To progressively improve health outcomes and attain universal health coverage(UHC), strong primary health care (PHC) is essential. Our policymakers must acknowledge, however, that the public sector alone cannot offer all necessary services, including essential primary healthcare services, to everyone – and that the private sector is an important source of care – in order to achieve progress toward UHC. In this situation, Government should recognize the importance of engaging and stewarding the public and private sectors of their health systems. This demands a delicate balance between government and market forces. Bangladesh needs strong public capacity to enable and control it’s entire health system in order to attain this balance. Private health sector of Bangladesh must be organized and ready to collaborate with them in order to deliver high-quality, reasonably priced health care services. In the end, stronger public-private collaboration will benefit UHC by lowering out-of-pocket expenses, boosting access to services, and improving equity and quality.
In most low- and middle-income countries (LMICs), health-care policies are primarily focused on the development of government-owned and operated health facilities and a salaried government-funded health workforce, with fewer policies in place to enable and oversee the provision of health services by private health providers. Government frequently lack fundamental information about private providers, including their numbers, locations, and the types and quality of services they provide. Private providers, on the other hand, are more likely to focus on curative care and provide little preventive or promotive services.
The quality of private-sector services might vary, especially when the industry is mainly deregulated. Finally, existing regulatory procedures, such as accreditation processes for government-sponsored health finance programs, might be difficult for private providers to follow, particularly smaller practices with limited resources and expertise.