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    The Path to Universal Health Coverage in Bangladesh: Bridging the Gap of Human Resources for Health
    The Path to Universal Health Coverage in Bangladesh: Bridging the Gap of Human Resources for Health
    The Path to Universal Health Coverage in Bangladesh: Bridging the Gap of Human Resources for Health
    Ebook209 pages2 hours

    The Path to Universal Health Coverage in Bangladesh: Bridging the Gap of Human Resources for Health

    By Sameh El-Saharty, Susan Powers Sparkes, Helene Barroy and

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    Bangladesh is committed to achieving universal health coverage (UHC) by 2032; to this end, the government of Bangladesh is exploring policy options to increase fiscal space for health and expand coverage while improving service quality and availability. Despite Bangladesh’s impressive strides in improving its economic and social development outcomes, the government still confronts health financing and service delivery challenges.In its review of the health system, this study highlights the limited fiscal space for implementing UHC in Bangladesh, particularly given low public spending for health and high out-of-pocket expenditure. The crisis in the country’s human resources for health (HRH) compounds public health service delivery inefficiencies. As the government explores options to finance its UHC plan, it must recognize that reform of its service delivery system with particular focus on HRH has to be the centerpiece of any policy initiative.
    LanguageEnglish
    PublisherWorld Bank Publications
    Release dateJun 8, 2015
    ISBN9781464805370
    The Path to Universal Health Coverage in Bangladesh: Bridging the Gap of Human Resources for Health

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      Book preview

      The Path to Universal Health Coverage in Bangladesh - Sameh El-Saharty

      A WORLD BANK STUDY

      The Path to Universal Health Coverage in Bangladesh

      Bridging the Gap of Human Resources for Health

      Sameh El-Saharty, Susan Powers Sparkes, Helene Barroy, Karar Zunaid Ahsan, and Syed Masud Ahmed

      © 2015 International Bank for Reconstruction and Development / The World Bank

      1818 H Street NW, Washington DC 20433

      Telephone: 202-473-1000; Internet: www.worldbank.org

      Some rights reserved

      1 2 3 4 18 17 16 15

      World Bank Studies are published to communicate the results of the Bank’s work to the development community with the least possible delay. The manuscript of this paper therefore has not been prepared in accordance with the procedures appropriate to formally edited texts.

      This work is a product of the staff of The World Bank with external contributions. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries.

      Nothing herein shall constitute or be considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved.

      Rights and Permissions

      This work is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO) http://creativecommons.org/licenses/by/3.0/igo. Under the Creative Commons Attribution license, you are free to copy, distribute, transmit, and adapt this work, including for commercial purposes, under the following conditions:

      Attribution—Please cite the work as follows: El-Saharty, Sameh, Susan Powers Sparkes, Helene Barroy, Karar Zunaid Ahsan, and Syed Masud Ahmed. 2015. The Path to Universal Health Care in Bangladesh: Bridging the Gap of Human Resources for Health. A World Bank Study. Washington, D.C.:World Bank. doi:10.1596/978-1-4648-0536-3.

      Translations—If you create a translation of this work, please add the following disclaimer along with the attribution: This translation was not created by The World Bank and should not be considered an official World Bank translation. The World Bank shall not be liable for any content or error in this translation.

      Adaptations—If you create an adaptation of this work, please add the following disclaimer along with the attribution: This is an adaptation of an original work by The World Bank. Views and opinions expressed in the adaptation are the sole responsibility of the author or authors of the adaptation and are not endorsed by The World Bank.

      Third-party content—The World Bank does not necessarily own each component of the content contained within the work. The World Bank therefore does not warrant that the use of any third-party-owned individual component or part contained in the work will not infringe on the rights of those third parties. The risk of claims resulting from such infringement rests solely with you. If you wish to re-use a component of the work, it is your responsibility to determine whether permission is needed for that re-use and to obtain permission from the copyright owner. Examples of components can include, but are not limited to, tables, figures, or images.

      All queries on rights and licenses should be addressed to the Publishing and Knowledge Division, The World Bank, 1818 H Street NW, Washington, DC 20433, USA; fax: 202-522-2625; e-mail: [email protected].

      ISBN (paper): 978-1-4648-0536-3

      ISBN (electronic): 978-1-4648-0537-0

      DOI: 10.1596/978-1-4648-0536-3

      Cover art: Sameh El-Saharty

      Library of Congress Cataloging-in-Publication Data has been requested

      Contents

      Boxes

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      Preface

      In 2011, Japan celebrated the 50th anniversary of achieving universal health coverage (UHC). To mark the occasion, the government of Japan and the World Bank conceived the idea of undertaking a multicountry study to respond to this growing demand by sharing rich and varied country experiences from countries at different stages of adopting and implementing strategies for UHC, including Japan itself. This led to the formation of a joint Japan–World Bank research team under the Japan–World Bank Partnership Program for Universal Health Coverage. The Program was set up as a two-year multicountry study to help fill the gap in knowledge about the policy decisions and implementation processes that countries undertake when they adopt the UHC goals. The Program was funded through the generous support of the government of Japan. This Country Study on Bangladesh is one of the 11 country studies on UHC that was commissioned under the Japan–World Bank Partnership Program. The other participating countries are Brazil, Ethiopia, France, Ghana, Indonesia, Japan, Peru, Thailand, Turkey, and Vietnam.

      Acknowledgments

      This study was prepared by a World Bank team comprising Sameh El-Saharty, Senior Health Policy Specialist, World Bank; Susan Powers Sparkes, Health Economist, World Bank Consultant; Helene Barroy, Health Economist, World Bank; Karar Zunaid Ahsan, Senior Research Associate, MEASURE Evaluation, University of North Carolina at Chapel Hill; and Syed Masud Ahmed, Director, Centre of Excellence for Universal Health Coverage, ICDDR,B, Bangladesh.

      The study benefited from two background papers prepared under a contract with BRAC University under the oversight of Dr. Tim Evans, then Dean of the James P. Grant School of Public Health, and Dr. Sadia Afroze Chowdhury, Executive Director of BRAC Institute of Global Health; these papers are Overview of the Current State of the Health Workforce in Bangladesh by Professor Syed Masud Ahmed, Director, Centre of

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