Preview

Health Governance in Bangladesh

Best Essays
Open Document
Open Document
3286 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Health Governance in Bangladesh
Department of Public Administration
Dhaka University

Assignment Topic: Health Governance in Bangladesh

Submitted to
Abu Hossain Muhammad Ahsan
Assistant Professor
Dept of Public Administration
Dhaka University.

Submitted by

Dilruba Islam
Dept of Public Administration
3rd Batch, 6th Semester
Class roll: rk-18

Introduction
Public policy making is not only a simple function, but also a process where different actors interact and try their best to influence the policy. Policy process and dynamics of politics is interrelated. The main aim of this assignment is to uncover the dynamics of politics in the agenda setting of the health governance of Bangladesh through investigation of the role of deferent actors. In every policy process politics play an important role in idea generation, formulation and implementation. Policy reform in health sector is not different from other policy reforms. In the process of health policy making of any country, different actors try to bring the governance in their favor through playing significant role. This interaction of deferent actors in governance is known as politics of public policy. In the complex political process of health sector reform viability of special agenda, type of changes in policy reform, vision of national politics play an important role. In Bangladesh, health is one of the most important sectors since good health ensure more social and economic production and good quality of life. Beyond debate, priority of the health sector is forefront in the development discourse, even though, ‘health sector’ it is associated with multi sectoral factors and actors. Thus, making implementation of health sector policy requires interplay of actors and factors from different sectors and levels: local, national, regional and international.

Health situation in Bangladesh
Till today, health situation in Bangladesh is not quite satisfactory. Lack of broad national health policy or policy vacuum,



References: 1. Ahmed, Syed Masud (2008). Taking Healthcare where the Community is: the Story of the shasthya sebikas of BRAC in Bangladesh BRAC University Journal. 2. Aminuzzaman, Salahuddin (2002). Public Policy Making in Bangladesh: An Overview, Public Money and Management. 3. BHW (2008). Bangladesh Health Watch Report 2009: How Healthy is Health Sector Governance, Bangladesh Health Watch (BHW), BRAC University School of Public Health, Dhaka 4. Jahan, Rounak and Salehin, Masudus 2006. ‘Health Care for Rural People of Bangladesh: Overview of Some Governance Issues’ in Salahuddin M. Aminuzzaman Ed ‘Governance and Development: Bangladesh and Regional Experiences’. Shrabon Prokashoni, Dhaka. 5. Osman, Ferdous Arfina (2008 ). Health Policy, Programs and System in Bangladesh: Achievement and Challenges, South Asian Survey, 15: 2, 23-288, Sage Publications 6. World Bank (2006).Dhaka: Improving Living Conditions for the Urban Poor, Dhaka 7. Rabbani (2009). Rabbani Golam (2009). Non-Governmental Actors are Coming Forward as Policy Actors: Example from Operational Framework for Pre-Primary Education, Society and Change, April- June 2009, OSDER, Dhaka

You May Also Find These Documents Helpful

  • Best Essays

    There has been a growing concern that health sector needs a huge attention today, not only from government, citizen, but also from many discipline of health care practices. In the recent year, in the United States which is a superpower country, the delivery of human services is still to be a constant puzzle for policy makers, practitioners, and academics (Mayhew, 2012). Health care delivery (including preventive and supportive care) in this country is challenged by demands of access, safety, quality, and cost (Giberson, et. al., 2011). Even though, many years before, these health care issues has been arised as Wilson D.E. stated that the year 1994 was one of great health care non-reform, although national legislation was enacted, states began to seek ways to deal seriously with the issues, primarily the cost, but also the quality of care (Institute of Medicine 25th Anniversary Symposium, 1996). The same thing is happened in the developing country, even worse. Such as in Indonesia, despite solid economic growth in recent years that has raised millions from poverty, Indonesia faces numerous healthcare challenges, from maternal mortality to vector-borne diseases such as malaria to malnutrition, and degenerative diseases associated with a population that is both ageing and living an increasingly sedentary lifestyle. (The Economist Intelligence Unit, 2010). Besides that, most of population in this country lives in rural areas making the delivery of health care services difficult, a system of community health centres is being developed in response to the needs of the rural community (Jacobalis S., 1989). This means that health care matter is still unresolved.…

    • 2501 Words
    • 11 Pages
    Best Essays
  • Good Essays

    Introduction: If one talk about Health sector in general, one would realise that it is very broad and complex sector involving different kinds of Health problems, complicated diagnostics methods, multiple and tedious treatment regimes, and multiple stakeholders with different interests and requirements. For example patients, their families, health care professionals, health care providers, policy makers, implementers, etc. At the same time we see other social-cultural, economical, environmental, emotional, psychological and political factors affecting the Health scenario from all dimensions. What happens in Health sector is that all these things interact together, sometimes they work together, facilitate each other or even collide with each other with an aim to produce ‘Health’ as the end product.…

    • 5289 Words
    • 22 Pages
    Good Essays
  • Good Essays

    Bangladesh, a developing country, is relatively unknown in the globalized world and is often confused with its dominant neighbor, India. The country as we see it now did not exist even 50 years ago.…

    • 989 Words
    • 4 Pages
    Good Essays
  • Better Essays

    A health system consists of organizations, people, and actors whose primary intent is to promote, restore and maintain health. These include efforts of influencing determinants of health as well as more directly improving health services. The health system goes far beyond the confines of public health facilities. A good health system comprises of good health services, a well performing health work force, a well functioning health information system, equitable access to medical products vaccines and technologies, a good health financing system and good leadership and governance. The above are the building blocks of a health system.Uganda has many policies in place to promote good health some of which have be drafted under a multi stake holders participatory approach. For example the private- public partnership in health policy. The health sector has many actors including non- governmental organizations, civil society organizations, and other agencies beyond the ministry of health. The policies and planning are participatory and well defined. Good leadership and governance comes into play where the leadership of the country allows for policies to be drawn that help in improving service delivery to the people.In Uganda for instance the government is charged with under the ministry of Health to develop policies, structure and frame works for delivering health services the people. To implement this role Ministry of health designs strategies, guideline and policies that are evidence- based and needs-based criteria to deliver health services. This is done through a participatory process by the academia, civil society organization, private health providers, local governments and other stakeholders. Therefore in Uganda under the decentralization system of delivery, local governments are tasked with the role of overseeing the policy implementation process and developing by-laws to support health service delivery. Decentralization has been found to globally improve governance…

    • 1326 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Although one of the world 's poorest and most densely populated countries, Bangladesh has made major strides to meet the food needs of its increasing population, through increased domestic production augmented by imports. The land is devoted mainly to rice and jute cultivation, although wheat production has increased in recent years; the country is largely self-sufficient in rice production. Nonetheless, an estimated 10% to 15% of the population faces serious nutritional risk. Bangladesh 's predominantly agricultural economy depends heavily on an erratic monsoonal cycle, with periodic flooding and drought. Although improving, infrastructure to support transportation, communications, and power supply is poorly developed. Bangladesh is limited in its reserves of coal and oil, and its industrial base is weak. The country 's main endowments include its vast human resource base, rich agricultural land, relatively abundant water, and substantial reserves of natural gas. Following the violent events of 1971 during the fight for independence, Bangladesh--with the help of large infusions of donor relief and development aid--slowly began to turn its attention to developing new industrial capacity and rehabilitating its economy. The static economic model adopted by its early leadership, however--including the nationalization of much of the industrial sector--resulted in inefficiency and economic stagnation. Beginning in late 1975, the government gradually gave greater scope to private sector participation in the economy, a pattern that has continued. A few state-owned enterprises have been privatized, but many, including major portions of the banking and jute sectors, remain under government control. Population growth, inefficiency in the public…

    • 5969 Words
    • 21 Pages
    Good Essays
  • Good Essays

    Back in 1992 there were hardly any private medical hospitals in Bangladesh. Standard of medical treatments were comparatively lower than now it is but it was at least at the standard as expected from the available expertise and technologies. This is 2012, and it is expected that the standard of medical treatment would grow up significantly.…

    • 2235 Words
    • 9 Pages
    Good Essays
  • Powerful Essays

    The dilution of public health services during the post reform period and its implications for the health status of the population generated wide attention among the public health activists in India. The policy shifts towards privatization of health care accompanied by reduction in public investment and introduction of user fees in public health institutions, unregulated growth of private players and increase in cost of treatment, eliminated the majority of the population from the ambit of the health services delivery. Further, the changes in the public policies adopted in the aftermath of selective primary health care focused on target based and ‘tangible’ activities with a narrow perception of ‘health’. In the context of debates around ‘universal health coverage’, the Indian Public Health Movement is actively involved with issues such as access to medicine, regulation of pharmaceutical industry, community participation and responsiveness of care etc. For the purpose of the present exercise, I selected the issues with human resource development which is one of the major component hindering the availability and quality of care.…

    • 1323 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    Green Banking

    • 3835 Words
    • 16 Pages

    Dr. Shah Md. Ahsan Habib in his keynote-paper focused and discussed on theoretical perspective and its multi dimension, worldwide diversified initiatives and its relevance and application in Bangladesh…

    • 3835 Words
    • 16 Pages
    Powerful Essays
  • Powerful Essays

    Over the last one decade along with this running decade MDG has gained enormous success in developing goals on a global scale. As an efficient financial mechanism, MDG enables various governmental and non-governmental actors to realise the millennium development goals (MDGs). Based on our recent field-research on Millennium Development Goals in Bangladesh, this paper empirically examines and analyze the role of MDGs in promoting livelihoods in the country. The study reflects on recent arguments on behalf of MDG and shows that despite some criticisms, MDG is making significant contribution in uplifting the livelihoods of Bangladesh.…

    • 9969 Words
    • 40 Pages
    Powerful Essays
  • Good Essays

    Abul Barkat, PhD Professor, Department of Economics, University of Dhaka and Chief Advisor (Hon) Murtaza Majid, MD Advisor, Public Health Research, Human Development Research Center Dhaka, Bangladesh…

    • 9495 Words
    • 38 Pages
    Good Essays
  • Powerful Essays

    Here is our training and development report on “Developing an E-learning Training Program based on the basic skills of preservation of vaccination program for the field employees in the health sector in Bangladesh”…

    • 2981 Words
    • 12 Pages
    Powerful Essays
  • Better Essays

    After the decades of war and the end of the Taliban regime they had a new election of parliament and government in 2002, then the health care services were also continued to be provided to everyone by NGOs. The network was very weak of public facilities, most qualified health professionals left the country or left the public sector to look for better opportunities with NGOs had presumed authority for the supply of vital primary health care services through direct contracts with donor agencies (World Health Organization 2007). In 2002, after the elimination of Taliban regime and during the election of a new parliament, healthcare services continued to be provided mainly by the NGOs. The NGOs use the facilities of the public health ministry to recruit staffs from both the outside and the inside the country. Some NGOs contract with staff formerly employed by the public health ministry and they are being paid salaries by the ministry so as to work for the same facilities of health (World Health Organization…

    • 1831 Words
    • 8 Pages
    Better Essays
  • Powerful Essays

    Mobile Information Provider

    • 9802 Words
    • 40 Pages

    In H. Jalilian & V. Sen (Eds.), Improving Health Sector Performance (pp. 45-76). Singapore: Institute of Southeast Asian Studies Publishing. Lane C. (2007) Scaling Up for Better Health in Cambodia. World Health Organization & Ministry of Health, Kingdom of Cambodia: Geneva, Switzerland. Lo, V., & Sao, S. Ministry of Health, Department of Planning & Health Information. (2007). Cambodia health information system: Review and assessment. Phnom Penh: Ministry of Health. Marchal B, Cavalli A, Kegels G (2009) Global Health Actors Claim To Support Health System Strengthening—Is This Reality or Rhetoric? PLoS Med 6(4):e1000059. doi:10.1371/journal.pmed.1000059 Meessen, B., Bigdeli, M., Chheng, K., Decoster, K., Ir, P., Men, C., & Van Damme, W. (2011). Composition of pluralistic health systems: how much can we learn from household surveys? an exploration in cambodia. Health Policy and Planning, 26(1), 30-44. Men, B., Grundy, J., Cane, J., Lon Chan, R., Nguon, S. A., Sann, C. S., Jenkinson, K., & Boreland, M., Maynard, J., Biggs, B. (2005). Key issues relating to decentralization at the…

    • 9802 Words
    • 40 Pages
    Powerful Essays
  • Powerful Essays

    Bangladesh Nursing Info

    • 1343 Words
    • 6 Pages

    Bangladesh is one of the world’s poorest countries. In an effort to combat poverty and poor health, the country has established a network of affordable rural health-care units. Because doctors and nurses are expensive and not plentiful, the health centers are staffed by female health workers who do blood testing, take urine and stool samples, start IV lines, and diagnose some diseases. A health insurance plan is also offered where poor families can pay only what they can afford. In addition, the centers can also run a medical college, agricultural cooperatives, community schools, and a drug manufacturing plant.…

    • 1343 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    The government should subsidise free health care to help those people who can’t afford to pay for the increasing hospital bills. There is money to fund more medical supplies, employ specialist doctors and nurses in all clinical settings so that in the future people seeking health care will be served. It is asserted that most health workers were reluctant to go and serve in the rural settings because poor infrastructure and deteriorated health facilities. Namah argues that the government should look seriously into the health care system and review the health policies and strengthened it to be effective so that all the citizens may have access to better health care at their door step rather than travelling into towns and cities during emergencies. It has been argued that the government were negligent to import medical equipment’s which will be used to diagnose and treat diseases in the country. Namah (2013,…

    • 2169 Words
    • 9 Pages
    Powerful Essays