Health Care System in Bangladesh
The health care are designated to meet the health needs of the community through the use of available knowledge and resources. The services provided should be comprehensive and community based. The resources must be distributed according to the needs of the community. The final outcome of good health care system is the changed health status or improve health status of the community which is expressed in terms of lives saved, death averted, disease prevented, disease treated, prolongation of life etc. Health care delivery system in Bangladesh based on PHC concept has got various Level of service delivery: A.Home and community level. Union level, B.Union sub centre (USC) or Health and family welfare centre; This is the first health facility level. C. Thana level, Thana Health Complex (THC): This is the first referral level. D. District Hospital: This is the secondary referral level. E. National Level: This is the tertiary referral level.
A)Primary level health care is delivered though USC or HFWC with one in each union domiciliary level, integrated health and family planning services through field workers for every 3000-4000 population and 31 bed capacities in hospitals.
B) The secondary level health care is provided through 100 bed capacities in district hospital. Facilities provide specialist services in internal medicine, general surgery, gynecology, pediatrics and obstetrics, eye clinical, pathology, blood transfusion and public health laboratories. C) Tertiary Level health care is available at the medical college hospital, public health and medical institutes and other specialist hospitals at the national level where a mass wide range of specialized as well as better laboratory facilities are available.
The referral system will be developed keeping in the view of the followings.
1. A clearly spent-out linkage between the specialized national institutes, medical college and district hospitals to ensure proper care and treatment of patients from the rural areas served by lower level facilities. 2. Patients from the rural areas referred by lower level facilities to district and medical college hospitals and specialized institutions should get preferential treatment after admission.
3. The system will be a two-way process under which patients from the rural areas will be sent into higher institutions while at the same time specialists from the district hospitals, may visit the thana health complexes for providing better quality services on the spot.
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