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

Forskningsoutput: Working paper

Standard

Decentralized Provision of Primary Healthcare in Rural Bangladesh: a study of government facilities. / Ahmad, Alia.

Department of Economics, Lund Universtiy, 2007. (Working Papers, Department of Economics, Lund University; Nr. 11).

Forskningsoutput: Working paper

Harvard

Ahmad, A 2007 'Decentralized Provision of Primary Healthcare in Rural Bangladesh: a study of government facilities' Working Papers, Department of Economics, Lund University, nr. 11, Department of Economics, Lund Universtiy.

APA

Ahmad, A. (2007). Decentralized Provision of Primary Healthcare in Rural Bangladesh: a study of government facilities. (Working Papers, Department of Economics, Lund University; Nr. 11). Department of Economics, Lund Universtiy.

CBE

Ahmad A. 2007. Decentralized Provision of Primary Healthcare in Rural Bangladesh: a study of government facilities. Department of Economics, Lund Universtiy. (Working Papers, Department of Economics, Lund University; 11).

MLA

Ahmad, Alia Decentralized Provision of Primary Healthcare in Rural Bangladesh: a study of government facilities. Working Papers, Department of Economics, Lund University; 11. Department of Economics, Lund Universtiy. 2007.,

Vancouver

Ahmad A. Decentralized Provision of Primary Healthcare in Rural Bangladesh: a study of government facilities. Department of Economics, Lund Universtiy. 2007. (Working Papers, Department of Economics, Lund University; 11).

Author

Ahmad, Alia. / Decentralized Provision of Primary Healthcare in Rural Bangladesh: a study of government facilities. Department of Economics, Lund Universtiy, 2007. (Working Papers, Department of Economics, Lund University; 11).

RIS

TY - UNPB

T1 - Decentralized Provision of Primary Healthcare in Rural Bangladesh: a study of government facilities

AU - Ahmad, Alia

PY - 2007

Y1 - 2007

N2 - 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.

AB - 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.

KW - decentralization

KW - accountability

KW - governance

KW - primary healthcare

M3 - Working paper

T3 - Working Papers, Department of Economics, Lund University

BT - Decentralized Provision of Primary Healthcare in Rural Bangladesh: a study of government facilities

PB - Department of Economics, Lund Universtiy

ER -