Universal Health Coverage for Inclusive and Sustainable Development : Country Summary Report for Bangladesh
Bangladesh is a low-income country with gross national income of $1,940 per capita in purchasing power parity (PPP) in 2011. It has made great strides in economic and social development outcomes, particularly in health, and is on track to achievin...
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Format: | Working Paper |
Language: | English en_US |
Published: |
World Bank Group, Washington, DC
2014
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Online Access: | http://documents.worldbank.org/curated/en/2014/09/20272786/bangladesh-universal-health-coverage-inclusive-sustainable-development-country-summary-report http://hdl.handle.net/10986/20731 |
Summary: | Bangladesh is a low-income country with
gross national income of $1,940 per capita in purchasing
power parity (PPP) in 2011. It has made great strides in
economic and social development outcomes, particularly in
health, and is on track to achieving most of the
health-related Millennium Development Goal (MDG) targets.
Under-five mortality has been cut by half in the last decade
(to 46 deaths per 1,000 live births in 2011). It has also
strongly invested in and promoted family planning programs
since the 1950s. Fertility rates have fallen sharply to 2.2
births per woman in 2011. But despite this drop, its
population is projected to grow to 202 million by 2050
(Population Division of the Department of Economic and
Social Affairs of the United Nations Secretariat 2013).
About one-third of the population is still poor. Bangladesh
spends about 3.8 percent of GDP on health, while public
spending accounts for one-third of total health expenditures
(THE). Out-of-pocket (OOP) spending constitutes about 60
percent of THE, with evident implications for financial
protection, especially among the worse off. The country
faces multiple challenges in improving efficiency and
quality across health, human resources for health (HRH)
being a key bottleneck at all levels. However, it provides
an example of a country that is in the initial phases of
exploring mechanisms to improve health services coverage and
financial protection to its population, with a commitment to
achieving universal health coverage (UHC) by 2032, and one
that has innovative approaches to addressing key health care
issues, including equity and citizen engagement. |
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