UID:
edoccha_9960785750802883
Umfang:
1 online resource (124 pages)
Ausgabe:
1st ed.
Serie:
World Bank Studies
Inhalt:
Bangladesh is committed to achieving universal health coverage (UHC) by 2032; to this end, the government of Bangladesh is exploring policy options to increase fiscal space for health and expand coverage while improving service quality and availability. Despite Bangladesh's impressive strides in improving its economic and social development outcomes, the government still confronts health financing and service delivery challenges. In its review of the health system, this study highlights the limited fiscal space for implementing UHC in Bangladesh, particularly given low public spending for health and high out-of-pocket expenditure. The crisis in the country's human resources for health (HRH) compounds public health service delivery inefficiencies. As the government explores options to finance its UHC plan, it must recognize that reform of its service delivery system with particular focus on HRH has to be the centerpiece of any policy initiative.
Anmerkung:
Description based upon print version of record.
,
""Front Cover ""; ""Contents""; ""Preface""; ""Acknowledgments""; ""Executive Summary""; ""Acronyms ""; ""Chapter 1 Introduction""; ""Overview""; ""Two Key Dates: 2021 and 2032""; ""Key Challenges""; ""Chapter 2 The Path to UHC""; ""The Health Care Financing Strategy""; ""Chapter 3 HRH""; ""Introduction""; ""HRH Stock""; ""HRH Production""; ""Public Sector Salaries""; ""Vacancy Rates and Recruitment""; ""HRH Distribution�Facts and Factors""; ""HRH Quality and Productivity""; ""Work Environment""; ""Notes""; ""Chapter 4 HRH Policy-Making Process""; ""Introduction""; ""Major HRH Challenges""
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""A Complex and Sometimes Contradictory Array of National Policies""""A Highly Centralized and Cumbersome Bureaucratic System with Weak Response Capacity""; ""A Range of Powerful Stakeholders, Some with Competing Interests""; ""Weak Regulatory and Enforcement Capacity""; ""Conclusions""; ""Notes""; ""Chapter 5 HRH Policy Options for UHC""; ""Introduction""; ""Address HRH Shortages""; ""Improve the Skill-Mix""; ""Address Geographic Imbalances""; ""Retain Health Workers""; ""Adopt Strategic Payment and Purchaser Mechanisms""; ""Establish a Central Human Resources Information System""
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""Target HRH Interventions to Improve Maternal and Newborn Health""""Appendix A Health Coverage and Service Delivery System""; ""Public Service Delivery System""; ""Staffing of Primary Health Care Centers""; ""Human Resources for Health Production""; ""Alternative Medical Care Providers""; ""Appendix B Summary Implementation of HRH Policies""; ""Appendix C Economic Analysis for Options to Increase Health Care Providers by 2021""; ""Objectives""; ""Methods""; ""Analysis and Findings""; ""Discussion""; ""Notes""; ""References""; ""Boxes ""; ""1.1 Good in Parts""
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""3.1 The Brain Drain and Other Lost Assets""""3.2 Training Innovations""; ""3.3 Push and Pull Factors�All toward Urban Areas""; ""3.4 Informal Sector/Semiqualified and Allopathic Providers""; ""3.5 Community Health Workers""; ""5.1 Kenya: An Emergency Hiring Plan to Rapidly Scale Up the Health Workforce""; ""5.2 Afghanistan: Community Midwifery Education Program""; ""5.3 Nepal: Trained Outreach Workers Linking the Community to the Health System""; ""5.4 Thailand: Integrated Interventions Enhance Equitable Distribution of Physicians Nationally""
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""5.5 Chile: Well-Designed Incentive Package Successfully Addressed Physician Retention""""Figures ""; ""2.1 Sequencing of the UHC Plan""; ""2.2 Proposed Evolution of Health Financing""; ""2.3 THE Per Capita""; ""3.1 Density of HCPs per 10,000 Population""; ""3.2 Health Workforce Registered with the Bangladesh Medical and Dental Council (BMDC) and Bangladesh Nursing Council (BNC), 1997, 2007, and 2013""; ""3.3 Filled-In Posts as Percentage of Sanctioned Posts by Year""; ""3.4 Process and Responsibilities for Creation of a New Post""; ""3.5 Rural�Urban Distribution of HCPs by Type""
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""3.6 Distribution of HCPs by Divisions (per 10,000 population)""
,
English
Weitere Ausg.:
ISBN 1-4648-0537-7
Weitere Ausg.:
ISBN 1-4648-0536-9
Sprache:
Englisch
