Bangladesh

This case study describes Bangladesh’s success story using the standardized approach used by the Universal Health Coverage Studies Series (UNICO Studies Series) to provide a balanced account of the key pillars that lay behind the success of pluralism in the health system of Bangladesh. The aim is to recognize the contributions of the different actors (including the Government and the informal sector, which in the past have not been sufficiently recognized) and the strengths and weaknesses of these pillars as the needs and opportunities evolve due to emerging health issues. This lack of knowledge is an impediment to policy formulation and implementation aimed at maintaining the success of Bangladesh in the health sector. The case study suggests that there were four pillars to the successful pluralism that characterized Bangladesh: (a) effective prioritization of public financing on highly cost-effective interventions, (b) effective alignment of government and DP financing based on the mechanism of the SWAp, (c) extensive use of female CHWs and innovative NGOs, and (d) a large informal private sector that functions as a retailer of an unusually large and competitive domestic pharmaceutical industry. It should be acknowledged that determinants such as significant poverty reduction, education of girls, female labor force participation, and water and sanitation interventions outside the health sector also played a significant role in achieving better health outcomes.

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Bibliographic Details
Main Authors: Ahmed, Shakil, Begum, Tahmina, Cotlear, Daniel
Format: Working Paper biblioteca
Language:English
Published: World Bank, Washington, DC 2019-07
Subjects:HOUSEHOLD SURVEYS, HEALTH EXPENDITURE, UNIVERSAL HEALTH COVERAGE, HEALTH SERVICE DELIVERY, PRIMARY HEALTH CARE, PUBLIC HEALTH FACILITIES, PUBLIC EXPENDITURES,
Online Access:http://documents.worldbank.org/curated/en/845061564731751504/Bangladesh-Unravelling-the-Good-Health-at-Low-Cost-Story
https://hdl.handle.net/10986/32157
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spelling dig-okr-10986321572024-08-07T19:05:48Z Bangladesh Unravelling the 'Good Health at Low Cost' Story Ahmed, Shakil Begum, Tahmina Cotlear, Daniel HOUSEHOLD SURVEYS HEALTH EXPENDITURE UNIVERSAL HEALTH COVERAGE HEALTH SERVICE DELIVERY PRIMARY HEALTH CARE PUBLIC HEALTH FACILITIES PUBLIC EXPENDITURES This case study describes Bangladesh’s success story using the standardized approach used by the Universal Health Coverage Studies Series (UNICO Studies Series) to provide a balanced account of the key pillars that lay behind the success of pluralism in the health system of Bangladesh. The aim is to recognize the contributions of the different actors (including the Government and the informal sector, which in the past have not been sufficiently recognized) and the strengths and weaknesses of these pillars as the needs and opportunities evolve due to emerging health issues. This lack of knowledge is an impediment to policy formulation and implementation aimed at maintaining the success of Bangladesh in the health sector. The case study suggests that there were four pillars to the successful pluralism that characterized Bangladesh: (a) effective prioritization of public financing on highly cost-effective interventions, (b) effective alignment of government and DP financing based on the mechanism of the SWAp, (c) extensive use of female CHWs and innovative NGOs, and (d) a large informal private sector that functions as a retailer of an unusually large and competitive domestic pharmaceutical industry. It should be acknowledged that determinants such as significant poverty reduction, education of girls, female labor force participation, and water and sanitation interventions outside the health sector also played a significant role in achieving better health outcomes. 2019-08-02T15:29:51Z 2019-08-02T15:29:51Z 2019-07 Working Paper Document de travail Documento de trabajo http://documents.worldbank.org/curated/en/845061564731751504/Bangladesh-Unravelling-the-Good-Health-at-Low-Cost-Story https://hdl.handle.net/10986/32157 English Universal Health Coverage Studies Series, No. 41; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank application/pdf World Bank, Washington, DC
institution Banco Mundial
collection DSpace
country Estados Unidos
countrycode US
component Bibliográfico
access En linea
databasecode dig-okr
tag biblioteca
region America del Norte
libraryname Biblioteca del Banco Mundial
language English
topic HOUSEHOLD SURVEYS
HEALTH EXPENDITURE
UNIVERSAL HEALTH COVERAGE
HEALTH SERVICE DELIVERY
PRIMARY HEALTH CARE
PUBLIC HEALTH FACILITIES
PUBLIC EXPENDITURES
HOUSEHOLD SURVEYS
HEALTH EXPENDITURE
UNIVERSAL HEALTH COVERAGE
HEALTH SERVICE DELIVERY
PRIMARY HEALTH CARE
PUBLIC HEALTH FACILITIES
PUBLIC EXPENDITURES
spellingShingle HOUSEHOLD SURVEYS
HEALTH EXPENDITURE
UNIVERSAL HEALTH COVERAGE
HEALTH SERVICE DELIVERY
PRIMARY HEALTH CARE
PUBLIC HEALTH FACILITIES
PUBLIC EXPENDITURES
HOUSEHOLD SURVEYS
HEALTH EXPENDITURE
UNIVERSAL HEALTH COVERAGE
HEALTH SERVICE DELIVERY
PRIMARY HEALTH CARE
PUBLIC HEALTH FACILITIES
PUBLIC EXPENDITURES
Ahmed, Shakil
Begum, Tahmina
Cotlear, Daniel
Bangladesh
description This case study describes Bangladesh’s success story using the standardized approach used by the Universal Health Coverage Studies Series (UNICO Studies Series) to provide a balanced account of the key pillars that lay behind the success of pluralism in the health system of Bangladesh. The aim is to recognize the contributions of the different actors (including the Government and the informal sector, which in the past have not been sufficiently recognized) and the strengths and weaknesses of these pillars as the needs and opportunities evolve due to emerging health issues. This lack of knowledge is an impediment to policy formulation and implementation aimed at maintaining the success of Bangladesh in the health sector. The case study suggests that there were four pillars to the successful pluralism that characterized Bangladesh: (a) effective prioritization of public financing on highly cost-effective interventions, (b) effective alignment of government and DP financing based on the mechanism of the SWAp, (c) extensive use of female CHWs and innovative NGOs, and (d) a large informal private sector that functions as a retailer of an unusually large and competitive domestic pharmaceutical industry. It should be acknowledged that determinants such as significant poverty reduction, education of girls, female labor force participation, and water and sanitation interventions outside the health sector also played a significant role in achieving better health outcomes.
format Working Paper
topic_facet HOUSEHOLD SURVEYS
HEALTH EXPENDITURE
UNIVERSAL HEALTH COVERAGE
HEALTH SERVICE DELIVERY
PRIMARY HEALTH CARE
PUBLIC HEALTH FACILITIES
PUBLIC EXPENDITURES
author Ahmed, Shakil
Begum, Tahmina
Cotlear, Daniel
author_facet Ahmed, Shakil
Begum, Tahmina
Cotlear, Daniel
author_sort Ahmed, Shakil
title Bangladesh
title_short Bangladesh
title_full Bangladesh
title_fullStr Bangladesh
title_full_unstemmed Bangladesh
title_sort bangladesh
publisher World Bank, Washington, DC
publishDate 2019-07
url http://documents.worldbank.org/curated/en/845061564731751504/Bangladesh-Unravelling-the-Good-Health-at-Low-Cost-Story
https://hdl.handle.net/10986/32157
work_keys_str_mv AT ahmedshakil bangladesh
AT begumtahmina bangladesh
AT cotleardaniel bangladesh
AT ahmedshakil unravellingthegoodhealthatlowcoststory
AT begumtahmina unravellingthegoodhealthatlowcoststory
AT cotleardaniel unravellingthegoodhealthatlowcoststory
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