National Health System Profile
1. TRENDS IN POLICY DEVELOPMENT
The constitutional commitment of the Government of Bangladesh is to provide basic healthand medical requirements to all people in the society. The Constitution of the People’sRepublic of Bangladesh ensured that “Health is the basic right of every citizen of theRepublic,” as health is fundamental to human development.Since independence, the government has been pursuing a policy of health development thatensures provision of basic services to the entire population, particularly to the under-servedpopulation in rural areas. The successive health plans of the country emphasize PrimaryHealth Care (PHC) as the key approach for improving health status of the people. The goal‘Health for All by the year 2000’ has been accepted by the government as a national goal.The past plans in the health sector had endeavored to provide essential healthcare to thegeneral masses. To attain this goal, many development programmes have been undertaken inthe health sector during the past years.
2. TRENDS IN SOCIOECONOMIC DEVELOPMENT2.1
There has been a slow but steady increase in GDP per capita from US $ 217 in 1991 to US $445 in 2005. The annual growth rate of the GNP at constant market prices increased from3.56 percent in 1991 to 5.5 percent in 2002. With the increase in population, the overallpublic financing for health remains the same (National Accounts Statistics, July 2004).About one-half of the total population is poor, with the same picture seen in both urban andrural areas. Income generating schemes are being financed by the Government to make thepoor more self-reliant.The human development in Bangladesh is slow and steady as value of Human DevelopmentIndex (HDI) has increased from 0.417 in 1990 to 0.530 in 2004, ranking the country at 137among 177 countries. However, in terms of gender development, Bangladesh ranks at 102among 177 countries, with Gender-related Development Index (GDI) value of 0.524 (HumanDevelopment Report, 2006).In Bangladesh, 36 percent population is living with a per capita income below US $ 1 a day.