Bangladesh: Health services reform, 1999-2003

The Health and Population Sector Programme (HPSP) was a five year sector-wide programme of the Ministry of Health and Family Welfare which ran from 1998 to 2003. Supported by a consortium of donors, led by the World Bank, the goal of the HPSP was to contribute to the improvement of health and family welfare among the most vulnerable women, children and poor of Bangladesh. Following on from the HPSP, the Health, Nutrition and Population Sector Programme (HNPSP) was initiated in 2004, including nutrition as a sub-sector. Also focusing on the vulnerable, including the elderly, the HNPSP emphasizes reducing malnutrition, mortality, and fertility, promoting healthy life styles, and reducing risk factors to human health from environmental, economic and social and behavioural causes.

Discussion of survey results with Upazila (district) health teams

CIET conducted three service delivery surveys, funded by the Canadian International Development Agency (CIDA), to evaluate these programmes. See the separate entries on each survey cycle (Baseline, Second, Third).

Some key findings from the three cycles are reported in Cockcroft A, Andersson N, Milne D, Hossain MZ, Karim E. What did the public think of health services reform in Bangladesh? Three national community-based surveys 1999-2003. Health Research Policy and Systems 2007, 5:1