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Shrinking The State: The Rise Of Private Sector Healthcare In Bangladesh

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  • Redwanur Rahman

Abstract

Since the 1980s, most developing countries have been following market‐oriented liberalising policy reforms and have prioritized private sector‐led growth. Bangladesh's inability to provide quality healthcare services, along with issues pertaining to limited resources, absenteeism, poor governance, and lack of accountability in its public healthcare system have created wide gaps that are increasingly being filled by the private sector. This has been fuelled by the state's investment in medical education and training of public sector physicians while simultaneously permitting them to practice privately, as well as the provision of grants and subsidies. The growth of this sector has limited benefits for the improvement of people's health. The government should take a comprehensive approach and engage its political will to make changes in management and governance and bring in stewardship to revitalise the public sector. © 2020 John Wiley & Sons, Ltd.

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  • Redwanur Rahman, 2020. "Shrinking The State: The Rise Of Private Sector Healthcare In Bangladesh," Journal of International Development, John Wiley & Sons, Ltd., vol. 32(5), pages 717-726, July.
    • Handle: RePEc:wly:jintdv:v:32:y:2020:i:5:p:717-726
    DOI: 10.1002/jid.3474
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    References listed on IDEAS

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    1. World Bank, 2003. "Private Sector Assessment for Health, Nutrition and Population in Bangladesh," World Bank Publications - Reports 14667, The World Bank Group.
    2. Wahiduddin Mahmud & Sadiq Ahmed & Sandeep Mahajan, 2008. "Economic Reforms, Growth, and Governance," World Bank Publications - Books, The World Bank Group, number 28037, December.
    3. Sanjay Basu & Jason Andrews & Sandeep Kishore & Rajesh Panjabi & David Stuckler, 2012. "Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review," PLOS Medicine, Public Library of Science, vol. 9(6), pages 1-14, June.
    4. Gruen, Reinhold & Anwar, Raqibul & Begum, Tahmina & Killingsworth, James R. & Normand, Charles, 2002. "Dual job holding practitioners in Bangladesh: an exploration," Social Science & Medicine, Elsevier, vol. 54(2), pages 267-279, January.
    5. Gertler, Paul & Sturm, Roland, 1997. "Private health insurance and public expenditures in Jamaica," Journal of Econometrics, Elsevier, vol. 77(1), pages 237-257, March.
    6. Redwanur Rahman, 2007. "The State, the Private Health Care Sector and Regulation in Bangladesh," Asia Pacific Journal of Public Administration, Taylor & Francis Journals, vol. 29(2), pages 191-206, December.
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    Cited by:

    1. Custodio, Henry M. & Hadjikakou, Michalis & Bryan, Brett A., 2023. "A review of socioeconomic indicators of sustainability and wellbeing building on the social foundations framework," Ecological Economics, Elsevier, vol. 203(C).

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