The Ministry of Health & Family Welfare in Bangladesh oversees a complex healthcare system with numerous affiliated organizations at the national, divisional, district, upazila, union, and community levels. It collaborates with directorates, hospitals, and departments to manage public health programs, service delivery, research, and workforce development. While Bangladesh has made progress in improving health indicators, its healthcare system faces challenges of limited rural access, underfunding, shortages of specialists, and high out-of-pocket costs. The growing private sector provides additional capacity but also increases inequities in access.
Health care delivery system is defined as the aggregate of institutions, organizations and persons who enter, the health care system, who has responsibility that include the promotion of health , prevention of illness, detection and treatment of disease and rehabilitation.
Health care delivery system is defined as the aggregate of institutions, organizations and persons who enter, the health care system, who has responsibility that include the promotion of health , prevention of illness, detection and treatment of disease and rehabilitation.
Health Care Delivery System in India at Primary Secondary & TeritaryVamsi kumar
Health Care Delivery System in India at Primary Secondary & Teritary by Abdul Rehman, Aditya Upadhyay, Students of Medical Lab Technology (MLT) Galgotias University
A new group of healthcare professionals who are not doctors are called community health officers CHOs . As a part of Comprehensive Primary Health Care, CHOs will be vital in providing an increased range of essential services. They are expected to direct the primary care staff at the Sub Centre, Health and Wellness Center, offer ambulatory care and clinical management to the neighborhood, and act as a crucial coordination link to guarantee the continuum of car. Mr. Saneesh CM | Dr. S. Victor Devasirvadam "Community Health Officer (CHO): An Overview" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-1 , February 2023, URL: https://www.ijtsrd.com/papers/ijtsrd53840.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/53840/community-health-officer-cho-an-overview/mr-saneesh-cm
Principle, Scope, Nature and Administration of Health Services in Nigeria
(block posting lecture presented to final year medical class of University of Port Harcourt on thursday 31/05/18)
Overview of Health Programs at Provincial LevelNiru Magar
Nepal adopted a federal system of governance in its constitution on September 20, 2015 and thus, transformed its unitary system of governance into a three-tier governance structure comprising of a federal, 7 provincial and 753 local governments.
Following this transformation, provincial governments have authorized power to exercise their exclusive and concurrent powers of making laws, policies, plans, and programs that fall under their respective jurisdictions while also making public their finances and budgeting.
1. Family Health Program
2. Epidemiology and Disease Control Program
Management Program
3. Curative Service Program
4. Nursing and Social Security Program
5. Management Program
6. National Tuberculosis ControlProgram
8. National AIDS and STI ControlProgram
7. National Health Training Program
9. National Health Education, Information and Communication Program
This slide tells about the overview of health programs at provincial level in Nepal.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Health Care Delivery System in India at Primary Secondary & TeritaryVamsi kumar
Health Care Delivery System in India at Primary Secondary & Teritary by Abdul Rehman, Aditya Upadhyay, Students of Medical Lab Technology (MLT) Galgotias University
A new group of healthcare professionals who are not doctors are called community health officers CHOs . As a part of Comprehensive Primary Health Care, CHOs will be vital in providing an increased range of essential services. They are expected to direct the primary care staff at the Sub Centre, Health and Wellness Center, offer ambulatory care and clinical management to the neighborhood, and act as a crucial coordination link to guarantee the continuum of car. Mr. Saneesh CM | Dr. S. Victor Devasirvadam "Community Health Officer (CHO): An Overview" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-1 , February 2023, URL: https://www.ijtsrd.com/papers/ijtsrd53840.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/53840/community-health-officer-cho-an-overview/mr-saneesh-cm
Principle, Scope, Nature and Administration of Health Services in Nigeria
(block posting lecture presented to final year medical class of University of Port Harcourt on thursday 31/05/18)
Overview of Health Programs at Provincial LevelNiru Magar
Nepal adopted a federal system of governance in its constitution on September 20, 2015 and thus, transformed its unitary system of governance into a three-tier governance structure comprising of a federal, 7 provincial and 753 local governments.
Following this transformation, provincial governments have authorized power to exercise their exclusive and concurrent powers of making laws, policies, plans, and programs that fall under their respective jurisdictions while also making public their finances and budgeting.
1. Family Health Program
2. Epidemiology and Disease Control Program
Management Program
3. Curative Service Program
4. Nursing and Social Security Program
5. Management Program
6. National Tuberculosis ControlProgram
8. National AIDS and STI ControlProgram
7. National Health Training Program
9. National Health Education, Information and Communication Program
This slide tells about the overview of health programs at provincial level in Nepal.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
3. Ministry of Health & Family Welfare
Administration
Administration
Human
Resource
Development
Personnel
Discipline
Development
Development
Procurement
&
Collection
CBMI
Hospital
Government
Health
Management
Private
Health
Management
Monitoring:
Health
Institution
World
Health
&
Public
Health
World
Health
Public
Health
Nursing
&
Midwifery
Nursing
Midwifery
Finance
Management
&
Audit
Finance
Audit
Unit
Drug
Administration
&
Law
Drug
Administration
Law
Budget
Budget-
1
Budget-
2
Additional
Chief
Deputy
Chief
Minister > Secretary
Additional Secretary >
Joint Secretary
Deputy Secretary
Section 1, 2, 3, 4
Senior Assistant
Secretary
Policy Development
4. Directorate of
Nursing &
Midwifery
Regulates The Nursing And
Midwifery Professions,
Promoting Professional
Development And Ensuring
Quality Patient Care
Directorate of
Drug
Administration
Ensures The Quality, Safety,
And Efficacy Of Drugs Through
Licensing, Inspection, And
Monitoring Of
Pharmaceuticals
Health Economic
Unit
Focuses On Conducting
Research And Analyzing The
Cost-effectiveness Of
Healthcare Interventions To
Inform Policy And Resource
Allocation
Transport &
Equipment
Maintenance
Organization
Ensure The Health Service
From Urban To Rural Area By
Maintaining Equipment &
Transport System.
Health
Engineering
Department
Oversees The Planning,
Construction, And
Maintenance Of Medical
Infrastructure To Ensure
Efficient And Functional
Healthcare Facilities
AFFILIATED ORGANIZATION UNDER MINISTRY
5. HEALTH SYSTEM AT IMPLEMENTATION LEVEL
National Level
Directorate General of Health Services
Divisional Level
Divisional Health directorate
District Level
Civil Surgeon Office
Upazila Level
Upazila Health Complex
Union Level
Union Health & Family Welfare Centre
Community Level
Community Clinic
6. AFFILIATED SPECIALIZED HOSPITAL UNDER MOHFW
1 National Center For Control Of Rheumatic Fever & Heart Disease
2 National Asthma Center
3 Sheikh Rasel Gastroliver Institute & Hospital
4 Sheikh Hasina National Institute of Burn and Plastic Surgery
5 100 bed Burn Unit at DMCH
6 Sheikh Fazilatunnessa Mujib Eye Hospital And Training Institute
7 Shaheed Sheikh Abu Naser Specialized Hospital
8 Pabna Mental Hospital
9 Bangladesh Institute of Tropical and Infectious Disease
10 National Institute of Cancer Research And Hospital (NICR&H)
11 National Institute of Diseases of the Chest & Hospital (NIDCH)
12 Institute of Child and Mother Health, Matuail (Code:10002303)
13 National Institute Of Cardiovascular Disease (NICVD)
14 National Institute of Kidney Disease and Urology (NIKDU)
15 National Institute Of Mental Health (NIMH)
16 National Institute Of Ophthalmology (NIO)
17 National Institute of Traumatology and Orthopaedic
Rehabilitation (NITOR)
18 Bangladesh Institute of Child Health
19 National Institute of Neuro Sciences & Hospital (NINS&H)
20 National Institute of ENT
21 Central Skin & Social Hygiene Center
22 Maternal & Child Health Training Institute
23 Dhaka Shishu Hospital
24 BIRDEM
The Ministry of Health & Family
Welfare in Bangladesh collaborates
with numerous affiliated organizations
to manage the healthcare system,
improve public health, and enhance
service delivery, disease control,
research, and capacity building.
7. ORGANOGRAM OF DIRECTORATE GENERAL OF HEALTH SERVICES
Line Divisions
•Communicable Disease
Control (CDC)
•Maternal and Child
Health (MCH)
•National Nutrition
Service (NNS)
•Non-Communicable
Disease Control (NCDC)
•Health Education
•Medical Education and
Training
•Health Systems and
Services (HSS)
Staff Divisions
•Planning and
Development (PD)
•Finance and
Accounts (FA)
•Legal Services
•ACR
Other Units
•National Institute
of Preventive and
Social Medicine
(NIPSOM)
•Directorate of Drug
Administration
(DDA)
•Institute of Public
Health Nutrition
(IPHN)
Research and Development
Promoting the development and utilization of
new technologies in healthcare
Leadership and Policy Formulation
Setting national health priorities and allocating
resources.
Human Resource Management
Recruiting, training, and developing health
professionals.
Disease Control and Public Health
Promoting healthy behaviors and lifestyles
through public awareness campaigns
Service Delivery and Regulation
Overseeing the delivery of healthcare services
through various institutions.
8. ORGANOGRAM OF DIVISIONAL DIRECTORATE
The Divisional Directorate Office
(DDO) Provides Strategic Direction
And Oversight For The Healthcare
System Within A Division In
Bangladesh, Ensuring Adherence To
National Health Policies And Efficient
Resource Allocation. They Also
Monitor Performance, Identify Areas
For Improvement, And Coordinate
With Other Government Agencies And
NGOs.
9. ORGANOGRAM OF CIVIL SURGEON OFFICE
Administrative Division
•Deputy Civil Surgeon
•Administrative Officer
•Assistant Administrative Officer
•Steno Typist
•Office Assistant
Medical Division
•Senior Health Education Officer
•Junior Health Education Officer
•Medical Officer (General)
•Medical Officer (TB & Leprosy)
•District Public Health Nurse
•Nutritionist
•Medical Technologist (Lab)
•Statistician
Program Division
•District EPI Superintendent
•Programme Organizer
•Cold Chain Technician
Other Departments
•District Health Superintendent
•District Sanitary Inspector
•Audio Visual Operator
•Cashier
•Store Keeper
•Security Guard
•Sweeper
Oversees the office's operations, including
personnel, budget, logistics, and records
management, ensuring efficient and effective
healthcare delivery in the district.
Leads and supervises all clinical services within
the district, encompassing hospitals, clinics, and
community healthcare programs
Implementation and monitoring of public
health programs, including immunization,
family planning, and disease control initiatives
Ensuring resource allocation, strategic
planning, and smooth operation of the district
healthcare system.
10. ORGANOGRAM OF UPAZILLA HEALTH COMPLEX
Administrative
Division
Accounts Clerk
Office Assistant
Storekeeper
Security Guard
Sweeper
Medical
Division
Medical Officer (General)
Family Planning Officer
MCH Officer
Public Health Inspector
Nurse (In-Charge)
Staff Nurses
Midwife
Lab Technician
Health Assistant
Pharmacist
Record Keeper
Additional
Staff
Dentist
Nutritionist
Health
Educator
Data Entry
Operator
Inpatient and Outpatient Care
Maternal and Child Health (MCH)
Family Planning
Disease Control
Immunization
Community Health Outreach
Referral Services
Collaborating with local government &
non-governmental organizations (NGOs)
11. ORGANOGRAM OF UNION HEALTH & FAMILY WELFARE CENTRE
• Family Welfare Visitor (FWV)
• Midwife
• Community Health Worker (CHW)
• Vaccinator
• Assistant Health Worker (AHW)
Clinical Division
• Record Keeper
Administrative Division
• Community Mobilizer
• Data Entry Operator
Additional Staff
Controlling infectious diseases
Identify And Report Outbreaks, And Collaborate With
Other Health Facilities.
Providing Basic Healthcare Services
Consultations, Diagnoses, And Treatment For Common
Ailments, Dispense Essential Medicines, And Conduct
Minor Procedures
Educating And Mobilizing Communities
Promote Health Awareness, Organize Campaigns, And
Work With Community Health Workers To Engage The
Community In Health Initiatives.
Advocating for family planning
Counsel On And Offer Family Planning Methods, Raise
Awareness About Their Benefits, And Support Responsible
Parenthood
Promoting Maternal And Child Health
Antenatal And Postnatal Care, Basic Delivery Services,
Immunization Clinics, And Promote Breastfeeding .
12. ORGANOGRAM OF COMMUNITY CLINIC
Clinical Division
•Family
Welfare
Assistant
(FWV)
•Community
Mobilizer
•Volunteer
Administrative
Division
•Record
Keeper
Additional Staff
•Midwife
•Data Entry
Operator
Responsibilities:
• Community Health Worker (CHW): Leads
the clinic's operations, provides basic
healthcare services, and reports to the Union
Health and Family Planning Officer
(UH&FPO).
• Family Welfare Assistant (FWV): Provides
family planning services and counseling.
• Community Mobilizer: Organizes
community events and promotes health
awareness.
• Volunteer: Assists the CHW and FWV with
various tasks.
• Record Keeper: Maintains patient records
and medical data.
• Midwife: Assists with deliveries and provides
maternity care.
• Data Entry Operator: Collects, analyzes, and
reports health data
13. HEALTHCARE WORKFORCE IN BANGLADESH
Health worker
category
Total Male Femal
e
Doctors 26,619 64% 36%
Dentists 829 56% 44%
Nurses (BSc and Diploma) 35,828 10% 90%
Sub-Assistant Community
Medical Officers
7,927 69% 31%
Midwifery 1,145 0% 100%
Medical Technologists 6,248 84% 16%
Domiciliary Staff 57,451 38% 62%
Alternative medicine 1,053 67% 33%
Pharmacists (Category B) 1,744 81% 19%
Total 1,38,844 40% 60%
Sl. Type of Health Workforce
Number
Male Female Total
1 Registered MBBS Graduate 65794 47683 113477
2 Estimated Number of Doctor (MBBS) available in the Country 53951 39100 93051
3 Registered BDS Graduate 6915 4678 11593
4
Registered Nursing and Midwifery Practitioner
i) Registered Nurse
a) B Sc. 845 6587 7432
b) Diploma 2637 67022 69659
ii) Registered Midwife (Diploma) NA 6285 6285
Total 3482 79894 83376
5
Health Practitioner with Diploma in Medical Faculty (DMF)
a) Student Completed DMF 18174 17873 36047
b) Registered with BMDC 14803 8571 23374
6
Registered Pharmacy Practitioner
a) Bachelor (Grade-A) 17082
b) Diploma (Grade-B) 15500
c) Certified Pharmacy Assistant (Grade-C) (3-month training course) 129362
7
Health Practitioner with Diploma in Medical Technology (DMT)
a) Lab Technology 6249 7647 13896
b) Radiotherapy 284 346 630
c) Radiology & Imaging 1812 2215 4027
d) Physiotherapy 1281 1567 2848
e) Sanitary Inspector Training 1793 896 2689
f) Dental Technology 2041 2495 4536
g) OT Assistance 110 136 246
h) IC Assistance 53 67 120
i) Prosthetics and Orthotics 28 12 40
j) Cardiology 3 2 5
8
Registered Homeopathic Medicine and Surgery Practitioner
a) Bachelor 2535 870 3405
b) Diploma 23393 14661 38054
9
Registered Unani Medicine and Surgery Practitioner
a) Bachelor 564 216 780
b) Diploma 2695 567 3262
c) Certified Unani Professional (1-month training course) 4096 237 4333
10
Registered Ayurvedic Medicine and Surgery Practitioner
a) Bachelor 467 181 648
b) Diploma 1137 194 1331
c) Certified Ayurvedic Professional (1-month training course) 3394 103 3497
11 Registered Family Welfare Visitor (FWV) NA 7211 7211
12 Registered Community Paramedic 656 1653 2309
13 Registered Community Based Skilled Birth Attendant (CSBA) NA 9303 9303
14. PRIVATE SECTORS IN HEALTH SYSTEM OF BANGLADESH
61%
26%
8%
5%
Facility Type
Private diagnostic centers Private hospitals
Private medical clinics Private dental clinics
Diagnostic Services
Over 90% of all diagnostic tests conducted in
private facilities.
Private Healthcare Institutions
As of 2019, there were over 16,979 private
healthcare institutions in Bangladesh
Expenditure
accounts for approximately 60% of total
health expenditure in Bangladesh.
Inpatient Care
While the public sector dominates inpatient care, the
private sector holds a market share of around 20%.
Outpatient Care
The private sector accounts for over 70% of all
outpatient care in Bangladesh.
16. HEALTH INDICATORS OF BANGLADESH
0
5
10
15
20
25
30
35 1/1/1950
1/1/1953
1/1/1956
1/1/1959
1/1/1962
1/1/1965
1/1/1968
1/1/1971
1/1/1974
1/1/1977
1/1/1980
1/1/1983
1/1/1986
1/1/1989
1/1/1992
1/1/1995
1/1/1998
1/1/2001
1/1/2004
1/1/2007
1/1/2010
1/1/2013
1/1/2016
1/1/2019
1/1/2022
Births per Woman Deaths per 1000 People
HI 2023 Reduction
from 2012
Under-Five Mortality
Rate (U5MR):
25.1 deaths per 1,000 live
births
54.4%
Maternal Mortality Ratio
(MMR):
178 deaths per 100,000 live
births
44.4%
Total Fertility Rate (TFR): 2.0 births per woman 0.8 births
per woman
Contraceptive Prevalence
Rate (CPR):
62.4% 42.7%
Immunization Coverage: •DTP3: 88.7%
•Measles: 85.2%
•Polio: 93.1%
-
Tuberculosis: 156 per 100,000 population 85%
Malaria: 0.004 per 100,000
population
18 per
100,000 pop.
Non-Communicable
Diseases (NCDs):
Cardiovascular diseases,
chronic respiratory
diseases, cancers, diabetes
-
Health Insurance
Coverage:
7% -
17. STRENGTHS OF HEALTH SYSTEM
Health Indicator
Significant progress in
reducing child mortality
and improving maternal
health
Primary care
Extensive public health
infrastructure with a
strong focus on primary
care.
CHW
Dedicated community
health workers reaching
rural populations.
Private Sector
Growing private sector
providing access to
specialized services.
18. Access
Limited access to
quality healthcare,
particularly in rural
areas.
Funding
Underfunding of the
public health system.
Specialist
Shortage of healthcare
professionals,
especially specialists
OOP-Ex
High out-of-pocket
expenditure on
healthcare.
CHALLENGES OF HEALTH SYSTEM
