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The State, the Private Health Care Sector and Regulation in Bangladesh

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  • Redwanur Rahman

Abstract

Multifarious factors have contributed to the development of the private health care sector in Bangladesh. Its growth has been facilitated by the inclusion of private health care development in planning policies, by symbolic encouragement by government officials, by state patronage through medical education and training, by public sector physicians being allowed to practise privately, and by the provision of grants, subsidies and funds for investment. Opportunities for its expansion have also been created by a host of problems in the public health care system, including an inability to provide services, limited resources, poor perception and poor quality of services, a lack of personnel, absenteeism, corruption, and poor planning and management. But complains are also levelled against the private sector, as it lacks necessary infrastructure, equipment and personnel, with poor service conditions, poor quality and poor standards. The government enacted an Ordinance to regulate private health care, but evidence shows that regulatory practices are ineffective as a result of problems of legislative design, information and implementation, as well as internal and external contradictions within the regulatory system. Some policy guidelines are necessary to ensure positive outputs from the private health care sector.

Suggested Citation

  • Redwanur Rahman, 2007. "The State, the Private Health Care Sector and Regulation in Bangladesh," Asia Pacific Journal of Public Administration, Taylor & Francis Journals, vol. 29(2), pages 191-206, December.
  • Handle: RePEc:taf:rapaxx:v:29:y:2007:i:2:p:191-206
    DOI: 10.1080/23276665.2007.10779334
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    References listed on IDEAS

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    1. World Bank, 2003. "Private Sector Assessment for Health, Nutrition and Population in Bangladesh," World Bank Publications - Reports 14667, The World Bank Group.
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    Cited by:

    1. Redwanur Rahman, 2020. "Shrinking The State: The Rise Of Private Sector Healthcare In Bangladesh," Journal of International Development, John Wiley & Sons, Ltd., vol. 32(5), pages 717-726, July.
    2. Ali Mohoshin & Shamima Akter, 2021. "Universal health coverage: An analysis of alternative policy for health care spending in Bangladesh," Journal of Community Positive Practices, Catalactica NGO, issue 2, pages 46-68.

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