The Role of the Private Sector in Reproductive Health Services in Bangladesh PDF Download
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Languages : en
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Author: Cyril Bennouna
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Languages : en
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The brief provides an overview of the most relevant programs promoting social accountability in Indonesia's primary health sector, with a focus on maternal and child health, and summarizes global and regional key lessons learned to inform future social accountability initiatives in the country. There are a number of programs in Indonesia that have increased citizens' access to information in the health sector and have empowered citizens to hold government accountable to basic health services. Some lessons include using multi-tool and multi-stakeholder approaches to social accountability strategies in order to reduce implementation risks in different contexts. Social accountability can reinforce programmatic gains by strengthening institutional mechanisms for problem solving.
Author: Weltbank
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Languages : en
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The objectives of this Private Sector Assessment (PSA) are to gain a better understanding of the private health care markets in Bangladesh, and to identify areas for increased collaboration between the government, and the private sector. While the study analyzes private health care markets in general, it uses maternal and child health (MCH) as an area of special focus to illustrate general principles, and/or draw lessons for the broader health, nutrition, and population (HNP) sector. MCH was chosen for this emphasis in view of its importance in Bangladesh, and because MCH outcomes constitute a significant part of the Millennium Development Goals (MDG). The PSA analysis confirmed that the private sector dominates the provision of basic care, nursing homes, laboratory and ambulatory diagnostic services; the public sector, however, remains the main provider of inpatient care. The private sector is used for the overwhelming majority of outpatient curative care, while the public sector is used for a larger proportion of hospital deliveries, and preventive care. The higher proportion of institutional deliveries in the public sector, should be understood by the fact that overall, the proportion of institutional deliveries is only 8%. Nonetheless, the dependence on the private sector for curative care is also true for the poor in the country: the poorest 20 percent of children have a higher dependence on the private sector for the management of acute respiratory infections, and diarrhea than the richest quintile. So, while expectedly the richest quintile spends more than the poorest quintile (by a factor of 6) on health care, the proportion of the spending that goes to the private sector, is higher among the poor than among the rich. Yet, financial barriers and lack of basic insurance coverage - public or private - appear to be major constraints for access to care for the poor, and, efforts need to address the financial, physical, and social barriers, especially for the women and the poorer population groups. Key issues stipulate: the public sector is not strategically using the scarce resources that are available in the private sector, aggravated by a low level of public expenditure on health care, conducing to a low level care provision, with the consequent shortages of formally trained staff. In particular, the following three areas appear to deserve priority in government actions: under-consumption of services by the poor and women; service quality and outcome...
Author: Sameh El-Saharty
Publisher: World Bank Publications
ISBN: 1464805377
Category : Business & Economics
Languages : en
Pages : 127
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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.
Author: Gerald Bloom
Publisher: Routledge
ISBN: 1136238239
Category : Medical
Languages : en
Pages : 218
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There has been a dramatic spread of health markets in much of Asia and Africa over the past couple of decades. This has substantially increased the availability of health-related goods and services in all but the most remote localities, but it has created problems with safety, efficiency and cost. The effort to bring order to these chaotic markets is almost certain to become one of the greatest challenges in global health. This book documents the problems associated with unregulated health markets and presents innovative approaches that have emerged to address them. It outlines a framework that researchers, policy makers and social entrepreneurs can use to analyse health market systems and assess the likely outcome of alternative interventions. The book presents a new way of understanding highly marketised health systems, applies this understanding to an analysis of health markets in countries across Asia and Africa and identifies some of the major new developments for making these markets perform better in meeting the needs of the poor. It argues that it is time to move beyond ideological debates about the roles of public and private sectors in an ideal health system and focus more on understanding the operation of these markets and developing practical strategies for improving their performance. This book is ideal reading for researchers and students in public health, development studies, public policy and administration, health economics, medical anthropology, and science and technology studies. It is also a valuable resource for policy makers, social entrepreneurs, and planners and managers in public and private sector health systems, including pharmaceutical companies, aid agencies, NGOs and international organisations.
Author: Asian Development Bank
Publisher: Asian Development Bank
ISBN: 9292629417
Category : Political Science
Languages : en
Pages : 231
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The Government of Pakistan strongly supports public–private partnership (PPP) initiatives. From 1990 to 2019, Pakistan witnessed 108 financially closed PPP projects, with a total investment of approximately $28.4 billion. About 88% of these projects are in the energy sector, attracting more than $24.7billion, followed by investments in the port sector. In early 2021, Parliament approved the amendments to the 2017 PPP Law, enacting the Public Private Partnership Authority (Amendment) Act 2021. This further strengthens the enabling legal and regulatory framework for developing and implementing PPPs, thereby promoting private sector investment in public infrastructure and related services.
Author: Michael Reich
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 220
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How do organizations with different values, interests, and worldviews come together to resolve critical public health issues? How are shared objectives and shared values created within a partnership? How are relationships of trust fostered and sustained in the face of the inevitable conflicts, uncertainties, and risks of partnership?".
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Publisher: World Bank Publications
ISBN: 0821384732
Category : Medical
Languages : en
Pages : 218
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Book Description
Since the private health sector is an important, and often dominant, provider of health services in Sub-Saharan Africa, it is the job of governments as the stewards of the health system to engage with it. Increasing the contributions that the existing private health sector is making to public health is an important, but often neglected, element of meeting the daunting health-related challenges facing African nations. This Report presents newly collected data on how and how effectively each country in the Africa region is engaging the respective private health sectors; and how the engagement compares across the region. While the approach taken by governments varies greatly between countries, there is much room for improvement in the Africa region overall to engage more effectively and room for exchange of ideas and good practices on how to do so. Improved solutions on the policy/regulatory side should be supported by effective organization of the private sector itself and by adjustments in donor programs that take the dynamics of the private health sector better into account.
Author: Tehmina Ghafur
Publisher: Cambridge Scholars Publishing
ISBN: 1527500675
Category : Technology & Engineering
Languages : en
Pages : 215
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Book Description
The reproductive health care program of Bangladesh is still striving to address the very basic reproductive health issues of its people. Reproductive health services here still confronting issues surrounding ‘availability’. Equality issues like ‘accessibility’ to, and ‘quality’ of services are far away from the reach of the majority of people. This book analyses the policy discourses and the paradigm shift relating to reproductive health care in Bangladesh. It explores the extent to which the policy frameworks reflect a paradigm shift towards a rights-based reproductive health program. In so doing, it also investigates how the complementarities and inconsistencies within the policy frameworks have affected reproductive health through ‘the availability of, accessibility to, and quality of reproductive health services’ in Bangladesh.
Author: World Health Organization
Publisher:
ISBN: 9789241564984
Category : Medical
Languages : en
Pages : 72
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This report demonstrates the relationship between sexual health, human rights and the law. Drawing from a review of public health evidence and extensive research into human rights law at international, regional and national levels, the report shows how states in different parts of the world can and do support sexual health through legal and other mechanisms that are consistent with human rights standards and their own human rights obligations.
