Each year Bangladesh government distributes the expenditure in different sectors. Health sector is one of them. This is Group presentation made by me. This slide will give you an idea about health sector expenditure, its relative ratio with other economic factors, what kind of problem this sector is facing and how the whole allocation can help the health sector. Enjoy !

1. Bangladesh government
expenditure in Health Sector

2. Presenters…
 Sumaiya Hossain Binti 193006002
 Atikur Rahman 173006050
 Md. S.K. Farhan Hossen 182006018
 Md. Mahmodul Hasan 172006013

3. Content
1. Bangladesh government expenditure: in Health in last 15 years.
a) Percentage change in the expenditure for Health in the last 15 years.
b) Health Expenditure Percentage on total expenditure in the last 15
years.
2. Expected expenditure and Implementation in last 15 years according to
IMED in this sector
3. Government receipts and expenditure analysis

4. 01 02 03 04 05 (Answer of Ques no
1-a )
06 (Answer of
Ques no 1-b )
07 08 09
No Year Bangladesh GOVT.
Total Expenditure
on all Sector (BDT in
Crore) ( Expected )
Bangladesh GOVT.
Expenditure on
Health Sector (No
1) (BDT in Crore)
Percentage Change in
GOVT. Expenditure for
Health Sector (No 1a)
(from column 04 )
Percentage of
health Sector
Expenditure (No
1b)
Increase/
Decrease
GOVT. GDP in Each Year
(BDT in Million) (at current
rate)
Health Sector
Expenditure
Percentage with
GDP
01 2005-2006 49027 2598 - 5.3% - 3,913,334 2.28%
02 2006-2007 69740 4742 82.5% 6.8% Increase 6060821 2.32%
03 2007-2008 79614 5255 10.8% 6.6% Increase 6718474 2.39%
04 2008-2009 99962 5898 12.2% 5.9% Increase 5,003,438 2.35%
05 2009-2010 113819 6943 17.7% 6.1% Increase 7975387 2.40%
06 2010-2011 1,28,268 7953 14.5% 6.2% Increase 9158288 2.50%
07 2011-2012 1,63,589 8343 4.9% 5.1% Increase 10552040 2.57%
08 2012-2013 1,91,738 9012 8.0% 4.7% Increase 11989232 2.57%
09 2013-2014 1,88,208 7717 -14.4% 4.1% Decrease 13509204 2.50%
10 2014-2015 2,50,506 10521 36.3% 4.2% Increase 15158022 2.50%
11 2015-2016 2,95,100 12689 20.6% 4.3% Increase 17,328,637 2.46%
12 2016-2017 3,21,862 16415 29.4% 5.1% Increase 19,758,154 2.31%
13 2017-2018 4,64,573 20,651 25.8% 4.45% Increase 22,504,793 2.28%
14 2018-2019 4,42,541 23,383 13.2% 5.28% Increase 25,361,770 2.34%
15 2019-2020 5,23,190 25636 9.6% 4.9% Increase 26,604,164 2.39%
AVG A total of 15 Years Expenditure
increased every
year
On average
Upward Trending
to the right
271.1/14= 19.36% 5.27% Overall
Increased
GDP Growth rate is in an
increasing trend
Upward Trending
Table Containing info of Ques No 01

5. a. Percentage change in the expenditure for Health in
the last 15 years
Year Percentage Change in GOVT.
Expenditure for Health
Sector (No 1a) (from column
04 )
2005-2006 -
2006-2007 82.5%
2007-2008 10.8%
2008-2009 12.2%
2009-2010 17.7%
2010-2011 14.5%
2011-2012 4.9%
2012-2013 8.0%
2013-2014 -14.4%
2014-2015 36.3%
2015-2016 20.6%
2016-2017 29.4%
2017-2018 25.8%
2018-2019 13.2%
2019-2020 9.6%
271.1/14= 19.36%

6. b. Health Expenditure Percentage on total
expenditure in the last 15 years..
Year
Percentage of health Sector
Expenditure (No 1b)
2005-2006 5.3%
2006-2007 6.8%
2007-2008 6.6%
2008-2009 5.9%
2009-2010 6.1%
2010-2011 6.2%
2011-2012 5.1%
2012-2013 4.7%
2013-2014 4.1%
2014-2015 4.2%
2015-2016 4.3%
2016-2017 5.1%
2017-2018 4.45%
2018-2019 5.28%
2019-2020 4.9%
5.27%

7. Pie Chart of Health Sector Expenditure Percentage with
GDP

8. Horizontal Bar Chart showing a comparison between
Total Expenditure and Health Sector Expenditure
Year
Bangladesh
Govt.’s
Expected
Expenditure in
total sector(
Crore ) (in
thousands)
Bangladesh
GOVT.
Expenditure on
Health Sector
(No 1) (BDT in
Crore)
2005-2006 64383 2598
2006-2007 69740 4742
2007-2008 87137 5255
2008-2009 99962 5898
2009-2010 113819 6943
2010-2011 132170 7953
2011-2012 163589 8343
2012-2013 191738 9012
2013-2014 222491 7717
2014-2015 250506 10521
2015-2016 295100 12689
2016-2017 340605 16415
2017-2018 400266 20,651
2018-2019 464573 23,383
2019-2020 523190 25636

9. Findings
1. The total Expenditure of Bangladesh Govt. in Last 15 years has been rapidly increasing.
2. The Health Sector Expenditure has also been increased each year with total expenditure.
3. The average health sector expenditure percentage for last 15 years is 5.27%.
4. The percentage change in government expenditure for health sector is on an average
19.36%.
5. The percentage change in government expenditure for health sector is positive every
year except fiscal year 2013-2014.
6. The GDP grew in the last 15 years at a rapidly increasing trend.
7. Health sector expenditure percentage in GDP is on an average 2.24%.

10. 2. Expected expenditure and Implementation in last 15
years according to IMED in this sector
Year
Bangladesh
Govt.’s Expected
Expenditure in
total sector(
Crore ) (in
thousands)
Bangladesh Govt.’s
Implementation of
Expected
Expenditure in total
sector (in
thousands) ( Actual )
Percenta
ge of
health
Sector
Expendit
ure
2005-2006 64383 61058 5.30%
2006-2007 69740 66836 6.80%
2007-2008 87137 93608 6.60%
2008-2009 99962 94140 5.90%
2009-2010 113819 110523 6.10%
2010-2011 132170 130011 6.20%
2011-2012 163589 161213 5.10%
2012-2013 191738 189326 4.70%
2013-2014 222491 216222 4.10%
2014-2015 250506 239668 4.20%
2015-2016 295100 264565 4.30%
2016-2017 340605 317174 5.10%
2017-2018 400266 371495 4.45%
2018-2019 464573 442541 5.28%
2019-2020 523190 501577 4.90%
5.27%

11. Findings…
1. In health sector, Bangladesh government has an average expenditure 5.27%.
2. In every year there has been an increasing/decreasing deviation in expected and implemented
expenditure.
3. As time passed by The deviation also started to increase.
4. Except 2007-08 the government could not implemented the total amount (expected) in health sector.
5. The implementation was the highest on 2006-07 and it was 6.8%.
6. The implementation was the lowest on 2013-14 and it was 4.1%.

12. No
Govt.
Receipt (
in Crore,
BDT )
Year Government Receipts Sources Govt.
Expenditure
( in Crore
BDT )
Government Expenditure Fields
15
523190
2019-20
sources
501577
Sources
Items % of total
receipts
Nominal Values Items % of Total
Expenditure
Nominal
Values
Foreign giants 0.8% 4186 Education & IT 15.2% 76240
Foreign loan 12.2% 63829 Interest 10.9% 54671
Domestic
financing
14.8% 77432 Transport &
Communication
12.2% 61192
Non-tax revenue 7.2% 37670 Local GOVT. & Rural
Debt
7.2% 36114
Tax-revenue(Non-
NBR)
2.8% 14649 Energy & Power 5.4% 27085
Health 4.9% 24577
Agriculture 3.7% 18558
Tax revenue(NBR)
62.2 % of total
receipt of 523190
Crore = 325424
Crore BDT
Different
Sub-Sources
Vat-37.8%
123010
Defense 5.6% 28088
Social Security &
Welfare
4.9% 24577
Import duty-11.2% 36447
Public Order &
Security
5.1% 25580
Income tax-35.0% 113898
Public Administration 4.6% 23073
Pension 5.2% 26082
Supply tax-14.8% 48163
Subsidies 6.4% 32101
Others-1.2% 3905 Miscellaneous non-
development
Investment
5.9% 29593
Others 2.8% 14044

13. Government receipts and expenditure analysis
Year
Total
Receipt
Total
Expenditure
Health
Sector
Receipt
2005-06 64383 61058 4029
2006-07 69740 66836 4525
2007-08 87137 93608 6178
2008-09 99962 94140 5271
2009-10 113819 110523 6521
2010-11 132170 130011 7801
2011-12 163589 161213 8222
2012-13 191738 189326 8898
2013-14 222491 216222 8865
2014-15 250506 239668 10066
2015-16 295100 264565 10847
2016-17 340605 317174 14907
2017-18 400266 371495 19318
2018-19 464573 442541 22127
2019-20 523190 501577 24577

14. Findings
 Total receipt and total expenditure of Bangladesh government budget has an increasing trend in recent years.
 Except 2007-08, total receipt has always been higher than total expenditure.
 Average health sector expenditure is 5.27%.
 In recent years, transport and communication have higher expenditure.
 In recent years, foreign grants and loans have increased.
 VAT and Tax are the highest receipts sector of Bangladesh government.

15. Take Away…
 Bangladesh Budget is deficit budget.
 Health sector has insignificant expenditure percentage.
 Percentage change in health sector expenditure is increasing at
random rate.
 Health Sector Expenditure is not implemented properly.
 Can be seen in recent COVID issue.
 Health Sector Collapsed in COVID because it was not implemented
with quality.
 Policy was not implemented right

16. Recommendations to improve health Sector
(1) purchase health care, (2) provide health care,
(3) ensure access to quality care for vulnerable populations,
(4) regulate health care markets,
(5) support acquisition of new knowledge,
(6) develop and evaluate health technologies and practices,
(7) monitor health care quality,
(8) inform health care decision makers,
(9) develop the health care workforce, and
(10) convene stakeholders from across the health care system.