Suchergebnisse

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 heal

Over the past 30 years, Bangladesh has achieved significant economic and human development progress, and demonstrated impressive policy as well as programmatic commitment to lowering the fertility level. However, its future socioeconomic prospects may be hampered by its population growth rate, depending on how quickly the fertility rates decline and at which point they stabilize. Projections estimate that the total population of Bangladesh in 2051 could increase to 218.1 million under a laissez faire projection scenario and 201.3 million under an accelerated fertility transition (AFT) scenario. This difference would have significant impacts on public spending, public services, and job creation. An AFT scenario would enable the country to improve the dependency ratios possibly resulting in economic benefits from harnessing the demographic dividend for several decades. To accelerate the demographic transition, the government will need to revitalize high-level coordination to ensure multisectoral engagement in population policies, including increasing the age at marriage, and improving education, skills development, job creation, and social safety nets for the vulnerable population groups. In addition, a sustained decline in fertility through increased access and coverage of family planning (FP) services is crucial, mainly by focusing on lagging regions and hard-to-reach areas, and by expanding the supply and provision of FP long acting and permanent methods. Strengthening the synergy and coordination of service delivery between the Health and FP directorates by building capacity for systems strengthening; promoting cross-referral between programs; and efficient provisioning of FP and reproductive health services through community clinics need to remain at the forefront of the government s health improvement efforts in Bangladesh.

The formation of human capital--the knowledge, skills, and health that people accumulate over their lifetimes--is critical for the six Gulf Cooperation Council (GCC) countries. Human capital contributes not only to□ human development and employment but also to the long-term sustainability of a diversified economic growth model that is knowledge based and private sector driven. This approach is critical, given that income from oil and gas will eventually decline and that the nature of work is evolving in response to rapid technological changes, in turn demanding new skill sets. The GCC governments have demonstrated their strong political will for □this shift: four of them are among the first countries to join the World □Bank's Human Capital Project—a global effort to improve investments in people as measured by the Human Capital Index. The GCC countries face four main challenges: Low levels of basic proficiency among schoolchildren; A mismatch between education and the labor market; A relatively high rate of adult mortality and morbidity; A unique labor market , in which wages in the public sector are more generous than in the private sector and government employment of nationals is virtually guaranteed To address these challenges, this report outlines four strategies in a "whole-of-government" approach: Investing in high-quality early childhood development; Preparing healthier, better educated, and skilled youth for the future; Enabling greater adult labor force participation; Creating an enabling environment for human capital formation These strategies are based on best practices in other countries and feature some of the GCC countries' plans, including their national "Visions," to take their economies and societies further into the twenty-first century. With the COVID-19 pandemic, the GCC countries face additional challenges that may worsen some preexisting vulnerabilities and erode human capital. In response, the GCC governments have taken multiple measures to protect their populations' health and their economies. Any□ country's decision to reopen its economy needs to closely consider public health consequences to avoid a resurgence of infections and any further erosion of its human capital. The COVID-19 crisis underscores that the need to accelerate and improve investment in human capital has never been greater. Once the GCC countries return to a "new normal," they will be in a position to achieve diversified and sustainable growth by adopting, and then tailoring, the strategies presented in this report.

This study outlines the initial challenge presented by the HIV/AIDS epidemic, describes Djibouti's response, reviews the results achieved and the enabling factors in curbing the spread of the epidemic, and identifies remaining challenges. Between 2002 and 2008, HIV prevalence among young pregnant women aged 15-24 was reduced from 2.7 percent to 1.9 percent and among sentinel surveillance groups from 2.5 percent to 1.9 percent. HIV prevalence among tuberculosis patients was reduced from an estimated 22 percent to 12 percent. Condom use during last intercourse outside marriage increased from 27 percent to 55 percent and reached 95 percent among sex workers. Among the general population, awareness of HIV/AIDS increased to 95 percent and knowledge about transmission and prevention rose to 50 percent. Political commitment, engagement of community and religious leaders, rigorous communication, social marketing and the provision of an integrated package of medical and social services, and donor harmonization were among the key factors that contributed to the achievement of these results. Despite these impressive results in a relatively short period, Djibouti still has to address several challenges and consolidate program gains, but most importantly, funds are being mobilized from government resources to sustain the national AIDS control program.

Bangladesh is undergoing a double transition-demographic and epidemiological. Increasing life expectancy and declining fertility entail a demographic transition fueling a shift in the disease burden toward noncommunicable diseases (NCDs). Yet due to absence of a robust routine health information system in the country, it is hard to accurately assess the disease burden and corresponding risk factors. So, using a wide range of sources, this book looks at the status of major NCDs in Bangladesh (and briefly in South Asia), touches on their economic impact, analyzes their common risk factors, and assesses the health system's capacity to manage the disease transition.In a country where total health spending is low-23 a head per year, two-thirds of it private-the main constraints on the health system are a weak regulatory framework; lack of strategic planning and coordination across sectors; lack of alignment between the goals of health strategy documents and the operational plans; a focus by the health system on treatment, not prevention; and a fragmented health service delivery system, leading to a lack of coordinated care critical for effectively managing NCDs. This book aims to help policy makers-inside and outside the Ministry of Health and Family Welfare, and its program managers-to develop and implement effective and timely responses that reduce both population-level risk factors and the NCD burden in Bangladesh. It also outlines policy options and strategic priorities to help stimulate policy dialogue with stakeholders to tackle the NCD burden through strengthening health service provision, all articulated through a "Policy Options Framework". This framework is founded on the stewardship and regulatory role led by the health sector (represented by the Ministry of Health and Family Welfare), which supports two broad categories-population-based

This report is organized in such a way that the key policy options and strategic priorities are based on the country context, including the burden of non-communicable diseases (NCDs) and associated risk factors and the existing capacity of the health system. Chapter one describes the country and regional contexts and the evidence of the demographic and epidemiological transitions in Bangladesh; chapter two outlines the disease burden of major NCDs, including the equity and economic impact and the common risk factors; chapter three provides an assessment of the health system and its capacity to prevent and control major NCDs; chapter four summarizes ongoing NCD interventions and activities in Bangladesh and highlights the remaining gaps and challenges; and chapter five presents key policy options and strategic priorities to prevent and control NCDs.

Increasing life expectancy in South Asia is resulting in a demographic transition that can, under the right circumstances, yield dividends through more favorable dependency ratios for a time. With aging, the disease burden shifts toward noncommunicable diseases (NCDs) which can threaten healthy aging. However, securing the gains expected from the demographic dividend-where developing countries' working and nondependent population increases and per capita income thus rises- is both achievable and affordable through efficiently tacking NCDs with prevention and control efforts. This book looks primarily at cardiovascular disease (CVD) and tobacco use since they account for a disproportionate amount of the NCD burden-the focus is strategic, rather than comprehensive. The goal of this book is to encourage countries to develop, adopt, and implement effective and timely country and, where appropriate, regional responses that reduce both population-level risk factors and the NCD burden. The work develops (i) an NCD burden and risk factor profile for all countries and the region as a whole; (ii) a rationale for public policy and action for NCDs; (iii) a framework to guide the formulation of public policies and strategies for NCDs; (iv) a country profile, including capacity and ongoing NCD activities, as well as policy options and actions for NCDs that will help stimulate policy dialogue within and among countries; and (v) a regional strategy for NCD prevention and control where regional collaboration offers added value. The achievements of this book are (i) developing a framework for policy options to identify key areas for strategic country- and regional-level policy and actions; (ii) bringing together demographic and aging trends, disease and risk factor burden data, alongside analyses of capacities and accomplishments to tackle NCDs; and (iii) using

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.