Bangladesh has made great strides in improving the health of its population, much more than a country at its level of development can be expected to do. Serious problems still remain in reducing child malnutrition and maternal mortality in particular; nonetheless, the aggregative results achieved in the last three decades are quite impressive. These achievements have certainly have gone a long way towards fulfilling the right to health in Bangladesh. This paper argues, however, that despite overall progress the health sector of Bangladesh suffers from a number of inadequacies that militate against the rights-based approach to health. These include persistent inequities in access to healthcare (including gender inequity, and inequity along the poor versus non-poor divide), lack of meaningful participation of citizens in the running of the health system, and the absence of effective accountability mechanisms through which the providers of healthcare can be held responsible for their actions. Objective
The objective of this paper is to enable the Government of Bangladesh (GOB) to strengthen health systems and improve health services, particularly for the poor. There are two components to the project. The first component is improving health services This component will: (a) improve priority health services to accelerate the achievement of the Health, Nutrition and Population (HNP) related Millennium Development Goal (MDG) targets by scaling up on-going interventions as well as introducing new interventions and (b) strengthen the service delivery system; and the second component is strengthening health systems this component will strengthen health systems. This component will support the GOB's interventions for strengthening health systems. Methodology
This study was descriptive, addressing the general healthcare system of Bangladesh, examining specifically the contrasts between urban and rural health issues to assess possible factors contributing to health problems for rural people, using a particular village as a model. In addition; one hundred prescriptions were evaluated to ascertain the rural prescription pattern. A combination of data collection techniques were used to obtain the necessary information, including available information, interviews, direct observation and follow-ups. History of development
1970 - 2006 Life expectancy increased from 44 years to 63 years 1970 - 2006 Under-5 mortality rate dropped from 239 to 69 deaths per 1000 live births 1990 - 2006 Percentage of malnourished children dropped from 67% to 48% (by underweight indicator) 2004- HIV prevalence has remained the lowest in the region at less than 0.1% 2006 -Birth Registration Law entered into force - formally tying birth registration to other services Current Conditions
In spite of development successes in the last three decades, with fertility declining from 6.3 to 2.5 children/women, Bangladesh’s population is still projected to reach 200 million by 2050. The health status of mothers and children remains poor. Due to widespread poverty, children (40%) and mothers (30%) suffer from moderate to severe malnutrition. Malnutrition is also a reason for the death of nearly a quarter of children under five. Bangladesh is also at high risk to the spread of HIV/AIDS, despite its low prevalence among the general population, due to a concentrated epidemic among injecting drug users. Bangladesh is considered one of 22 high burden countries for Tuberculosis (TB) and currently has the sixth highest frequency in the world.
Bangladesh Health care budget
MORTALITY AND LIFE EXPECTATION IN BANGLADESH:
1990-91 TO 2007-08 Crude Death Rate (per ’000 people)
| Life Expectancy at Birth
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