Strengthening the Healthcare System in Bangladesh: Progress, Persistent Challenges, and Policy Priorities

Abstract

This manuscript examines the multifaceted healthcare system of Bangladesh, characterized by its decentralized and unregulated nature, with diverse control spanning for-profit entities, NGOs, the national government, and international welfare organizations. Despite substantial challenges, including inadequate public health facilities, a scarcity of skilled healthcare professionals, and significant healthcare inequity, Bangladesh has made commendable progress in health-related Millennium Development Goals. The COVID-19 pandemic underscored the system’s shortcomings, notably in testing, national coordination, and treatment equity. This study explores these challenges in detail, alongside potential solutions aimed at improving healthcare financing, enhancing healthcare worker training, and promoting public-private partnerships. Recommendations for overcoming barriers include increasing government healthcare funding, improving rural healthcare facilities, and addressing healthcare inequity through a dynamic and visionary policy approach. This analysis seeks to contribute to the discourse on advancing healthcare in Bangladesh towards Universal Health Coverage.