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GOB faces significant resource constraints in funding the
proposed Essential Package of Services (ESP). Previous reports
have found that the potential for additional resource mobilisation
is limited, and suggested that improvements in the internal
efficiency of MOHFW-delivered health services must be an
essential component of efforts to provide the ESP to the
whole population. This study was conceived as an effort
to provide the basic data required to develop a strategy
for raising the efficiency of all facilities, particularly
the Thana Health Complexes and District Hospitals of Bangladesh,
to provide baseline data on performance of MOHFW facilities
before commencement of the Fifth Population and Health Project,
and to demonstrate the feasibility of survey methods to
collect the necessary information to assess facility unit
costs and efficiency.
At the inception of the study, data on
actual unit costs of delivering services at the Thana and
District level were extremely limited. In addition to making
it difficult to estimate the likely cost of the Essential
Package when implemented, it was impossible to quantify
the likely costs of existing inefficiencies. Absence of
detailed facility cost data prevented any assessment of
the scope for improvements in facility efficiency.
This report presents the results of the first phase of the
Facility Efficiency Study, during which survey instruments
were developed and used on a sample of facilities. Findings
for the sample of facilities surveyed are presented. Some
preliminary implications are developed, but these must be
subject to further analysis and investigation.
Table of Contents:
- Executive Summary
- Introduction
- Approach to Methods
- Results
- Comparison of Costs and Performance Indicators with
International Data
- Bibliography
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