The document discusses inequities in health in Bangladesh. It identifies several key factors that contribute to health inequities including poverty, mother and child health issues, gender disparities, lack of education, and inadequate access to safe water and sanitation. Poverty is widespread in Bangladesh, with 26% of people living below $2 per day, and the poor have less access to and receive poorer quality healthcare compared to the rich. Gender discrimination also contributes to health inequities, as women and girls have less access to healthcare and education than men. Rural areas in particular lack proper health centers, outreach services, and sanitation infrastructure.

1. Inequities
of Health In Bangladesh
Dr. Rishad Choudhury Robin

2. Factors
 Poverty
 Mother and Child health
 Gender
 Education
 Safe water and Sanitation

3. Poverty
 26% people live below the national poverty line of US $2 per day
 Poverty is higher in rural areas than in urban areas
 The health system caters to the rich, urban elite
 The poor have less access to health care than the rich
 Rural area do not have proper health center
 Poorer quality of care
 Less outreach services
 Poorer care giving behaviors to less educated and less wealthy
clients

4. Rural Hospital

5. Urban Hospital

6. Mother and
Child health
 More costly and require more specialized care than other basic
primary health services
 The poorest 20% of women are: – less likely to have received ANC
and to have a skilled attendant at birth
 The poorest 20% of children are: to be stunted ,underweight.

8. Gender
 Widespread gender discrimination contributes to disparities in
health, the neglect of female children and poor access to health
care, especially for girls and women.
 In 2011, 24% of births were attended by a professional health
physician which are mainly female doctor.
 In 2011, the population with at least a secondary education was
30.8% for women and 39.3% for men.
 Labor force participation for females has been driven primarily by
the growth of approved export industry jobs in textiles and the
spread of micro financing operations by NGOs.

10. Education
 Budgetary process
 Construction and maintenance
 Teachers and teaching
 Targeted conditional cash transfer programmes
 Selection and examination

12. Safe water and
Sanitation
 Rural area have limited excess to Safe water and Sanitation
 Not all people use proper sanitation system especially North of
the country.
 The sanitation coverage with improved latrine is only 54 % by
population.
 Lack of access to water supply infrastructure such as tube well
sand piping area major issue for the rural poor.
 Access to safe drinking water is limited due to wide-spread arsenic
contamination in millions of privately installed tube wells.
 Hygiene expenditure is often a low priority for poor households.
 Some schools do not have latrines available for students to use.
Those that do often lack the resources and awareness to keep
them clean.