Urban Primary Health Care Services Delivery Project

Local Government Division, Ministry of LGRD & Cooperatives

Government of the Peoples' Republic of Bangladesh

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Urban Primary Health Care Services Delivery Project (UPHCSDP)

UPHCSDP is the Urban Primary Health Care Services Delivery Project of the Government of the People’s Republic of Bangladesh (GOB) under Local Government Division, Ministry of Local Government Rural Development & Cooperatives. This project is funded by GOB, Asian Development Bank (ADB), Department for International Development (DFID) of the United Kingdom, Swedish International Development Cooperation Agency (SIDA), United Nations Population Fund (UNFPA) and ORBIS International. The project has commenced on July 1, 2005 and will continue till December 31, 2011.

Government of Bangladesh has made a substantial commitment to provide health care to its people in best possible way. Notable success has been made in the delivery of EPI, ORS, sanitation and family planning services for which Bangladesh is internationally recognized. The national development plans laid out the foundations for comprehensive delivery of a wide variety of Health and Family Planning services through a package in urban and rural areas. However, for a period of time, there was proportionately less than optimum investment in the primary health care services for the urban poor and slum dwellers to meet those priority needs.

Government endorsed the goals of health for all and proposed the following principles by which future activities will be guided:

(i) focus on providing a package of essential primary health services with an emphasis on preventive intervention, giving priority to maternal and child health, (ii) expand the role of the private sector including NGOs in the provision of health, nutrition and population services,
(iii) take gender, equity, poverty and developmental issues into account in designing and provision of services, (iv) expand cost recovery and improve efficiency of resource utilization in the public sector, and (v) involve beneficiaries in the management of health care, (vi) emphasize on the sustainability and environmental issues, and (vii) endeavor to provide one stop shopping for health and population services. The current Health, Nutrition and Population Sector Program (HNPSP) of the Ministry of Health & Family Welfare, Government of Bangladesh embodies all of these and adds a few new dimensions, e.g. risk sharing and risk spreading to address catastrophic illnesses and piloting of demand-side financing in different forms and decentralization of decision making by the lower level managers.More...