Lack of facilities impeding health services in urban settings: study

People in cities and urban areas across the country are not getting proper reproductive health and nutrition services due to scarcity of infrastructure, insufficient manpower, according to a study report revealed on Thursday. and misallocation.

The National Institute of Population Research and Training study indicated that eight out of 12 municipal corporations and five out of 30 municipalities under the seat of the upazila were taken as a sample for the study and found to lack of health institutions.

“None of the municipalities covered by the study found a doctor while 80% of the total health service positions remained vacant,” said the study conducted in February by the Institute of Health Economics of the University of Dhaka.

Professor Syed Abdul Hamid of the institute, also a researcher, said there was a government health department healthcare network in rural areas, but there was no such structure in urban areas because local government agencies – municipality and municipal corporation – were mandated. providing health services to people living in urban areas. In Bangladesh, there are 330 municipalities and 12 municipal corporations including two in Dhaka, one in Chattogram, Sylhet, Rajshahi, Khulna, Rangpur and Barishal.

Referring to World Bank data, Prof. Hamid said that the urban population of Bangladesh was growing rapidly over the years and hence a strong health service was needed for the people living there.

According to a World Bank study, the urban population is expected to represent 60% of the total population by 2030, compared to 38% in 2020.

“Health outcomes in urban areas, in general, are quite poor, which poses a challenge for the achievement of universal health coverage in Bangladesh,” he said.

The study identified a number of obstacles, including lack of coordination between health services and local government, as well as inadequate facilities.

NIPORT recommended that the Department of Health and Family Welfare lead health services for all people, wherever they live.

To ensure the health service in urban areas, the support of local government is needed, he said.

Md Sharfuddin Ahmed, Vice Chancellor of Bangabandhu Sheikh Mujib Medical University, said the local government institutes provide project-based health services which also have a huge contribution to health care.

He explained that the local government’s Ekti Bari, Ekti Khamar project had a very positive impact on the nutrition of the beneficiaries.

The Managing Director of NIPORT, Md Shahjahan, and other officials were present at, among others, the launch event of the report held at CIRDAP.

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