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Access to Public Health Facilities in Bangladesh: A Study on Facility Utilisation and Burden of Treatment

Author

Listed:
  • MANNAN, M. A.

    (Former Senior Research Fellow, Bangladesh Institute of Dev elopment Studies (BIDS).)

Abstract

The government of Bangladesh spends substantial amounts of resources on health services but dissatisfaction is often expressed over availability and quality of these services. The study assesses, using primary information from a survey, whether the public health facilities suffer from inadequacies and identifies factors which act as barriers to effective utilisation of public health facilities. The findings show that, in general, women and the poor are more likely to use these facilities. The study notes that although physical accessibility is no longer a major barrier, economic accessibility remains as a major hurdle. The poorest are the largest users of public health facilities but they also bear a disproportionate share of the burden of ill health and sufferings. There also exist a number of governance issues which contribute to poor quality of services. The findings from the quantitative and qualitative data reveal that government efforts to improve health service delivery have not yet produced the desired results. Rebuilding hope among the patients requires that urgent governance issues be addressed to ensure that service providers are available at the facilities, minimum amount of drugs reach the patients and unofficial payments are at the lowest possible levels.

Suggested Citation

  • Mannan, M. A., 2013. "Access to Public Health Facilities in Bangladesh: A Study on Facility Utilisation and Burden of Treatment," Bangladesh Development Studies, Bangladesh Institute of Development Studies (BIDS), vol. 36(4), pages 25-80, December.
  • Handle: RePEc:ris:badest:0564
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    References listed on IDEAS

    as
    1. Maureen Lewis, 2006. "Governance and Corruption in Public Health Care Systems," Working Papers 78, Center for Global Development.
    2. Chaudhury, Nazmul & Hammer, Jeffrey S., 2003. "Ghost doctors - absenteeism in Bangladeshi health facilities," Policy Research Working Paper Series 3065, The World Bank.
    3. Eddy van Doorslaer & Owen O'Donnell & Ravindra P. Rannan-Eliya & Aparnaa Somanathan & Shiva Raj Adhikari & Charu C. Garg & Deni Harbianto & Alejandro N. Herrin & Mohammed Nazmul Huq & Shamsia Ibragimo, 2007. "Catastrophic payments for health care in Asia," Health Economics, John Wiley & Sons, Ltd., vol. 16(11), pages 1159-1184.
    Full references (including those not matched with items on IDEAS)

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    Cited by:

    1. Niaz Mahmud Zafri & Md Nurullah & Meher Nigar Neema & Md Waliullah, 2021. "Spatial accessibility to healthcare facilities in coastal region of Bangladesh," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(3), pages 643-655, May.
    2. Muhammad Ali & Anita Medhekar, 2018. "Healthcare Quality of Bangladesh and Outbound Medical Travel to Thailand," Economy of region, Centre for Economic Security, Institute of Economics of Ural Branch of Russian Academy of Sciences, vol. 1(2), pages 575-588.
    3. Mohammad Imran Hossain, 2021. "COVID-19 Impacts on Employment and Livelihood of Marginal People in Bangladesh: Lessons Learned and Way Forward," South Asian Survey, , vol. 28(1), pages 57-71, March.

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    More about this item

    Keywords

    Utilisation of Public Health Facilities; Health Care Expenditure; Disease Burden; Catastrophic Payment;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I19 - Health, Education, and Welfare - - Health - - - Other

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