Health Sector Programme Bangladesh 2017-2022
Contribution ID : SE-0-SE-6-52170010This website displays open data about Swedish aid, which shows when, to whom and for what purpose Swedish aid is paid out, as well as what results it has produced. This page contains information about one of the contributions financed with Swedish aid.
The 4th Health Sector Program´s will be implemented by the Ministry of Health during the period 2017-2022. The overall objective is "to ensure that all citizens of Bangladesh enjoy health and well-being by expanding access to quality and equitable healthcare in a healthy and safe living environment". The programme will be co-financed with the WB and other deve...
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The 4th Health Sector Program´s will be implemented by the Ministry of Health during the period 2017-2022. The overall objective is "to ensure that all citizens of Bangladesh enjoy health and well-being by expanding access to quality and equitable healthcare in a healthy and safe living environment". The programme will be co-financed with the WB and other development partners.
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Result
The health sector program is based on lessons learned from previous programs and also focuses on governance and supervision of the sector. The three components that the program focuses on are: i) governance, regulation and supervision of the sector, ii) strengthened health system, and iii) the provision of good quality health services. The progress of the Fourth Sector Program is reviewed and discussed by nine thematic Task Groups. The Swedish support is channeled through a multi donor trust fund administered by the World Bank. The World Bank's program document follows the structure of the government's sector program and forms the basis for the multi donor trust fund, MDTF. The fund, which is structured according to a results-based model, follows up indicators mainly in two geographical areas, Sylhet and Chittagong, where inequality in women's sexual and reproductive health is greatest. The 16 disbursement indicators are in line with Bangladesh's priorities in the fourth sectoral program. The progress of the Fourth Sector Program is reviewed and discussed by nine thematic Task Groups. The added value of Sida's support through the multi donor trust fund through the World Bank 2017-2021 by SEK 190 million, can be briefly said to be that it contributes to: - Aid efficiency and reduces transaction costs - Increased ownership of Bangladesh's government - Coordination and dialogue between donors within the fund and wider in the sector based on the national health agenda - The dialogue in the Ministry of Health's working groups together with the donors - Facilitates WB to have a platform for other programs such as humanitarian interventions and within Nexus, ie the link between development and humanitarian interventions - Increased opportunity to achieve results in vulnerable areas. Examples of results: The completion date of the 4th HPNSP has been extended for the second time and the newly established competion date is June 30, 2024. A no-cost extension agreement between Sweden and World Bank for the extended completion date was signed by the ambassador of Sweden in Bangladesh on 13th of March 2023. Consequently, the closing date of HSSP will need to be extended by six months to synchronize with the implementation timeline of the 4th HPNSP and allow sufficient time for the remaining DLRs to be achieved and verified to enable utilization of the undisbursed balance The government of Bangladesh estimated that US$460 million would be needed to fill the financial gap of the current project. A request for further funds was send out to the donors. None of the donors decided to add extra money to the current project. This was partly due to the fact that the 5th Health Sector Program was being prepared and that according to financial statements from the government the ministry of health do not have the capability to disburse the full amounts (only about 70%) of the allocated yearly budget for the health sector. The most recent analysis demonstrated the essential services such as antenatal care, postnatal care, health facilitybased delivery, outpatient services, BCG vaccination and family planning services have resumed to the preCovid19 levels, and there are no signs of major disruption. Covid therefore is no longer a hindrance of implementing the project. According to the World Bank analysis the Progress towards the achievement of the Project Development Objective (PDO) is satisfactory. Eighty three percent of planned annual targets, or DisbursementLinked Results (DLRs), have been reportedly achieved. The reported figure for FY2021 was 73% of DLR had been achieved. 13 DLR are only partially achieved or pending verification. The progress under the component 1 Governance and Stewardship is rated as Satisfactory. The progress under the component 2 HNP (Health Nutrition and Population) System Strengthening is rated as Satisfactory. The progress under the component 3 Quality of HNP services is rated as Satisfactory. The progress under the component 4 HNP services for the Rohingya population is rated as Satisfactory. Multi Donor Trust Fund (MDTF) Sweden has already disbursed the total allocated funds. FCDO and Canada disbursed their last allocated funds during the year of 2022. The total MDTF is US$120.3 million. Sweden has paid a total of 190 496 338 SEK over a 4 year period (2017-2020).
The overall objective of the governments Fourth Health, Population, and Nutrition Sector Program is to ensure that all citizens of Bangladesh enjoy health and wellbeing by expanding access to quality and equitable health care in a healthy and safe living environment. The MOHFW considers it as a first, foundational, program toward the achievement of the SDGs by 2030. The strategic objectives of the programme are grouped into three components and eight strategic objectives clustered around 3 components as follows: Component 1: Governance and stewardship of the sector. Strategic objective 1: To strengthen governance and stewardship of the public and private health sectors. Strategic objective 2: To undertake institutional development for improved performance at all levels of the system. Strategic objective 3: To provide sustainable financing for equitable access to health care for the population and accelerated progress towards universal health coverage. Component 2: Stronger health systems Strategic objective 4: To strengthen the Ministry of Health and Family Welfare´s capacity in core health systems (financial management, procurement, infrastructure) Strategic objective 5: Establish a high quality health workforce available to all through public and private health service providers. Strategic objective 6: To strengthen the evidence base for health sector decision-making. Component 3: Quality health services Strategic objective 7: To improve equitable access to and utilization of quality health, nutrition and family planning services. Strategic objective 8: To promote healthy lifestyle choices within a healthy environment. 16 disbursement linked indicators that will be financed by the Sweden, through multidonor trust fund are aligned with the three components described above. DLIs will act as a trigger to achieve the targets set by the strategic objectives which is further operationalsed in the result framework of the fourth SWAP. To achieve the results supported under component 1, activities will be measured against progress in DLI 1 on strengthened system for citizen feed-back and DLI 2 on improved budget planning and allocation. Under component two, progress will be measured against progress in the following indicators: DLI 3. Financial management system is strengthened, DLI 4. Asset management is improved, DLI 5. Procurement process is improved using information technology, DLI 6. Institutional capacity is developed for procurement and supply management, DLI 7. Availability of midwives for maternal care is increased, and DLI 8. Information system is strengthened, including genderdisaggregated data. Indicators that will be used to measure progress under component 3 are: DLI 9. Postpartum family planning services are improved, DLI 10. Utilization of maternal health care services is increased, DLI 11. Emergency obstetric care services are improved, DLI 12. Immunization coverage and equity are enhanced, DLI 13. Maternal nutrition services are expanded, DLI 14. Infant and child nutrition services are expanded, DLI 15. Schoolbased adolescent HNP program is developed and implemented, DLI 16. Emerging challenges are addressed. Sweden concludes the results-based approach will help provide strong incentives to the government to deliver better Health output, process, outcome and impact.
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