Quality of care is highly questionable in the public sector which encourages people to resort to private sector healthcare, which is more expensive.
Health expenditure in private health facilities is almost exclusively from Out of pocket (OOP) payments (93%)
Out of pocket (OOP) contributions to health expenditure, one of the most inequitable sources of healthcare financing, in Bangladesh, are among the highest in the world
There were approximately five physicians and two nurses per 10,000. The doctor-patient ratio in Bangladesh is only 5.26 per 10,000 population, this places the country at the second position from the bottom, among the South Asian countries.
(WHO)
0.26
Number of doctors per 1000 population
1.37
Estimated number of community health workers per 1000 population
0.14
Number of nurses per 1000 population
0.8
Number of hospital beds per 1000 population
1.026
Rural / Urban
66.5% / 33.5%
Male / Female
70.4 / 72.9
The review of Bangladesh’s Demographic and Health Survey 2014 reveals inequity in most of the health indicators in terms of economic status, level of education, gender, location (urban vs. rural), and geography (divisions).
Total Population (2018) - 161.4m
Population Density - 1108/sq km
Per capita income - 1121.7 US$
Income/wealth inequality - 32.1
3%
Total health expenditure as a proportion of GDP
23%
Public expenditure on health as proportion of total health expenditure
67%
Out-of-pocket payments as proportion of total health expenditure
The 6 divisions of Bangladesh are Rajshahi, Dhaka, Sylhet, Khulna, Chittagong and Barisal. Rural thanas (aka police stations), now called upazila, is the lowest administrative unit where the government officials are posted to run day-to-day administration.
Division (6)
District (64)
City Corporations (6)
Municipalities (254)
Upazila / Thana (470/507)
Union (4484)
Ward (13,453)
Village (87,319)
Households (25,362,321)
Taufique Joarder, Tahrim Z. Chaudhury, Ishtiaq Mannan, "Universal Health Coverage in Bangladesh: Activities, Challenges, and Suggestions", Advances in Public Health, vol. 2019. https://www.hindawi.com/journals/aph/2019/4954095/