|Titre :||The Impact of Health Sector Reforms on Health Systems in Bangladesh: A Scoping Review|
|Auteurs :||Treasure Udechukwu|
|Type de document :||Mémoire|
|Année de publication :||2021|
|Description :||59p. / ann., tabl.|
|Mots-clés :||Revue de littérature ; Système santé ; Réforme ; Bengla Desh ; Changement climatique ; Impact|
Background: Climate-induced environmental changes, and their potential impact on population health, are among the most pressing challenges affecting health systems. These health impacts put additional strain on health systems, putting their resilience and capacity to deal with increased shocks and stresses to the test. Health systems are subject to a myriad of social and political changes often in the form of health sector reforms. We conducted a scoping review to explore the literature on health sector reforms in Bangladesh and understand their impact on health systems.
Methods: scoping review was conducted by searching through academic (PubMed, SCOPUS, Web of Science and Google Scholar) and grey literature published in English and French between 1991 and 2021 that addressed health sector reforms or policies impacting health systems. Data on reforms and health systems was extracted from full texts.
Results: Our search yielded 2688 articles for screening and 22 were included in our scoping review. One of the major health sector reforms was the shift from a project-based approach of financing the health sector to SWAp. Studies found that implementing reform initiatives such as community clinics and a voucher scheme for pregnant women improved health care access and delivery of care especially for rural districts. Despite government efforts, there is a significant shortage of formally qualified health professionals especially nurses and technologists, low public financing, and relatively high percentage of out-of-pocket payments.
Conclusions: Evidence suggests that health sector reforms implemented within the last 30 years had a limited impact on health systems. More emphasis should be placed in the future on implementing reforms to address critical issues such as human resources for health and health financing, which may contribute to building their capacity to cope with emerging threats due to climate change and improving access to care.
|Diplôme :||Master MPH of public health|
|Plan de classement simplifié :||Master of Public Health - master international de Santé Public (MPH)|
|En ligne :||https://documentation.ehesp.fr/memoires/2021/mph/treasure_udechukwu.pdf|
|090330||MPH21/0005||Mémoire||Rennes||Salle des Glénan||Empruntable|
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