Rafia Rahman
University in Dhaka, Bangladesh
Scientific Tracks Abstracts: Prim Health Care
World Economic Forum state $ 6.5 trillion spent worldwide on healthcare. Out of that 30-50percent is wasted. It
is projected that the world healthcare spending increase from $7.7 trillion to $ 10.1 trillion in the year 2017 to
2022. Healthcare service delivery becomes a business commodities offering a package or range of services for money,
that is why the volume of service is a matter ignoring efficiency, quality, and equity.
Methodology: Objective; how user fees plays role good value for money spent on healthcare service. A conceptual
framework makes for use. Secondary data was used.
Findings: Supply side inefficiency revealed (provider disparity, logistics). Regard quality and equity revealed most
components of PHC is achieved. In child and maternal healthcare not achieved the desired level. Social behavior
change communication (SBCC) left behind till. Major diseases responsible for mortality and morbidity are mostly
seen at district to below level facilities. If fees for services are imposed based on the outcome of patient health status
along with justification of provider (physician, test, treatment protocol) involvement are not only valued dollar spent
for health outcome but also ensure quality and equity.
Conclusion and significance: in developing and low-income countries people spent direct, indirect and out of
pocket expenditure with the hope to get a better outcome of healthcare service. This pushes them the viscous cycle
of poverty. So, this is very high time for global health policymakers to shift the focus healthcare service delivery
from the volume and profitability of services provided physician visits to the patient outcome achieved for the 21st
century.
Rafia Rahman completed her medical graduation, and then she started profession with different National and international NGO in different position for about seven years. Then switch the profession and start work as an Academician at Institute of Health Economics in University of Dhaka. She published about ten papers and four are in printing. She took classes on Medical Sociology, Introduction to Health Science, Health System, Management in Health Sector and Policy and Planning in Health Sector. Here beside compliance with different task provide from institute also work with UNICEF, SURCH and KOIKA research firm to conduct different research. She is member of Public Health Foundation, Bangladesh and PhD apprentice.
E-mail: rafia643645@gmail.com
