Private Sector Assessment for Health, Nutrition and Population in Bangladesh
The objectives of this Private Sector Assessment (PSA) are to gain a better understanding of the private health care markets in Bangladesh, and to identify areas for increased collaboration between the government, and the private sector. While the...
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| Format: | Other Health Study |
| Language: | English en_US |
| Published: |
Washington, DC
2013
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2003/11/2827313/bangladesh-private-sector-assessment-health-nutrition-population-hnp-bangladesh http://hdl.handle.net/10986/14667 |
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okr-10986-14667 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
HEALTH ECONOMICS PRIVATE HEALTH CARE PUBLIC HEALTH ADMINISTRATION PUBLIC SPENDING QUALITY OF HEALTH CARE HUMAN RESOURCES DEVELOPMENT GENDER ISSUES CAPACITY CONSTRAINTS DEMOGRAPHIC INDICATORS MARKET ANALYSIS FINANCIAL NEEDS PHYSICAL CAPACITY SOCIOECONOMIC CONSTRAINTS HUMAN CAPITAL POLICY FRAMEWORK CONSUMPTION STATISTICS QUALITY STANDARDS ANALYTICAL WORK ANTENATAL CARE CANCER CARDIOVASCULAR DISEASES CIVIL SOCIETY CLINICS COMMODITIES COMMUNICABLE DISEASES COMMUNITY LEVEL CONTRACEPTIVES DEATHS DECENTRALIZATION DEVELOPMENT GOALS DEVELOPMENT PARTNERS DIET DOCTORS ECONOMICS EMIGRATION EMPLOYMENT FAMILY PLANNING FEED GENDER GENDER DISPARITIES GIRLS HEALTH CARE FINANCING HEALTH ECONOMICS HEALTH FACILITIES HEALTH INDICATORS HEALTH OUTCOMES HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SURVEY HEALTH WORKERS HOMEOPATHY HOSPITALS HUMAN DEVELOPMENT HUMAN DEVELOPMENT SECTOR UNIT HYGIENE IMMUNIZATION INCENTIVE SCHEMES INCOME QUINTILES INCOMES INFANT MORTALITY INFANT MORTALITY RATE INJURIES INPATIENT CARE INSURANCE INTERNATIONAL COMPARISONS LABOR MARKET LIFE EXPECTANCY LOW INCOME LOW-INCOME COUNTRIES MALNUTRITION MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL TREATMENT MEDICINES MORBIDITY MORTALITY NATIONAL DEBATE NATIONAL LEVEL NATIONAL POLICY NGOS NON-GOVERNMENTAL ORGANIZATIONS NURSES NURSING NURSING CARE NURSING HOMES NUTRITION NUTRITIONAL STATUS ORAL REHYDRATION THERAPY PARTICIPATORY POLICY PARTNERSHIP PATIENTS PHARMACIES PHARMACISTS PHYSICIANS POLICY ACTIONS POLICY DIALOGUE POLICY DISCUSSIONS POLICY MAKERS POLICY OPTIONS POPULATION GROUPS POVERTY REDUCTION POVERTY REDUCTION STRATEGY PREGNANCY PRIMARY HEALTH CARE PRIVATE SECTOR PRIVATE SECTORS PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC POLICIES PUBLIC POLICY PUBLIC RESOURCES PUBLIC SECTOR PUBLIC SERVICES QUALITY CONTROL REGULATORY FRAMEWORK RISK GROUPS RURAL AREAS SCHOOLS SECTOR EMPLOYMENT SECTOR PROVIDERS SERVICE DELIVERY SERVICE PROVIDERS SERVICE PROVISION SERVICE QUALITY SOCIAL INSURANCE SOCIAL MARKETING SURGERY TASK TEAM LEADER TAX COLLECTION UNEMPLOYMENT URBAN AREAS VACCINATION VACCINATIONS WORKERS |
| spellingShingle |
HEALTH ECONOMICS PRIVATE HEALTH CARE PUBLIC HEALTH ADMINISTRATION PUBLIC SPENDING QUALITY OF HEALTH CARE HUMAN RESOURCES DEVELOPMENT GENDER ISSUES CAPACITY CONSTRAINTS DEMOGRAPHIC INDICATORS MARKET ANALYSIS FINANCIAL NEEDS PHYSICAL CAPACITY SOCIOECONOMIC CONSTRAINTS HUMAN CAPITAL POLICY FRAMEWORK CONSUMPTION STATISTICS QUALITY STANDARDS ANALYTICAL WORK ANTENATAL CARE CANCER CARDIOVASCULAR DISEASES CIVIL SOCIETY CLINICS COMMODITIES COMMUNICABLE DISEASES COMMUNITY LEVEL CONTRACEPTIVES DEATHS DECENTRALIZATION DEVELOPMENT GOALS DEVELOPMENT PARTNERS DIET DOCTORS ECONOMICS EMIGRATION EMPLOYMENT FAMILY PLANNING FEED GENDER GENDER DISPARITIES GIRLS HEALTH CARE FINANCING HEALTH ECONOMICS HEALTH FACILITIES HEALTH INDICATORS HEALTH OUTCOMES HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SURVEY HEALTH WORKERS HOMEOPATHY HOSPITALS HUMAN DEVELOPMENT HUMAN DEVELOPMENT SECTOR UNIT HYGIENE IMMUNIZATION INCENTIVE SCHEMES INCOME QUINTILES INCOMES INFANT MORTALITY INFANT MORTALITY RATE INJURIES INPATIENT CARE INSURANCE INTERNATIONAL COMPARISONS LABOR MARKET LIFE EXPECTANCY LOW INCOME LOW-INCOME COUNTRIES MALNUTRITION MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL TREATMENT MEDICINES MORBIDITY MORTALITY NATIONAL DEBATE NATIONAL LEVEL NATIONAL POLICY NGOS NON-GOVERNMENTAL ORGANIZATIONS NURSES NURSING NURSING CARE NURSING HOMES NUTRITION NUTRITIONAL STATUS ORAL REHYDRATION THERAPY PARTICIPATORY POLICY PARTNERSHIP PATIENTS PHARMACIES PHARMACISTS PHYSICIANS POLICY ACTIONS POLICY DIALOGUE POLICY DISCUSSIONS POLICY MAKERS POLICY OPTIONS POPULATION GROUPS POVERTY REDUCTION POVERTY REDUCTION STRATEGY PREGNANCY PRIMARY HEALTH CARE PRIVATE SECTOR PRIVATE SECTORS PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC POLICIES PUBLIC POLICY PUBLIC RESOURCES PUBLIC SECTOR PUBLIC SERVICES QUALITY CONTROL REGULATORY FRAMEWORK RISK GROUPS RURAL AREAS SCHOOLS SECTOR EMPLOYMENT SECTOR PROVIDERS SERVICE DELIVERY SERVICE PROVIDERS SERVICE PROVISION SERVICE QUALITY SOCIAL INSURANCE SOCIAL MARKETING SURGERY TASK TEAM LEADER TAX COLLECTION UNEMPLOYMENT URBAN AREAS VACCINATION VACCINATIONS WORKERS World Bank Private Sector Assessment for Health, Nutrition and Population in Bangladesh |
| geographic_facet |
South Asia Bangladesh |
| description |
The objectives of this Private Sector
Assessment (PSA) are to gain a better understanding of the
private health care markets in Bangladesh, and to identify
areas for increased collaboration between the government,
and the private sector. While the study analyzes private
health care markets in general, it uses maternal and child
health (MCH) as an area of special focus to illustrate
general principles, and/or draw lessons for the broader
health, nutrition, and population (HNP) sector. MCH was
chosen for this emphasis in view of its importance in
Bangladesh, and because MCH outcomes constitute a
significant part of the Millennium Development Goals (MDG).
The PSA analysis confirmed that the private sector dominates
the provision of basic care, nursing homes, laboratory and
ambulatory diagnostic services; the public sector, however,
remains the main provider of inpatient care. The private
sector is used for the overwhelming majority of outpatient
curative care, while the public sector is used for a larger
proportion of hospital deliveries, and preventive care. The
higher proportion of institutional deliveries in the public
sector, should be understood by the fact that overall, the
proportion of institutional deliveries is only 8%.
Nonetheless, the dependence on the private sector for
curative care is also true for the poor in the country: the
poorest 20 percent of children have a higher dependence on
the private sector for the management of acute respiratory
infections, and diarrhea than the richest quintile. So,
while expectedly the richest quintile spends more than the
poorest quintile (by a factor of 6) on health care, the
proportion of the spending that goes to the private sector,
is higher among the poor than among the rich. Yet, financial
barriers and lack of basic insurance coverage - public or
private - appear to be major constraints for access to care
for the poor, and, efforts need to address the financial,
physical, and social barriers, especially for the women and
the poorer population groups. Key issues stipulate: the
public sector is not strategically using the scarce
resources that are available in the private sector,
aggravated by a low level of public expenditure on health
care, conducing to a low level care provision, with the
consequent shortages of formally trained staff. In
particular, the following three areas appear to deserve
priority in government actions: under-consumption of
services by the poor and women; service quality and
outcomes; and, the knowledge base. |
| format |
Economic & Sector Work :: Other Health Study |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Private Sector Assessment for Health, Nutrition and Population in Bangladesh |
| title_short |
Private Sector Assessment for Health, Nutrition and Population in Bangladesh |
| title_full |
Private Sector Assessment for Health, Nutrition and Population in Bangladesh |
| title_fullStr |
Private Sector Assessment for Health, Nutrition and Population in Bangladesh |
| title_full_unstemmed |
Private Sector Assessment for Health, Nutrition and Population in Bangladesh |
| title_sort |
private sector assessment for health, nutrition and population in bangladesh |
| publisher |
Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2003/11/2827313/bangladesh-private-sector-assessment-health-nutrition-population-hnp-bangladesh http://hdl.handle.net/10986/14667 |
| _version_ |
1764428359138279424 |
| spelling |
okr-10986-146672021-04-23T14:03:17Z Private Sector Assessment for Health, Nutrition and Population in Bangladesh World Bank HEALTH ECONOMICS PRIVATE HEALTH CARE PUBLIC HEALTH ADMINISTRATION PUBLIC SPENDING QUALITY OF HEALTH CARE HUMAN RESOURCES DEVELOPMENT GENDER ISSUES CAPACITY CONSTRAINTS DEMOGRAPHIC INDICATORS MARKET ANALYSIS FINANCIAL NEEDS PHYSICAL CAPACITY SOCIOECONOMIC CONSTRAINTS HUMAN CAPITAL POLICY FRAMEWORK CONSUMPTION STATISTICS QUALITY STANDARDS ANALYTICAL WORK ANTENATAL CARE CANCER CARDIOVASCULAR DISEASES CIVIL SOCIETY CLINICS COMMODITIES COMMUNICABLE DISEASES COMMUNITY LEVEL CONTRACEPTIVES DEATHS DECENTRALIZATION DEVELOPMENT GOALS DEVELOPMENT PARTNERS DIET DOCTORS ECONOMICS EMIGRATION EMPLOYMENT FAMILY PLANNING FEED GENDER GENDER DISPARITIES GIRLS HEALTH CARE FINANCING HEALTH ECONOMICS HEALTH FACILITIES HEALTH INDICATORS HEALTH OUTCOMES HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SURVEY HEALTH WORKERS HOMEOPATHY HOSPITALS HUMAN DEVELOPMENT HUMAN DEVELOPMENT SECTOR UNIT HYGIENE IMMUNIZATION INCENTIVE SCHEMES INCOME QUINTILES INCOMES INFANT MORTALITY INFANT MORTALITY RATE INJURIES INPATIENT CARE INSURANCE INTERNATIONAL COMPARISONS LABOR MARKET LIFE EXPECTANCY LOW INCOME LOW-INCOME COUNTRIES MALNUTRITION MEDICAL CARE MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL TREATMENT MEDICINES MORBIDITY MORTALITY NATIONAL DEBATE NATIONAL LEVEL NATIONAL POLICY NGOS NON-GOVERNMENTAL ORGANIZATIONS NURSES NURSING NURSING CARE NURSING HOMES NUTRITION NUTRITIONAL STATUS ORAL REHYDRATION THERAPY PARTICIPATORY POLICY PARTNERSHIP PATIENTS PHARMACIES PHARMACISTS PHYSICIANS POLICY ACTIONS POLICY DIALOGUE POLICY DISCUSSIONS POLICY MAKERS POLICY OPTIONS POPULATION GROUPS POVERTY REDUCTION POVERTY REDUCTION STRATEGY PREGNANCY PRIMARY HEALTH CARE PRIVATE SECTOR PRIVATE SECTORS PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC POLICIES PUBLIC POLICY PUBLIC RESOURCES PUBLIC SECTOR PUBLIC SERVICES QUALITY CONTROL REGULATORY FRAMEWORK RISK GROUPS RURAL AREAS SCHOOLS SECTOR EMPLOYMENT SECTOR PROVIDERS SERVICE DELIVERY SERVICE PROVIDERS SERVICE PROVISION SERVICE QUALITY SOCIAL INSURANCE SOCIAL MARKETING SURGERY TASK TEAM LEADER TAX COLLECTION UNEMPLOYMENT URBAN AREAS VACCINATION VACCINATIONS WORKERS The objectives of this Private Sector Assessment (PSA) are to gain a better understanding of the private health care markets in Bangladesh, and to identify areas for increased collaboration between the government, and the private sector. While the study analyzes private health care markets in general, it uses maternal and child health (MCH) as an area of special focus to illustrate general principles, and/or draw lessons for the broader health, nutrition, and population (HNP) sector. MCH was chosen for this emphasis in view of its importance in Bangladesh, and because MCH outcomes constitute a significant part of the Millennium Development Goals (MDG). The PSA analysis confirmed that the private sector dominates the provision of basic care, nursing homes, laboratory and ambulatory diagnostic services; the public sector, however, remains the main provider of inpatient care. The private sector is used for the overwhelming majority of outpatient curative care, while the public sector is used for a larger proportion of hospital deliveries, and preventive care. The higher proportion of institutional deliveries in the public sector, should be understood by the fact that overall, the proportion of institutional deliveries is only 8%. Nonetheless, the dependence on the private sector for curative care is also true for the poor in the country: the poorest 20 percent of children have a higher dependence on the private sector for the management of acute respiratory infections, and diarrhea than the richest quintile. So, while expectedly the richest quintile spends more than the poorest quintile (by a factor of 6) on health care, the proportion of the spending that goes to the private sector, is higher among the poor than among the rich. Yet, financial barriers and lack of basic insurance coverage - public or private - appear to be major constraints for access to care for the poor, and, efforts need to address the financial, physical, and social barriers, especially for the women and the poorer population groups. Key issues stipulate: the public sector is not strategically using the scarce resources that are available in the private sector, aggravated by a low level of public expenditure on health care, conducing to a low level care provision, with the consequent shortages of formally trained staff. In particular, the following three areas appear to deserve priority in government actions: under-consumption of services by the poor and women; service quality and outcomes; and, the knowledge base. 2013-07-30T21:16:00Z 2013-07-30T21:16:00Z 2003-11-18 http://documents.worldbank.org/curated/en/2003/11/2827313/bangladesh-private-sector-assessment-health-nutrition-population-hnp-bangladesh http://hdl.handle.net/10986/14667 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work South Asia Bangladesh |