The most essential challenge sweet-faced by the health system in Bangladesh is within the arena of human resources for health. The State of Health in Bangladesh 2007 report revealed by the civil society group- Bangladesh Health Watch makes for a few frightening revelations, the report targeted on human resources within the health care sector, the grim facts of the story are that Bangladesh remains running a staggering shortage of over 60,000 doctors (currently figure 31,000 physicians), and even have Moreover, Bangladesh has one in every of the worst nurse-physician ratios. In the health sector, it's only 1 nurse per 3 physicians, whereas the magnitude relation ought to be the opposite manner around, which is 3 nurses for one doctor, a state of affairs inverse of the planet Health Organization’s (WHO) recommendation of getting 3 nurses per doctor in an exceedingly well-functioning health care system. The absence of key health human resources (physicians) typically creates matters abundantly worse. Lack of medicine, supplies, and different facilities additionally plague the health complexes. As a result, publically funded health care system is employed by solely twenty-fifth of the population. What is more, this country has an acute shortage of medical technologists and allied health professionals, and these are physiotherapists, laboratory assistants, x-ray technicians, etc. Human resources for health cannot be made quickly. According to all major ranking establishments, Bangladesh habitually finds itself among the foremost corrupt countries within the world. Corporations ought to, therefore, watch out for high corruption risks once operative or finance in Bangladesh. Corruption is pervasive the least bit levels of society and firms have reportable being subjected to expensive and inessential license and allow necessities. The Code of Criminal Procedure, the hindrance of Corruption Act, the legal code, and therefore the concealing hindrance Act criminalize tried corruption, extortion, active and passive felony, a felony of foreign public officers, concealing and victimization public resources or confidential state data for personal gain. Facilitation payments and gifts are illicit, however common in observation. Good governance is very important in making certain effective health healthcare delivery, which returns to investments in health are low, wherever governance problems aren't self-addressed. Strengthening the health system through higher management and organization and effective use of resources will improve health conditions and enhance the standard of health healthcare delivery in Bangladesh. Corruption in Bangladeshis widespread and permeates all levels of society; the rule of law is weak and most establishments lack transparency and integrity structures. This is often mirrored within the country’s poor performance in most areas assessed by governance indicators. Political parties, public administration, the judiciary, and therefore the police are perceived because of the most corrupt establishments of the country. Bangladesh has created important enhancements within the fight against corruption within the last decade. However, patronage networks influence Bangladeshi public life, and therefore the out of whack of democratic establishments, dominated by the opaque ruling parties undermine the country’s efforts to cut back the planet Bank commissioned a full-fledged study examining the human resources for health (HRH) problems associated with UHC in Bangladesh, during which they have known the challenges, and projected except for policy problems, there ought to be sensible governance in health administration, each within the personal and therefore the public sector, that political commitment ought to be clear and every one allocation ought to be demand-based and balanced ones. There can be arrangements wherever civil society organizations and human rights agencies will move to confirm responsibility and transparency in procurance, offer chain management, the provision so well-functioning services A robust health funding structure is additionally necessary, which might make sure the population’s protection from health-related monetary crises. Additionally to those aspects, a well-functioning system is additionally important, which might publicize data timely on essential health outcomes. There ought to be additional participation of health watch teams with a daily influx of data. Existing human resource development (HRD) plans ought to be reconstructed to own a long-run objective to boost the standard of health care services (clinical and social control skills), and funding on coaching is incredibly crucial for casual health suppliers, also as funding for community systems that mobilize demand for services. Additionally, customized programs ought to be provided in line with native wants, thus on delivery services to arduous to succeed in, at-risk and vulnerable populations. There ought to be ways for community engagement/involvement to extend awareness of, access to, and utilization of health services, and therefore the provision of applicable services at the community level. Moreover, robust leadership (political, donor, and government) support & public responsibility are essential to strengthen a way of commitment & responsibility of Bangladesh health care systems, particularly in times corruption within the central command and system is another potential explanation for the management of human and material resources. For example, incidences of coercing native authorities into receiving central provider of faulty instrumentality while not a requirement assessment, as a part of structured corruption, isn't uncommon. Corruption is additionally joined to doctors’ transfers and promotions. Sensible governance is totally necessary to mitigate corruption in human and assets management. In spite of such an aggressive personal sector, Bangladesh doesn't have a comprehensive health policy with a vision for the totality of the health sector. As a steward for the health systems, the Ministry of Health And Family Welfare is however to come back up with an overarching strategic direction for the health sector as a full encompassing each the general public and therefore the personal sector. To take care of consistency with the dramatic enhancements in life science, notably in treatment and designation, changes in international and environmental health, necessities of addressing activity health, and environmental condition health hazards, it had been sagely felt essential to update the health policy. In 2002, Transparency International Bangladesh unconcealed that Bangladesh Police is one in every of the foremost corrupt public establishments in Bangladesh. In 2013, they once more revealed constant assessment. Asian Human Rights Commission is unconcealed that folks of Bangladesh pay a lot to police than to the govt. force advantages from political patronage and therefore the culture of exemption. Police are concerned in blackmailing, extortion, torture, rape, and killing. Strategic decentralization of authority to the district level is widely recommended as a technique to boost satisfaction within the health sector. Though international experiences of the impacts of assorted health system reforms are mixed, encouraging samples of strategic reforms with political and government officials’ supports are famed. Taking into consideration the world experiences with best practices, the state of affairs would be improved through the gradual decentralization of these centralized authorities that are expressly joined to discontentment among key stakeholders and therefore the compromised productivity of the health system. Step by step developing every district health system into an integrated suburbanized health care unit would improve potency. However, the key stakeholders’ opinions and overall sociopolitical contexts reveal that the country’s health system must be harmonious through the national system of public-private and central-local collaboration, instead of a national policy for the district health system ought to be developed supported an accord from all key public and personal stakeholders. The policy ought to be enforced through one body with a broad public, private, and skilled participation. This district health system regulative body ought to have ample capability, resources, and authority. Business homeowners don't conform to the correct safety codes of the buildings and workplaces. As a result, many massive accidents occurred and killed lots of. The fashion industry is additionally rife with corruption, with leaders within the business getting tax concessions, gaining special access to infrastructure, and ignoring with exemption official safety and security rules. As a result of corruption, the builders had been ready to ignore several construction rules. To achieve this in our country, technological collaboration with technologically advanced hospitals are needed and follow health management organizations in the developed countries of Asia and the advanced nations of the West. Bribery, rent-seeking and inappropriate use of government funds, excessive lobbying, long time delays in-service performance, pilferage, irresponsible conduct from the government officials, bureaucratic intemperance have made public sector departments the most corrupt sectors of Bangladesh. Public sectors in Bangladesh include police departments, fire departments, water supply, electricity, gas supply, education, waste disposal, health, transportation, administration, etc.
No comments:
Post a Comment