Bangladesh WHO update on HF activities – Dec 2014
Dec 2014 – Here an update on current activities received from the WHO country office in Bangladesh:
1. Preparations of a draft law on social health protection, so that institutions could be established to run an insurance pilot program, and recruit manpower to run a regulatory body for the new UHC institutions, within MOH. This is intended to cover all interventions that have been planned in the new HCFS.
2. Stakeholder consultations (five rounds) have been done to familiarize people with the concept and definition of UHC.
3. A Bangla version of the draft Law is being worked out too.
4. A set of indicators and measuring tools for progress towards UHC is now ready. It has been shared and disseminated with experts and stakeholders (46 indicators).
5. Baseline studies are underway for the new pilot program on health insurance (the SSK).
6. Training and capacity development are underway, on UHC and NHA.
7. A study to propose the benefit package and costing for a new formal sector insurance program (for civil servants) is about to begin.
8. A study on urban slums and their health care access and needs, is now going on.
HEU invites comments on legal framework for UHC
Jun 2014 – The Health Economics Unit of the Ministry of Health invited the P4H Network members to comment on a Draft National Health Protection Act. The Network members GDC, ILO, WHO, the World Bank and USAID handed in their views and comments to the HEU and discussed them in a subsequent stakeholder meeting on 3 July 2014. Once approved, the legal framework document will be added to this web entry.
Health Minister committed to increase health budget
Feb 2014 – Intended Increase of the Health Budget!
Shortly after the national UHC workshop and the Round-Table-Discussion, the Minister of Health made public announcements about his intentions to increase the health budget. Below are a selection of links of recent media reports.
– Health Minister Mohammed Nasim is determined to get more money for his sector in the upcoming budget, even if he has to fight for it. Read online.
– DHAKA: Health and Family Planning Minister Mohammad Nasim today said that he would fight to increase budget allocation for health sector in the forthcoming fiscal 2014-15. Read online.
– War if necessary to increase budget in health: Read online.
National UHC stakeholder meeting and round table – Feb 2014
Feb 2014 – The Health Economics Unit of the Ministry of Health and Family Welfare (MoHFW) in collaboration with WHO, the World Bank and GDC held a
a NATIONAL UHC WORKSHOP on 18 Feb 2014 and
a ROUND TABLE DISCUSSION (RTD) on 19 Feb 2014.
The new MOHFW Minister commits to supporting the goal of UHC and this national stakeholder meeting was his first official event. Thus, this would be a good opportunity to strengthen the advocacy for UHC and support for the implementation of the Heath Care Financing Strategy (HCFS), especially now that the Government of Bangladesh is starting the process for the legal framework.
Also, there was an identified need to have a common understanding of UHC and elevate the HCFS beyond the health sector. Only recently did national stakeholders working on the national social protection strategy know that a health financing strategy has been developed. On several occasions, the P4H members have advocatad for broad inter-sectoral dialogue on health financing issues. So in this view, this event served as a starting point towards active engagement of national stakeholders and the establishment of an Inter-ministerial Committee on HF – a kick-off for a series of technical discussions to follow.
Agendas of national UHC conference and Round-table-discussion:
Here are the links to the presentations of the below mentioned National UHC Workshop:
- 2014 02 27 Bangladesh P4H CD report visit 17-19Feb14 (pdf, 710.71 KB)
- 2014 02 18 RTD Programme Final (pdf, 63.72 KB)
- 2014 02 18 RTD Guide Final (pdf, 367.28 KB)
- 2013 02 27 Bangladesh notes P4H CD visit 17-19Feb14 (pdf, 309.61 KB)
- 2014 02 18 WHO Global UHC presentation (ppt, 3.61 MB)
- 2014 02 18 WB B’Desh UHC (pptx, 59.62 KB)
- 2014 02 18 Overview UHC WS (ppt, 277.5 KB)
- 2014 02 18 MoHFW Health Funding for UHC 18.02.14 (ppt, 1.11 MB)
- 2014 02 18 Keynote Pres DG (ppt, 2.65 MB)
- 2014 02 18 ICDDR-B MEASURING UHC (pptx, 1.13 MB)
Draft #1 of National Social Protection Strategy circulated
Nov 2013 – November 2013 - A first draft of the National Social Protection Strategy (NSPS) is circulated among stakeholders, the idea being to elicit comment and stimulate dialogue between stakeholders in the health and social protection sectors. The circulation of the draft also presents an opportunity for any adjustments needed to ensure coherence of the Health Financing Strategy (HSF) and the NSPS. P4H members are invited to comment or provide feedback through the UN Social Protection Theme Group which meets end of November to discuss the matter.
Implementation Plan for Health Financing Strategy takes shape
Sep 2013 – September 2013: The Health Economics Unit (HEU) of the Ministry of Health and Development Partners meet to discuss the draft Implementation Plan with a view to presenting it at the next Health Financing Reference Group meeting, maintaining momentum in the country’s move towards universal health coverage. A follow-up meeting on November 3 is devoted to a discussion of details regarding the Health Financing Strategy (HFS) implementation plan, among which specific activities in the areas of policy and frameworks, organization, communication, capacity development, health system efficiency, and monitoring & evaluation.
Developing an Investment Plan for the Health Care Financing Strategy
Feb 2013 – Having approved the Health Care Financing Strategy (HCFS), the Health Economics Unit (HEU) of the Ministry of Health and Family Welfare (MoHFW) is working towards the implementation. The next step will be the development of an Investment Plan (IP) that lays out the implications of implementing the HCFS, including costs and systems readiness/capacity and institutional needs. The IP is expected to provide feasible and sustainable options for the road ahead. Using platforms like the Health Financing Resource Task Group (HFRTG) will ensure integration and alignment with the national planning process and broader multi-sectoral stakeholder involvement. Joint support of the P4H network members for the IP will include strengthening the HEU (e.g. by providing international experts), a rapid health systems analysis and assessment on specific issues (e.g. costing) and the facilitation of consultations to build consensus on a 2013/14 operational plan.
Approval of the Health Care Financing Strategy
Oct 2012 – Following an intense one-year development process, the Ministry of Health and Family Welfare (MOHFW) approves the Health Care Financing Strategy (HCFS) 2012-2032, ‘Expanding Social Protection for Health: Towards Universal Coverage’.
The Health Economics Unit of the MOHFW will play a central role in the implementation of this strategy. The proposed next steps are: to strengthen the technical and coordination capacity of the HEU; and support to the development of an investment plan for the HCFS. This plan will serve to explore feasible and sustainable options for the implementation of the HCFS.
- Health Care Financing Strategy (HCFS) (pdf, 708kb)
Health Financing Resource Group Meeting
Nov 2011 – The HFRG meeting was chaired by the Secretary of health.
- Presentation of the health care financing strategy workshop and roadmap by the Joint Chief of the HEU, and agreement on the next steps, e.g. to hire a lead consultant to provide support to the the working groups; equity, effectiveness and resource mobilization.
- The Secretary welcomed new members to the HFRG (SIDA, USAID and BRAC/Dr. T. Evans) joining the open support network of the P4H partners WHO, WB and GER (GIZ, KfW).
- The next meeting of the HFRG was set for mid-February 2012 when it is expected that the three small groups could report on progress and present their work to date – the first full draft of health care financing strategy document is due in mid-March 2012.
Review of a health insurance pilot proposal
Nov 2011 – The Health Economics Unit of the MoHFW, in collaboration with KfW, has designed a health insurance pilot intervention to tackle the high OOP spending and other health system issues. The Secretary of health has asked the (P4H) network partners to review the current proposal in support of a successful pilot testing various health financing assumptions and strategies.
Vision, goals and objectives of the new health financing strategy
Oct 2011 – The MoHFW Health Economics Unit (HEU) has prepared a first draft of the vision, goals and objectives of the health financing strategy for further discussion.
Social Protection Conference in Bangladesh
Oct 2011 – The Government:
- resolves to have a comprehensive Social Protection Strategy finalized and ready to launch preferably by September 2012; and
- calls on Development Partners and Civil Society to contribute to the process of developing the social protection strategy and in further improving the delivery of individual programs over the coming years.
The following processes and milestone dates are envisaged:
- adoption of a detailed road-map outlining necessary processes & actions (Oct- Dec 11);
- consultations and program reviews (Jan-Apr 12);
- drafting of the National Social Protection Strategy (May-Jun 12);
- review and finalization of the strategy (Jul-Aug 12);
- launch Strategy (by Sep 12).
A roadmap for the health financing strategy process
Oct 2011 – The health financing workshop concluded with the development of a roadmap for the health financing strategy process. The roadmap implementation will be led by the HEU with inputs from the Health Financing Resource Group. Milestones of the roadmap include:
- the development of a vision for UC, goals and objectives for the HF strategy by end of Oct 2011 (max 2-page document to be prepared by HEU, commented by network partners; should keep in mind the identified key challenges such as improving resource mobilization, reducing OOP spending, improving resource allocation and efficiency; should be guided by WHO’s framework and the 3 dimensions of universal coverage);
- a meeting with the Honorable Prime Minister before mid-November; and
- the development of a draft document outlining strategic components / thrusts to address the vision, goals and objectives by mid of Jan 2012.
Health financing strategy workshop
Oct 2011 – From 2-5 October 2011, the MoHFW – with support from WB, GER [GIZ and KfW], SIDA, USAID and WHO – conducted a workshop to initiate a health financing strategy process in Bangladesh. Conclusions of the kick-off event: Bangladesh is faced with the challenge of high OOP (60%); low public spending for health; efficiency issues in allocation process and budget execution (unspent funds in large SWAP) The first two days focused on conceptual HF and UC / SHP issues with inputs from WHO and WB, and country experiences of Thailand, India and Sri Lanka. The 3rd and 4th day included discussions on a roadmap, networking and joint (P4H) support.
Planning for a kick-off event for a health financing strategy
Apr 2011 – Beginning of April 2011, the P4H Coordination Desk received information from GIZ Bangladesh that the MoHFW together with WB, SIDA, EU and GDC (GIZ, KfW) have resumed the planning process for the earlier announced health financing workshop. Workshop date shifted to July 2011.
The idea of a health financing strategy has been taken up
Oct 2010 – By October 2010, the P4H CD has been informed that ‘following discussions between MoH, World Bank, Germany (GTZ) and P4H Coordination Desk in the Maldives, the development of a Health Care Financing Strategy is now part of the Government of Bangladesh’s draft Health Population and Nutrition Sector Strategic Plan 2011-16.
Follow-up on Maldives Workshop
Jul 2010 – The World Bank and GTZ met with the Director General Health Services and on his recommendation sent the action plan the GOB developed in the Maldives to the Secretary as a first step in the process of engaging higher level policy makers and getting their support for the development of a health financing strategy for Bangladesh.
High-Level Forum on Health Financing in South Asia in the Maldives
Jun 2010 – From 2-4 June 2010, representatives from Bangladesh, WB, GTZ and the P4H CD attended a “High-Level Forum on Health Financing in South Asia” in the Maldives. The objectives of the Forum were to jointly consider the broad concepts and policy implications of key issues in health economics and the objectives and functions of health financing systems in the South Asia region. During the Forum, the team from Bangladesh came up with the following action plan: Initiation of policy dialogue with relevant stakeholders (i.e. MOHFW, MoF, MOLGRD, other ministries, civil society) with an aim to formulate a health financing strategy which explores the options how to:
- increase mobilization of resources;
- distribute resources based on need and equity;
- manage resources more efficiently and effectively.
In early 2010 the P4H Coordination Desk (CD) has been informed that GER (GTZ), WB, WHO and the EU were planning a joint workshop on health system financing in September 2010. One objective of this event was to draft a roadmap, which would outline steps for identifying reform options.