| Summary: | In order to address the large and
growing non-communicable disease (NCD) burden, Bangladesh’s
public health system needs to change and innovate. It needs
to transition from a system designed for infectious disease
and mother & child health to an integrated care system
with focus on primary health care, out-patient and chronic
care, as well as community health promotion. This reports
presents findings from an NCD cascade analysis, using
hypertension as a tracer condition and type-2 diabetes as a
cost-driving NCD, in order to determine the continuum of
care for chronic NCDs in Bangladesh. This is embedded in a
review of the country’s policy and health care delivery
environment for NCDs and a benchmarking assessment against
similar economies and regional comparator countries. In a
second part, the report describes promising practices and
models of NCD/chronic care in Bangladesh and elsewhere.
Based on the evidence reviewed and analyses conducted, the
report then provides conclusions and recommendations. These
are meant to provide input into the dialogue on how to
improve NCD integrated care and outcomes in Bangladesh. The
support is provided within the World Bank’s assistance to
countries to strengthen NCD care through data-driven
resource allocation and decision-making.
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