving reports. Less than half (47%) were familiar with the authorized ADR reporting form and 40% reportedly claimed that they knew when and how to report. The need for more relevant education about this was supported by most of the students (91.8%). Participants mostly agreed about the need for reporting and gaining more overall awareness about the ADR reporting procedure. The findings suggest that increased knowledge, training, assertiveness and practice among all stakeholders are necessary for a spontaneous ADR reporting system in the country. Dhaka Univ. J. Pharm. Sci. 22(1): 21-28, 2023 (June)

Telemedicine: A Natural Evolution of Obstetric and Gynaelogical health Care System of Bangladesh during COVID-19 Pandemic

Background: The word Telemedicine literally translates to ‘healing at a distance’. Here remote diagnosis and treatment of patients is done by means of telecommunication technology. First published record of telemedicine is in the first half of the 20th century when ECG was transmitted over the telephone line. In Bangladesh telemedicine was not so popular as patients prefer face to face visit to a medical practitioner. But in Covid-19 Pandemic to prevent transmission and Lock down situation telemedicine becomes popular and emerges as a natural evolution of Obstetrics and Gynaecologic health care system in Bangladesh.&#x0D; The Aim of the study: To see the outcome of patients taking telemedicine for their Obstetric and Gynaecologic problems. The reasons of seeking consultation through telemedicine are also studied.&#x0D; Materials and Methods: This is a Cross sectional prospective study done during Lock down period in Bangladesh. Study period was 27th March to 20th May. Total 201 women got telemedicine service free of cost via sms, messenger, imo, whatsapp, email using smart phone were included in this study. The data was collected, edited and tabulated by hand tabulation. Calculation was done on scientific calculator.&#x0D; Results: About 96.51% patients suffering from Obstetrics and Gynaecological diseases were cured by taking medicine, counselling and assurance through telemedicine. Majority of pregnant women(23.88%) sought telemedicine service for consultation about advice regarding diet, medicine, anxiety about ANC visits. 2.48% women were worried about Tetanus Toxoid vaccine.Women (.99%) suffering from Gynaecological diseases such as Fibroid uterus, Uterine Prolapse were seeking for operation.3.48% women suffereing from DUB and managed by medication . Only 3.48% patients were required to refer to Hospital for Emergency admission.&#x0D; Conclusion: Telemedicine can’t give solution to all problems, but it definitely helps in managing women suffering from Obstetric and Gynaecological diseases at a large extent especially during awakward situation like Covid 19 pandemic.&#x0D; Bangladesh J Obstet Gynaecol, 2021; Vol. 36(1): 23-27

Perception About Household Decision-Making Process on Obtaining Maternal Health Services Among the Employed Women of Dhaka City

Reducing maternal morbidity and mortality and ensuring maternal and new-born health have been one of the central goals of healthcare system in Bangladesh. In that connection care during and after pregnancy, especially antenatal and delivery, is critical to monitor the status of pregnancy both for mother as well as for expected new-born baby. The role of women’s decision-making in reproductive health is crucial one. This study intends to understand the role of household decision-making in obtaining maternal health services- its patterns access and reasons by using qualitative methods. The approaches are employed to explain woman’s decision-making process to utilize the service facilities. The findings of the study illustrate that decision-making processes should be understood and recognized in a wider social environment and as a multifaceted process that is closely tangled with local belief systems and social relationships. Combined knowledge of social images, women’s requirements and expectations can play an important role in confirming broader and more effective coverage of maternal healthcare, health authorities and to those in charge of maternal care services. Social Science Review, Vol. 38(2), December 2021 Page 105-116

Using scenario‐based assessments to examine the feasibility of integrating preventive nutrition services through the primary health care system in Bangladesh

The National Nutrition Services of Bangladesh aims to deliver nutrition services through the primary health care system. Little is known about the feasibility of reshaping service delivery to close gaps in nutrition intervention coverage and utilization. We used a scenario‐based feasibility testing approach to assess potential implementation improvements to strengthen service delivery. We conducted in‐depth interviews with 31 service providers and 12 policymakers, and 5 focus group discussions with potential beneficiaries. We asked about the feasibility of four hypothetical scenarios for preventive and promotive nutrition service delivery: community‐based events (CBE) for pregnant women, well‐child services integrated into immunization contacts; CBE for well‐children, and well‐child visits at facilities. Opinions on service delivery platforms were mixed; some recommended new platforms, but others suggested strengthening existing delivery points. CBE for pregnant women was perceived as feasible, but workforce shortages emerged as a key barrier. Challenges such as equipment portability, upset children and a fast‐moving service environment suggested low feasibility of integrating nutrition into outreach immunization contacts. In contrast, CBE and facility‐based well‐child visits emerged as feasible options, conditional on having the necessary workforce, structural readiness and budget support. On the demand side, enabling factors include using interpersonal communication and involving community leaders to increase awareness, organizing events at a convenient time and place for both providers and beneficiaries, and incentives for beneficiaries to encourage participation. In conclusion, integrating preventive and promotive nutrition services require addressing current challenges in the health system, including human resource and logistic gaps, and investing in creating demand for preventive services.

An Approach to Digitalize the Health Care System of Bangladesh using Smartphone

Health is one of the basic needs of human life. If this need cannot be fulfilled, then nothing can compensate for the loss. Often in Bangladesh, we observe that the economic ability of mass people can hardly ensure proper health care. The poor are being deprived of proper health care and even though the rich class can afford quality health care, but it comes with many compromises with their valuable time and labor. To meet the gap, we thought of a smartphone-based health care system that will assist people, especially the underprivileged, to attain health care easily and effectively. To effectively use the ICT facility that the government and non-government sectors are providing, we made a mobile application that will have several features including online appointment and cabin booking, prescription generator, hospital, and doctor's information displayed along with the suggestion, medicinal and disease information, etc. Since there is a great need for a system that can alarm people of emerging diseases in their area, we made a system to alarm people about that. Moreover, in the world of continuous changes, there is a great need for communication to acquire the latest knowledge. Hence a social network where doctors can discuss cures and medication will be of great benefit. Along with this, the need for continuous observation of medicinal side effects is not negligible. So, we need a proper channel for communication between patient and doctor, especially when a patient encounters some trouble when he takes the pre-scribed medications because of their side effects.

Potential Socio-Economic Impact of the Covid-19 Pandemic on the Human Development of Bangladesh

Bangladesh is one of the high-risk countries for the COVID-19 pandemic and its consequent losses. Through quick administrative action and raising awareness for individuals on social distancing, stringent steps were taken to manage the spread of the disease. On 30th October 2021, there were 15,70,485 confirmed cases besides 27,887 deaths in Bangladesh. The primary purpose of this study is to assess and assess the potential socio-economic impact of the COVID-19 pandemic on the human development of Bangladesh. This paper is a general literature review with an informative purpose that examines recent and relevant literature and current study works, domestic and foreign working papers. The economy of Bangladesh is seriously affected because of its small number of economic attributes to meet the demand of a vast population. Bangladesh RMG industry has received work order cancellations of nearly $3 billion. Around 2 million workers in the industries will be affected by this. The millions of Bangladeshi skilled and unskilled remittance earners working worldwide are severely impacted. Bangladesh will also face difficulty in attaining SDGs goals. The pandemic hardly stunned the money market and stock market. In a Perception-Based assessment report, 62% of the respondents agreed that the healthcare system of Bangladesh is fragile and unable to deal with the recent outbreak of COVID-19. In this context, the novelty and the complexity of the COVID-19 represent a significant challenge that might compromise the achievement of organizational goals. Therefore, proper and effective policies, initiatives, coordination and awareness buildup are inevitable to avert the severity of the crises to overcome this pandemic, and coordinated efforts are inevitable for governments and NGOs. Focus on people’s long-term capabilities. Follow a coherent multidimensional approach. Beyond FY2021, we must be forward-looking and consistent with Vision 2041 and 8th FYP, designing the best growth path with distributional equity

Folk medicinal practice in Noakhali district, Bangladesh: A scientific appraisal

Folk medicine is an important part of the traditional health-care system in Bangladesh. The objective of the present study was to document the phytotherapeutic practices of a folk medicinal practitioner (FMP) in Noakhali district, who used some unique formulations to treat some diseases difficult to cure with allopathic medicine. Interviews of the FMP regarding his phytotherapeutic practices were carried out with the help of a semi-structured questionnaire and the guided field-walk method. The FMP used a total of 19 plants distributed into 15 families in his 10 formulations. The diseases treated included leech bite, external cuts and wounds, piles, poisoning, kidney stone diabetes, paralysis, erectile dysfunction, bone fracture, and pain. The FMP used plant-based formulations to cure several diseases, which either need surgical treatment or cannot be cured with existing allopathic medicine(s). As such, the formulations of the FMP merit further scientific studies toward discovery of lead compounds and new drugs.

Improvement of Health Care System by Using Lean Tools: A Case Study

Densely populated countries like Bangladesh are facing challenges in the health care system with overcrowding, cost containment, and inadequate arrangement of the health care center in terms of increasing demand from patients. Running health care systems all over the country both private and public are unable to satisfy patients because of miss management, waste of time, and the lack of service. To identify and reduce the problem in the health care system, lean management plays an important role all over the world. Value stream mapping (VSM) is one of the proven widely used Lean techniques, to identify the flow of work, information, and structure for reducing waste of time and service stress which helps to make a good relationship between administration and service holder. VSM is a very primary stage in the Bangladesh health care system. This research aims to improve the health care system in Bangladesh and the study focuses on applying VSM at the cardiology department in Khulna Medical College Hospital, Khulna, Bangladesh. A patient survey is done for comparison of numerical results to real-life data in the cardiology department of Khulna Medical College hospital. In this study it could be shown that after implementing the VSM technique, the patient capacity increased by 39%, Ideal time improve 9.62% as well as utilizing time increase by 38.46%. This result inspires large scale implementation of the lean tool in the health care sector of a country like Bangladesh.

Health Sector Governance: An Overview of the Legal and Institutional Framework in Bangladesh

The on-going COVID-19 outbreak has unveiled the inadequacy, inefficiency, mismanagement and deeply ingrained poor governance in the healthcare systems of many national jurisdictions. In addressing these drawbacks and challenges, the present article examines the organizational structure of the healthcare system in Bangladesh with a specific focus on its legal, policy and regulatory frameworks. It has been noted that the health sector of the country has been long struggling due to challenges emanating from deficient national policy priorities, absence of dynamic stewardship and effective planning and management, high inequity and low quality in service delivery, lack and abuse of resources, widespread corruption, inadequacy of health professionals and urban centred service structure, among others. In addition to mapping out a coherent and comprehensive legal and regulatory framework for the nation’s healthcare system, a key recommendation of the paper places particular emphasis on devising short, intermediate and long-term plans and policies in coordination with other relevant sectors and agencies-both public and private- ensuring optimum accountability, transparency and predictability in reorganising a comprehensive sectoral approach to health service administration and management.

Alternative Mode of Health Service Delivery

The health sector of Bangladesh has improved a lot in the last decade which can be seen in improved immunization coverage and life expectancy of citizens. But still, there is some disparity between the healthcare system of urban and rural areas as most of the qualified doctors provide their services in urban areas only.telemedicine has an opportunity to play a vital role to reduce this disparity in the healthcare system of Bangladesh. This paper presents the the role of telemedicine in reaching people, especially in COVID pandemic, to provide adequate healthcare service.

Impact of COVID-19 Pandemic among Health Care Providers in Bangladesh: A Systematic Review

Background: The world has been passing the most critical time of the century with the COVID-19 pandemic since late December 2019, and numerous people, including a significant portion of health care providers, got the infection and are still sacrificing their lives.&#x0D; Objective: The study was aimed systematically to assess the severity of the SARS-CoV-2 infection, especially in health care sectors, and to appraise the physical, psychological, and social effects of the COVID-19 epidemic among frontline fighters in Bangladesh.&#x0D; Methodology: The keywords: “COVID-19”, “SARS-CoV-2”, “health care system in Bangladesh”, “health care providers”, etc. were searched to collect the desired articles by utilizing various search engines like google, google scholar, pub med, and science direct journals. Data were extracted and finally, were summarized, discussed, analysed, and reported the study results.&#x0D; Result: Numerous specialist doctors, nurses, and all other healthcare workers are immolating their lives to save human entities amid the current coronavirus pandemic, 2019 (COVID-19). In Bangladesh, till August 9, 2020, 73 doctors, including some senior specialists, died of COVID-19 infection reported by various national newspapers. At the early phase of this epidemic in Bangladesh, around 10% of the total infection was found among health workers, alarmingly reported by the Bangladesh Medical Association (BMA). These frontline fighters are additionally confronting numerous challenges, including psychological sufferings, and furthermore, they are assaulted by the society.&#x0D; Conclusion: Since these fighters are relinquishing their beloved lives to protect us from this brutal virus, we are trying to show our profound gratitude, appreciation, thousands of salutes, and undying tribute to these health care fighters with this publication.&#x0D; Bangladesh Journal of Infectious Diseases, October 2020;7(suppl_2):S8-S15

Mental Health Scenario of Climate Migrant Women among Slum Dwellers in Dhaka City

Climate change is a global challenge which is likely to affect the mankind in substantial ways. Not only climate change is expected to affect physical health, it is also likely to affect mental health. Increased frequency of disasters with climate change can lead to posttraumatic stress disorder, adjustment disorder, and depression. Changes in climate may require population to migrate, which can lead to acculturation stress. It can also lead to increased rates of physical illnesses, which secondarily would be associated with psychological distress. Using a qualitative approach, this research explores the mental health status of migrant women in two urban slum areas in Dhaka city. The purpose of this study is to perform a review of existing secondary data and present mental health scenario of climate migrant women among slum dwellers and amplified gaps in knowledge regarding psychological health care system in Bangladesh. It is found that there is a lack of mental health preparedness and response in majority parts in the country specially the city slum, where aid cannot be reached to the sufferers. The paper concludes with a discussion of what can and should be done to tackle the expected mental health issues consequent to climate change and migration.

Using Novel Scenario-Based Assessments to Examine Feasibility of Integrating Preventive Nutrition Services Through the Primary Healthcare System in Bangladesh

Abstract Objectives Bangladesh's National Nutrition Services aims to deliver nutrition services to pregnant women and children through the primary health care system. Previous research highlighted gaps in coverage of preventive nutrition intervention delivery through this system but little is known about feasibility of reshaping service delivery to close the gaps. Prior to designing new approaches, we used a novel scenario-based feasibility testing approach to assess potential to strengthen service delivery. Methods We interviewed 32 service providers and 16 policymakers and conducted 4 focus group discussions with potential beneficiaries, asking respondents about the feasibility of four hypothetical scenarios for preventive service delivery: community-based events (CBE) for pregnant women; well-child services integrated into immunization contacts; CBE for well-children and well-child visits at facilities. Transcribed interviews were systematically coded, synthesized and interpreted using a pre-defined framework. Results Opinions on the need for new platforms for preventive services were mixed; some recommended new platforms, but others suggested strengthening existing delivery points. CBE for pregnant women were perceived as feasible, but workforce shortages emerged as a key challenge. Challenges such as equipment portability, upset children, and a fast-moving service environment suggested low feasibility of integrating nutrition into immunization contacts. In contrast, CBE and facility-based well-child visits emerged as feasible options, conditional on having the necessary workforce, structural readiness and budget support. On the demand side, enabling factors include using interpersonal communication and involving community leaders to increase awareness, organizing events at a convenient time and place for both providers and beneficiaries, and incentives for beneficiaries to encourage participation. Conclusions A scenario-based approach is an efficient method to assess potential feasibility options for nutrition service delivery. Introducing preventive nutrition services requires addressing current challenges in the health system, including human resource and logistic gaps, and investing in creating demand for preventive services. Funding Sources Bill &amp; Melinda Gates Foundation, through A&amp;T, managed by FHI 360.

Anesthesia Infrastructure and Resources in Bangladesh.

Monitoring improvements in nationwide anesthesia capacity over time is critical to ensuring that population anesthesia needs are being met and identifying areas for targeted health systems interventions. Anesthesia resources in Bangladesh were previously measured using a cross-sectional nationwide hospital-based survey in 2012. No follow-up studies have been conducted since then. A follow-up cross-sectional study was performed in 16 public hospitals; 8 of which are public district hospitals, and 8 are medical college (tertiary) hospitals in Bangladesh. A survey tool assessing hospital anesthesia capacity, developed by Vanderbilt University Medical Center, was utilized. Nationwide data were obtained from the Ministry of Health and Family Welfare and from the Bangladesh Society of Anaesthesiologists. Institutional Review Board approvals were obtained in the United States and Bangladesh, and informed consent was waived. Bangladesh has 952 anesthesiologists (0.58 anesthesiologists per 100,000 people), which represents a modest increase from 850 anesthesiologists in 2012. Significant improvements in electricity and clean water availability have occurred since the 2012 survey. Severe deficiencies in patient safety and monitoring equipment (eg, pulse oximetry, electrocardiography, blood pressure, anesthesia machines, and intubation materials) were noted, primarily at the district hospital level. Despite modest improvements in certain anesthesia metrics over the past several years, the public health care system in Bangladesh still suffers from substantial deficiencies in anesthesia care.

Maternal Health Care Seeking Behavior in Urban Area of Bangladesh: Does Migration Create Inequity?

The main aim of this paper is to find potential sources that affect maternal health care seeking behavior of women of urban areas in period around the birth of their children using data extracted from Bangladesh Urban Health Survey 2013. To examine the maternal health care seeking behavior among women,antenatal care, place of delivery and postnatal care are considered as dependent variables and several demographic and socio-economic factors are included as independent variable. The study reveals that the recent migrant women and slum dwellers have a tendency of being disadvantaged in context of maternal health care. There is still plenty of room to work on maternal health care among women in urban areas especially among recent migrants so that significant improvement can be initialized to achieve an equity in overall health care system in Bangladesh.&#x0D; Dhaka Univ. J. Sci. 67(2): 131-138, 2019 (July)

The privatisation of healthcare system in Bangladesh.

The purpose of this paper is to examine the factors that triggered the privatisation of Bangladesh's health sector. This study follows systematic reviews in its undertaking and is based on an extensive review of both published and unpublished documents. Different search engines and databases were used to collect the materials. The study takes into account of various research publications, journal articles, government reports, policy and planning documents, relevant press reports/articles, and reports and discussion papers from the World Health Organization, the World Bank and the Asian Development Bank. While Bangladesh's healthcare sector has undergone an increasing trend towards privatisation, this move has limited benefits on the overall improvement in the health of the people of Bangladesh. The public sector should remain vital, and the government must remobilise it to provide better provision of healthcare. The paper focusses only on the public policy aspect of privatisation in healthcare of a country. The paper examines the issue of privatisation of healthcare and concludes that privatisation not only makes services more expensive, but also diminishes equity and accountability in the provision of services. The study, first, makes a spate of observations on improving public healthcare resources, which can be of value to key decision makers and stakeholders in the healthcare sector. It also discourages the move towards private sector interventions. This study is an independent explanation of a country's healthcare system. Lesson learned from this study could also be used for developing public policy in similar socio-economic contexts.

Disability and Rehabilitation Medicine in Bangladesh

Physical medicine and rehabilitation (PMR) is evolving in low- to middle-income countries. Although established as a separate specialty in Bangladesh 40 years ago, there has been no formal documentation of the history and current state of PMR, or associated disability issues in Bangladesh. The aim of this review is to provide a brief overview of the health-care system in Bangladesh, to discuss the available disability statistics, legislation for persons with disability (PWD), and current system(s) of disability management in the country. The evolution of PMR is presented along with an exploration of future perspectives. Data sources included an online literature search (English language only; 1970–2018) with predefined keywords. Official government websites were examined for disability-related statistics, and informal interviews with Bangladeshi government officials and rehabilitation professionals provided further insights. The reported disability prevalence in Bangladesh varies widely from 5.6% to 16.2%. Currently, there are 130 physiatrists, and over 1400 physiotherapists, 190 occupational therapists, and 200 speech and language therapists. A developing economy, illiteracy, maldistributions of wealth, and a rising prevalence of chronic diseases add to the burden of the existing disability. Legislations have been passed with an aim to protect the rights and dignity of PWD, but there are major barriers in implementing the acts. Social stigmatization of PWD remains largely unaddressed, with low rates of community reintegration. PWD also face mobility barriers and accessibility issues. PMR and other rehabilitation services are improving, but disability management is largely considered a social issue rather than a medical problem. There is a need to involve all stakeholders in disability management to strengthen medical rehabilitation and improve service delivery, while advocating for the rights of PWD.