This study aims to estimate the technical efficiency of health systems in Asia.The was conducted Asian countries.We applied an output-oriented data envelopment analysis (DEA) approach countries. The DEA model used per-capita expenditure (all healthcare resources as a proxy) input variable and cross-country comparable outcome indicators (eg, healthy life expectancy at birth infant mortality per 1000 live births) output variables. Censored Tobit regression smoothed bootstrap models were...

We aimed to estimate the impact of a Community-Based Health Insurance (CBHI) scheme on utilization healthcare from medically trained providers (MTP) by informal workers. A quasi-experimental study was conducted where insured households were included in intervention group and uninsured comparison group. In total 1,292 (646 646 uninsured) surveyed Chandpur district comprising urban rural areas after 1 year period CBHI introduction. Matching characteristics groups performed using propensity...

Out-of-pocket (OOP) payments for healthcare have been increasing steadily in Bangladesh, which deteriorates the financial risk protection of many households. We aimed to investigate incidence catastrophic health expenditure (CHE) and impoverishment from OOP their determinants. employed nationally representative Household Income Expenditure Survey 2016 data with a sample 46 076 A household that made >10% its total or 40% non-food was considered be facing CHE. estimated using both national...

District hospitals (DHs) provide secondary level of healthcare to a wide range population in Bangladesh. Efficient utilization resources these is essential for delivering health services at lower cost. Therefore, we aimed estimate the technical efficiency DHs Bangladesh.We used input-oriented data envelopment analysis method variable returns scale (VRS) and constant (CRS) using from Local Health Bulletin, 2015. In this model, considered workforce as well number inpatient beds input variables...

Background Upazila Health Complexes (UzHC) serve as the backbone of primary healthcare (PHC) at sub-district level in Bangladesh, delivering comprehensive services including both inpatient and outpatient to grassroots levels. However, not all prescribed medicines diagnostics are always available these facilities for care. This results out-of-pocket expenditure (OOPE) patients getting which has been properly explored. Thus, we aimed estimate overall provider user costs care selected UzHCs...

The impact of age and sex on health care expenditure has recently become one the major concerns in many developing countries like Bangladesh. Age differences use services can be substantial at several stages life which are reflected overall healthcare expenditure. We examined population households A total 10,705 populations who spent for receiving any type were analyzed from Bangladesh Household Income Expenditure Survey data, 2010. Sex group considered as childhood (0-19), young adult...

Bangladesh is rapidly urbanizing and approximately half of its urban population resides in deprived slums with limited access to basic needs. However, there a dearth information on vulnerability levels among slum dwellers. We aimed assess the level within between via various socioeconomic health indicators. A cross-sectional survey 810 randomly selected households was conducted two purposively slums, Korail Shyampur, Dhaka from November December 2021. Data collected indicators, including...

While there is increasing evidence on the trends and impacts of climate change, both globally in Bangladesh, a limited quantitative analysis natural disasters population health association with socio-economic characteristics. Using data from 'Bangladesh Disaster-Related Statistics-2015', we assessed disaster-related outcomes namely, injury, disability, death. We applied three logistic regression models to examine relationships between individual characteristics, reported Our study found that...

Rapidly increasing healthcare costs and the growing burden of non-communicable diseases have increased out-of-pocket (OOP) spending (63.3% total health expenditure) in Bangladesh. This OOP for has catastrophic economic impact on households. To reduce this burden, Health Economics Unit (HEU) Ministry Family Welfare developed Shasthyo Surokhsha Karmasuchi (SSK) protection scheme below-poverty line (BPL) population. The key actors are HEU, contracted operator hospital. Under scheme, each...

Background: Measuring health status by using standardized and validated instrument has become a growing concern over the past few decades throughout developed developing countries.The aim of study was to investigate overall self-reported along with potential inequalities EuroQol 5 dimensions (EQ-5D) among low-income people Bangladesh.Methods: A cross-sectional household survey conducted in Chandpur district Bangladesh.Bangla version EQ-5D questionnaire employed socio-demographic...

Financing healthcare through out-of-pocket (OOP) payment is a major barrier in accessing for the poor people. The Health Economics Unit (HEU) of Ministry and Family Welfare government Bangladesh has developed Shasthyo Suroksha Karmasuchi (SSK), health protection scheme, with aim reducing OOP expenditure improving access below-poverty-line (BPL) population to healthcare. scheme started piloting 2016 at Kalihati sub-district Tangail District. Our objective was assess utilization by enrolled...

Abstract Objective: We estimated the cost-effectiveness of home fortification with micronutrient powder delivered in a sales-based programme reducing prevalence Fe deficiency anaemia among children 6–59 months Bangladesh. Design: Cross-sectional interviews local and central-level staff document reviews were conducted. Using an activity-based costing approach, we start-up implementation costs programme. The incremental cost per case averted disability-adjusted life years (DALY) by comparing...

Poor nutritional status of children is a major public health problem throughout the developing world and underlying cause for 35% child deaths 11% total global disease burden. The burden childhood mortality, morbidity, under nutrition now increasingly concentrated in most deprived underserved populations within countries. aim this study was to investigate socioeconomic differences malnutrition under-five women at reproductive age Bangladesh. Bangladesh Demographic Health Survey data 2011...

The Government of Bangladesh is piloting a non-contributory health protection scheme called Shasthyo Surokhsha Karmasuchi (SSK) to increase access quality essential healthcare services for the below-poverty-line (BPL) population. This paper assesses effect SSK on out-of-pocket expenditure (OOPE) healthcare, catastrophic (CHE) and economic impoverishment enrolled A comparative cross-sectional study was conducted in Tangail District, where implemented. From August 2019 March 2020, total 2315...

Background National healthcare financing strategy recommends tax-based equity funds and insurance schemes for the poor extreme living in urban slums pavements as majority of these population utilise informal providers resulting adverse health effects financial hardship. We assessed effect a voucher scheme (HVS) micro-health (MHI) on utilisation out-of-pocket (OOP) payments cost implementing such schemes. Methods HVS MHI were implemented by Concern Worldwide through selected NGO centres,...

The informal sector is the dominant area of employment and economy for any developing country including Bangladesh. cost productivity loss due to absence from work or presenteeism with illness has rarely been examined in Bangladesh context. This current study, therefore, attempted examine impact ill health workers on labor productivity, future earning, healthcare-related expenditure.A cross-sectional survey was conducted among three occupational groups (rickshaw pullers, shopkeepers...

Background Since 2016, the government of Bangladesh has been piloting a health protection scheme known as Shasthyo Surokhsha Karmasuchi (SSK), which specifically targets households living below poverty line. This noncontributory provides enrolled access to inpatient care services for 78 disease groups. Understanding patients’ experiences with utilization from pilot SSK is important enhancing quality service delivery during national-level scale-up scheme. Objective We aimed evaluate patient...

Objective The COVID-19 pandemic imposed unprecedented challenges to health systems globally. This study explored slum dwellers’ experience of receiving essential services during the and faced by healthcare providers in urban areas Bangladesh. Design followed a cross-sectional design using qualitative methods. Setting was conducted Dhaka Gazipur City Corporations November 2020–February 2021. Participants 17 key informant interviews were carried out with policy-makers 22 in-depth dwellers....

Background Bangladesh National Tuberculosis (TB) Control Programme (NTP) has deployed improved diagnostic technologies which may drive up the programme costs. We aimed to estimate supply-side costs associated with delivery of NTP and funding gap between cost implementation available for NTP. Methods An ingredient-based costing approach was applied using WHO’s OneHealth Tool software. considered 2016, as base year projected estimates 2022 information on planned activities. Data were collected...

Background: Bangladesh is one of the countries most affected by natural disasters. While there increasing evidence on trends and impacts climate change, both globally in Bangladesh, limited quantitative analysis disasters population health association with socioeconomic characteristics.Methods: We used a cross-sectional nationally representative household survey data from ‘Bangladesh Disaster Related Statistics-2015, which provides characteristics information disaster-related injury,...

Abstract Background The below poverty line (BPL) population in rural Bangladesh have low access to hospital inpatient-care (IPC) services. Government of (GoB) launched pilot Shasthyo Suroksha Karmasuchi (SSK) at Kalihati Upazila Tangail district 2016 aiming improve IPC the BPL and financial protection for healthcare. GoB funded scheme provides 78 diseases outpatient consultation through an existing health facility. In this study, we aimed assess level healthcare utilization among...