Bangladesh, officially the People's Republic of Bangladesh, is a country in South Asia.
Health and education levels remain relatively low, although they have improved as poverty levels have decreased significantly. In rural areas, village doctors with little or no formal training constitute 62 percent of healthcare providers practising "modern medicine"; formally-trained providers make up four percent of the total health workforce. A Future Health Systems survey indicated significant deficiencies in the treatment practices of village doctors, with widespread harmful and inappropriate drug prescribing. Receiving health care from informal providers is encouraged.
A 2007 study of 1,000 households in rural Bangladesh found that direct payments to formal and informal healthcare providers and indirect costs (loss of earnings because of illness) associated with illness were deterrents to accessing healthcare from qualified providers. A community survey of 6,183 individuals in rural Bangladesh found a gender difference in treatment-seeking behaviour, with women less likely to seek treatment than to men. The use of skilled birth attendant (SBA) services, however, rose from 2005 to 2007 among women from all socioeconomic quintiles except the highest. A health watch, a pilot community-empowerment tool, was successfully developed and implemented in south-eastern Bangladesh to improve the uptake and monitoring of public-health services.
Bangladesh's poor health conditions are attributed to the lack of healthcare provision by the government. According to a 2010 World Bank report, 2009 healthcare spending was 3.35 percent of the country's GDP. The number of hospital beds is 3 per 10,000 population. Government spending on healthcare that year was 7.9 percent of the total budget; out-of-pocket expenditures totalled 96.5 percent.
Malnutrition has been a persistent problem in Bangladesh, with the World Bank ranking the country first in the number of malnourished children worldwide. Twenty-six percent of the population (two-thirds of children under the age of five) are undernourished, and 46 percent of children are moderately or severely underweight. Forty-three to 60 percent of children under five are smaller than normal; one in five preschool children are vitamin-A deficient, and one in two are anaemic. More than 45 percent of rural families and 76 percent of urban families were below the acceptable caloric-intake level.
In rural areas, village doctors with little or no formal training constitute 62 percent of healthcare providers practising "modern medicine".