Healthcare Financing in Bangladesh: Challenges and Recommendations

Hassan, Zakiul; Fahim, Shah Mohammad; Zafr, Abu Hena Abid; Islam, Safiqul; Alam, Shahinul

doi:10.3329/bjms.v15i4.21698

Cited by 15 publications

(13 citation statements)

References 12 publications

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“…Health sector is also neglected in terms of country’s total budget, only 4.3% of the total budget were allocated for the health sector in financial year 2015–16 [11]. Out-of-pocket (OOP) payment remain the main source of healthcare funding in Bangladesh, making up 63.3% of total healthcare expenditure [9].…”

Section: Introductionmentioning

confidence: 99%

Inequalities in financial risk protection in Bangladesh: an assessment of universal health coverage

Islam

Rahman

Islam³

et al. 2017

Int J Equity Health

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BackgroundFinancial risk protection and equity are major components of universal health coverage (UHC), which is defined as ensuring access to health services for all citizens without any undue financial burden. We investigated progress towards UHC financial risk indicators and assessed variability of inequalities in financial risk protection indicators by wealth quintile. We further examined the determinants of different financial hardship indicators related to healthcare costs.MethodsA cross-sectional, three-stage probability survey was conducted in Bangladesh, which collected information from 1600 households from August to November 2011. Catastrophic health payments, impoverishment, and distress financing (borrowing or selling assets) were treated as financial hardship indicators in UHC. Poisson regression models were used to identify the determinants of catastrophic payment, impoverishment and distress financing separately. Slope, relative and concentration indices of inequalities were used to assess wealth-based inequalities in financial hardship indicators.ResultsThe study found that around 9% of households incurred catastrophic payments, 7% faced distress financing, and 6% experienced impoverishing health payments in Bangladesh. Slope index of inequality indicated that the incidence of catastrophic health payment and distress financing among the richest households were 12 and 9 percentage points lower than the poorest households respectively. Multivariable Poisson regression models revealed that all UHC financial hardship indicators were significantly higher among household that had members who received inpatient care or were in the poorest quintile. The presence of a member with chronic illness in a household increased the risk of impoverishment by nearly double.ConclusionThis study identified a greater inequality in UHC financial hardship indicators. Rich households in Bangladesh were facing disproportionately less financial hardship than the poor ones. Households can be protected from financial hardship associated with healthcare costs by implementing risk pooling mechanism, increasing GDP spending on health, and properly monitoring subsidized programs in public health facilities.Electronic supplementary materialThe online version of this article (doi:10.1186/s12939-017-0556-4) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Inequalities in financial risk protection in Bangladesh: an assessment of universal health coverage

Islam

Rahman

Islam³

et al. 2017

Int J Equity Health

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“…In the 2015–2016 fiscal year, only 4.3% of the national budget was allocated to the health sector equating to 32 United States Dollar (USD) per capita. This is considerably below the World Health Organization (WHO) recommended level of 15%, which is a per capita spending of 54 USD ( 15 ). Despite this, Bangladesh has achieved remarkable accomplishments in many areas of health in the face of its economic poverty.…”

Section: The Bangladeshi Health Carementioning

confidence: 75%

Physiotherapy in Bangladesh: Inequality Begets Inequality

Mamin

Hayes

2018

Front. Public Health

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BackgroundThe demand for health services in developing countries often outweighs provision. This article describes the present condition of physiotherapy in Bangladesh. Physiotherapy is not recognized as a profession by the government. There is no single registration and regulation body. The health-related and economic benefits of physiotherapy are not felt by the majority of Bangladeshi citizens.Areas coveredThe burden of disease is changing, and Bangladesh needs a profession that specializes in physical rehabilitation to face these challenges. This article outlines the benefits to patients and the wider economy from a broad physiotherapy regime for all Bangladeshi citizens. It describes the many barriers the profession faces.ConclusionPhysiotherapy is efficacious in many post-trauma situations and long-term conditions. Economic evidence supports the provision physiotherapy as a cost-effective treatment which should be considered as part of the provision of a universal health-care service. Official recognition of the protected “physiotherapist” title and a single registration and regulation agency are recommended.

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“…In the last seven economic years, healthcare expenditure budgetary allocation government expenditure for the healthcare sector decreases trend as the funding dropped from 6.2% to 4.3%. Inadequate public spending creating a catastrophic impact on the general population as the OOP (out-of-pocket payment) is approximately 65% (Hassan et al, 2016). The Healthcare sector is heavily dependent on international organizations or development partners.…”

Section: Resource Limitationmentioning

confidence: 99%

How to Curb up the HIV/AIDS Prevalence in Bangladesh?

Hira¹,

H²,

Moshiul³

et al. 2021

IJARBSS

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HIV/AIDS epidemic represents an emerging health threat for the whole World. HIV/AIDS occurrence rate In Bangladesh is still below 1percent but eventually is becoming a threat for the nation. However, the absence of sufficient research on HIV in the Bangladesh context motivates this secondary research. The present study discusses the strength, weaknesses, and interventions taken to combat HIV in Bangladesh. Also, it presents the key challenges that can potentially hinder progress in combating HIV. Finding demonstrates that the massive treatment gap is the core concern coupled with a crucial population such as injecting drug users (IDU), transgender is making the situation even worst. In addition, the Rohingya crisis is causing a sharp surge in HIV/Infection. This research aims to provide policymakers with information and suggestions based on existing studies and HIV/AIDS prevention planning.

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Healthcare Financing in Bangladesh: Challenges and Recommendations

Cited by 15 publications

References 12 publications

Inequalities in financial risk protection in Bangladesh: an assessment of universal health coverage

Inequalities in financial risk protection in Bangladesh: an assessment of universal health coverage

Physiotherapy in Bangladesh: Inequality Begets Inequality

How to Curb up the HIV/AIDS Prevalence in Bangladesh?

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