Advanced

Decentralized Provision of Primary Helathcare in Rural Bangladesh: a study of government facilities

Ahmad, Alia LU (2007) Annual Conference of the Norwegian Association for Development Research "Making Institutions Work for the Poor"
Abstract
Bangladesh has made significant progress in health indicators in recent years in spite of her low level of income. This is mainly due to the commitment of the state supported by donors in providing preventive care with respect to child health and family planning. However, there are serious problems related to both access and quality of curative care that hurt the poor most. Infrastructures for service delivery exist at local level in rural areas but they function inefficiently. This paper deals with the systemic weaknesses of decentralized service provision of primary healthcare in Bangladesh and focuses on accountability links between different actors and functions of delegation, finance, performance, information and enforcement. The... (More)
Bangladesh has made significant progress in health indicators in recent years in spite of her low level of income. This is mainly due to the commitment of the state supported by donors in providing preventive care with respect to child health and family planning. However, there are serious problems related to both access and quality of curative care that hurt the poor most. Infrastructures for service delivery exist at local level in rural areas but they function inefficiently. This paper deals with the systemic weaknesses of decentralized service provision of primary healthcare in Bangladesh and focuses on accountability links between different actors and functions of delegation, finance, performance, information and enforcement. The study is based on facility- and household-based data collected during 2005 in Khulna Division. The main findings of the study are: the health system in rural areas represents deconcentration rather than decentralization of central government functions where inter-sectoral discipline works poorly; local health providers are not accountable to local government, and poor citizens/clients are neither aware of their rights nor are capable of expressing their needs as effective channels do not exist. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to conference
publication status
published
subject
keywords
decentralization, accountability, governance, primary healthcare
conference name
Annual Conference of the Norwegian Association for Development Research "Making Institutions Work for the Poor"
language
English
LU publication?
yes
id
347d6355-1ee7-44ca-86e7-1cbd092b3c6f (old id 1385248)
date added to LUP
2009-04-20 12:27:16
date last changed
2016-04-16 12:14:35
@misc{347d6355-1ee7-44ca-86e7-1cbd092b3c6f,
  abstract     = {Bangladesh has made significant progress in health indicators in recent years in spite of her low level of income. This is mainly due to the commitment of the state supported by donors in providing preventive care with respect to child health and family planning. However, there are serious problems related to both access and quality of curative care that hurt the poor most. Infrastructures for service delivery exist at local level in rural areas but they function inefficiently. This paper deals with the systemic weaknesses of decentralized service provision of primary healthcare in Bangladesh and focuses on accountability links between different actors and functions of delegation, finance, performance, information and enforcement. The study is based on facility- and household-based data collected during 2005 in Khulna Division. The main findings of the study are: the health system in rural areas represents deconcentration rather than decentralization of central government functions where inter-sectoral discipline works poorly; local health providers are not accountable to local government, and poor citizens/clients are neither aware of their rights nor are capable of expressing their needs as effective channels do not exist.},
  author       = {Ahmad, Alia},
  keyword      = {decentralization,accountability,governance,primary healthcare},
  language     = {eng},
  title        = {Decentralized Provision of Primary Helathcare in Rural Bangladesh: a study of government facilities},
  year         = {2007},
}