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Health  2025 

Strengthening Primary Healthcare in Bangladesh: Can Thailand Serve as an Aspirational Model for Seamless Care?

DOI: 10.4236/health.2025.174025, PP. 370-387

Keywords: Primary Health Care, Health Outcome Indicators, Bangladesh, Cross Country

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Abstract:

Bangladesh has maintained a pluralistic health system over the decades. While the country has made significant progress in various health outcome indicators, it continues to face management and financial challenges. This study compares Bangladesh’s primary healthcare system with those of its neighboring countries, India and Thailand, to identify existing gaps between theory and practice. By focusing on ten key areas of healthcare, Bangladesh can improve accessibility, quality, and affordability, ultimately ensuring better health outcomes, particularly for the poor, marginalized, and vulnerable populations.

References

[1]  Facility Registry, Ministry of Health and Family Welfare and Government of the Peoples’ Republic of Bangladesh.
https://hrm.dghs.gov.bd/public/facility-registry
[2]  Riaz, B.K., Ali, L., Ahmad, S.A., Islam, M.Z., Ahmed, K.R. and Hossain, S. (2020) Community Clinics in Bangladesh: A Unique Example of Public-Private Partnership. Heliyon, 6, e03950.
https://doi.org/10.1016/j.heliyon.2020.e03950
[3]  Talukder, M.N., Rob, U., Khan, A.K.M.Z.U., Noor, F.R., Roy, S. and Noor, A.F. (2015) Union Health and Family Welfare Centers in Chittagong and Munshiganj: Are They Ready to Provide 24-Hour Normal Delivery Services? Population Council.
[4]  Ministry of Health and Family Welfare, Government of the Peoples’ Republic of Bangladesh.
http://app.mohfw.gov.bd/
[5]  Ahmed, S., Siddique, A., Iqbal, A., Rahman, P.N., Islam, M.N., Sobhan, M.A., et al. (2010) Causes for Hospitalizations at Upazila Health Complexes in Bangladesh. Journal of Health, Population and Nutrition, 28, 399-404.
https://doi.org/10.3329/jhpn.v28i4.6047
[6]  Ahmed, S., Hasan, M.Z., Laokri, S., Jannat, Z., Ahmed, M.W., Dorin, F., et al. (2019) Technical Efficiency of Public District Hospitals in Bangladesh: A Data Envelopment Analysis. Cost Effectiveness and Resource Allocation, 17, Article No. 15.
https://doi.org/10.1186/s12962-019-0183-6
[7]  Chin, B. (2005) Bangladesh: Second Urban Primary Health Care Project, Asian Development Bank. Philippines.
https://coilink.org/20.500.12592/v44507
[8]  Islam, A. (2014) Health System in Bangladesh: Challenges and Opportunities. American Journal of Health Research, 2, 366-374.
https://doi.org/10.11648/j.ajhr.20140206.18
[9]  The Global Health Observatory and WHO (2025) Current Health Expenditure (CHE) as Percentage of Gross Domestic Product (GDP) (%).
https://www.who.int/data/gho/data/indicators/indicator-details/GHO/current-health-expenditure-(che)-as-percentage-of-gross-domestic-product-(gdp)-(-)
[10]  The Global Health Observatory and WHO (2025) Out-of-Pocket Expenditure as Percentage of Current Health Expenditure (CHE) (%).
https://www.who.int/data/gho/data/indicators/indicator-details/GHO/out-of-pocket-expenditure-as-percentage-of-current-health-expenditure-(che)-(-)
[11]  Kumar, S. and Bano, S. (2017) Comparison and analysis of health care delivery systems: Pakistan versus Bangladesh. Journal of Hospital & Medical Management, 3, 21-22.
[12]  Islam, R., Hossain, S., Bashar, F., Khan, S.M., Sikder, A.A.S., Yusuf, S.S., et al. (2018) Contracting-out Urban Primary Health Care in Bangladesh: A Qualitative Exploration of Implementation Processes and Experience. International Journal for Equity in Health, 17, 1-16.
https://doi.org/10.1186/s12939-018-0805-1
[13]  Shahen, M.A., Islam, M.R. and Ahmed, R. (2020) Challenges for Health Care Services in Bangladesh: An Overview. IOSR Journal of Nursing and Health Science, 9, 13-24.
[14]  Mahmood, S.A.I. (2012) Health Systems in Bangladesh. Health Systems and Policy Research, 1, 1-4.
[15]  Joarder, T., Chaudhury, T.Z. and Mannan, I. (2019) Universal Health Coverage in Bangladesh: Activities, Challenges, and Suggestions. Advances in Public Health, 2019, Article ID: 4954095.
https://doi.org/10.1155/2019/4954095
[16]  Hassan, N., Rashid, H. and Das, R. (2017) Smart Health Management System for Rural Area of Bangladesh Utilizing Smartphone and NID. Health Care, 1, 191-194.
[17]  Huda, T.M., Chowdhury, M., El Arifeen, S. and Dibley, M.J. (2019) Individual and Community Level Factors Associated with Health Facility Delivery: A Cross Sectional Multilevel Analysis in Bangladesh. PLOS ONE, 14, e0211113.
https://doi.org/10.1371/journal.pone.0211113
[18]  World Bank Group (2025) Population Living in Slums (% of Urban Population)—Bangladesh.
https://data.worldbank.org/indicator/EN.POP.SLUM.UR.ZS?locations=BD
[19]  Ahmad, A. (2007) Provision of Primary Healthcare Services in Urban Areas of Bangladesh: The Case of Urban Primary Healthcare Project.
[20]  Albis, M.L.F., Bhadra, S.K. and Chin, B. (2019) Impact Evaluation of Contracting Primary Health Care Services in Urban Bangladesh. BMC Health Services Research, 19, Article No. 854.
https://doi.org/10.1186/s12913-019-4406-5
[21]  Joarder, T. and Sarker, M. (2014) Achieving Universal Health Coverage through Community Empowerment: A Proposition for Bangladesh. Indian Journal of Community Medicine, 39, 129-131.
https://doi.org/10.4103/0970-0218.137143
[22]  Hasan, M. (2012) Quality of Primary Health Care Services in Rural Bangladesh: Pa-tients’ Perspectives. OIDA International Journal of Sustainable Development, 3, 69-78.
[23]  Mohiuddin, A.K. (2020) An Extensive Review of Patient Health-Care Service Satisfaction in Bangladesh. Adesh University Journal of Medical Sciences & Research, 2, 5-16.
https://doi.org/10.25259/aujmsr_6_2020
[24]  Siddiqui, N. and Khandaker, S.A. (2007) Comparison of Services of Public, Private and Foreign Hospitals from the Perspective of Bangladeshi Patients. Journal of Health, Population, and Nutrition, 25, 221-230.
[25]  Andaleeb, S.S. (2000) Public and Private Hospitals in Bangladesh: Service Quality and Predictors of Hospital Choice. Health Policy and Planning, 15, 95-102.
https://doi.org/10.1093/heapol/15.1.95
[26]  Mannan, M.A. (2013) Access to Public Health Facilities in Bangladesh: A Study on Facility Utilisation and Burden of Treatment. The Bangladesh Development Studies, 36, 25-80.
[27]  Khandakar, M.S.A. (2014) Rural Health Care System and Patients’ Satisfaction to-wards Medical Care in Bangladesh: An Empirical Study. Journal of Business Studies, 35, 83-102.
[28]  Huque, R., Al Azdi, Z., Ebenso, B., Nasreen, S., Chowdhury, A.A., Elsey, H., et al. (2021) Patient Feedback Systems at the Primary Level of Health Care Centres in Bangladesh: A Mixed Methods Study. Sage Open, 11, 1-15.
https://doi.org/10.1177/21582440211011458
[29]  Razu, S.R., Yasmin, T., Arif, T.B., Islam, M.S., Islam, S.M.S., Gesesew, H.A., et al. (2021) Challenges Faced by Healthcare Professionals during the COVID-19 Pandemic: A Qualitative Inquiry from Bangladesh. Frontiers in Public Health, 9, Article 647315.
https://doi.org/10.3389/fpubh.2021.647315
[30]  Huque, R., Abdullah, S.M., Dhira, T.A., Siddiqua, S., Barua, D., Abdullah, M., et al. (2025) Unveiling Health Insurance Satisfaction: Exploring Key Determinants and Bottlenecks in Bangladesh. SSMHealth Systems, 4, Article 100058.
https://doi.org/10.1016/j.ssmhs.2025.100058
[31]  Aashima, and Sharma, R. (2023) Inequality and Disparities in Health Insurance Enrolment in India. Journal of Medicine, Surgery, and Public Health, 1, Article 100009.
https://doi.org/10.1016/j.glmedi.2023.100009
[32]  Shah, N., Zaheer, S. and Iram, U. (2024) Health Insurance, Social Safety Net and Maternal Health Service Utilisation in Pakistan: A Population Based Cross-Sectional Study. BMJ Open, 14, e079646.
https://doi.org/10.1136/bmjopen-2023-079646
[33]  Sumriddetchkajorn, K., Shimazaki, K., Ono, T., Kusaba, T., Sato, K. and Kobayashi, N. (2019) Universal Health Coverage and Primary Care, Thailand. Bulletin of the World Health Organizatino, 97, 415-422.
https://doi.org/10.2471/blt.18.223693
[34]  Cohen, A. and Cohen, P.T. (2024) Paradigm Conflict: Village Health Volunteers and Public Health in Thailand. The Asia Pacific Journal of Anthropology, 25, 251-265.
https://doi.org/10.1080/14442213.2024.2357104
[35]  Nitayarumphong, S. (1990) Evolution of Primary Health Care in Thailand: What Policies Worked? Health Policy and Planning, 5, 246-254.
https://doi.org/10.1093/heapol/5.3.246
[36]  Tangcharoensathien, V., Suphanchaimat, R., Thammatacharee, N. and Patcha-ranarumol, W. (2012) Thailand’s Universal Health Coverage Scheme. Economic and Political Weekly, 47, 53-57.
[37]  Dehury, R.K., Samal, J., Raza, A., Cautinho, S., Behera, M.R. and Dehury, P. (2023) Can the National Health Policy 2017 Strengthen the National Health System and Improve the Health of the Indian Populace? Journal of Health Management, 25, 232-239.
https://doi.org/10.1177/09720634231175748
[38]  Nagarajan, S., Paul, V.K., Yadav, N. and Gupta, S. (2015) The National Rural Health Mission in India: Its Impact on Maternal, Neonatal, and Infant Mortality. Seminars in Fetal and Neonatal Medicine, 20, 315-320.
https://doi.org/10.1016/j.siny.2015.06.003
[39]  Rajbangshi, P.R., Nambiar, D. and Srivastava, A. (2021) Community Health Workers: Challenges and Vulnerabilities of Accredited Social Health Activists Working in Conflict-Affected Settings in the State of Assam, India. BMC Health Services Research, 21, Article No. 829.
https://doi.org/10.1186/s12913-021-06780-y
[40]  Schueller, E., Nandi, A., Summan, A., Chatterjee, S., Ray, A., Haldar, P., et al. (2022) Public Finance of Universal Routine Childhood Immunization in India: District-Level Cost Estimates. Health Policy and Planning, 37, 200-208.
https://doi.org/10.1093/heapol/czab114
[41]  Garg, S., Bebarta, K.K. and Tripathi, N. (2024) The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) after Four Years of Implementation—Is It Making an Impact on Quality of Inpatient Care and Financial Protection in India? BMC Health Services Research, 24, Article No. 919.
https://doi.org/10.1186/s12913-024-11393-2
[42]  Basu, R., Dasgupta, S., Babu, S.N. and Noor, A. (2023) Medicinal Plants in the Indian Traditional Medicine and Current Practices. Bioprospecting of Tropical Medicinal Plants, Springer Nature Switzerland, 253-286.
https://doi.org/10.1007/978-3-031-28780-0_9

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