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THE POLITICAL ECONOMY
OF THE PRIVATE HEALTH
CARE SECTOR
DEVELOPMENT IN
BANGLADESH
Redwan Rahman
Assistant Professor
Shah Jalal University of Sc. & Tech.
Political Regimes
Pakistani period
Free land, tax exemption
Financial support in
purchasing equipment
Since Independence in 1971
General Zia regime: Initiation of pro-
private sector development policy
General Ershad: Formulation of law
Begum Zia: Ease restrictions
Continue….
Sheikh Hasina: Participation was
recognized
Begum Zia: Subsidy, tax
exemption
State Policy
Symbolic Encouragement
Allowing public sector personnel to
practise in the private health care
sector
Recognition of private sector
participation
Continue…
Financial constraints
Development Strategies
Restructuring of health sector
Continue …
Medical allowance in the salary
package
Development of health insurance
Economic Factors
Ability and Desire to Pay
Government Incentives
Investment by local and foreign
entrepreneur
Introduction of cost recovery system
Social Factors
Demographic factor
Location of private providers
The Introduction and Attraction of
New Technology
Freedom of Choice
Source of Ambulatory Care
Problems in the Public Sector
Poor Quality of Services
Inadequate number of public facilities
Connections between the Public and
Private Sectors
Personnel problems
Corruption
Donor Policies
World Bank
Asian Development Bank
Conclusions
State promoted private sector
development
End …

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