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The Cost Analysis of the Private and Public Health Facilities for Delivering Outpatient Services: A Study Conducted in Bangladesh

Md. Mahfujur Rahman, Md. Al-Amin, Kazi Mahfuzur, ,
1: Institute of Health Economics, University of Dhaka, Dhaka, Bangladesh ; 2: Institute of Education and Research, University of Dhaka, Dhaka, Bangladesh; 3: Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh

The government of Bangladesh tries to provide free healthcare services locally through community clinics, satellite clinics, Union Health & Family Welfare Center (UH&FWC), etc. But all these facilities still unable to fulfill the local demand. So, people visit private medical institutions to receive proper treatment. They need to pay for each unit of private healthcare services. The study considered eight UH&FWC in rural areas and eight private clinics in urban areas from 8 districts of Bangladesh. We accumulated the various categories of cost-related data of these facilities e.g. physicians and other staff's salary, hospital rent and other equipment costs, etc. and also the number of patients treated by each facility each month. Thus, we estimated the per month cost of producing each unit of outpatient services. The cost of producing per unit outpatient services differed from facilities to facilities. The cost in the UH&FWC ranged from BDT 178 ($2.09) to BDT 197 ($2.32). At the same time, this cost in the private clinic was BDT 87 ($1.02) to BDT 92 ($1.08). The health care cost between public and private health facilities altered due to the variation in cost and utilization of services from these health facilities. However, private health facilities are more efficient than public health facilities. If we would like to reduce the cost of public health facilities, we must ensure transparency in the facilities.

Md. Mahfujur Rahman,Md. Al-Amin,Kazi Mahfuzur."The Cost Analysis of the Private and Public Health Facilities for Delivering Outpatient Services: A Study Conducted in Bangladesh". International Journal of Computer Engineering In Research Trends (IJCERT) , ISSN:2349-7084, Vol.7, Issue 12,pp. 7-13, December - 2020, URL :,

Keywords : Healthcare, Union Health & Family Welfare Center, Public Health Facilities, Private Clinic.

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