A blueprint for health reform in Bangladesh

The Daily Star
Jun 18, 2025

A blueprint for health reform in Bangladesh


The recommendations of the government-constituted Health Sector Reform Commission represent a timely, comprehensive, and transformative initiative. These recommendations go beyond merely enhancing services or improving infrastructure. They call for a fundamental shift in perspective. At the heart of this transformation is the commitment to ensuring people-centric, universal, accessible, and high-quality healthcare. However, recommendations alone are meaningless without action. What is urgently needed now is a clear implementation roadmap and its effective execution.

A central proposal of the commission is to recognise primary healthcare as a constitutional right, ensuring that every citizen has access to free and equitable healthcare. The report recommends integrating existing primary healthcare facilities—union sub-centres, family welfare centres, and community clinics—into a unified service framework. This would address shortages in manpower and equipment, ensure efficient service delivery, and prevent confusion among service recipients. For urban populations, the establishment of ward-based primary healthcare centres is proposed. Additionally, the report suggests introducing creative health education programmes in schools and healthcare centres to foster health awareness among children and adolescents. Emphasising public health services, the commission recommends restructuring public health administration and clinical health administration into separate frameworks.