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Bangladesh National Health Accounts 1997-2015 (BNHA-V)
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Table of Contents
Contents
Acronyms ..................................................................................................................................................... iv
Notes ............................................................................................................................................................. v
Highlights ...................................................................................................................................................... 1
Background ................................................................................................................................................... 3
Total Health Expenditure .............................................................................................................................. 5
Total Health Expenditure by Financing Schemes ........................................................................................ 15
Total Health Expenditure by Revenue of Financing Schemes .................................................................... 18
Total Health Expenditure by Financing Agents ........................................................................................... 19
Out-of-Pocket (OOP) Expenditure on Healthcare ....................................................................................... 20
Total Health Expenditure by Providers ....................................................................................................... 26
Total Health Expenditure by Functions....................................................................................................... 32
Total Health Expenditure by Division.......................................................................................................... 38
Changes in the Bangladesh National Health Accounts 1997-2015 ............................................................. 44
Bibliography ................................................................................................................................................ 45
Bangladesh National Health Accounts 1997-2015 i|Page

List of tables
TABLE 1: TOTAL HEALTH EXPENDITURE (THE) AND PER CAPITA THE, 1997 – 2015 7
TABLE 2: THE AS PERCENTAGE OF GDP FOR SAARC COUNTRIES 7
TABLE 3: PPP ADJUSTED PER CAPITA GDP, THE 8
TABLE 4: TOTAL HEALTH EXPENDITURE, GDP, ANNUAL GROWTH RATES AND SHARE OF HEALTH ON GDP 1997-2015 9
TABLE 5: THE CURRENT AND CONSTANT PRICES (2015), AND ANNUAL GROWTH RATES 1997-2015 10
TABLE 6: A COMPARISON OF PER CAPITA TOTAL HEALTH EXPENDITURE THE AND GDP 1997 TO 2015 11
TABLE 7: PUBLIC AND PRIVATE THE AND ITS SHARE IN GDP 12
TABLE 8: PUBLIC EXPENDITURE AS PERCENTAGE OF THE BY SAARC NATIONS 13
TABLE 9: HOUSEHOLD OOP EXPENDITURE AS PERCENTAGE OF THE BY SAARC NATIONS 14
TABLE 10: THE BY FINANCING SCHEMES 1997-2015 (MILLION TAKA) 15
TABLE 11: SHARE OF DIFFERENT SCHEMES UNDER PUBLIC SPENDING 1997-2015 (MILLION TAKA) 15
TABLE 12: SHARE OF DIFFERENT SCHEMES UNDER PRIVATE SECTOR SPENDING 1997-2015 16
TABLE 13: THE BY REVENUE OF FINANCING SCHEMES 1997-2015 (MILLION TAKA) 18
TABLE 14: THE BY FINANCING AGENTS, 1997-2015 (MILLION TAKA) 19
TABLE 15: TOTAL HEALTH EXPENDITURE (THE) BY MAJOR FINANCING SCHEMES AND HOUSEHOLD SHARE 21
TABLE 16: GOVERNMENT FINANCING IN HEALTHCARE AS PERCENTAGE OF TOTAL PUBLIC CONSUMPTION 1997-2015 21
TABLE 17: HOUSEHOLD CONSUMPTION AND OUT OF POCKET HEALTHCARE EXPENDITURE BY QUINTILES 23
TABLE 18: SHARE OF OOP AND OTHER SCHEMES WITHIN PRIVATE FINANCING SCHEMES 1997-2015 (MILLION TAKA) 23
TABLE 19: OUT-OF-POCKET EXPENDITURE BY FUNCTIONS 1997-2015 (MILLION TAKA) 24
TABLE 20: OUT-OF-POCKET EXPENDITURE BY PROVIDERS 1997-2015 (MILLION TAKA) 24
TABLE 21: TOTAL HEALTH EXPENDITURE BY GENERAL PROVIDERS 1997-2015 (MILLION TAKA) 28
TABLE 22: EXPENDITURE AT VARIOUS TYPE OF HOSPITALS SERVICE PROVIDERS 1997-2015 (MILLION TAKA) 29
TABLE 23:HOSPITALS EXPENDITURE BREAKDOWN BY PUBLIC AND PRIVATE 1997-2015 (MILLION TAKA) 29
TABLE 24: EXPENDITURE BY DIFFERENT TYPE OF AMBULATORY HEALTHCARE PROVIDERS 1997-2015 (MILLION TAKA) 30
TABLE 25: EXPENDITURE BY DIFFERENT TYPE AMBULATORY HEALTHCARE PROVIDERS 1997-2015 (MILLION TAKA) 30
TABLE 26: EXPENDITURE BY PROVIDERS OF PUBLIC HEALTH CARE PROGRAMME 1997-2015 (MILLION TAKA) 31
TABLE 27: EXPENDITURE BY PROVIDERS OF PUBLIC HEALTH CARE PROGRAMME 1997-2015 (MILLION TAKA) 31
TABLE 28: TOTAL HEALTHCARE EXPENDITURE (THE) BY HEALTHCARE FUNCTION 1997-2015 (MILLION TAKA) 33
TABLE 29: CURATIVE CARE EXPENDITURE BY INPATIENT AND OUTPATIENT 1997-2015 34
TABLE 30: CURATIVE CARE EXPENDITURE BY PUBLIC AND PRIVATE 1997-2015 (MILLION TAKA) 34
TABLE 31: ANCILLARY SERVICES EXPENDITURE 1997-2015 (MILLION TAKA) 36
TABLE 32: PREVENTIVE CARE EXPENDITURE BY SERVICES 1997-2015 (MILLION TAKA) 36
TABLE 33: PREVENTIVE CARE EXPENDITURE BY PUBLIC AND PRIVATE 1997-2015 (MILLION TAKA) 37
TABLE 34: THE BY DIVISION 1997-2015 (MILLION TAKA) 39
TABLE 35: PER-CAPITA THE BY DIVISION 1997-2015 (TAKA) 39
TABLE 36: PUBLIC HEALTHCARE EXPENDITURE BY DIVISION 1997-2015 (MILLION TAKA) 41
TABLE 37: PER-CAPITA PUBLIC HEALTHCARE EXPENDITURE BY DIVISION 1997-2015(TAKA) 42
TABLE 38: PRIVATE HEALTHCARE EXPENDITURE BY DIVISION 1997-2015 (MILLION TAKA) 42
TABLE 39: PER-CAPITA PRIVATE HEALTHCARE EXPENDITURE BY DIVISION 1997-2015 (TAKA) 43
Bangladesh National Health Accounts 1997-2015 ii | P a g e

List of Figures
FIGURE 1: FLOW OF FUNDS 4

FIGURE 2: GROWTH OF GDP, THE AND CHE 1997-2015 10
FIGURE 3: GROWTH OF GDP AND THE 1997-2015 10
FIGURE 4:: GROWTH OF PER CAPITA GDP AND PER CAPITA THE 1997-2015 12
FIGURE 5: THE BY PUBLIC AND PRIVATE SECTOR 13
FIGURE 6: PREVENTIVE CARE EXPENDITURE BY PUBLIC AND PRIVATE 1997-2015 (MILLION TAKA) 17
FIGURE 7: OUT-OF-POCKET EXPENDITURE BY PROVIDERS 1997-2015 25
FIGURE 8: THE BY PROVIDERS 1997-2015 28
FIGURE 9: TOTAL HEALTH EXPENDITURE BY FUNCTION 1997-2015 33
FIGURE 10: THE AND PER-CAPITA THE BY DIVISION 2015 39
FIGURE 11: HEALTHCARE EXPENDITURE BY DIVISION, 1997-2015 41
Bangladesh National Health Accounts 1997-2015 iii | P a g e

Acronyms
BBS Bangladesh Bureau of Statistics
BNHA Bangladesh National Health Accounts
CGA Controller General of Accounts
DP Development Partner
FP Family Planning
FS Financing Schemes Revenue
GDP Gross Domestic Product
GOB Government of Bangladesh
GTZ German Technical Cooperation
HC Healthcare Functions
HF Healthcare Financing Schemes
HP Healthcare Providers
HEU Health Economics Unit
HIES Household Income and Expenditure Survey
ICHA International Classification for Health Accounts
MOF Ministry of Finance
MOHFW Ministry of Health and Family Welfare
NGO Non Government Organization
NHA National Health Accounts
NPI Non Profit Institution
NPISH Non-profit Institutions Serving Households
OECD Organization of Economic Cooperation and Development
OOP Out of Pocket Expenditure
PPP Purchasing Power Parity
ROW Rest of the World
SHA System of Health Accounts
THE Total Health Expenditure
WHO World Health Organization
Bangladesh National Health Accounts 1997-2015 iv | P a g e

Notes
Accounting Basis Development Partner Spending
The System of National Accounts (SNA-93) Government borrowing or receipt of grants

recommends compilation of all accounts from development partners for healthcare
relating to national accounting to be on a services is treated as government own
calendar year basis to ensure proper funds. This type of funds is directly
international comparison. Almost 70% of deposited at the treasury and at the time of
healthcare expenditure in Bangladesh are made disbursement source of funds are not
by the private sector and most of the private disclosed to the users.
sector healthcare providers are comfortable in
reporting annual expenditure on calendar year Foreign funds received directly by the NGOs
basis. However, all government accounts and are tracked and reported separately.
the public budget in the country are based on
fiscal or split year of July through June basis.
Purchasing Power Parity (PPP) Adjustment
Much of the public-sector data are compiled on The World Bank provided factors for
fiscal year basis by the Controller General of adjustment of Purchasing Power Parity is
Accounts (CGA). The CGA audited data is always used for PPP conversion of all healthcare
on fiscal year basis. Hence, when public sector expenditure for Bangladesh.
data is referred for a calendar year, say 2015,
that would mean it is referring to fiscal year
2014/15. This deviation from international
practice needs to be kept in view particularly in
international comparisons.
Expenditures are counted using an accrual

definition, i.e., the year defined for the
provision of health care goods and services is
the year in which the health care goods and
services are consumed. Annual government
expenditures do not need to be adjusted using
this definition, even though the accrual
(obligation incurred) year may or may not
exactly coincide with the fiscal year in which the
cash transaction occurs. This definition also
implies that the incurrence of liabilities by an
entity is equivalent to an actual expenditure.
Bangladesh National Health Accounts 1997-2015 v|Page

Highlights
• Bangladesh National Health Expenditure relating to healthcare. The Ministry of

calculate Total Health Expenditure (THE) Health and Family Welfare (MOHFW)
as Current Health Expenditure (CHE) plus financing share of total public spending
gross capital formation for the year plus has remained stable over the years --
expenditure on medical education and 96% in 1997, 94% in 2015.,. There has
research. THE for Bangladesh in 2015 is been a marginal increase in expenditure
estimated at Taka 452 billion. This is by other ministries. The share of local
equivalent to Taka 2,882 per person, or government in financing has remained
US$37 per capita. below 1%.
• Share of THE in Gross Domestic Product • Over the years, private sector financing
(GDP) continues to grow at a high pace. of health expenditure is dominated by
THE accounted for around 2% of GDP in household Out of Pocket (OOP)
1997; in 2015, it is estimated at 3% of spending. It has ranged from 83% to 89%
GDP. Under National Health Accounts during the 1997 to 2015 period. Health
(NHA) parlance, all non-government insurance primarily dominated by
expenditure is termed private sector Employer-sponsored insurance’s
outlay. THE in Bangladesh is dominated contributions has been varying between
by private sector financing. In 2015, 0.6% to 1% of total private sector
private sector financing accounted for financing. Relative share of all private
77% of THE, and public sector’s share sector financing sources has not changed
was 23%. Donor funds utilized directly by significantly over time. OOP healthcare
private providers is estimated at 7%, expenditure in Bangladesh is progressive
while such funds channeled through the whereby the richest quantile of the
government treasury are included under population pays for the maximum
public financing. Despite government’s amount of OOP.
continued increase in public sector
financing, their relative share has • Expenditure for inpatient care has
declined from 36% of THE in 1997 to increased over time from 41% in 1997 to
23% in 2015. 51% to 2015. During the 1997 – 2015
period, share of expenditure on
• Real growth in THE averaged 6% outpatient care has fallen from 55% to
between 1997 and 2015 with the highest 46%.
growth rate (11%) occurring in 2006.
Real growth rate of THE for 2015 is • Share of public financing in curative care
estimated at 5.6% while it is 4.8% for has declined significantly – 26% in 2015
Current Health Expenditure (CHE). CHE compared to 56% in 1997. The decline
does not include capital investment does not imply only 23% curative care
Bangladesh National Health Accounts 1997-2015 1|Page

service is provided by public facilities. for highest (46%) while Sylhet and
Rather, it reflects highly expensive Barisal are jointly lowest (4%) in 2015.
private sector curative care availed. Dhaka enjoys highest amount of
contribution from both public (36%) and
• In 2015, pharmaceuticals account for the private (49%).
largest amount of spending (43%),
followed by providers of curative care • For 2015, per capita health spending on
(25%) and preventive care (11%). The healthcare for Bangladesh is Taka 2,882
trends over time show that ($37). For residents of Dhaka division, it
pharmaceuticals share of spending has is Taka 3,832 followed by Taka 3,315 in
increased, while spending on Khulna. Per capita spending by
governance, health system and financing government is around Taka 652 in 2015.
administration has decreased. The highest level of per capita
government spending is in the Rajshahi
• Divisional breakdown of total health division at Taka 679 per capita.
expenditure shows that Dhaka accounts

Bangladesh National Health Accounts 1997-2015
Background
Health system across Bangladesh continues to Flow of Funds

expand, offering greater access to healthcare
Payment of healthcare good and services are
services, increased availability of specialized
mostly met by government and households.
medical and diagnostic facilities, supply of
Third party payment mechanisms like social or
trained healthcare professionals is on the rise,
private insurance have little or no significant
and the public and private sector continue
role in Bangladesh. Funds mostly pass directly
investing in medical education and training
to the providers by financing schemes of the
institutes. The Ministry of Health and Family
government or from households’ out-of-pocket
Welfare (MOHFW) of the Government of
payment. Apart from the government and
Bangladesh is mandated to oversee
households, foreign development partners also
development and efficient functioning of the
fund directly to the Non-Profit Institute Serving
health system of the country. The Bangladesh
Households (NIPSH).
National Health Accounts (BNHA) prepared by
the Health Economics Unit (HEU) under Public sector financing
MOHFW is an effort from the government to
provide a detailed breakdown of annual The central government undertakes
healthcare expenditures. responsibility for government funding. Funding
by the local government and other public sector
According to the System of Health Accounts agencies is minimal, and primarily limited to
2011 (SHA 2011) guideline, the definition of urban areas. Government funding is largely
National Health Accounts (NHA) do not include directed through the Ministry of Health and
healthcare investment and education within the Family Welfare (MOHFW). Health spending by
core function of healthcare and treat them the government is derived from two sources:
distinctly under capital account. The Bangladesh revenue and development budget. In most
National Health Accounts (BNHA) therefore cases, recurrent expenditure of the MOHFW is
prepares two sets of National Health Accounts funded through the revenue budget. All
estimates: (I) BNHA estimates which reveals MOHFW development programmes (mostly
total expenditure made under the health investment and technical assistance) are
system for a specific year; (ii) SHA based NHA financed through the development budget. The
estimates that offers breakdown of expenditure government also provide funds to NIPSH for
based on World Health Organization (WHO) carrying out public health programmes.
classification.

Private sector financing A sizeable portion of development budget in
Bangladesh is financed through international
Health system in Bangladesh is predominantly
development partners and MOHFW is no
funded by the private sector financing
exception to that. The largest donors in the
mechanism. While the household finance
health sector are USAID, European Union, CIDA,
around 67% of healthcare payment, large
DFID, Asian Development Bank and the World
private corporation and companies are
Bank. International donors disburse funds both
investing in curative and tertiary care
to government and NGOs. An overview of flow
specialized hospitals. NGO financing from its
of funds through revenue and finance schemes,
own resources is small (<3% of total financing),
and a listing of major providers is presented in
as NGOs receive most of their funds from
Figure 1.
foreign and local donors.
Figure 1: Flow of Funds
Revenue of the Schemes Financing Schemes Providers

Public Sector Financing
1. Medical University Hospitals
Government of BD MOHFW Revenue Budget 2. MoHFW medical college hospitals
3. Non-MoHFW medical college hospitals
4. Private/NGO medical college hospitals
5. MoHFW District/General hospitals
6. Non-MoHFW District/General hospitals
MOHFW Development Budget
Foreign Donors 7. Private hospitals at district level
8. NGO hospitals at district level
9. MoHFW hospitals at Upazila level and below
10. MOHFW Mental Hospital
Other Ministries 11. MoHFW specialized hospitals
12. NGO specialized hospitals
13. Govt. Outpatient Centers
14. General physicians (private practices)
15. Dental practice
Corporations Corporations Health Offices 16. Homeopathic care practitioners
17. Ayurvdic/unani care practitioners
18. MOHFW Health and Family planning centers/Dispensaries
19. MOHFW Community Clinics
Local Governments Local Govt Healt Offices 20. NGO ambulatory health care centers at District and Union
21. Medical and diagnostic laboratories
22. Pharmacies/Retail Drug Outlet
23. Orthopedic appliances retail outlets
24. Glasses and vision product retail outlets
Private Sector Financing 25. Hearing goods retail outlets
26. DGHS public health programmes
Non Govt Donors Non-Profit Inst. and NGOs 27. DGFP public health programmes
28. GoB non-MoHFW public health programmes
29. NGO public health programmes
30. MoHFW secretariat
31. MoHFW's other administrative services -- DGHS
Firms 32. Non-MoHFW government health administration agencies
33. Health education, research and training institutions
34. Drug Manufacturers
Private Insurance 35. Govt. Enterprises as secondary providers of health care
36. Private Enterprises as secondary providers of health care
Households 37. Local Govt. Enterprises as secondary providers of health care

Total Health Expenditure
Total Health Expenditure (THE) under (13.7%) in 2014 followed by Afghanistan (8.2%).
Bangladesh National Health Accounts (BNHA) is Healthcare expenditure in Nepal has been
defined as Current Health Expenditure (CHE) around 6% of GDP since 2004.
plus expenditure made on gross capital
formation and education accounts. CHE Recently the Bangladesh Bureau of Statistics
accounts for 2.98% of Bangladesh’s Gross (BBS) published revised GDP estimates of all
Domestic Product (GDP) in 2015. THE estimated economic indicators, and for calculation of real
for 2015 is Taka 452 billion (Table 1) while values, changed the base year from 1995/96 to
consumption of THE on healthcare according to 2005/06. The revision of GDP and other
the System of Health Accounts (SHA2011) economic indicators warranted re-estimates of
guidelines known as CHE is Taka 415 billion. Per previous BNHA expenditure estimates on
capita THE for 2015 is estimated Taka 2,882 healthcare. Apart from this adjustment due to
(US$37) and CHE is Taka 2,647 (US$34). During revised GDP number, the Purchasing Power
the last one decade, THE remained steady at Parity (PPP) adjusted per capita THE and GDP is
around 3% of GDP. also estimated and presented in Table 3.
Adjusted THE per capita for Bangladesh is US$
The Global Health Database of the World Health 102 for 2015 against an adjusted per capita GDP
Organization (WHO) website provides of US $3,429.
healthcare expenditure for various countries.
Notwithstanding differences in inter-country In nominal terms, health sector in Bangladesh
estimation procedures, Table 2 provides trend has grown at a higher rate than GDP during the
on THE as share of GDP for South Asian last two decades. The average nominal growth
Association for Regional Cooperation (SAARC) of THE for the period 1998-2015 is 13%. The
countries. A comparison of percentage share highest annual growth was in 2006 -- 19%. The
reported for Bangladesh by WHO with BNHA lowest growth was 8% in 2003 (Table 4). For
estimates shows some differences when BNHA, constant price health expenditure is
compared with THE as well as CHE. For expressed in terms of 2015 price. Using 2015 as
comparison, BNHA estimates for both THE and the base year, a comparison of Total Health
CHE is shown separately along with WHO Expenditure (THE) in nominal and constant
estimates (Table 2). In 2014, Bangladesh’s THE price is presented in (Table 5). Table 5 also
as a percentage of GDP is 2.8%. A comparison of provides a comparison of growth rate for THE
THE as percentage of GDP amongst SAARC both in current and constant price. In 2015, the
countries reveals that Bangladesh is the second growth rate of THE in current price was 13.5%,
lowest country in the region. Within the SAARC and 7.1% when adjusted for inflation.
nations, Maldives accounts for highest
During 1997-2015, real growth in per capita THE
healthcare spending as percentage of GDP
averaged around 6%. The highest percentage of

real growth rate (around 11%) occurred in 2006 BNHA track and estimates donor funds utilized
(Table 6). For 2015, the per capita grew at 5.7%. directly by private providers, while such funds
A separate calculation of per capita CHE was channeled through the Treasury are included
carried out. CHE growth in 2015 is 4.9% Despite under public financing. Public financing as
lower percentage of real growth in CHE for percentage of GDP remains below 1% for last
2015, a trend analysis of real growth for THE two decades while private financing has grown
and CHE for last two decades shows that since to 2.3% of GDP in 2015 from 2.02 in 2006 and
2007 CHE grew at a faster pace than THE 1.4% in 1997 (Table 7).
overtime. A graphical presentation of real
growth in GDP, THE and CHE is presented in Further analysis of healthcare expenditure by
Figure 2. Constant growth rate of GDP and THE SAARC nations shows that in Maldives, Bhutan
is shown in constant value (Figure 3) where and Sri-Lanka the government finance for more
2015 is used as the base year. than 50% of THE. In 2014, government share on
THE for Maldives, Bhutan and Sri Lanka was
Although government expenditure in healthcare 78%, 73% and 56% respectively (Table 8).
is increasing every year, percentage share of Analysis of household out-of-pocket (OOP)
government financing in health continues to expenditure amongst the SAARC countries
decline. In 2015, the government spent around shows that the lowest percentage of household
Taka 102 billion in health which accounts for OOP is in Maldives (18%) followed by Bhutan
23% of THE (Table 7), and 0.67% of (25%) where both the countries enjoy high level
Bangladesh’s GDP. Total health expenditure of public spending in healthcare (Table 9).
constitutes around 3% of GDP, as discussed
earlier, implying that the remaining bulk of
health sector financing is from the private
sector – 2.3%, of which almost two-third is by
households.

Table 1: Total Health Expenditure (THE) and Per Capita THE, 1997 – 2015
Total Health
Total Health Total Health
Expenditure (THE) in Per Capita (Nominal Per Capita
Expenditure in Current Expenditure as %
Constant Price (Base Taka) (Nominal $)
Price (million Taka) of GDP
Year 2015) (million Taka)
THE CHE THE CHE THE CHE THE CHE THE CHE
1997 46,754 42,959 126,979 116,672 2.3 2.1 382 351 $9 $8
1998 50,904 46,909 131,999 121,637 2.2 2.1 408 376 $9 $8
1999 56,985 52,718 142,383 131,721 2.3 2.1 448 414 $9 $9
2000 63,008 58,053 152,188 140,218 2.3 2.2 492 453 $10 $9
2001 72,030 61,855 168,484 144,684 2.5 2.1 553 475 $10 $9
2002 81,559 72,818 183,623 163,944 2.6 2.3 615 549 $11 $10
2003 87,882 81,846 186,986 174,143 2.5 2.3 652 607 $11 $10
2004 100,456 91,764 204,413 186,726 2.6 2.4 734 670 $12 $11
2005 115,399 105,324 224,522 204,921 2.7 2.5 831 758 $14 $12
2006 137,114 121,711 251,967 223,662 2.8 2.5 975 865 $15 $13
2007 156,977 143,095 270,935 246,975 2.9 2.6 1,104 1,006 $16 $15
2008 181,775 159,566 290,870 255,332 2.9 2.5 1,265 1,110 $18 $16
2009 207,671 184,396 311,254 276,370 2.9 2.6 1,430 1,270 $21 $18
2010 246,040 218,599 344,170 305,784 3.1 2.7 1,675 1,488 $24 $21
2011 288,806 258,981 374,555 335,874 3.2 2.8 1,945 1,745 $25 $23
2012 323,437 297,745 387,806 357,000 3.1 2.8 2,156 1,984 $27 $25
2013 353,960 327,909 395,991 366,847 3.0 2.7 2,318 2,147 $29 $27
2014 398,420 368,839 421,819 390,500 3.0 2.7 2,575 2,384 $33 $31
2015 451,889 415,066 451,889 415,066 3.0 2.7 2,882 2,647 $37 $34
Table 2: THE as Percentage of GDP for SAARC Countries
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
SAARC Countries
Afghanistan 8.8 8.1 7.4 6.7 8.3 9.4 9.2 7.9 8.5 8.1 8.2
Bangladesh 2.6 2.7 2.8 2.8 2.8 2.9 3.1 3.2 3.1 2.9 2.8
BNHA—THE 2.6 2.7 2.8 2.9 2.9 2.9 3.1 3.2 3.1 3.0 3.0
BNHA—CHE 2.4 2.5 2.5 2.6 2.5 2.6 2.7 2.8 2.8 2.7 2.7
Bhutan 4.4 5.3 5.3 5.9 6.6 6.0 5.2 4.7 3.7 3.8 3.6
India 4.2 4.3 4.2 4.2 4.3 4.4 4.3 4.3 4.4 4.5 4.7
Maldives 5.9 9.5 7.4 6.6 9.3 9.2 7.9 8.1 9.2 11.2 13.7
Nepal 5.8 5.7 5.7 5.8 6.4 6.4 6.4 6.7 5.9 5.7 5.8
Pakistan 2.6 2.9 3.4 3.4 3.3 2.9 3.0 3.0 2.8 2.7 2.6
Sri Lanka 4.3 4.1 4.1 3.8 3.4 3.4 3.4 3.3 3.2 3.7 3.5
Source: Global Health Expenditure Database, WHO website

Table 3: PPP Adjusted Per Capita GDP, THE
Year GDP GDP Population Per Per Per Per Implied Purchasing Taka Purchasing Purchasing
at in (Million) Capita Capita Capita Capita PPP Power Rate Power Parity Power
current US$ GDP GDP THE THE conversion Parity per (PPP) per Parity
price (in (Taka) ($) ($) rate (PPP) per US$ capita THE (PPP) per
(billion billion) capita GDP ($) capita THE
Taka) ($) (Taka)
1997 2,060 $48 122.37 16,834 $394 382 $9 $15 $1,150 42.70 $26 1,115
1998 2,269 $50 124.80 18,183 $400 408 $9 $15 $1,199 45.46 $27 1,223
1999 2,465 $51 127.22 19,377 $403 448 $9 $16 $1,250 48.06 $29 1,389
2000 2,685 $53 128.02 20,974 $417 492 $10 $16 $1,338 50.31 $31 1,579
2001 2,913 $54 130.34 22,351 $414 553 $10 $16 $1,412 53.96 $35 1,884
2002 3,143 $55 132.64 23,695 $413 615 $11 $16 $1,463 57.44 $38 2,181
2003 3,483 $60 134.86 25,828 $446 652 $11 $17 $1,537 57.90 $39 2,245
2004 3,833 $65 136.95 27,988 $475 734 $12 $17 $1,637 58.94 $43 2,528
2005 4,271 $70 138.88 30,751 $501 831 $14 $17 $1,775 61.39 $48 2,944
2006 4,823 $72 140.63 34,299 $511 975 $15 $18 $1,927 67.08 $55 3,675
2007 5,498 $80 142.21 38,661 $560 1,104 $16 $18 $2,094 69.03 $60 4,128
2008 6,287 $92 143.71 43,746 $638 1,265 $18 $20 $2,240 68.60 $65 4,443
2009 7,051 $102 145.25 48,543 $706 1,430 $21 $21 $2,346 68.80 $69 4,754
2010 7,975 $113 146.89 54,296 $768 1,675 $24 $22 $2,479 70.74 $76 5,410
2011 9,158 $119 148.46 61,691 $801 1,945 $25 $23 $2,665 77.00 $84 6,472
2012 10,552 $133 150.04 70,329 $889 2,156 $27 $25 $2,861 79.10 $88 6,936
2013 11,989 $150 152.70 78,515 $982 2,318 $29 $26 $3,028 79.93 $89 7,146
2014 13,437 $173 154.70 86,857 $1,118 2,575 $33 $27 $3,227 77.72 $96 7,437
2015 15,158 $195 156.80 96,671 $1,245 2,882 $37 $28 $3,429 77.63 $102 7,936

Table 4: Total Health Expenditure, GDP, Annual Growth Rates and Share of Health on GDP 1997-2015
Total health expenditure GDP

Year Nominal Nominal Ratio of health
Amount (Taka Growth rate Amount (Taka Growth rate expenditure to GDP
Million) (%) Million) (%) (%)
1997 46,754 2,060,032 2.3
1998 50,904 9% 2,269,299 10% 2.2
1999 56,985 12% 2,465,089 9% 2.3
2000 63,008 11% 2,685,033 9% 2.3
2001 72,030 14% 2,913,371 9% 2.5
2002 81,559 13% 3,142,804 8% 2.6
2003 87,882 8% 3,483,201 11% 2.5
2004 100,456 14% 3,832,939 10% 2.6
2005 115,399 15% 4,270,741 11% 2.7
2006 137,114 19% 4,823,370 13% 2.8
2007 156,977 14% 5,497,997 14% 2.9
2008 181,775 16% 6,286,822 14% 2.9
2009 207,671 14% 7,050,718 12% 2.9
2010 246,040 18% 7,975,387 13% 3.1
2011 288,806 17% 9,158,288 15% 3.2
2012 323,437 12% 10,552,040 15% 3.1
2013 353,960 9% 11,989,232 14% 3.0
2014 398,420 13% 13,436,744 12% 3.0
2015 451,889 13% 15,158,022 13% 3.0
Average annual growth rate
1998-2002 12% 9% 2.4
2003-2007 14% 12% 2.7
2008-2012 16% 14% 3.0
2013-2015 12% 13% 3.0
1998-2015 13% 12% 2.8

Figure 2: Growth of GDP, THE and CHE 1997-2015
Table 5: THE Current and Constant Prices (2015), and Annual Growth Rates 1997-2015
Total Health Expenditure (Taka Million) Growth rate over previous year (%)
Year Current Constant (a) Current Constant
1997 46,754 126,979
1998 50,904 131,999 8.9 4.0
1999 56,985 142,383 11.9 7.9
2000 63,008 152,188 10.6 6.9
2001 72,030 168,484 14.3 10.7
2002 81,559 183,623 13.2 9.0
2003 87,882 186,986 7.8 1.8
2004 100,456 204,413 14.3 9.3
2005 115,399 224,522 14.9 9.8
2006 137,114 251,967 18.8 12.2
2007 156,977 270,935 14.5 7.5
2008 181,775 290,870 15.8 7.4
2009 207,671 311,254 14.2 7.0
2010 246,040 344,170 18.5 10.6
2011 288,806 374,555 17.4 8.8
2012 323,437 387,806 12.0 3.5
2013 353,960 395,991 9.4 2.1
2014 398,420 421,819 12.6 6.5
2015 451,889 451,889 13.4 7.1
Average annual growth rate
1998-2002 64,897.3 155,735.4 11.8 7.7
2003-2007 119,565.7 227,764.7 14.0 8.1
2008-2012 249,546.0 341,731.0 15.6 7.5
2003-2015 401,423.1 423,232.9 11.8 5.3
1998-2015 180,056.2 264,359.6 13.5 7.3

(a) Constant value is calculated using 2015 as base year
Figure 3: Growth of GDP and THE 1997-2015
Bangladesh National Health Accounts 1997-2015 10 | P a g e

Table 6: A Comparison of Per Capita Total Health Expenditure THE and GDP 1997 to 2015
Per Capita THE Per Capita GDP

Year Current Constant Current Real growth Current Constant Current
(Taka) (Taka) (US$) rate (%) (Taka) (Taka) (US$)
1997 382 1,038 $9 16,834 45,721 $394
1998 408 1,058 $9 1.9 18,183 47,150 $400
1999 448 1,119 $9 5.8 19,377 48,416 $403
2000 492 1,189 $10 6.2 20,974 50,659 $417
2001 553 1,293 $10 8.7 22,351 52,282 $414
2002 615 1,384 $11 7.1 23,695 53,347 $413
2003 652 1,387 $11 0.2 25,828 54,955 $446
2004 734 1,493 $12 7.6 27,988 56,951 $475
2005 831 1,617 $14 8.3 30,751 59,830 $501
2006 975 1,792 $15 10.8 34,299 63,030 $511
2007 1,104 1,905 $16 6.3 38,661 66,727 $560
2008 1,265 2,024 $18 6.2 43,746 70,000 $638
2009 1,430 2,143 $21 5.9 48,543 72,756 $706
2010 1,675 2,343 $24 9.3 54,296 75,951 $768
2011 1,945 2,523 $25 7.7 61,691 80,007 $801
2012 2,156 2,585 $27 2.4 70,329 84,325 $889
2013 2,318 2,593 $29 0.3 78,515 87,838 $982
2014 2,575 2,727 $33 5.1 86,857 91,958 $1,118
2015 2,882 2,882 $37 5.7 96,671 96,671 $1,245
Annual growth rate

1998-2002 503 1,209 $10 6.0 20,916 50,371 409
2003-2007 859 1,639 $14 6.7 31,505 60,298 499
2008-2012 1,694 2,324 $23 6.3 55,721 76,608 760
2013-2015 2,592 2,734 $33 3.7 87,348 92,156 1,115
1998-2015 1,281 1,892 $18 5.9 44,597 67,381 649

Figure 4:: Growth of Per Capita GDP and Per Capita THE 1997-2015
3.50
3.00
2.50
Percentage (%)
2.00
1.50
1.00
0.50
-
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Year
THE as % of GDP Public as % of GDP Private as % of GDP
Table 7: Public and Private THE and its Share in GDP
Public as % Private as %
Year THE Public Private THE as % of GDP of GDP of GDP
1997 46,754 17,139 29,615 2.27 0.83 1.44
1998 50,904 17,856 33,048 2.24 0.79 1.46
1999 56,985 18,807 38,178 2.31 0.76 1.55
2000 63,008 20,626 42,382 2.35 0.77 1.58
2001 72,030 23,485 48,545 2.47 0.81 1.67
2002 81,559 25,926 55,633 2.60 0.82 1.77
2003 87,882 25,672 62,210 2.52 0.74 1.79
2004 100,456 30,310 70,145 2.62 0.79 1.83
2005 115,399 30,779 84,620 2.70 0.72 1.98
2006 137,114 39,572 97,543 2.84 0.82 2.02
2007 156,977 42,227 114,751 2.86 0.77 2.09
2008 181,775 45,887 135,888 2.89 0.73 2.16
2009 207,671 51,655 156,016 2.95 0.73 2.21
2010 246,040 62,974 183,066 3.08 0.79 2.30
2011 288,806 71,776 217,030 3.15 0.78 2.37
2012 323,437 75,380 248,057 3.07 0.71 2.35
2013 353,960 84,117 269,843 2.95 0.70 2.25
2014 398,420 93,452 304,969 2.97 0.70 2.27
2015 451,889 102,424 349,464 2.98 0.68 2.31

Figure 5: THE by Public and Private Sector
VALUES ARE IN MILLION TAKA
349,464
304,969
269,843
248,057
Public sector
217,030
Private sector
183,066
156,016
135,888
114,751
102,424
97,543
93,452
84,620
84,117
75,380
71,776
70,145
62,974
62,210
55,633
51,655
48,545
45,887
42,382
42,227
39,572
38,178
33,048
30,779
30,310
29,615
25,926
25,672
23,485
20,626
18,807
17,856
17,139
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Table 8: Public Expenditure as Percentage of THE by SAARC Nations
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
SAARC Countries
Afghanistan 11 10 14 8 17 27 31 26 34 33 36
Bangladesh 40 36 37 35 34 34 34 33 32 28 28
BNHA--THE 30 27 29 27 25 25 26 25 23 24 23
BNHA--CHE 24 22 23 23 21 20 21 21 20 19 19
Bhutan 72 79 81 87 85 81 88 88 73 73 73
India 24 26 26 26 27 28 27 27 27 28 30
Maldives 66 75 71 69 76 73 67 69 71 74 78
Nepal 27 28 36 39 42 44 45 48 42 39 40
Pakistan 26 24 23 24 26 27 32 31 37 37 35
Sri Lanka 47 46 48 49 46 46 45 42 38 57 56

Table 9: Household OOP Expenditure as Percentage of THE by SAARC Nations
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
SAARC Countries
Afghanistan 89 90 85 92 83 72 69 73 65 67 64
Bangladesh 58 60 59 61 60 61 61 61 63 67 67
BNHA--THE 58 60 58 61 60 61 61 61 63 65 66
BNHA--CHE 63 65 66 66 68 68 68 68 68 69 71
Bhutan 28 21 18 13 15 18 11 12 26 25 25
India 68 66 66 65 64 63 63 64 65 64 62
Maldives 23 18 21 23 18 21 27 25 24 22 18
Nepal 55 53 47 50 48 45 45 41 46 49 48
Pakistan 61 66 69 68 66 64 61 61 55 55 56
Sri Lanka 44 45 43 42 44 44 45 48 49 41 42

Total Health Expenditure by Financing Schemes
The structure of healthcare financing system in Since 1997, the Ministry of Health and Family
Bangladesh, primarily consists of Household Welfare (MOHFW) remains the largest
schemes to finance out-of-pocket payment, contributor for Government schemes (Table 11).
Government schemes, Voluntary health In 2015, MOHFW alone contributed about Taka
insurance schemes, NGOs financing schemes, 96 billion (94% of total public expenditure)
Corporations, autonomous bodies and private while the combined contribution of all other
companies, and Rest of the World Voluntary ministries was around Taka 6 billion. For private
Schemes. Financing schemes in Bangladesh is sector schemes, household accounts for Taka
dominated by Household schemes followed by 302 billion (88%) of private expenditure in 2015
Government schemes. In 2015, households followed by financing schemes of the foreign
financed Taka 302 billion (67% of THE), development partners implemented by NGOs
government’s contribution is Taka 102 billion (Table 12). Other private financing schemes,
(23% of THE). (Table 10). Although, government primarily offered by private companies and
funding in healthcare continues to increase in corporations, accounts for around 2% of total
nominal Taka, its share in THE kept on declining. private schemes in 2015. Since 2005, the share
In 1997 government share on THE was 37% of private scheme showed a marked increase
which is now only 23%. largely due to new investments in several large
sized private hospitals in Dhaka.
Table 10: THE by Financing Schemes 1997-2015 (million Taka)
Year Government Voluntary Non-profit Corporations, Out-of-pocket Rest of the World Total Health
schemes health institution/NGO autonomous expenditure Voluntary Expenditure
insurance financing schemes bodies and excluding cost- Schemes (THE)
schemes private sharing
companies
1997 17,139 28 461 569 25,909 2,651 46,757
1998 17,856 31 537 687 29,083 2,715 50,909
1999 18,807 34 692 719 32,541 4,034 56,829
2000 20,626 38 770 1,156 35,885 4,534 63,008
2001 23,485 86 1,131 557 40,679 6,079 72,017
2002 25,926 94 1,411 1,043 45,809 7,276 81,559
2003 25,672 103 1,524 1,125 51,551 7,907 87,882
2004 30,310 115 1,825 1,137 57,876 9,192 100,456
2005 30,779 125 2,599 3,099 68,840 9,957 115,399
2006 39,572 142 3,257 4,376 79,860 9,908 137,114
2007 42,227 168 3,194 4,863 95,001 11,525 156,977
2008 45,887 206 3,333 10,838 108,195 13,317 181,775
2009 51,655 249 3,523 9,690 125,236 17,317 207,671
2010 62,974 308 3,707 10,922 148,488 19,641 246,040
2011 71,776 339 5,311 12,593 176,473 22,314 288,806
2012 75,380 381 5,656 11,468 203,407 27,144 323,437
2013 84,117 507 5,127 6,801 227,707 29,701 353,961
2014 93,452 549 5,933 6,337 261,535 30,614 398,420
2015 102,424 705 6,918 7,422 302,306 32,113 451,889
Row % 23% 0% 2% 2% 67% 7% 100%
Table 11: Share of Different Schemes Under Public Spending 1997-2015 (million Taka)

Ministry of Health and Family Other Ministries not Local Government Local Government
Year Welfare (MOHFW) mentioned elsewhere (City Corporations) (Municipalities)
Million Million
Million Taka Row % Million Taka Row % Row % Row %
Taka Taka
1997 16,394 96% 673 4% 60 0% 13 0.1%
1998 16,984 95% 761 4% 96 1% 15 0.1%
1999 17,835 95% 866 5% 90 0% 17 0.1%
2000 18,841 91% 1,376 7% 137 1% 272 1.3%
2001 21,781 93% 1,533 7% 168 1% 3 0.0%
2002 23,788 92% 1,588 6% 177 1% 373 1.4%
2003 23,250 91% 1,896 7% 131 1% 395 1.5%
2004 27,666 91% 2,230 7% 107 0% 307 1.0%
2005 28,098 91% 2,246 7% 116 0% 319 1.0%
2006 36,752 93% 2,347 6% 139 0% 335 0.8%
2007 39,028 92% 2,530 6% 142 0% 525 1.2%
2008 42,482 93% 3,096 7% 164 0% 145 0.3%
2009 47,420 92% 3,402 7% 141 0% 692 1.3%
2010 57,803 92% 3,927 6% 134 0% 1,110 1.8%
2011 66,251 92% 4,384 6% 136 0% 1,005 1.4%
2012 69,065 92% 5,336 7% 124 0% 855 1.1%
2013 78,506 93% 5,295 6% 144 0% 173 0.2%
2014 87,570 94% 5,405 6% 158 0% 319 0.3%
2015 95,878 94% 5,863 6% 172 0% 512 0.5%
Table 12: Share of Different Schemes Under Private Sector Spending 1997-2015
Household out-of-pocket NPISH/NGO financing Other private Foreign development

Year spending schemes financing schemes agencies scheme
Million Million
Million Taka Row % Million Taka Row % Row % Row %
Taka Taka
1997 25,905 88% 461 2% 313 1% 2,651 9%
1998 29,079 89% 537 2% 356 1% 2,715 8%
1999 32,540 86% 692 2% 404 1% 4,034 11%
2000 35,885 86% 770 2% 516 1% 4,534 11%
2001 40,679 84% 1,131 2% 553 1% 6,079 13%
2002 45,809 83% 1,411 3% 622 1% 7,276 13%
2003 51,431 84% 1,524 2% 720 1% 7,907 13%
2004 57,651 83% 1,825 3% 790 1% 9,192 13%
2005 68,581 84% 2,599 3% 886 1% 9,957 12%
2006 79,860 85% 3,257 3% 1,020 1% 9,908 11%
2007 94,570 86% 3,194 3% 1,198 1% 11,525 10%
2008 108,195 86% 3,333 3% 1,343 1% 13,317 11%
2009 125,236 85% 3,523 2% 1,562 1% 17,317 12%
2010 148,488 86% 3,707 2% 1,800 1% 19,641 11%
2011 176,473 86% 5,311 3% 1,975 1% 22,314 11%
2012 203,407 85% 5,656 2% 2,175 1% 27,144 11%
2013 227,707 86% 5,127 2% 2,581 1% 29,701 11%
2014 261,535 87% 5,933 2% 2,828 1% 30,614 10%
2015 302,306 88% 6,918 2% 3,191 1% 32,113 9%

Figure 6: Preventive Care Expenditure by Public and Private 1997-2015 (million Taka)
35,000
30,000
25,000
Million Taka
20,000
15,000
10,000
5,000
-
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Public Private

Total Health Expenditure by Revenue of Financing Schemes
Source of revenue for different financing for the same are observed. Voluntary payment
schemes is termed as Revenue of Financing primarily paying insurance premium by
Schemes under the System of Health Accounts employer and household was Taka 705 million
2011. As mentioned earlier in this report, in in 2015 (Table 13). Government’s receipts of
Bangladesh, third party payment mechanisms foreign funds as loan or grants cannot be
like social or private insurance have no or very tracked, and therefore do not reflect any
insignificant role. As such, no differences in changes in the Revenue of the Schemes
expenditure figure between large Financing estimates.
Schemes like household and government versus
Revenue of the Financing Schemes (Table 13)
Table 13: THE by Revenue of Financing Schemes 1997-2015 (million Taka)
Transfers Transfers
from from Other Other
Govt. government central Voluntary revenues revenues Other Direct Total
Internal on behalf of government prepayment from from revenues foreign Health
transfers specific domestic from households corporations from NPISH financial Expenditure
Year and grants groups revenue employers n.e.c. n.e.c. n.e.c. transfers (THE)
1997 16,707 60 373 28 25,909 569 461 2,651 46,757
1998 17,373 96 387 31 29,083 687 537 2,715 50,909
1999 18,311 90 406 34 32,541 719 692 4,034 56,829
2000 19,821 137 668 38 35,885 1,156 770 4,534 63,008
2001 19,277 168 4,040 86 40,679 557 1,131 6,079 72,017
2002 21,270 177 4,480 94 45,809 1,043 1,411 7,276 81,559
2003 22,666 131 2,875 103 51,551 1,125 1,524 7,907 87,882
2004 29,477 107 726 115 57,876 1,137 1,825 9,192 100,456
2005 29,987 116 677 125 68,840 3,099 2,599 9,957 115,399
2006 38,741 139 692 142 79,860 4,376 3,257 9,908 137,114
2007 41,183 142 902 168 95,001 4,863 3,194 11,525 156,977
2008 45,104 164 619 206 108,195 10,838 3,333 13,317 181,775
2009 50,283 141 1,231 249 125,236 9,690 3,523 17,317 207,671
2010 61,215 134 1,625 308 148,488 10,922 3,707 19,641 246,040
2011 69,917 136 1,723 339 176,473 12,593 5,311 22,314 288,806
2012 73,788 124 1,468 381 203,407 11,468 5,656 27,144 323,437
2013 83,158 144 815 507 227,707 6,801 5,127 29,701 353,960
2014 92,196 158 1,098 549 261,535 6,337 5,933 30,614 398,420
2015 100,519 172 1,734 705 302,306 7,422 6,918 32,113 451,889
Row % 22.2% 0.0% 0.4% 0.2% 66.9% 1.6% 1.5% 7.1% 100%

Total Health Expenditure by Financing Agents
Financing agents are institutional units that categorized into Central government and
manage one or more financing schemes. For State/Regional/Local government. In 2015,
example, households are the financing agents Central government as financing agent spent
for out-of-pocket payments schemes. In the Taka 100 billion, which is 98% of total public
Financing Schemes tables, what shown as spending. The State/Regional/Local government
Government Schemes includes public accounted for the remaining Taka 2.2 billion
expenditure by Ministry of Health and Family outlay (Table 14).
Welfare (MOHFW), Other Ministries, City
Corporations and Municipalities. In Table 14,
Financing Agent for Government Schemes are
Table 14: THE by Financing Agents, 1997-2015 (million Taka)
Mutual Corporations Non-profit

State/ All other and other Health (other than institutions
Regional/ general Commercial non-profit management providers of serving Rest of
Central Local governm insurance insurance and provider health households the Total Health
Year govt. govt. ent units companies company corporations services) (NPISH) Household world Exp. (THE)
1997 16,908 231 44 22 6 284 241 461 25,909 2,651 46,757
1998 17,598 259 50 25 6 361 275 537 29,083 2,715 50,909
1999 18,515 292 55 28 7 350 314 692 32,541 4,034 56,829
2000 20,050 576 60 30 8 677 418 770 35,885 4,534 63,008
2001 23,141 344 66 69 17 89 401 1,131 40,679 6,079 72,017
2002 25,174 752 75 75 19 515 453 1,411 45,809 7,276 81,559
2003 24,858 814 85 82 21 508 532 1,524 51,551 7,907 87,882
2004 29,543 767 96 92 23 463 579 1,825 57,876 9,192 100,456
2005 29,941 838 106 100 25 2,338 655 2,599 68,840 9,957 115,399
2006 38,666 906 119 113 28 3,497 760 3,257 79,860 9,908 137,114
2007 41,023 1,203 133 135 34 3,833 897 3,194 95,001 11,525 156,977
2008 44,939 948 147 165 41 9,701 990 3,333 108,195 13,317 181,775
2009 50,102 1,553 161 200 50 8,378 1,152 3,523 125,236 17,317 207,671
2010 60,925 2,049 186 247 62 9,430 1,306 3,707 148,488 19,641 246,040
2011 69,700 2,076 204 271 68 10,958 1,431 5,311 176,473 22,314 288,806
2012 73,365 2,016 226 305 76 9,674 1,568 5,656 203,407 27,144 323,437
2013 82,513 1,604 244 405 101 4,726 1,831 5,127 227,707 29,701 353,960
2014 91,524 1,928 311 439 110 4,058 1,969 5,933 261,535 30,614 398,420
2015 100,223 2,201 343 564 141 4,937 2,142 6,918 302,306 32,113 451,889

Out-of-Pocket (OOP) Expenditure on Healthcare
The share of Out of Pocket (OOP) health analysis was done for urban and rural areas
expenditure by households continues to be the separately. In both cases, the richest 20% of the
major component of Total Health Expenditure population spending (Table 17) accounts for the
(THE) for Bangladesh. In 2015, households major share of OOP.
spent Taka 303 billion (Table 15) on health-
related goods and services which is around 67% In 2015, households spent Taka 195 billion on
of THE. Household OOP expenditure on pharmaceutical drugs (Table 19). Expenditure
healthcare is normally seen as burden on on drugs as a percentage of OOP however has
households especially for underdeveloped or declined over time. In 1997, drug outlay was
developing countries and unfortunately the 75% of OOP which is 64% in 2015 (Table 19).
share of Household OOP is on the rise since Most of the healthcare services provided by the
2010. Bangladesh has witnessed two decades of government are for free, with households
steady economic growth, and is on track to paying a nominal user fee. Such OOP
become a middle-income country within few expenditure by the household are reflected as
years’ time. Under such circumstances, a close general government administration of health. In
review of OOP by economic quantile is 2015, households paid around Taka 25 million
warranted to see whether the burden of OOP as administration fee to government facilities
lies on poor or the share of OOP is increasing primarily as registration/admission.
due to healthcare expenditure by the rich.
Table 19 presents OOP estimates whereby
There are two major factors for steady increase services are further disaggregated. For instance,
in OOP: (1) although the healthcare spending in curative care is categorized into inpatient and
public sector continues to increase since 1997, a outpatient categories. The relative share of
comparison in rate of increase between inpatient curative care expenditure steadily
government and Household OOP revels that increased during 1997 to 2004 period, and
annual increase in OOP was around 4% higher stabilized at around 12% subsequently. The
on average; (2) decrease in allocating increase in inpatient curative care spending is
government healthcare expenditure as arguably due to a combination of higher OOP in
percentage of total public consumption. In private hospitals and greater propensity to use
1997, overall government spending on private sector facilities.
healthcare was around 17% of total public
consumption while it is only 13% in 2015 (Table Further breakdown of OOP by provider shows
that retailer of medicine and medical goods
16).
commonly known as “pharmacy” accounts for
In the absence of recent national level majority of OOP expenditure. In 1997
household expenditure data, BNHA team household were spending 76% of their OOP
carried out a Quantile analysis of healthcare expenditure on retail drug outlet which has
expenditure using BBS’s Household Income and decreased to 65% in 2015 (Table 20). In 2015
Expenditure survey data 2010 (HIES 2010). The hospital share in OOP expenditure was 14%
which was only 6% in 1997.

Table 15: Total Health Expenditure (THE) by Major Financing Schemes and Household Share
Government schemes Voluntary health care Rest of the world health
Year and compulsory health payment schemes Households out-of-pocket financing schemes (non-
care financing schemes (private sector funding) payment resident)
Million Taka Row % Million Taka Row % Million Taka Row % Million Taka Row %
1997 17,139 37% 1,058 2% 25,909 55% 2,651 6%
1998 17,856 35% 1,255 2% 29,083 57% 2,715 5%
1999 18,807 33% 1,446 3% 32,541 57% 4,034 7%
2000 20,626 33% 1,963 3% 35,885 57% 4,534 7%
2001 23,485 33% 1,774 2% 40,679 56% 6,079 8%
2002 25,926 32% 2,547 3% 45,809 56% 7,276 9%
2003 25,672 29% 2,752 3% 51,551 59% 7,907 9%
2004 30,310 30% 3,078 3% 57,876 58% 9,192 9%
2005 30,779 27% 5,823 5% 68,840 60% 9,957 9%
2006 39,572 29% 7,775 6% 79,860 58% 9,908 7%
2007 42,227 27% 8,225 5% 95,001 61% 11,525 7%
2008 45,887 25% 14,376 8% 108,195 60% 13,317 7%
2009 51,655 25% 13,462 6% 125,236 60% 17,317 8%
2010 62,974 26% 14,938 6% 148,488 60% 19,641 8%
2011 71,776 25% 18,243 6% 176,473 61% 22,314 8%
2012 75,380 23% 17,506 5% 203,407 63% 27,144 8%
2013 84,117 24% 12,435 4% 227,707 64% 29,701 8%
2014 93,452 23% 12,819 3% 261,535 66% 30,614 8%
2015 102,424 23% 15,046 3% 302,306 67% 32,113 7%
Table 16: Government Financing in Healthcare as Percentage of Total Public Consumption 1997-2015
Public PHE as % of
Public Health Expenditure (PHE) Private consumption (Current
consumption Public
(Current Price) Price)
Year (Current Price) Consumption
Million Taka Growth % Million Taka % Million Taka Growth %
1997 17,139 101,003 17% 1,605,939
1998 17,856 4% 116,317 15% 1,730,082 12%
1999 18,807 5% 124,231 15% 1,879,203 16%
2000 20,626 10% 133,530 15% 2,013,993 11%
2001 23,485 14% 141,172 17% 2,171,126 15%
2002 25,926 10% 157,852 16% 2,330,025 15%
2003 25,672 -1% 178,629 14% 2,601,467 12%
2004 30,310 18% 198,331 15% 2,822,489 13%
2005 30,779 2% 221,234 14% 3,150,272 21%
2006 39,572 29% 262,395 15% 3,527,007 15%
2007 42,227 7% 294,663 14% 4,062,644 18%
2008 45,887 9% 325,549 14% 4,754,869 18%
2009 51,655 13% 359,146 14% 5,257,991 15%
2010 62,974 22% 404,777 16% 5,910,930 17%
2011 71,776 14% 466,839 15% 6,802,819 19%
2012 75,380 5% 531,753 14% 7,780,747 14%
2013 84,117 12% 613,385 14% 8,733,888 9%
2014 93,452 11% 717,189 13% 9,751,386 13%
2015 102,424 10% 819,176 13% 10,980,061 15%
Source: CGA Data and Bangladesh National Accounts (revised estimates from 1995/96 to 2013/14 with base year 2005/06)

Table 17: Household Consumption and Out of Pocket Healthcare Expenditure by Quintiles
Urban Expenditure Rural Expenditure

Annual Annual Annual Annual
Quintile Household Household OOP Household Household
OOP as % of OOP as % of
Consumption Health Consumption OOP Health
Consumption Consumption
Expenditure Expenditure Expenditure Expenditure
(Million Taka) (Million Taka) (Million Taka) (Million Taka)
Quintile 1 -- Poorest 20% 131,792 2,962 2.25% 272,506 7,304 2.68%
Quintile 2 197,813 4,353 2.20% 376,727 10,405 2.76%
Quintile 3 261,416 5,730 2.19% 472,459 16,316 3.45%
Quintile 4 368,690 9,800 2.66% 608,270 22,990 3.78%
Quintile 5 -- Richest 20% 739,235 29,177 3.95% 1,081,430 48,017 4.44%
Overall 1,698,950 52,022 3.06% 2,811,390 133,213 4.74%

Source: Derived for Household Income and Expenditure Data 2010
Table 18: Share of OOP and Other Schemes within Private Financing Schemes 1997-2015 (million Taka)
Household out-of-pocket NPISH/NGO financing Other private financing Foreign development

Year spending schemes schemes agencies schemes
Million Million Million
Row % Row % Row % Million Taka Row %
Taka Taka Taka
1997 25,905 88% 461 2% 313 1% 2,651 9%
1998 29,079 89% 537 2% 356 1% 2,715 8%
1999 32,540 86% 692 2% 404 1% 4,034 11%
2000 35,885 86% 770 2% 516 1% 4,534 11%
2001 40,679 84% 1,131 2% 553 1% 6,079 13%
2002 45,809 83% 1,411 3% 622 1% 7,276 13%
2003 51,431 84% 1,524 2% 720 1% 7,907 13%
2004 57,651 83% 1,825 3% 790 1% 9,192 13%
2005 68,581 84% 2,599 3% 886 1% 9,957 12%
2006 79,860 85% 3,257 3% 1,020 1% 9,908 11%
2007 94,570 86% 3,194 3% 1,198 1% 11,525 10%
2008 108,195 86% 3,333 3% 1,343 1% 13,317 11%
2009 125,236 85% 3,523 2% 1,562 1% 17,317 12%
2010 148,488 86% 3,707 2% 1,800 1% 19,641 11%
2011 176,473 86% 5,311 3% 1,975 1% 22,314 11%
2012 203,407 85% 5,656 2% 2,175 1% 27,144 11%
2013 227,707 86% 5,127 2% 2,581 1% 29,701 11%
2014 261,535 87% 5,933 2% 2,828 1% 30,614 10%
2015 302,306 88% 6,918 2% 3,191 1% 32,113 9%

Table 19: Out-of-Pocket Expenditure by Functions 1997-2015 (million Taka)
Therapeutic Education
Pharmaceuticals appliances Governance and
Inpatient Outpatient and other and other and health training Out of
curative curative Laboratory Imaging medical non- medical system of health pocket
Year care care services services durable goods goods administration personnel payment
1997 1,406 2,898 608 372 19,554 93 130 844 25,905
Row % 5% 11% 2% 1% 75% 0% 1% 3% 100%
2000 2,492 4,283 1,303 797 25,777 118 42 1,073 35,885
Row % 7% 12% 4% 2% 72% 0% 0% 3% 100%
2005 8,777 7,709 3,393 2,115 44,740 322 11 1,513 68,581
Row % 13% 11% 5% 3% 65% 0% 0% 2% 100%
2010 16,697 17,575 7,427 5,173 96,584 235 19 4,778 148,488
Row % 11% 12% 5% 3% 65% 0% 0% 3% 100%
2013 28,575 24,738 9,755 9,511 144,986 455 28 9,659 227,707
Row % 13% 11% 4% 4% 64% 0% 0% 4% 100%
2014 31,967 28,401 10,768 10,910 166,999 496 20 11,975 261,535
Row % 12% 11% 4% 4% 64% 0% 0% 5% 100%
2015 34,931 32,182 12,081 12,600 194,948 564 25 14,974 302,306
Row % 12% 11% 4% 4% 64% 0% 0% 5% 100%
Table 20: Out-of-Pocket Expenditure by Providers 1997-2015 (million Taka)
Retail
General sellers of
hospitals Medical durable
including Other health and Pharmacies medical Total Out-
teaching Medical Dental care diagnostic /Retail Drug goods and of-Pocket
Year hospitals practices practice practitioners laboratories Outlet appliances Expenditure
1997 1,606 2,768 60 844 980 19,554 93 25,905
Row % 6.2% 10.7% 0.2% 3.3% 3.8% 75.5% 0.4% 100.0%
2000 2,739 3,976 103 1,073 2,099 25,777 118 35,885
Row % 7.6% 11.1% 0.3% 3.0% 5.8% 71.8% 0.3% 100.0%
2005 9,707 6,583 208 1,513 5,508 44,740 322 68,581
Row % 14.2% 9.6% 0.3% 2.2% 8.0% 65.2% 0.5% 100.0%
2010 21,118 12,739 434 4,778 12,600 96,584 235 148,488
Row % 14.2% 8.6% 0.3% 3.2% 8.5% 65.0% 0.2% 100.0%
2013 33,482 19,175 684 9,659 19,266 144,986 455 227,707
Row % 14.7% 8.4% 0.3% 4.2% 8.5% 63.7% 0.2% 100.0%
2014 38,067 21,542 780 11,975 21,677 166,999 496 261,535
Row % 14.6% 8.2% 0.3% 4.6% 8.3% 63.9% 0.2% 100.0%
2015 41,825 24,407 906 14,974 24,681 194,948 564 302,305
Row % 13.8% 8.1% 0.3% 5.0% 8.2% 64.5% 0.2% 100.0%

Figure 7: Out-of-Pocket Expenditure by Providers 1997-2015

Total Health Expenditure by Providers
Ranging from traditional and alternate during 2005-2012, led by considerable

healthcare providers to tertiary level specialized investment by the private sector.
hospitals, there are about 40 types of
healthcare providers identified under the A comparison of hospital expenditure between
Bangladesh National Health Account (BNHA). public and private shows that although
Following the System of Health Accounts government spending in public hospital
guideline, these providers are classified continues to increase, the rate of increase was
according to International Classification of much lower compared to the increase in private
Health Accounts for Healthcare Provider (ICHA- spending in private hospitals. In 1997
HP). The BNHA framework for provider has government expenditure in public hospitals was
some variations to SHA 2011 classification Taka 7.6 billion, accounting for 70% of total
largely due to the inclusion of sub-classification hospital expenditure. In 2015, public spending
of providers. Efforts was expended in not in hospitals accounted for Taka 42 billion which
compromising any definitional integrity set is 37% of total hospital expenditure (Table 23).
forth under SHA. For example, hospitals under A further analysis of government spending
BNHA is divided into Government Teaching reveals that on an average 45% (during 1997-
Hospital, Government District/General Hospital, 2015) of public health expenditure was incurred
Government Specialized Hospital, Government on hospitals.
Upazila Health Facilities and Below, Private
Expenditure reported by various types of
Hospital and NGO Hospital. As mentioned in the
hospitals reveals that in 2015, the largest share
background section of this report, the BNHA
of hospital expenditure, Taka 46 billion, was
database is equipped with dual coding system
spent on private hospitals. There are various
and therefore can produce SHA 2011
types of public hospitals operated by the
compatible tables simultaneously.
government and their combined expenditure
Retailers and other providers of medical goods, for 2015 is Taka 41 billion. A comparison of
commonly known as pharmacy, is the largest public hospital spending also shows, that
provider for Bangladesh accounting for Taka healthcare facilities at the Upazila level and
196 billion (43% of THE) in 2015. Pharmacy as a below accounts for the highest share of public
provider has been the largest entity r since spending. In 2015, expenditure on Upazila level
1997. Its share in THE varied between 38% to and below was Taka 16 billion. Government
43% during the past two decades. Hospital is spending for the year at tertiary level teaching
the second largest provider of healthcare hospital and district/general hospital were
services, spending Taka 115 billion in 2015. The almost equal amounting to Taka 10 billion each.
share of hospital expenditure in THE remains
Although hospitals at Upazila level and below
between 23% to 34% for the period 1997-2015.
are enjoying the highest share of public funding,
A high rate in hospital expenditure is evident
the overall share of hospital spending at the
Upazila level is declining. In 1997 hospital

facilities at Upazila level and below was 43% of under the “Medical practices” fluctuated
total hospital expenditure which came down to between 1997-2007. Since 2008, the share of
22% in 2007 and currently it accounts for only Ambulatory healthcare provider has started to
14% of total hospital expenditure. This decline decline and in 2015 they accounted for 35% of
in expenditure share is largely due to total Ambulatory healthcare providers
establishment of private large hospitals at the compared to 47% in 1997. Ambulatory health
district level offering diverse and specialized care centres comprise of MOHFW Health and
services. Family planning centres/Dispensaries, MOHFW
Community Clinics and NGO ambulatory health
Healthcare facilities that are established to care centers at District and Union level have
provide outpatient services are described as increased from 38% in 1997 to 42% in 2015. The
ambulatory healthcare providers. Ambulatory increase in expenditure on Ambulatory health
healthcare provider can be an individual like a care centres can be explained partly by the
general physician or a dentist having his/her government’s initiatives in making the
private practice or operating from a center or a Community Clinics functional. In addition, there
healthcare facility like a Community Clinic. A has been a structural shift in major
total of Taka 70 billion was spent on metropolitan cities whereby more qualified and
Ambulatory healthcare provider in 2015. specialized physicians offer their services from
Expenditure share of ambulatory healthcare outpatient health care centres than from retail
providers under THE is increasing and currently drug outlets or their private chambers.
it accounts for 15% of THE, which was 13% in
1997. A comparison of Ambulatory healthcare The Ministry of Health and Family Welfare
provider expenditure by public and private (MOHFW) and Non-Profit Institute Serving
shows that the government spent around Taka Household (NPISH) are two major providers of
26 billion which is 37% of total expenditure by public health programmes. In 2015, total
Ambulatory healthcare provider. Further expenditure by providers of public health
analysis of the public expenditure reveals that programme was Taka 17 billion, with Taka 7
the government is currently spending 25% of its billion spent by the government and rest by
total healthcare expenditure on Ambulatory NGOs. The percentage share of expenditure by
healthcare provider, which was only 13% in provider of public health programmes in THE
1997. has declined significantly in the past two
decades. In 1997, expenditure share of public
Within the Ambulatory healthcare provider, the healthcare providers was 14% of THE which is
relative share of general physicians categorized only 4% in 2015.

Table 21: Total Health Expenditure by General Providers 1997-2015 (million Taka)
Retailers Providers of
and other health care Total
Providers of Providers of providers of Public system Health
ambulatory ancillary medical health administration Rest of Expenditure
Year Hospitals health care services goods programmes and financing Economy (THE)
1,997 10,914 5,931 980 19,647 6,580 1,668 1,034 46,754
1,998 11,327 6,470 1,305 21,729 7,209 1,737 1,128 50,904
1,999 14,011 7,124 1,688 23,812 7,255 1,848 1,246 56,985
2,000 17,620 7,393 2,099 25,895 7,308 1,234 1,460 63,008
2,001 18,355 9,224 2,576 29,079 8,763 2,361 1,674 72,030
2,002 21,056 12,236 3,100 32,283 8,571 2,347 1,966 81,559
2,003 24,468 12,817 3,835 35,104 6,895 2,501 2,263 87,882
2,004 29,305 15,786 4,568 38,411 6,328 3,530 2,527 100,456
2,005 36,783 15,472 5,508 45,062 6,739 3,375 2,460 115,399
2,006 43,822 17,309 6,690 52,246 7,196 5,966 3,885 137,114
2,007 47,924 22,516 7,822 62,369 5,986 6,887 3,473 156,977
2,008 61,921 22,120 8,990 69,623 6,261 8,634 4,227 181,775
2,009 68,253 25,752 10,975 80,724 6,025 10,746 5,196 207,671
2,010 79,711 32,151 12,600 96,819 6,937 12,168 5,654 246,040
2,011 94,195 39,193 14,387 116,734 6,829 11,110 6,357 288,806
2,012 99,414 48,707 16,473 134,211 7,289 10,654 6,689 323,437
2,013 96,675 55,372 19,266 145,441 14,474 15,369 7,364 353,960
2,014 103,915 63,457 21,677 167,494 14,814 15,087 11,976 398,420
2,015 114,707 69,562 24,681 195,512 16,622 17,029 13,774 451,889
Row % 25.4% 15.4% 5.5% 43.3% 3.7% 3.8% 3.0% 100%
Figure 8: THE by Providers 1997-2015

Table 22: Expenditure at Various Type of Hospitals Service Providers 1997-2015 (million Taka)
Gov. Upazila
Gov. Gov. District Gov. Hospital
Health Private NGO Total Hospital
Year Teaching / General Specialized expenditure
Facilities and Hospital Hospital Expenditure
Hospital Hospital Hospital as % of THE
Below
1997 1,129 835 639 4,733 1,755 1,824 10,914 23%
1998 1,191 884 663 4,936 2,207 1,446 11,327 22%
1999 1,291 956 696 5,244 2,551 3,272 14,011 25%
2000 1,720 1,929 819 5,877 3,075 4,199 17,620 28%
2001 1,457 2,156 538 5,403 3,254 5,546 18,355 25%
2002 1,656 2,451 737 4,986 4,515 6,712 21,056 26%
2003 1,897 2,780 898 5,212 5,918 7,763 24,468 28%
2004 2,360 3,370 1,107 5,961 7,472 9,035 29,305 29%
2005 2,955 3,627 1,377 7,009 11,574 10,241 36,783 32%
2006 3,804 3,537 1,965 8,935 14,215 11,366 43,822 32%
2007 2,935 4,000 1,336 10,502 16,672 12,479 47,924 31%
2008 3,176 4,444 1,472 11,020 25,581 16,227 61,921 34%
2009 3,332 5,426 1,736 11,256 26,093 20,410 68,253 33%
2010 4,120 6,737 2,221 13,433 30,111 23,090 79,711 32%
2011 5,093 8,016 3,653 15,790 34,483 27,161 94,195 33%
2012 6,062 7,477 3,872 13,036 36,651 32,317 99,414 31%
2013 7,560 8,254 4,247 13,277 37,850 25,486 96,675 27%
2014 8,281 9,956 3,290 14,357 41,182 26,849 103,915 26%
2015 10,175 9,980 4,921 15,979 46,041 27,610 114,707 25%
Table 23:Hospitals Expenditure Breakdown by Public and Private 1997-2015 (million Taka)
Public Private Total Pub. Exp. as

Year % of GOB
Million Taka Row % Million Taka Row % Million Taka
exp.
1997 7,615 70% 3,317 30% 10,932 44%
1998 8,008 71% 3,299 29% 11,306 45%
1999 8,541 61% 5,470 39% 14,011 45%
2000 10,852 62% 6,768 38% 17,620 53%
2001 10,010 55% 8,332 45% 18,342 43%
2002 10,347 49% 10,710 51% 21,056 40%
2003 11,350 46% 13,118 54% 24,468 44%
2004 13,281 45% 16,024 55% 29,305 44%
2005 15,490 42% 21,293 58% 36,783 50%
2006 19,153 44% 24,669 56% 43,822 48%
2007 19,286 40% 28,763 60% 48,050 46%
2008 20,883 34% 41,037 66% 61,921 46%
2009 22,720 33% 45,533 67% 68,253 44%
2010 27,438 34% 52,273 66% 79,711 44%
2011 33,708 36% 60,487 64% 94,195 47%
2012 31,354 32% 68,060 68% 99,414 42%
2013 34,283 35% 62,392 65% 96,675 41%
2014 36,955 36% 66,959 64% 103,915 40%
2015 42,280 37% 72,428 63% 114,707 41%

Table 24: Expenditure by Different Type of Ambulatory Healthcare Providers 1997-2015 (million Taka)
Ambulatory Total Ambulatory

Other health care
Medical practices Dental practice health care Ambulatory health care as
practitioners
Year centers health care % of THE
1997 2,787 60 844 2,240 5,931 12.7%
1998 3,140 72 904 2,353 6,470 12.7%
1999 3,568 87 987 2,483 7,124 12.5%
2000 4,002 103 1,073 2,215 7,393 11.7%
2001 4,361 117 1,133 3,613 9,224 12.8%
2002 4,736 132 1,190 6,178 12,236 15.0%
2003 5,346 155 1,301 6,014 12,817 14.6%
2004 5,891 177 1,383 8,335 15,786 15.7%
2005 6,647 208 1,513 7,104 15,472 13.4%
2006 7,497 238 1,880 7,695 17,309 12.6%
2007 8,691 280 2,402 11,143 22,516 14.3%
2008 10,208 334 3,120 8,458 22,120 12.2%
2009 11,328 378 3,829 10,217 25,752 12.4%
2010 12,874 434 4,778 14,065 32,151 13.1%
2011 14,912 510 6,104 17,668 39,193 13.6%
2012 17,151 596 7,750 23,210 48,707 15.1%
2013 19,405 684 9,659 25,624 55,372 15.6%
2014 21,701 780 11,975 29,001 63,457 15.9%
2015 24,608 906 14,974 29,074 69,562 15.4%
Table 25: Expenditure by Different Type Ambulatory Healthcare Providers 1997-2015 (million Taka)
Year Public Private Total Pub. Exp. as

% of GOB
exp.
1997 2,219 37% 3,713 63% 5,931 13%
1998 2,320 36% 4,150 64% 6,470 13%
1999 2,476 35% 4,648 65% 7,124 13%
2000 2,237 30% 5,156 70% 7,393 11%
2001 3,634 39% 5,589 61% 9,224 16%
2002 6,203 51% 6,033 49% 12,236 24%
2003 6,037 47% 6,780 53% 12,817 24%
2004 8,381 53% 7,405 47% 15,786 28%
2005 7,147 46% 8,324 54% 15,472 23%
2006 7,739 45% 9,571 55% 17,309 20%
2007 11,228 50% 11,288 50% 22,516 27%
2008 8,336 38% 13,784 62% 22,120 18%
2009 9,961 39% 15,791 61% 25,752 19%
2010 13,950 43% 18,201 57% 32,151 22%
2011 17,596 45% 21,598 55% 39,193 25%
2012 23,156 48% 25,551 52% 48,707 31%
2013 21,994 40% 33,379 60% 55,372 26%
2014 25,541 40% 37,916 60% 63,457 27%
2015 25,571 37% 43,992 63% 69,562 25%

Table 26: Expenditure by Providers of Public Health Care Programme 1997-2015 (million Taka)
GoB MoHFW GoB non-MoHFW NGO public Total exp. by % of THE by provider
public health public health health provider of public of public healthcare
Year programme programme programme healthcare providers
1997 4,836 30 1,714 6,580 14.1%
1998 4,949 35 2,225 7,209 14.2%
1999 5,018 40 2,196 7,255 12.7%
2000 5,183 13 2,112 7,308 11.6%
2001 2,554 17 6,192 8,763 12.2%
2002 1,855 90 6,626 8,571 10.5%
2003 1,881 267 4,748 6,895 7.8%
2004 3,051 207 3,071 6,328 6.3%
2005 3,181 40 3,518 6,739 5.8%
2006 3,781 45 3,370 7,196 5.2%
2007 2,513 47 3,426 5,986 3.8%
2008 5,144 52 1,065 6,261 3.4%
2009 4,502 184 1,338 6,025 2.9%
2010 5,706 91 1,140 6,937 2.8%
2011 5,158 105 1,566 6,829 2.4%
2012 5,962 58 1,269 7,289 2.3%
2013 7,528 173 6,773 14,474 4.1%
2014 6,773 319 7,722 14,814 3.7%
2015 6,829 512 9,282 16,622 3.7%
Table 27: Expenditure by Providers of Public Health Care Programme 1997-2015 (million Taka)
Year Public Private Total Pub. exp as % of

Million Taka Row % Million Taka Row % Million Taka GOB exp.
1997 5,097 77% 1,483 23% 6,580 30%
1998 5,232 73% 1,977 27% 7,209 29%
1999 5,325 73% 1,930 27% 7,255 28%
2000 5,426 74% 1,882 26% 7,308 26%
2001 6,352 72% 2,410 28% 8,763 27%
2002 5,709 67% 2,862 33% 8,571 22%
2003 4,233 61% 2,662 39% 6,895 17%
2004 3,358 53% 2,971 47% 6,328 11%
2005 3,236 48% 3,503 52% 6,739 11%
2006 3,832 53% 3,364 47% 7,196 10%
2007 2,562 43% 3,424 57% 5,986 6%
2008 5,239 84% 1,022 16% 6,261 11%
2009 4,714 78% 1,311 22% 6,025 9%
2010 5,802 84% 1,135 16% 6,937 9%
2011 5,267 77% 1,562 23% 6,829 7%
2012 6,024 83% 1,265 17% 7,289 8%
2013 7,705 53% 6,769 47% 14,474 9%
2014 7,097 48% 7,717 52% 14,814 8%
2015 7,357 44% 9,265 56% 16,622 7%

Total Health Expenditure by Functions
Healthcare goods and services produced by the the similar share percentage (46%) in 2015. A
healthcare providers for consumption of cross tabulation of expenditure on curative care
household is classified as healthcare function by public and private revels that share of public
according to the System of Health Accounts funding over time has decreased. In 1997,
2011 (SHA 2011) guidelines. Bangladesh government was spending 37% of its total
National Health Accounts (BNHA) boundary of health expenditure on curative care which is
functions is slightly different from the SHA 2011 now around 29%. In 2015, total spending by
as it includes expenditure on medical research, government on curative care was Taka 30
education and training. All health expenditures billion while it is Taka 84 billion from the private
are categorized by core health care functions sector (Table 30).
and include such activities as: curative care,
Services offered from diagnostic facilities are
rehabilitative and long-term care, medical
termed as ancillary care, and encompass
goods, preventive care and health system and
activities such as laboratory testing and
financing administration.
imaging. Expenditure share of ancillary care in
Disaggregation of expenditures by function THE is growing steadily. In 2015 total amount
shows that retail drugs and medical goods and spent on ancillary service is Taka 25 billion
services of curative care account for major which is around 5% of THE. Further
share of THE. The share of retail drugs and disaggregation of ancillary service shows that an
medical goods and services has varied between almost equal amount was spent on laboratory
38% and 43% during the 1997 to 2015 period. and imaging -- Taka 12.1 billion and Taka 12.6
Curative care services share of THE fluctuated billion respectively. The relative share of
between was 24% to 27% in the past two laboratory services has declined from 62% in
decades. In 2015, total expenditure on retail 1997 to 49% in 2015, except for 2009.
drugs and medical goods and services was Taka Outpatient curative care offered primarily by
196 billion; it was Taka 134 billion in 2012 and public sector community clinics in rural areas
Taka 45 billion in 2005. In 2015, total spending show an increase in recent years.
on curative care services was Taka 114 billion
In 2015, Taka 49 billion was spent on preventive
where 51% was on general inpatient care, 46%
care. Expenditure on Information, education
on general outpatient and the rest was on
and counseling relating to maternal and child
specialized curative care.
health and family planning collectively
There has been a steady increase in inpatient constitute approximately 98% of preventive
curative care expenditure over the years, both care. Public awareness creation on health and
in absolute terms as well as relative to hygiene issues are conducted both by the
outpatient curative care outlays. In 1997, government and the NGO sector. In 2015, Taka
inpatient curative care constituted 41% of total 5 billion was incurred for awareness creation
curative care compared to 51% in 2007 (Table 32), which is 10% of total preventive care
maintaining the same share (51%) in 2015. outlay. HIV/AIDS/STD related expenditure in
Outpatient curative care including dental 2015 was Taka 2.5 billion, which is 5% of total
services was 55% of total curative care in 1997, preventive care expenditure. Cross tabulation
which declined to 45% in 2007 and maintaining of preventive care expenditure by the public

and private sectors show that 64% of the public funds in 2015.
preventive care expenditure are made from
Table 28: Total Healthcare Expenditure (THE) by Healthcare Function 1997-2015 (million Taka)
Long Governance Outpatie Education,

Ancillary Medical
Services term services goods
, health nt and Gross Training,
of care (non (non system and home- capital and Total
curative Rehab- (healt specialize specialize Preven- financing based formati Research Health
Year care ilitative care h) function) function) tive care admin. TCAM on in health Exp. (THE)
1997 11,376 47 29 984 19,654 5,178 4,847 844 3,363 432 46,754
1998 12,582 50 31 1,309 21,736 5,169 5,127 904 3,542 454 50,904
1999 14,287 55 34 1,692 23,820 6,356 5,487 987 3,777 490 56,985
2000 16,402 81 44 2,104 25,904 7,364 5,081 1,073 4,417 538 63,008
2001 17,335 76 46 2,581 29,089 9,087 2,509 1,133 9,644 531 72,030
2002 19,386 82 53 3,105 32,294 14,147 2,560 1,190 7,867 874 81,559
2003 22,691 90 70 3,842 35,116 15,971 2,764 1,301 4,388 1,649 87,882
2004 25,717 138 76 4,575 38,425 18,312 3,136 1,383 7,840 852 100,456
2005 29,455 169 70 5,516 45,078 19,373 4,149 1,513 9,316 758 115,399
2006 34,106 144 66 6,698 52,264 21,654 4,901 1,880 14,236 1,167 137,114
2007 39,922 150 80 7,832 62,388 26,036 4,284 2,402 12,719 1,164 156,977
2008 45,177 141 87 9,001 69,644 26,597 5,800 3,120 20,361 1,848 181,775
2009 52,022 170 102 10,987 80,747 28,792 7,748 3,829 21,387 1,888 207,671
2010 60,146 215 118 12,612 96,846 34,984 8,899 4,778 25,334 2,108 246,040
2011 71,513 260 144 14,401 116,764 39,192 10,603 6,104 27,236 2,589 288,806
2012 81,916 270 159 16,488 134,243 43,853 13,065 7,750 22,965 2,728 323,437
2013 93,959 279 165 19,281 145,467 43,716 15,383 9,659 22,815 3,236 353,961
2014 104,038 289 145 21,713 167,532 47,025 16,122 11,975 21,977 7,604 398,420
2015 114,293 330 165 24,717 195,557 49,210 15,820 14,974 27,912 8,910 451,889
Figure 9: Total Health Expenditure by Function 1997-2015
500,000
450,000
400,000
350,000
300,000
Million Taka
250,000
200,000
150,000
100,000
50,000
-
Services of curative care Rehabilitative care

Long term care (health) Ancillary services (non specialized function)
Medical goods (non specialized function) Preventive care
Governance, health system and financing administration Gross capital formation

Table 29: Curative Care Expenditure by Inpatient and Outpatient 1997-2015
Specialized
year
General Inpatient Care General Outpatient Care Inpatient/Outpatient
Million Million Million Total curative care Curative care
Row % Row % Row %
Taka Taka Taka (Million Taka) as % of THE
1997 4,618 41% 6,281 55% 477 4% 11,376 24%
1998 5,148 41% 6,924 55% 511 4% 12,582 25%
1999 5,801 41% 7,922 55% 563 4% 14,287 25%
2000 7,219 44% 8,524 52% 659 4% 16,402 26%
2001 7,955 46% 8,703 50% 676 4% 17,335 24%
2002 9,018 47% 9,529 49% 839 4% 19,386 24%
2003 10,683 47% 10,975 48% 1,034 5% 22,691 26%
2004 12,602 49% 12,097 47% 1,018 4% 25,717 26%
2005 15,135 51% 13,256 45% 1,064 4% 29,455 26%
2006 17,294 51% 15,588 46% 1,223 4% 34,106 25%
2007 20,432 51% 18,123 45% 1,367 3% 39,922 25%
2008 21,461 48% 22,059 49% 1,657 4% 45,177 25%
2009 24,500 47% 25,594 49% 1,927 4% 52,022 25%
2010 28,299 47% 29,627 49% 2,220 4% 60,146 24%
2011 33,472 47% 35,152 49% 2,889 4% 71,513 25%
2012 37,610 46% 41,309 50% 2,997 4% 81,916 25%
2013 46,654 50% 43,869 47% 3,436 4% 93,959 27%
2014 52,140 50% 48,235 46% 3,664 4% 104,038 26%
2015 57,773 51% 52,234 46% 4,286 4% 114,293 25%
Table 30: Curative Care Expenditure by Public and Private 1997-2015 (million Taka)
Public Private Total Pub. Exp.

Year as % of
GOB exp.
1997 6,317 56% 5,059 44% 11,376 37%
1998 6,696 53% 5,887 47% 12,582 37%
1999 7,195 50% 7,092 50% 14,287 38%
2000 8,180 50% 8,222 50% 16,402 40%
2001 7,703 44% 9,618 56% 17,321 33%
2002 8,168 42% 11,218 58% 19,386 32%
2003 8,655 38% 13,916 62% 22,571 34%
2004 8,724 34% 16,768 66% 25,492 29%
2005 9,046 31% 20,151 69% 29,197 29%
2006 10,432 31% 23,674 69% 34,106 26%
2007 11,912 30% 27,579 70% 39,491 28%
2008 12,548 28% 32,629 72% 45,177 27%
2009 14,602 28% 37,420 72% 52,022 28%
2010 17,104 28% 43,042 72% 60,146 27%
2011 21,972 31% 49,541 69% 71,513 31%
2012 24,903 30% 57,012 70% 81,916 33%
2013 26,672 28% 67,287 72% 93,959 32%
2014 27,943 27% 76,095 73% 104,038 30%
2015 29,872 26% 84,420 74% 114,293 29%

Table 31: Ancillary Services Expenditure 1997-2015 (million Taka)
Ancillary services as % of
Year
Laboratory services Imaging services Total ancillary services THE
1997 612 372 984 2%
1998 814 495 1,309 3%
1999 1,052 641 1,692 3%
2000 1,307 797 2,104 3%
2001 1,603 977 2,581 4%
2002 1,929 1,176 3,105 4%
2003 2,386 1,455 3,842 4%
2004 2,841 1,733 4,575 5%
2005 3,401 2,115 5,516 5%
2006 4,135 2,563 6,698 5%
2007 4,683 3,149 7,832 5%
2008 5,381 3,620 9,001 5%
2009 7,439 3,548 10,987 5%
2010 7,439 5,173 12,612 5%
2011 8,221 6,180 14,401 5%
2012 9,403 7,085 16,488 5%
2013 9,770 9,511 19,281 5%
2014 10,803 10,910 21,713 5%
2015 12,117 12,600 24,717 5%
Table 32: Preventive Care Expenditure by Services 1997-2015 (million Taka)
epidemiological
Family planning
TB and Leprosy
disease control
and counseling
communicable
education and
All other early

HIV/AIDS/STD
Breast Cancer
programmers
Prevention of
Maternal and
Reproductive
Occupational
programmes
programmes
programmes
Information,
and risk and

surveillance
child health
care
monitoring
Awareness
Preventive
counseling
Detection
detection
condition
All other
other
All other
diseases
diseases
healthy
Control
health
health
Total
Year
All
1997 1,203 3,103 1 8 667 77 0 0 28 14 0 67 8 5,178

1998 626 3,416 1 8 909 81 0 0 29 16 0 73 9 5,169
1999 1,676 3,568 1 8 880 88 0 0 30 17 0 79 10 6,356
2000 1,888 4,246 1 9 872 204 0 0 32 18 0 84 10 7,364
2001 3,011 4,581 1 16 1,135 171 0 0 50 19 0 91 13 9,087
2002 5,978 5,551 48 843 1,304 272 0 0 22 20 0 100 9 14,147
2003 6,680 5,276 112 1,462 1,669 493 0 0 134 20 0 106 19 15,971
2004 6,498 8,112 864 259 2,035 257 0 64 80 19 0 111 12 18,312
2005 7,000 7,347 1,865 230 2,282 252 0 188 42 22 1 132 14 19,373
2006 8,600 8,002 1,540 77 2,178 366 0 521 151 28 22 142 26 21,654
2007 10,331 10,714 1,532 25 2,356 423 0 175 249 32 22 160 18 26,036
2008 9,850 10,119 1,346 22 2,748 461 0 908 985 11 22 105 19 26,597
2009 10,427 11,668 898 33 3,393 488 0 780 934 11 24 110 27 28,792
2010 13,748 14,011 865 22 3,783 847 0 629 881 13 38 118 31 34,984
2011 15,249 16,694 1,196 29 3,998 578 0 445 759 19 63 125 37 39,192
2012 15,300 18,908 1,082 15 4,997 2,188 8 492 675 20 0 133 35 43,853
2013 15,337 17,299 2,087 0 4,017 2,804 19 613 1,173 14 0 321 32 43,716
2014 16,468 19,249 2,503 0 4,523 2,731 29 444 668 16 0 349 44 47,025
2015 17,072 20,168 2,525 0 5,066 3,204 26 586 156 18 0 344 44 49,210
Row% 35% 41% 5% 0% 10% 7% 0% 1% 0% 0% 0% 1% 0% 100%

Table 33: Preventive Care Expenditure by Public and Private 1997-2015 (million Taka)
Public Private Total Pub. Exp. as

Year % of GOB
Exp.
1997 2,935 57% 2,243 43% 5,178 17%
1998 3,017 58% 2,151 42% 5,169 17%
1999 3,167 50% 3,189 50% 6,356 17%
2000 3,975 54% 3,388 46% 7,364 19%
2001 4,060 45% 5,027 55% 9,087 17%
2002 8,028 57% 6,119 43% 14,147 31%
2003 9,805 61% 6,166 39% 15,971 38%
2004 11,259 61% 7,053 39% 18,313 37%
2005 11,213 58% 8,160 42% 19,374 37%
2006 14,300 66% 7,354 34% 21,654 36%
2007 17,694 68% 8,343 32% 26,036 42%
2008 17,592 66% 9,005 34% 26,597 39%
2009 17,617 61% 11,175 39% 28,792 34%
2010 22,626 65% 12,358 35% 34,984 36%
2011 24,931 64% 14,260 36% 39,192 35%
2012 26,908 61% 16,946 39% 43,853 36%
2013 27,268 62% 16,449 38% 43,716 33%
2014 30,723 65% 16,302 35% 47,025 33%
2015 31,729 64% 17,481 36% 49,210 31%

Total Health Expenditure by Division
A breakdown of Total Healthcare Expenditure shift is due to faster increase in private sector
(THE) by administrative divisions show that 46% health spending as well as investment in Dhaka
of THE is spent on Dhaka in 2015 (Figure 10) division. The relative shares are much lower in
while it is only 16% for Chittagong, 11% Sylhet and Barisal, and have changed little.
Rajshahi and 12% for Khulna. Although Dhaka
division accounts of 46% of THE but further Public financing of healthcare expenditure
analysis of divisional expenditure reveals that shows that in 2015, Dhaka division alone
the per capita THE for-Dhaka division is Taka received 36% of public fund followed by
3,832 while it is Taka 3,315 for Khulna and Taka Rajshahi 13% and Chittagong 18%. However, a
2,580 for Rajshahi. The percentage distribution comparison by per capita healthcare
of healthcare spending by geographical region expenditure shows that Rajshahi division
has not changed much between 1997 and 2015, received highest per capita public fund -- Taka
except for Dhaka and Chittagong divisions. In 679 followed by Khulna Taka 815 and Barisal
2015, health expenditure in Dhaka division was 769. In 2015, per capita public expenditure for
Taka 207 billion while it was Taka 75 billion for Dhaka was Taka 690 which is slightly higher
Chittagong. Dhaka’s share was 39% of THE In than national average public spending of Taka
2007 while it was 31% in 1997. In 1997, health 652. Dhaka received highest per capita private
expenditure in Chittagong division accounted spending of Taka 3,143 followed by Khulna Taka
for 27%, a share that has decreased to 22% in 2,499.
2007 to 17% in 2012. The main reason for this

Figure 10: THE and Per-Capita THE by Division 2015
Table 34: THE by Division 1997-2015 (million Taka)
Year Dhaka Chittagong Rajshahi Khulna Barisal Sylhet Rangpur Bangladesh

1997 14,721 12,541 5,940 4,688 1,976 3,640 3,248 46,754
1998 16,555 13,463 6,215 5,075 2,149 3,944 3,503 50,904
1999 19,263 14,917 6,810 5,584 2,392 4,160 3,859 56,985
2000 21,228 15,307 7,621 6,223 3,556 4,618 4,454 63,008
2001 24,234 17,201 8,754 7,096 4,108 5,534 5,103 72,030
2002 28,560 19,011 9,894 7,961 4,626 5,967 5,540 81,559
2003 30,997 21,153 10,629 8,513 4,646 6,011 5,933 87,882
2004 35,630 24,139 12,194 9,779 5,299 6,835 6,580 100,456
2005 43,520 26,929 13,106 10,639 5,972 7,645 7,587 115,399
2006 53,002 30,475 15,357 13,301 7,074 8,619 9,286 137,114
2007 61,427 34,386 17,951 15,696 7,582 9,267 10,668 156,977
2008 78,439 37,348 18,177 19,081 7,194 9,664 11,872 181,775
2009 88,104 41,219 22,097 23,327 8,279 10,195 14,451 207,671
2010 108,201 47,310 26,350 27,168 9,770 10,309 16,932 246,040
2011 128,233 53,450 31,616 32,801 11,824 10,902 19,979 288,806
2012 147,210 56,331 34,416 37,075 13,343 12,157 22,905 323,437
2013 159,978 61,081 39,585 40,165 13,981 14,218 24,952 353,960
2014 181,166 67,094 44,418 45,722 15,899 16,004 28,117 398,420
2015 206,843 74,516 50,506 51,982 18,029 17,965 32,048 451,889
Table 35: Per-Capita THE by Division 1997-2015 (Taka)

1997 153 202 140 125 90 179 91 382

1998 422 554 377 346 261 493 252 408
1999 482 602 405 374 285 510 272 448
2000 528 614 450 414 422 562 312 492
2001 592 677 508 463 478 662 351 553
2002 686 735 564 511 529 701 375 615
2003 730 805 599 535 523 699 395 652
2004 826 905 676 605 588 783 432 734
2005 995 996 717 650 653 863 491 831
2006 1,197 1,113 829 802 764 961 593 975
2007 1,372 1,242 959 936 810 1,022 674 1,105
2008 1,738 1,330 962 1,123 762 1,053 742 1,265
2009 1,932 1,453 1,157 1,358 867 1,099 894 1,430
2010 2,346 1,649 1,364 1,564 1,012 1,099 1,035 1,675
2011 2,689 1,831 1,632 1,926 1,270 1,110 1,214 1,945
2012 2,988 1,898 1,772 2,221 1,487 1,184 1,383 2,156
2013 3,147 2,024 2,033 2,455 1,620 1,328 1,497 2,318
2014 3,457 2,188 2,275 2,854 1,918 1,436 1,677 2,575
2015 3,832 2,391 2,580 3,315 2,269 1,550 1,900 2,882

Figure 11: Healthcare Expenditure by Division, 1997-2015
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Dhaka Chittagong Rajshahi Khulna Barisal Sylhet Rangpur
Table 36: Public Healthcare Expenditure by Division 1997-2015 (million Taka)

1997 4,972 4,704 2,469 1,849 755 1,204 1,187 17,139
1998 5,448 4,767 2,440 1,929 784 1,255 1,232 17,856
1999 5,893 5,022 2,569 2,033 821 1,181 1,288 18,807
2000 5,955 4,847 2,956 2,355 1,433 1,375 1,705 20,626
2001 6,941 5,213 3,339 2,631 1,642 1,745 1,973 23,485
2002 8,012 5,627 3,762 2,867 1,828 1,792 2,040 25,926
2003 7,859 5,715 3,720 2,851 1,640 1,782 2,104 25,672
2004 9,331 6,784 4,347 3,430 1,935 2,131 2,353 30,310
2005 9,873 6,709 4,263 3,329 2,006 2,121 2,478 30,779
2006 13,002 8,337 5,317 4,320 2,465 2,459 3,671 39,572
2007 13,900 8,739 5,817 4,923 2,757 2,632 3,459 42,227
2008 16,945 9,166 5,780 5,096 2,667 2,607 3,626 45,887
2009 17,795 10,160 6,771 6,124 2,991 2,985 4,829 51,655
2010 22,912 12,029 8,280 7,554 3,531 3,158 5,510 62,974
2011 25,513 13,769 9,552 8,662 4,191 3,807 6,281 71,776
2012 27,273 13,457 9,914 9,308 4,397 3,967 7,063 75,380
2013 30,965 15,114 10,912 10,287 4,821 4,381 7,636 84,117
2014 34,210 16,477 12,114 11,793 5,529 5,000 8,330 93,452
2015 37,216 18,510 13,290 12,787 6,112 5,388 9,121 102,424
Row % 36% 18% 13% 12% 6% 5% 9% 100%

Table 37: Per-Capita Public Healthcare Expenditure by Division 1997-2015(Taka)

1997 52 76 58 49 34 59 33 140
1998 139 196 148 132 95 157 89 143
1999 147 203 153 136 98 145 91 147
2000 148 194 175 157 170 167 120 161
2001 170 205 194 172 191 209 136 180
2002 192 218 215 184 209 211 138 195
2003 185 218 209 179 185 207 140 190
2004 216 254 241 212 215 244 154 221
2005 226 248 233 203 219 240 160 221
2006 294 304 287 261 266 274 235 281
2007 310 316 311 294 295 290 219 295
2008 376 327 306 300 282 284 227 317
2009 390 358 354 357 313 322 299 354
2010 497 419 429 435 366 337 337 428
2011 535 472 493 509 450 388 382 482
2012 554 453 510 558 490 387 427 501
2013 609 501 560 629 559 409 458 547
2014 653 537 620 736 667 449 497 603
2015 690 594 679 815 769 465 541 652
Table 38: Private Healthcare Expenditure by Division 1997-2015 (million Taka)

1997 9,749 7,836 3,471 2,840 1,221 2,436 2,061 29,615
1998 11,107 8,696 3,775 3,145 1,365 2,689 2,271 33,048
1999 13,370 9,895 4,241 3,552 1,571 2,979 2,570 38,178
2000 15,273 10,460 4,665 3,869 2,123 3,243 2,748 42,382
2001 17,293 11,988 5,415 4,464 2,466 3,789 3,130 48,545
2002 20,547 13,385 6,132 5,094 2,798 4,176 3,500 55,633
2003 23,138 15,438 6,909 5,663 3,005 4,229 3,828 62,210
2004 26,299 17,356 7,847 6,349 3,364 4,704 4,227 70,145
2005 33,647 20,220 8,843 7,311 3,966 5,524 5,109 84,620
2006 40,000 22,139 10,040 8,980 4,609 6,160 5,614 97,543
2007 47,527 25,647 12,134 10,773 4,824 6,636 7,209 114,751
2008 61,494 28,181 12,397 13,985 4,528 7,057 8,246 135,888
2009 70,309 31,059 15,325 17,203 5,288 7,209 9,622 156,016
2010 85,289 35,282 18,070 19,613 6,239 7,151 11,422 183,066
2011 102,720 39,681 22,064 24,138 7,633 7,095 13,698 217,030
2012 119,937 42,875 24,502 27,767 8,945 8,190 15,841 248,057
2013 129,012 45,968 28,672 29,878 9,160 9,837 17,316 269,843
2014 146,957 50,617 32,304 33,929 10,370 11,004 19,788 304,969
2015 169,627 56,005 37,216 39,195 11,917 12,577 22,927 349,464
Row % 49% 16% 11% 11% 3% 4% 7% 100%

Table 39: Per-Capita Private Healthcare Expenditure by Division 1997-2015 (Taka)

1997 101 126 82 75 55 120 58 242
1998 283 358 229 215 166 336 163 265
1999 335 399 252 238 188 365 181 299
2000 380 419 276 257 252 395 193 332
2001 422 472 314 292 287 453 216 373
2002 493 518 350 327 320 491 237 420
2003 545 588 389 356 339 492 255 462
2004 610 651 435 393 373 539 277 513
2005 770 748 484 446 434 624 331 610
2006 904 808 542 542 498 687 359 694
2007 1,062 926 648 642 515 732 456 810
2008 1,363 1,004 656 823 479 769 515 967
2009 1,542 1,095 802 1,002 554 777 595 1,093
2010 1,849 1,230 935 1,129 646 762 698 1,267
2011 2,154 1,360 1,139 1,417 820 722 832 1,508
2012 2,435 1,445 1,262 1,663 997 798 957 1,694
2013 2,538 1,523 1,472 1,827 1,061 919 1,039 1,777
2014 2,804 1,650 1,655 2,118 1,251 987 1,180 1,980
2015 3,143 1,797 1,901 2,499 1,500 1,085 1,359 2,235

Changes in the Bangladesh National Health Accounts 1997-2015
Under each round of Bangladesh National observed due to revised estimates, and it
Health Accounts (BNHA), healthcare happened mainly due to changes in
expenditure estimates for new years are made methodology adopted for identifying Capital
and preceding years are revised. While expenditure in the government expenditure
accumulation of new BNHA estimates for recent database and the availability of new audited
years has become a routine activity performed healthcare expenditure data from other
by the Health Economics Unit (HEU) of the ministries.
Ministry of Health and Family Welfare
(MOHFW), making revision of old estimates has Earlier, capital expenditure made by the
also become a necessity as it makes old government in the healthcare system were
estimates comparable to new estimates. Since identified using name of the development
the second round of BNHA (2001), healthcare programme. For example, if there is a
expenditure estimates for the country has gone development program titled “Construction of
through several revisions and this fifth round of 50 bed Hospital in Jessore” then the entire
BNHA is no exception to that. Revision of old expenditure for this project is treated as Capital
estimates sometime yield completely new expenditure. Under the fifth round of BNHA, a
estimates but that does not make the old new approach in identifying capital expenditure
estimates incorrect, rather it makes the new is taken due to better understanding and
estimates more reliable and accurate. There are availability of government data. New economic
there major reasons identified that mandate classification code is used in tracking
revision in estimates made earlier and these government expenditure on capital items.
reasons are; (1) changes in definition; (2) Application of economic code has extended the
changes in data collection approach and capacity in identifying capital expenditure from
methodology; and (3) having access to new every programme and project undertaken by
reliable national level data. the government. Applying this new method for
identifying capital expenditure has made the
For production of BNHA, two independent capital expenditure more reliable and accurate
National Health Accounts (NHA) framework are and concurrently reduced the size of CHE.
used in defining healthcare boundaries and
expenditures. The frameworks are: (1) BNHA Under the fifth round of BNHA, new audited
Framework, which attempts to capture all electronic data on various fees including user
expenditure incurred within the healthcare fees collected from government facilities was
system of the country; (2) SHA 2011 available. It is observed that the total amount
Framework, which focuses on reporting current reported as user fees in earlier rounds of BNHA
healthcare expenditures (CHE) following System was significantly less, and those numbers are
of Health Accounts (SHA 2011). Boundaries for replaced with the new audited numbers.
defining healthcare expenditure under BNHA is Similarly, new figures for reimbursement made
much aligned to SHA1 classification for Total to the government employees for having
Health Expenditure as it serves the national treatment at the private facility was solicited.
interest better compared to SHA 2011. Hence, These new sets of data required adjustment in
when changes in old estimates are made, it the preceding years healthcare expenditure
often reflected more under output generated estimates and it is reflected in the BNHA and
using SHA 2011 than BNHA. Under the fifth SHA 2011 tables produced under the fifth round
round of BNHA, some significant changes are of BNHA.

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Bangladesh National Health Accounts 1997-2015 i|Page
List of Tables
ANNEX TABLE 1: TOTAL HEALTH EXPENDITURE BY PROVIDER AND FUNCTION, 1997 (MILLION TAKA) 3
ANNEX TABLE 20: TOTAL HEALTH EXPENDITURE BY PROVIDER AND FINANCING SCHEMES, 1997 AND 1998 (MILLION TAKA) 24
ANNEX TABLE 29: TOTAL HEALTH EXPENDITURE BY PROVIDER AND FINANCING SCHEMES, 2015 (MILLION TAKA) 33
ANNEX TABLE 30: TOTAL HEALTH EXPENDITURE BY PROVIDER AND REVENUE OF THE FINANCING SCHEMES, 1997 AND 1998 (MILLION TAKA) 34
ANNEX TABLE 40: TOTAL HEALTH EXPENDITURE BY PROVIDER AND REVENUE OF THE FINANCING SCHEMES, 2015 (MILLION TAKA) 44
Bangladesh National Health Accounts 1997-2015 ii | P a g e
ANNEX TABLE 50: TOTAL HEALTH EXPENDITURE BY PROVIDER AND REVENUE OF THE FINANCING SCHEMES, 2015 (MILLION TAKA) 54
Annex Table 1: Total Health Expenditure by Provider and Function, 1997 (Million Taka)
BNHA Code BHC.1.1 BHC.1.3 BHC.2.1 BHC.3.1 BHC.4.1 BHC.4.2 BHC.5.1 BHC.5.2 BHC.6.1 BHC.6.3 BHC.6.4 BHC.6.5 BHC.7.1 BHC.RI. BHCK.1. BHCKR.4 BHCKR.5 Total
personnel
medical non-durable goods
risk and disease control

Pharma -ceuticals and other
TCAM
health
medical goods
Healthy condition monitoring
Outpatient and home-based

Therapeutic appliances and other
Early diseases detection
Epidemiological surveillance and
Gross capital formation
Research and development in

Information, education and
Inpatient curative care
Outpatient curative care
Imaging services
programmes
programmes
programmes
Education and training of health

In-patient long-term care (health)

Inpatient rehabilitative care
Laboratory services
counseling programmes
Governance and health system

administration
BHP.1.1 4,356 1,731 0 2,709 47 578 1 9,422
BHP.1.2 29 29
BHP.1.3 450 306 47 147 8 133 359 13 1,465
BHP.3.1 2,780 7 2,787
BHP.3.2 60 60
BHP.3.3 844 844
BHP.3.4 959 147 494 640 2,240
BHP.4.2 608 372 980
BHP.5.1 19,554 19,554
BHP.5.2 93 93
BHP.6.1 343 123 21 0 2,990 1,359 4,836
BHP.6.2 9 21 0 30
BHP.6.3 0 1,442 213 59 1,714
BHP.7.1 388 917 350 2 10 1,668
BHP.8.2 64 329 4 7 95 14 67 32 17 406 1,034
Total 4,871 6,508 47 29 612 372 19,561 93 5,059 28 14 76 4,847 844 3,363 2 430 46,757
BHP.1.1 General hospitals including teaching hospitals BHP.5.1 Pharmacies/Retail Drug Outlet
BHP.1.2 Mental health hospitals BHP.5.2 Retail sellers and other suppliers of durable medical goods and medical appliances
BHP.1.3 Specialized hospitals BHP.6.1 GoB MoHFW public health programmes
BHP.3.1 Medical practices BHP.6.2 GoB non-MoHFW public health programmes
BHP.3.2 Dental practice BHP.6.3 NGO public health programmes
BHP.3.3 Other health care practitioners BHP.7.1 Government health administration agencies
BHP.3.4 Ambulatory health care centers BHP.8.2 All other industries as secondary providers of health care
BHP.4.2 Medical and diagnostic laboratories
personnel

TCAM
health
medical goods


Laboratory services

Imaging services
programmes
programmes
programmes

administration
BHP.1.1 4,815 1,852 0 2,185 62 675 1 9,589
BHP.1.2 31 31
BHP.1.3 530 362 50 196 9 178 374 14 1,712
BHP.3.1 3,133 7 3,140
BHP.3.2 72 72
BHP.3.3 904 904
BHP.3.4 1,025 150 523 655 2,353
BHP.4.2 810 495 1,305
BHP.5.1 21,628 21,628
BHP.5.2 100 100
BHP.6.1 357 127 22 0 3,055 1,388 4,949
BHP.6.2 10 24 0 35
BHP.6.3 1,873 284 68 2,225
BHP.7.1 397 965 363 2 11 1,737
BHP.8.2 70 371 4 8 104 16 73 36 20 427 1,128
Total 5,415 7,172 50 31 814 495 21,636 100 5,042 29 16 82 5,127 904 3,543 2 452 50,909
personnel

TCAM
health
medical goods



Imaging services
programmes
programmes
programmes

Laboratory services
administration
BHP.1.1 5,455 2,311 0 3,514 68 684 1 12,032
BHP.1.2 34 34
BHP.1.3 558 364 55 219 10 184 386 15 1,789
BHP.3.1 3,560 8 3,568
BHP.3.2 87 87
BHP.3.3 987 987
BHP.3.4 1,093 154 572 664 2,483
BHP.4.2 1,047 641 1,688
BHP.5.1 23,703 23,703
BHP.5.2 109 109
BHP.6.1 370 132 22 0 3,091 1,402 5,018
BHP.6.2 12 28 0 40
BHP.6.3 0 1,666 451 79 2,196
BHP.7.1 401 1,054 381 2 11 1,848
BHP.8.2 77 414 4 8 124 17 79 39 23 462 1,246
Total 6,090 8,199 55 34 1,052 641 23,711 109 6,221 30 17 88 5,487 987 3,619 2 488 56,829
personnel

TCAM
health
medical goods


Imaging services
programmes
programmes
programmes

Laboratory services

administration
BHP.1.1 6,859 3,091 0 4,051 401 1,143 1 15,546
BHP.1.2 44 44
BHP.1.3 607 387 81 241 10 189 497 16 2,029
BHP.3.1 3,994 9 4,002
BHP.3.2 103 103
BHP.3.3 1,073 1,073
BHP.3.4 482 675 126 932 2,215
BHP.4.2 1,303 797 2,099
BHP.5.1 25,777 25,777
BHP.5.2 118 118
BHP.6.1 336 241 23 0 3,152 1,431 5,183
BHP.6.2 1 2 10 13
BHP.6.3 0 1,454 618 39 2,112
BHP.7.1 409 487 325 2 11 1,234
BHP.8.2 84 459 5 9 149 18 84 104 40 (0) 508 1,460
Total 7,551 8,851 81 44 1,307 797 25,786 118 7,221 32 18 93 5,081 1,073 4,417 2 536 63,008
personnel

TCAM
health
medical goods


Imaging services
programmes
programmes
programmes


Laboratory services
administration
BHP.1.1 7,499 3,229 4,775 526 593 0 16,622
BHP.1.2 46 1 47
BHP.1.3 676 396 76 257 13 155 83 19 1,673
BHP.3.1 4,353 8 4,361
BHP.3.2 117 117
BHP.3.3 1,133 1,133
BHP.3.4 362 1,480 324 1,447 3,613
BHP.4.2 1,598 977 2,576
BHP.5.1 28,920 28,920
BHP.5.2 159 159
BHP.6.1 88 210 42 0 48 2,166 2,554
BHP.6.2 17 17
BHP.6.3 0 1,702 737 3,752 6,192
BHP.7.1 308 673 1,348 2 29 2,361
BHP.8.2 101 502 5 10 165 19 91 46 255 2 479 1,674
Total 8,276 9,045 76 46 1,603 977 28,930 159 8,914 50 19 103 2,509 1,133 9,645 4 527 72,017
personnel

TCAM
health
medical goods



Imaging services
programmes
programmes
programmes


Laboratory services
administration
BHP.1.1 8,579 3,575 0 5,056 450 1,384 19,044
BHP.1.2 53 8 60
BHP.1.3 758 471 82 310 9 135 167 19 1,953
BHP.3.1 4,727 9 4,736
BHP.3.2 132 132
BHP.3.3 1,190 1,190
BHP.3.4 409 3,714 172 1,884 6,178
BHP.4.2 1,923 1,176 3,100
BHP.5.1 32,083 32,083
BHP.5.2 200 200
BHP.6.1 61 1,137 13 0 66 577 1,855
BHP.6.2 49 41 90
BHP.6.3 0 3,397 956 2,272 6,626
BHP.7.1 150 731 1,226 240 2,347
BHP.8.2 109 563 6 11 183 20 100 51 307 66 549 1,966
Total 9,447 9,939 82 53 1,929 1,176 32,095 200 13,996 22 21 109 2,560 1,190 7,867 66 808 81,559
personnel

TCAM
health
medical goods


Imaging services
programmes
programmes
programmes

Laboratory services
administration
BHP.1.1 10,188 4,176 6 5,373 609 1,776 0 22,127
BHP.1.2 70 4 75
BHP.1.3 921 598 84 253 19 123 248 21 2,266
BHP.3.1 5,335 11 5,346
BHP.3.2 155 155
BHP.3.3 1,301 1,301
BHP.3.4 549 4,403 177 884 6,014
BHP.4.2 2,380 1,455 3,835
BHP.5.1 34,863 34,863
BHP.5.2 240 240
BHP.6.1 15 1,464 123 0 58 221 1,881
BHP.6.2 78 189 267
BHP.6.3 3,773 865 106 3 4,748
BHP.7.1 149 853 625 2 872 2,501
BHP.8.2 120 635 6 13 199 20 106 78 335 65 685 2,263
Total 11,229 11,462 90 70 2,386 1,455 34,876 240 15,692 134 20 125 2,764 1,301 4,388 67 1,582 87,882
personnel

TCAM
health
medical goods


Imaging services
programmes
programmes

programmes

Laboratory services
administration
BHP.1.1 12,051 4,717 21 6,293 0 869 2,720 26,671
BHP.1.2 76 0 76
BHP.1.3 947 670 118 240 12 110 439 23 2,558
BHP.3.1 5,881 10 1 5,891
BHP.3.2 177 177
BHP.3.3 1,383 1,383
BHP.3.4 338 6,349 252 1,396 8,335
BHP.4.2 2,834 1,733 4,568
BHP.5.1 38,130 38,130
BHP.5.2 281 281
BHP.6.1 90 2,481 135 104 242 0 3,051
BHP.6.2 59 148 207
BHP.6.3 2,282 774 14 3,071
BHP.7.1 99 960 2,316 4 151 3,530
BHP.8.2 132 715 7 14 222 19 112 66 566 76 598 2,527
Total 13,130 12,587 138 76 2,841 1,733 38,144 281 18,026 145 19 123 3,136 1,383 7,840 80 772 100,456
personnel

TCAM
health
medical goods


Imaging services
programmes
programmes

programmes

Laboratory services
administration
BHP.1.1 14,507 4,925 21 7,055 1 1,267 5,783 33,560
BHP.1.2 70 32 102
BHP.1.3 1,014 800 148 301 12 123 698 26 3,121
BHP.3.1 6,634 11 2 6,647
BHP.3.2 208 208
BHP.3.3 1,513 1,513
BHP.3.4 374 6,163 196 370 7,104
BHP.4.2 3,393 2,115 5,508
BHP.5.1 44,740 44,740
BHP.5.2 322 322
BHP.6.1 34 2,409 219 0 220 298 0 1 3,181
BHP.6.2 23 17 40
BHP.6.3 2,788 730 0 3,518
BHP.7.1 1,544 1,797 6 29 3,375
BHP.8.2 150 809 8 16 236 22 134 69 320 88 608 2,460
Total 15,672 13,784 169 70 3,401 2,115 44,756 322 18,974 230 23 146 4,149 1,513 9,316 94 664 115,399
personnel

TCAM
health
medical goods



Imaging services
programmes
programmes

programmes

Laboratory services
administration
BHP.1.1 16,602 6,099 28 8,593 22 1,529 6,429 39,303
BHP.1.2 66 21 87
BHP.1.3 1,153 999 115 368 16 168 1,583 30 4,433
BHP.3.1 7,485 12 0 7,497
BHP.3.2 238 238
BHP.3.3 1,880 1,880
BHP.3.4 430 6,590 273 402 7,695
BHP.4.2 4,126 2,563 6,690
BHP.5.1 51,941 51,941
BHP.5.2 305 305
BHP.6.1 36 2,527 660 327 185 40 5 3,781
BHP.6.2 20 25 45
BHP.6.3 2,374 996 3,370
BHP.7.1 0 1,285 4,572 6 103 5,966
BHP.8.2 154 910 9 17 292 28 152 321 1,019 93 890 3,885
Total 17,910 16,196 144 66 4,135 2,563 51,959 305 20,764 672 49 169 4,901 1,880 14,236 140 1,027 137,114
Table 11: Total Health Expenditure by Provider and Function, 2007 (Million Taka)
personnel

TCAM
health
medical goods


Imaging services
programmes
programmes

administration
programmes

Laboratory services
BHP.1.1 19,589 6,909 12 10,294 1 22 1,590 5,787 44,205
BHP.1.2 80 10 90
BHP.1.3 1,346 1,125 138 414 18 112 445 30 3,630
BHP.3.1 8,677 14 0 8,691
BHP.3.2 280 280
BHP.3.3 2,402 2,402
BHP.3.4 716 10,163 (291) 555 11,143
BHP.4.2 4,673 3,149 7,822
BHP.5.1 62,081 62,081
BHP.5.2 287 287
BHP.6.1 39 1,444 409 465 123 19 13 2,513
BHP.6.2 34 13 47
BHP.6.3 2,684 742 3,426
BHP.7.1 1,336 5,528 6 16 6,887
BHP.8.2 183 1,059 10 19 345 32 160 329 257 102 977 3,473
Total 21,117 18,805 150 80 4,683 3,149 62,101 287 25,379 424 54 179 4,284 2,402 12,719 127 1,037 156,977
personnel

TCAM
health
medical goods


Imaging services

programmes
programmes
programmes

Laboratory services
administration
BHP.1.1 20,592 9,271 12,209 13 22 2,772 12,257 57,136
BHP.1.2 87 0 87
BHP.1.3 1,410 1,019 141 1,001 19 533 541 33 4,697
BHP.3.1 10,193 14 0 10,208
BHP.3.2 334 334
BHP.3.3 3,120 3,120
BHP.3.4 838 7,321 115 184 8,458
BHP.4.2 5,370 3,620 8,990
BHP.5.1 69,353 69,353
BHP.5.2 270 270
BHP.6.1 2,651 1,866 313 254 48 12 5,144
BHP.6.2 32 12 9 52
BHP.6.3 1 955 70 40 1,065
BHP.7.1 0 1,589 6,824 51 168 8,634
BHP.8.2 318 1,201 11 22 376 11 105 396 251 108 1,428 4,227
Total 22,321 22,856 141 87 5,381 3,620 69,374 270 24,546 1,893 33 124 5,800 3,120 20,361 207 1,641 181,775
personnel

TCAM

medical goods
health



Imaging services
programmes
programmes
programmes



Laboratory services
administration
BHP.1.1 23,590 11,198 13,712 24 24 3,510 10,551 62,609
BHP.1.2 102 0 102
BHP.1.3 1,576 1,148 170 1,157 26 693 738 35 5,542
BHP.3.1 11,310 17 1 11,328
BHP.3.2 378 378
BHP.3.3 3,829 3,829
BHP.3.4 1,097 8,200 175 745 10,217
BHP.4.2 7,428 3,548 10,975
BHP.5.1 80,471 80,471
BHP.5.2 253 253
BHP.6.1 2,176 1,672 367 244 25 18 4,502
BHP.6.2 32 26 127 184
BHP.6.3 1 1,228 87 23 1,338
BHP.7.1 0 2,510 8,076 58 102 10,746
BHP.8.2 347 1,376 11 23 401 11 111 381 884 124 1,525 5,196
Total 25,514 26,507 170 102 7,439 3,548 80,494 253 26,906 1,714 36 137 7,748 3,829 21,387 207 1,681 207,671
personnel

TCAM
health
medical goods


Imaging services
programmes
programmes
programmes

Laboratory services
administration
BHP.1.1 27,267 12,924 16,468 23 38 4,216 12,293 73,229
BHP.1.2 118 1 120
BHP.1.3 1,822 1,264 215 1,224 31 820 950 36 6,362
BHP.3.1 12,849 20 5 12,874
BHP.3.2 434 434
BHP.3.3 4,778 4,778
BHP.3.4 1,654 10,921 228 1,262 14,065
BHP.4.2 7,427 5,173 12,600
BHP.5.1 96,584 96,584
BHP.5.2 235 235
BHP.6.1 3,135 1,467 522 553 21 9 5,706
BHP.6.2 23 69 91
BHP.6.3 2 1,062 76 1,140
BHP.7.1 3 2,628 9,432 68 37 12,168
BHP.8.2 381 1,549 12 27 439 13 118 409 770 138 1,799 5,654
Total 29,472 30,674 215 118 7,439 5,173 96,611 235 33,275 1,510 51 149 8,899 4,778 25,334 226 1,881 246,040
personnel

TCAM
health
medical goods


programmes
Imaging services
programmes
programmes


Laboratory services
administration
BHP.1.1 32,028 15,017 17,857 15 63 4,940 14,462 84,381
BHP.1.2 144 2 146
BHP.1.3 2,589 1,840 260 1,750 37 1,230 1,932 30 9,668
BHP.3.1 14,885 26 0 14,912
BHP.3.2 510 510
BHP.3.3 6,104 6,104
BHP.3.4 2,510 12,734 241 2,182 17,668
BHP.4.2 8,207 6,180 14,387
BHP.5.1 116,326 116,326
BHP.5.2 408 408
BHP.6.1 3,411 1,162 399 166 12 8 5,158
BHP.6.2 29 76 105
BHP.6.3 2 1,452 112 1,566
BHP.7.1 1 3,212 7,770 63 64 11,110
BHP.8.2 430 1,702 14 29 509 19 125 468 647 162 2,251 6,357
Total 35,048 36,465 260 144 8,221 6,180 116,355 408 37,744 1,204 82 162 10,603 6,104 27,236 236 2,352 288,806
personnel

TCAM
health
medical goods



Imaging services
programmes
programmes
programmes


Laboratory services
administration
BHP.1.1 36,088 16,971 18,113 18 0 6,170 12,025 89,385
BHP.1.2 159 1 160
BHP.1.3 2,619 1,861 270 1,818 35 1,279 1,955 32 9,869
BHP.3.1 17,126 25 0 17,151
BHP.3.2 596 596
BHP.3.3 7,750 7,750
BHP.3.4 4,180 17,089 297 1,643 23,210
BHP.4.2 9,389 7,085 16,473
BHP.5.1 133,782 133,782
BHP.5.2 428 428
BHP.6.1 150 3,729 1,132 738 215 (0) 5,962
BHP.6.2 30 28 58
BHP.6.3 2 1,156 112 1,269
BHP.7.1 7 4,290 6,142 215 10,654
BHP.8.2 468 1,856 15 32 549 20 133 180 955 172 2,308 6,689
Total 39,176 42,740 270 159 9,403 7,085 133,815 428 42,489 1,175 20 169 13,065 7,750 22,965 172 2,555 323,437
personnel

TCAM
health
medical goods


Imaging services
programmes
programmes
programmes


Laboratory services
administration
BHP.1.1 42,803 13,517 10,134 19 3,847 8,275 78,595
BHP.1.2 165 2 168
BHP.1.3 4,417 1,559 279 6,377 32 3,208 2,003 37 17,912
BHP.3.1 19,379 26 0 19,405
BHP.3.2 684 684
BHP.3.3 9,659 9,659
BHP.3.4 8,324 15,280 418 1,602 25,624
BHP.4.2 9,755 9,511 19,266
BHP.5.1 144,986 144,986
BHP.5.2 455 455
BHP.6.1 4,560 1,760 879 329 (0) 7,528
BHP.6.2 86 86 173
BHP.6.3 982 4,155 1,636 6,773
BHP.7.1 0 5,185 9,669 11 504 15,369
BHP.8.2 280 2,014 15 26 952 14 321 208 849 172 2,512 7,364
Total 48,482 45,477 279 165 9,770 9,511 145,012 455 41,545 1,805 14 353 15,383 9,659 22,815 183 3,052 353,961
personnel

TCAM
health
medical goods



Imaging services
programmes
programmes
programmes


Laboratory services
administration
BHP.1.1 47,273 15,184 11,047 29 0 4,361 9,310 87,204
BHP.1.2 145 1 146
BHP.1.3 5,261 1,647 289 5,010 44 3,230 1,047 37 16,564
BHP.3.1 21,670 31 0 21,701
BHP.3.2 780 780
BHP.3.3 11,975 11,975
BHP.3.4 8,535 18,914 452 1,100 29,001
BHP.4.2 10,768 10,910 21,677
BHP.5.1 166,999 166,999
BHP.5.2 496 496
BHP.6.1 4,516 1,082 0 942 233 (0) 6,773
BHP.6.2 132 186 319
BHP.6.3 1,193 4,771 1,758 7,722
BHP.7.1 0 5,135 9,598 0 353 15,087
BHP.8.2 325 2,171 36 37 1,084 16 349 243 501 199 7,014 11,976
Total 54,052 49,986 289 145 10,803 10,910 167,036 496 45,475 1,142 16 393 16,122 11,975 21,977 199 7,404 398,420
personnel
TCAM
health
medical goods


Imaging services
programmes
programmes
programmes


Laboratory services
administration
BHP.1.1 52,196 16,516 12,184 26 4,419 10,964 96,306
BHP.1.2 165 2 166
BHP.1.3 6,015 1,772 330 4,505 44 3,246 2,271 51 18,235
BHP.3.1 24,573 35 0 24,608
BHP.3.2 906 906
BHP.3.3 14,974 14,974
BHP.3.4 8,142 19,334 493 1,104 29,074
BHP.4.2 12,081 12,600 24,681
BHP.5.1 194,948 194,948
BHP.5.2 564 564
BHP.6.1 4,953 708 870 298 6,829
BHP.6.2 34 478 512
BHP.6.3 1,456 5,863 1,958 5 9,282
BHP.7.1 0 4,557 11,949 13 510 17,029
BHP.8.2 361 2,354 36 45 1,162 18 344 278 841 224 8,112 13,774
Total 60,029 54,264 330 165 12,117 12,600 194,993 564 48,035 769 18 388 15,820 14,974 27,912 237 8,674 451,889
Annex Table 20: Total Health Expenditure by Provider and Financing Schemes, 1997 and 1998 (Million Taka)
1997 1998
BNHA Code BHF.1.1 BHF.2.1 BHF.2.2 BHF.2.3 BHF.3.1 BHF.4.2 Total BHF.1.1 BHF.2.1 BHF.2.2 BHF.2.3 BHF.3.1 BHF.4.2 Total
Rest of the World Voluntary

Non-profit institution/NGO
Voluntary health insurance

Corporations, autonomous
Out-of-pocket expenditure

excluding cost-sharing
Government schemes
Government schemes
bodies and private
bodies and private

financing schemes
financing schemes
companies
companies
Schemes
Schemes
schemes
schemes
BHP.1.1 6,532 28 64 284 1,610 904 9,422 6,849 31 9 361 1,953 386 9,589
BHP.1.2 29 29 31 31
BHP.1.3 845 79 541 1,465 885 106 721 1,712
BHP.3.1 19 2,768 2,787 20 3,120 3,140
BHP.3.2 60 60 72 72
BHP.3.3 844 844 904 904
BHP.3.4 2,200 9 31 2,240 2,300 12 41 2,353
BHP.4.2 980 980 1,305 1,305
BHP.5.1 19,554 19,554 21,628 21,628
BHP.5.2 93 93 100 100
BHP.6.1 4,836 4,836 4,949 4,949
BHP.6.2 30 30 35 35
BHP.6.3 231 308 1,175 1,714 248 411 1,567 2,225
BHP.7.1 1,668 1,668 1,737 1,737
BHP.8.2 749 285 1,034 802 326 1,128
Total 17,139 28 461 569 25,909 2,651 46,757 17,856 31 537 687 29,083 2,715 50,909
1999 2000



Government schemes
Government schemes
bodies and private
bodies and private

financing schemes
financing schemes
companies
companies
Schemes
Schemes
schemes
schemes
BHP.1.1 6,532 28 64 284 1,610 904 9,422 6,849 31 9 361 1,953 386 9,589
BHP.1.2 29 29 31 31
BHP.1.3 845 79 541 1,465 885 106 721 1,712
BHP.3.1 19 2,768 2,787 20 3,120 3,140
BHP.3.2 60 60 72 72
BHP.3.3 844 844 904 904
BHP.3.4 2,200 9 31 2,240 2,300 12 41 2,353
BHP.4.2 980 980 1,305 1,305
BHP.5.1 19,554 19,554 21,628 21,628
BHP.5.2 93 93 100 100
BHP.6.1 4,836 4,836 4,949 4,949
BHP.6.2 30 30 35 35
BHP.6.3 231 308 1,175 1,714 248 411 1,567 2,225
BHP.7.1 1,668 1,668 1,737 1,737
BHP.8.2 749 285 1,034 802 326 1,128
Total 17,139 28 461 569 25,909 2,651 46,757 17,856 31 537 687 29,083 2,715 50,909
2001 2002
bodies and private companies




Government schemes
Government schemes
financing schemes
financing schemes
Schemes
Schemes
schemes
schemes
BHP.1.1 9,134 86 508 89 3,439 3,365 16,622 9,165 94 751 515 4,399 4,119 19,044
BHP.1.2 47 47 60 60
BHP.1.3 750 75 848 1,673 1,004 98 851 1,953
BHP.3.1 26 4,335 4,361 30 4,706 4,736
BHP.3.2 117 117 132 132
BHP.3.3 1,133 1,133 1,190 1,190
BHP.3.4 3,609 2 3 3,613 6,173 2 3 6,178
BHP.4.2 2,576 2,576 3,100 3,100
BHP.5.1 28,920 28,920 32,083 32,083
BHP.5.2 159 159 200 200
BHP.6.1 2,554 2,554 1,855 1,855
BHP.6.2 17 17 90 90
BHP.6.3 3,782 546 1,864 6,192 3,764 559 2,303 6,626
BHP.7.1 2,361 2,361 2,347 2,347
BHP.8.2 1,206 467 1,674 1,437 528 1,966
Total 23,485 86 1,131 557 40,679 6,079 72,017 25,926 94 1,411 1,043 45,809 7,276 81,559
2003 2004



Government schemes
Government schemes
bodies and private
bodies and private

financing schemes
financing schemes
companies
companies
Schemes
Schemes
schemes
schemes
BHP.1.1 9,929 103 880 508 5,842 4,865 22,127 11,679 115 1,048 463 7,505 5,860 26,671
BHP.1.2 75 75 76 76
BHP.1.3 1,252 76 938 2,266 1,434 56 1,068 2,558
BHP.3.1 32 5,314 5,346 60 5,831 5,891
BHP.3.2 155 155 177 177
BHP.3.3 1,301 1,301 1,383 1,383
BHP.3.4 6,005 3 7 6,014 8,321 3 10 8,335
BHP.4.2 3,835 3,835 4,568 4,568
BHP.5.1 34,863 34,863 38,130 38,130
BHP.5.2 240 240 281 281
BHP.6.1 1,881 1,881 3,051 3,051
BHP.6.2 267 267 207 207
BHP.6.3 2,085 565 2,097 4,748 100 717 2,253 3,071
BHP.7.1 2,501 2,501 3,530 3,530
BHP.8.2 1,646 617 2,263 1,853 674 2,527
Total 25,672 103 1,524 1,125 51,551 7,907 87,882 30,310 115 1,825 1,137 57,876 9,192 100,456
2005 2006



Government schemes
Government schemes
bodies and private
bodies and private

financing schemes
financing schemes
companies
companies
Schemes
Schemes
schemes
schemes
BHP.1.1 13,479 125 1,561 2,338 9,966 6,092 33,560 16,207 142 2,160 3,497 11,391 5,905 39,303
BHP.1.2 102 102 87 87
BHP.1.3 1,742 66 1,314 3,121 2,735 72 1,626 4,433
BHP.3.1 64 6,583 6,647 81 7,416 7,497
BHP.3.2 208 208 238 238
BHP.3.3 1,513 1,513 1,880 1,880
BHP.3.4 7,084 8 13 7,104 7,658 12 25 7,695
BHP.4.2 5,508 5,508 6,690 6,690
BHP.5.1 44,740 44,740 51,941 51,941
BHP.5.2 322 322 305 305
BHP.6.1 3,181 3,181 3,781 3,781
BHP.6.2 40 40 45 45
BHP.6.3 15 964 2,539 3,518 7 1,012 2,352 3,370
BHP.7.1 3,375 3,375 5,966 5,966
BHP.8.2 1,699 762 2,460 3,006 879 3,885
Total 30,779 125 2,599 3,099 68,840 9,957 115,399 39,572 142 3,257 4,376 79,860 9,908 137,114
2007 2008



Government schemes
Government schemes
bodies and private
bodies and private

financing schemes
financing schemes
companies
companies
Schemes
Schemes
schemes
schemes
BHP.1.1 17,291 168 1,968 3,833 13,533 7,411 44,205 18,437 206 2,579 9,701 16,006 10,208 57,136
BHP.1.2 90 90 87 87
BHP.1.3 1,725 65 1,840 3,630 2,063 361 2,273 4,697
BHP.3.1 96 8,595 8,691 86 10,122 10,208
BHP.3.2 280 280 334 334
BHP.3.3 2,402 2,402 3,120 3,120
BHP.3.4 11,132 7 5 11,143 8,251 28 179 8,458
BHP.4.2 7,822 7,822 8,990 8,990
BHP.5.1 62,081 62,081 69,353 69,353
BHP.5.2 287 287 270 270
BHP.6.1 2,513 2,513 5,144 5,144
BHP.6.2 47 47 52 52
BHP.6.3 2 1,155 2,269 3,426 43 365 657 1,065
BHP.7.1 6,887 6,887 8,634 8,634
BHP.8.2 2,443 1,030 3,473 3,090 1,137 4,227
Total 42,227 168 3,194 4,863 95,001 11,525 156,977 45,887 206 3,333 10,838 108,195 13,317 181,775
2009 2010



Government schemes
Government schemes
bodies and private
bodies and private

financing schemes
financing schemes
companies
companies
Schemes
Schemes
schemes
schemes
BHP.1.1 19,723 249 2,688 8,378 18,068 13,502 62,609 23,745 308 2,881 9,430 21,118 15,747 73,229
BHP.1.2 102 102 120 120
BHP.1.3 2,526 383 2,633 5,542 3,027 414 2,921 6,362
BHP.3.1 66 11,262 11,328 134 12,739 12,874
BHP.3.2 378 378 434 434
BHP.3.3 3,829 3,829 4,778 4,778
BHP.3.4 9,895 29 293 10,217 13,815 20 230 14,065
BHP.4.2 10,975 10,975 12,600 12,600
BHP.5.1 80,471 80,471 96,584 96,584
BHP.5.2 253 253 235 235
BHP.6.1 4,502 4,502 5,706 5,706
BHP.6.2 184 184 91 91
BHP.6.3 27 422 889 1,338 5 393 742 1,140
BHP.7.1 10,746 10,746 12,168 12,168
BHP.8.2 3,884 1,313 5,196 4,162 1,492 5,654
Total 51,655 249 3,523 9,690 125,236 17,317 207,671 62,974 308 3,707 10,922 148,488 19,641 246,040
2011 2012



Government schemes
Government schemes
bodies and private

bodies and private
financing schemes
financing schemes
companies
companies
Schemes
Schemes
schemes
schemes
BHP.1.1 28,289 339 3,843 10,958 23,985 16,968 84,381 25,787 381 4,400 9,674 27,399 21,743 89,385
BHP.1.2 146 146 160 160
BHP.1.3 4,647 495 4,526 9,668 4,704 553 4,612 9,869
BHP.3.1 159 14,752 14,912 174 16,978 17,151
BHP.3.2 510 510 596 596
BHP.3.3 6,104 6,104 7,750 7,750
BHP.3.4 17,437 19 212 17,668 22,982 39 188 23,210
BHP.4.2 14,387 14,387 16,473 16,473
BHP.5.1 116,326 116,326 133,782 133,782
BHP.5.2 408 408 428 428
BHP.6.1 5,158 5,158 5,962 5,962
BHP.6.2 105 105 58 58
BHP.6.3 4 954 608 1,566 4 664 601 1,269
BHP.7.1 11,110 11,110 10,654 10,654
BHP.8.2 4,721 1,636 6,357 4,895 1,794 6,689
Total 71,776 339 5,311 12,593 176,473 22,314 288,806 75,380 381 5,656 11,468 203,407 27,144 323,437
2013 2014


Government schemes
Government schemes
bodies and private
bodies and private

financing schemes
financing schemes
companies
companies
Schemes
Schemes
schemes
schemes
BHP.1.1 28,479 507 626 4,726 33,482 10,775 78,595 31,570 549 806 4,058 38,067 12,155 87,204
BHP.1.2 168 168 146 146
BHP.1.3 5,114 2,051 10,747 17,912 4,314 2,461 9,790 16,564
BHP.3.1 230 19,175 19,405 159 21,542 21,701
BHP.3.2 684 684 780 780
BHP.3.3 9,659 9,659 11,975 11,975
BHP.3.4 21,764 783 3,077 25,624 25,382 816 2,803 29,001
BHP.4.2 19,266 19,266 21,677 21,677
BHP.5.1 144,986 144,986 166,999 166,999
BHP.5.2 455 455 496 496
BHP.6.1 7,528 7,528 6,773 6,773
BHP.6.2 173 173 319 319
BHP.6.3 4 1,667 5,102 6,773 6 1,851 5,866 7,722
BHP.7.1 15,369 15,369 15,087 15,087
BHP.8.2 5,289 2,075 7,364 9,697 2,279 11,976
Total 84,117 507 5,127 6,801 227,707 29,701 353,961 93,452 549 5,933 6,337 261,535 30,614 398,420
Annex Table 29: Total Health Expenditure by Provider and Financing Schemes, 2015 (Million Taka)
2015
BNHA Code BHF.1.1 BHF.2.1 BHF.2.2 BHF.2.3 BHF.3.1 BHF.4.2 Total
Corporations, autonomous bodies and
Rest of the World Voluntary Schemes

private companies (other than health
Out-of-pocket expenditure excluding

Non-profit institution/NGO financing
Voluntary health insurance schemes

Government schemes
cost-sharing
insurance)
schemes
Provider
BHP.1.1 General hospitals including teaching hospitals 34,917 705 1,050 4,937 41,825 12,872 96,306
BHP.1.2 Mental health hospitals 166 166
BHP.1.3 Specialized hospitals 6,095 2,981 9,159 18,235
BHP.3.1 Medical practices 202 24,407 24,608
BHP.3.2 Dental practice 906 906
BHP.3.3 Other health care practitioners 14,974 14,974
BHP.3.4 Ambulatory health care centers 25,369 872 2,833 29,074
BHP.4.2 Medical and diagnostic laboratories 24,681 24,681
BHP.5.1 Pharmacies/Retail Drug Outlet 194,948 194,948
BHP.5.2 Retail sellers and other suppliers of durable medical goods and medical appliances 564 564
BHP.6.1 GoB MoHFW public health programmes 6,829 6,829
BHP.6.2 GoB non-MoHFW public health programmes 512 512
BHP.6.3 NGO public health programmes 17 2,016 7,249 9,282
BHP.7.1 Government health administration agencies 17,029 17,029
BHP.8.2 All other industries as secondary providers of health care 11,289 2,485 13,774
Total 102,425 705 6,918 7,422 302,306 32,113 451,889
Annex Table 30: Total Health Expenditure by Provider and Revenue of the Financing Schemes, 1997 and 1998 (Million Taka)
1997 1998
BNHA Code BFS.1.1 BFS.1.2 BFS.1.4 BFS.5.2 BFS.6.1 BFS.6.2 BFS.6.3 BFS.7.1 Total BFS.1.1 BFS.1.2 BFS.1.4 BFS.5.2 BFS.6.1 BFS.6.2 BFS.6.3 BFS.7.1 Total
n.e.c.
n.e.c.
n.e.c.
n.e.c.
Other revenues from NPISH n.e.c.
behalf of specific groups

Voluntary prepayment from

Govt. Internal transfers and grants
employers
employers
Other revenues from households

domestic revenue
domestic revenue
Direct foreign financial transfers

Transfers from government on
Transfers from government
Other revenues from corporations


BHP.1.1 6,472 60 28 1,610 284 64 904 9,422 6,753 96 31 1,953 361 9 386 9,589
BHP.1.2 29 29 31 31
BHP.1.3 707 138 79 541 1,465 740 145 106 721 1,712
BHP.3.1 19 2,768 2,787 20 3,120 3,140
BHP.3.2 60 60 72 72
BHP.3.3 844 844 904 904
BHP.3.4 2,187 12 9 31 2,240 2,285 14 12 41 2,353
BHP.4.2 980 980 1,305 1,305
BHP.5.1 19,554 19,554 21,628 21,628
BHP.5.2 93 93 100 100
BHP.6.1 4,836 4,836 4,949 4,949
BHP.6.2 29 0 30 34 0 35
BHP.6.3 89 141 308 1,175 1,714 104 144 411 1,567 2,225
BHP.7.1 1,667 0 1,668 1,737 0 1,737
BHP.8.2 669 81 285 1,034 719 83 326 1,128
Total 16,707 60 373 28 25,909 569 461 2,651 46,757 17,373 96 387 31 29,083 687 537 2,715 50,909
1997 1998
n.e.c.
n.e.c.
n.e.c.
n.e.c.




employers
employers
domestic revenue
domestic revenue



BHP.1.1 6,472 60 28 1,610 284 64 904 9,422 6,753 96 31 1,953 361 9 386 9,589
BHP.1.2 29 29 31 31
BHP.1.3 707 138 79 541 1,465 740 145 106 721 1,712
BHP.3.1 19 2,768 2,787 20 3,120 3,140
BHP.3.2 60 60 72 72
BHP.3.3 844 844 904 904
BHP.3.4 2,187 12 9 31 2,240 2,285 14 12 41 2,353
BHP.4.2 980 980 1,305 1,305
BHP.5.1 19,554 19,554 21,628 21,628
BHP.5.2 93 93 100 100
BHP.6.1 4,836 4,836 4,949 4,949
BHP.6.2 29 0 30 34 0 35
BHP.6.3 89 141 308 1,175 1,714 104 144 411 1,567 2,225
BHP.7.1 1,667 0 1,668 1,737 0 1,737
BHP.8.2 669 81 285 1,034 719 83 326 1,128
Total 16,707 60 373 28 25,909 569 461 2,651 46,757 17,373 96 387 31 29,083 687 537 2,715 50,909
1999 2000

n.e.c.
n.e.c.
n.e.c.
n.e.c.


employers
employers
domestic revenue
domestic revenue



BHP.1.1 7,216 90 34 2,422 350 172 1,748 12,032 9,406 137 38 2,739 677 259 2,290 15,546
BHP.1.2 34 34 44 44
BHP.1.3 785 157 101 747 1,789 1,004 156 97 772 2,029
BHP.3.1 22 3,546 3,568 26 3,976 4,002
BHP.3.2 87 87 103 103
BHP.3.3 987 987 1,073 1,073
BHP.3.4 2,438 17 7 22 2,483 1,938 272 2 2 2,215
BHP.4.2 1,688 1,688 2,099 2,099
BHP.5.1 23,703 23,703 25,777 25,777
BHP.5.2 109 109 118 118
BHP.6.1 5,018 5,018 5,183 5,183
BHP.6.2 40 0 40 13 13
BHP.6.3 121 146 412 1,518 2,196 81 149 413 1,470 2,112
BHP.7.1 1,848 0 1,848 1,232 2 1,234
BHP.8.2 791 86 369 1,246 893 89 478 1,460
Total 18,311 90 406 34 32,541 719 692 4,034 56,829 19,821 137 668 38 35,885 1,156 770 4,534 63,008
2001 2002
n.e.c.
n.e.c.
n.e.c.
n.e.c.



employers
employers
domestic revenue
domestic revenue



BHP.1.1 8,916 168 50 86 3,439 89 508 3,365 16,622 8,959 177 30 94 4,399 515 751 4,119 19,044
BHP.1.2 47 47 60 60
BHP.1.3 607 143 75 848 1,673 784 219 98 851 1,953
BHP.3.1 26 4,335 4,361 30 4,706 4,736
BHP.3.2 117 117 132 132
BHP.3.3 1,133 1,133 1,190 1,190
BHP.3.4 3,603 5 2 3 3,613 5,796 377 2 3 6,178
BHP.4.2 2,576 2,576 3,100 3,100
BHP.5.1 28,920 28,920 32,083 32,083
BHP.5.2 159 159 200 200
BHP.6.1 2,554 2,554 1,855 1,855
BHP.6.2 17 17 90 90
BHP.6.3 32 3,750 546 1,864 6,192 7 3,757 559 2,303 6,626
BHP.7.1 2,361 0 2,361 2,346 1 2,347
BHP.8.2 1,115 91 467 1,674 1,342 95 528 1,966
Total 19,277 168 4,040 86 40,679 557 1,131 6,079 72,017 21,270 177 4,480 94 45,809 1,043 1,411 7,276 81,559
2003 2004
n.e.c.
n.e.c.
n.e.c.
n.e.c.



employers
employers
domestic revenue
domestic revenue



BHP.1.1 9,798 131 103 5,842 508 880 4,865 22,127 11,572 107 115 7,505 463 1,048 5,860 26,671
BHP.1.2 75 75 76 76
BHP.1.3 952 299 76 938 2,266 1,203 231 56 1,068 2,558
BHP.3.1 32 5,314 5,346 60 5,831 5,891
BHP.3.2 155 155 177 177
BHP.3.3 1,301 1,301 1,383 1,383
BHP.3.4 5,607 398 3 7 6,014 8,008 313 3 10 8,335
BHP.4.2 3,835 3,835 4,568 4,568
BHP.5.1 34,863 34,863 38,130 38,130
BHP.5.2 240 240 281 281
BHP.6.1 1,881 1,881 3,051 3,051
BHP.6.2 267 267 207 207
BHP.6.3 6 2,079 565 2,097 4,748 20 80 717 2,253 3,071
BHP.7.1 2,501 0 2,501 3,530 3,530
BHP.8.2 1,547 99 617 2,263 1,751 102 674 2,527
Total 22,666 131 2,875 103 51,551 1,125 1,524 7,907 87,882 29,477 107 726 115 57,876 1,137 1,825 9,192 100,456
2005 2006
n.e.c.
n.e.c.
n.e.c.
n.e.c.



employers
employers
domestic revenue
domestic revenue


BHP.1.1 13,363 116 125 9,966 2,338 1,561 6,092 33,560 16,068 139 142 11,391 3,497 2,160 5,905 39,303
BHP.1.2 102 102 87 87
BHP.1.3 1,497 245 66 1,314 3,121 2,498 237 72 1,626 4,433
BHP.3.1 64 6,583 6,647 81 7,416 7,497
BHP.3.2 208 208 238 238
BHP.3.3 1,513 1,513 1,880 1,880
BHP.3.4 6,759 324 8 13 7,104 7,317 341 12 25 7,695
BHP.4.2 5,508 5,508 6,690 6,690
BHP.5.1 44,740 44,740 51,941 51,941
BHP.5.2 322 322 305 305
BHP.6.1 3,181 3,181 3,781 3,781
BHP.6.2 39 1 40 43 2 45
BHP.6.3 14 0 964 2,539 3,518 5 2 1,012 2,352 3,370
BHP.7.1 3,375 3,375 5,966 5,966
BHP.8.2 1,592 106 762 2,460 2,895 111 879 3,885
Total 29,987 116 677 125 68,840 3,099 2,599 9,957 115,399 38,741 139 692 142 79,860 4,376 3,257 9,908 137,114
2007 2008
n.e.c.
n.e.c.
n.e.c.
n.e.c.



employers
employers
domestic revenue
domestic revenue



BHP.1.1 17,149 142 168 13,533 3,833 1,968 7,411 44,205 18,273 164 206 16,006 9,701 2,579 10,208 57,136
BHP.1.2 90 90 87 87
BHP.1.3 1,474 251 65 1,840 3,630 1,721 343 361 2,273 4,697
BHP.3.1 96 8,595 8,691 86 10,122 10,208
BHP.3.2 280 280 334 334
BHP.3.3 2,402 2,402 3,120 3,120
BHP.3.4 10,600 532 7 5 11,143 8,111 139 28 179 8,458
BHP.4.2 7,822 7,822 8,990 8,990
BHP.5.1 62,081 62,081 69,353 69,353
BHP.5.2 287 287 270 270
BHP.6.1 2,513 2,513 5,144 5,144
BHP.6.2 47 0 47 39 13 52
BHP.6.3 2 1,155 2,269 3,426 40 3 365 657 1,065
BHP.7.1 6,887 6,887 8,634 8,634
BHP.8.2 2,327 116 1,030 3,473 2,969 121 1,137 4,227
Total 41,183 142 902 168 95,001 4,863 3,194 11,525 156,977 45,104 164 619 206 108,195 10,838 3,333 13,317 181,775
2009 2010
n.e.c.
n.e.c.
n.e.c.
n.e.c.


employers
employers
domestic revenue
domestic revenue



BHP.1.1 19,582 141 249 18,068 8,378 2,688 13,502 62,609 23,611 134 308 21,118 9,430 2,881 15,747 73,229
BHP.1.2 102 102 120 120
BHP.1.3 2,125 400 383 2,633 5,542 2,658 369 414 2,921 6,362
BHP.3.1 66 11,262 11,328 134 12,739 12,874
BHP.3.2 378 378 434 434
BHP.3.3 3,829 3,829 4,778 4,778
BHP.3.4 9,221 674 29 293 10,217 12,698 1,118 20 230 14,065
BHP.4.2 10,975 10,975 12,600 12,600
BHP.5.1 80,471 80,471 96,584 96,584
BHP.5.2 253 253 235 235
BHP.6.1 4,502 4,502 5,706 5,706
BHP.6.2 158 26 184 90 1 91
BHP.6.3 23 5 422 889 1,338 5 393 742 1,140
BHP.7.1 10,746 10,746 12,168 12,168
BHP.8.2 3,758 126 1,313 5,196 4,031 131 1,492 5,654
Total 50,283 141 1,231 249 125,236 9,690 3,523 17,317 207,671 61,215 134 1,625 308 148,488 10,922 3,707 19,641 246,040
2011 2012
n.e.c.
n.e.c.
n.e.c.
n.e.c.



employers
employers
domestic revenue
domestic revenue


BHP.1.1 28,153 136 339 23,985 10,958 3,843 16,968 84,381 25,663 124 381 27,399 9,674 4,400 21,743 89,385
BHP.1.2 146 146 160 160
BHP.1.3 4,089 558 495 4,526 9,668 4,251 453 553 4,612 9,869
BHP.3.1 159 14,752 14,912 174 16,978 17,151
BHP.3.2 510 510 596 596
BHP.3.3 6,104 6,104 7,750 7,750
BHP.3.4 16,429 1,007 19 212 17,668 22,154 828 39 188 23,210
BHP.4.2 14,387 14,387 16,473 16,473
BHP.5.1 116,326 116,326 133,782 133,782
BHP.5.2 408 408 428 428
BHP.6.1 5,158 5,158 5,962 5,962
BHP.6.2 89 17 105 18 40 58
BHP.6.3 4 954 608 1,566 4 664 601 1,269
BHP.7.1 11,110 11,110 10,654 10,654
BHP.8.2 4,584 137 1,636 6,357 4,752 143 1,794 6,689
Total 69,917 136 1,723 339 176,473 12,593 5,311 22,314 288,806 73,788 124 1,468 381 203,407 11,468 5,656 27,144 323,437
2013 2014

n.e.c.
n.e.c.
n.e.c.
n.e.c.


employers
domestic revenue
employers
domestic revenue


BHP.1.1 28,335 144 507 33,482 4,726 626 10,775 78,595 31,407 158 5 549 38,067 4,058 806 12,155 87,204
BHP.1.2 168 168 146 146
BHP.1.3 4,652 462 2,051 10,747 17,912 3,751 563 2,461 9,790 16,564
BHP.3.1 230 19,175 19,405 159 21,542 21,701
BHP.3.2 684 684 780 780
BHP.3.3 9,659 9,659 11,975 11,975
BHP.3.4 21,755 9 783 3,077 25,624 25,373 10 816 2,803 29,001
BHP.4.2 19,266 19,266 21,677 21,677
BHP.5.1 144,986 144,986 166,999 166,999
BHP.5.2 455 455 496 496
BHP.6.1 7,528 7,528 6,773 6,773
BHP.6.2 (0) 173 173 319 319
BHP.6.3 4 1,667 5,102 6,773 6 1,851 5,866 7,722
BHP.7.1 15,369 15,369 15,087 15,087
BHP.8.2 5,122 167 2,075 7,364 9,501 196 2,279 11,976
Total 83,158 144 815 507 227,707 6,801 5,127 29,701 353,961 92,196 158 1,098 549 261,535 6,337 5,933 30,614 398,420
Annex Table 40: Total Health Expenditure by Provider and Revenue of the Financing Schemes, 2015 (Million Taka)
2015
BNHA Code BFS.1.1 BFS.1.2 BFS.1.4 BFS.5.2 BFS.6.1 BFS.6.2 BFS.6.3 BFS.7.1 Total
Other revenues from
Other revenues from
Direct foreign financial

grants
on behalf of specific groups
transfers
employers

n.e.c.
Other revenues from NPISH
domestic revenue
Govt. Internal transfers and
households n.e.c.
corporations n.e.c.
Provider
BHP.1.1 General hospitals including teaching hospitals 34,739 172 6 705 41,825 4,937 1,050 12,872 96,306
BHP.1.2 Mental health hospitals 166 166
BHP.1.3 Specialized hospitals 5,132 963 2,981 9,159 18,235
BHP.3.1 Medical practices 202 24,407 24,608
BHP.3.2 Dental practice 906 906
BHP.3.3 Other health care practitioners 14,974 14,974
BHP.3.4 Ambulatory health care centers 25,357 12 872 2,833 29,074
BHP.4.2 Medical and diagnostic laboratories 24,681 24,681
BHP.5.1 Pharmacies/Retail Drug Outlet 194,948 194,948
Retail sellers and other suppliers of durable medical
BHP.5.2 goods and medical appliances 564 564
BHP.6.1 GoB MoHFW public health programmes 6,829 6,829
BHP.6.2 GoB non-MoHFW public health programmes 512 512
BHP.6.3 NGO public health programmes 17 2,016 7,249 9,282
BHP.7.1 Government health administration agencies 17,029 17,029
BHP.8.2 All other industries as secondary providers of health care 11,064 225 2,485 13,774
Total Total 100,519 172 1,734 705 302,306 7,422 6,918 32,113 451,889
1997 1998

autonomous bodies and

expenditure excluding
Government schemes
Government schemes
Voluntary Schemes
Voluntary Schemes
insurance schemes
insurance schemes
private companies
private companies
financing schemes
financing schemes
Rest of the World
Rest of the World

Voluntary health
Voluntary health
institution/NGO
institution/NGO
Out-of-pocket
Out-of-pocket
Corporations,
Corporations,
cost-sharing
cost-sharing
Non-profit
Non-profit
BHC.1.1 3,184 28 26 5 1,409 219 4,871 3,385 31 30 5 1,726 237 5,415
BHC.1.3 3,132 32 238 2,899 207 6,508 3,310 43 272 3,269 277 7,172
BHC.2.1 47 47 50 50
BHC.3.1 29 29 31 31
BHC.4.1 4 608 612 4 810 814
BHC.4.2 372 372 495 495
BHC.5.1 7 19,554 19,561 8 21,628 21,636
BHC.5.2 93 93 100 100
BHC.6.1 2,817 352 1,891 5,059 2,891 396 1,755 5,042
BHC.6.3 28 28 29 29
BHC.6.4 14 14 16 16
BHC.6.5 76 76 82 82
BHC.7.1 4,301 51 32 130 334 4,847 4,427 68 36 149 446 5,127
BHC.RI. 844 844 904 904
BHCK.1. 3,079 284 3,363 3,181 361 3,543
BHCKR.4 2 2 2 2
BHCKR.5 430 430 452 452
Total 17,139 28 461 569 25,909 2,651 46,757 17,856 31 537 687 29,083 2,715 50,909
BHC.1.1 Inpatient curative care BHC.6.1 Information, education and counseling programmes
BHC.1.3 Outpatient curative care BHC.6.3 Early diseases detection programmes
BHC.2.1 Inpatient rehabilitative care BHC.6.4 Healthy condition monitoring programmes
BHC.3.1 In-patient long-term care (health) BHC.6.5 Epidemiological surveillance and risk and disease control programmes
BHC.4.1 Laboratory services BHC.7.1 Governance and health system administration
BHC.4.2 Imaging services BHC.RI. Outpatient and home-based TCAM
BHC.5.1 Pharmaceuticals and other medical non-durable goods BHCK.1. Gross capital formation
BHC.5.2 Therapeutic appliances and other medical goods BHCKR.4 Research and development in health
BHCKR.5 Education and training of health personnel
1999 2000


Government schemes
Government schemes
Voluntary Schemes
Voluntary Schemes
insurance schemes
insurance schemes
private companies
private companies
financing schemes
financing schemes
Rest of the World
Rest of the World

Voluntary health
Voluntary health
institution/NGO
institution/NGO
Out-of-pocket
Out-of-pocket
Corporations,
Corporations,
cost-sharing
cost-sharing
Non-profit
Non-profit
BHC.1.1 3,632 34 29 6 2,086 302 6,090 4,679 38 23 6 2,492 312 7,551
BHC.1.3 3,563 64 312 3,808 452 8,199 3,501 85 354 4,283 628 8,851
BHC.2.1 55 55 81 81
BHC.3.1 34 34 44 44
BHC.4.1 4 1,047 1,052 5 1,303 1,307
BHC.4.2 641 641 797 797
BHC.5.1 8 23,703 23,711 9 25,777 25,786
BHC.5.2 109 109 118 118
BHC.6.1 3,032 489 2,700 6,221 3,833 510 2,878 7,221
BHC.6.3 30 30 32 32
BHC.6.4 17 17 18 18
BHC.6.5 88 88 93 93
BHC.7.1 4,598 110 39 160 580 5,487 4,067 152 104 42 715 5,081
BHC.RI. 987 987 1,073 1,073
BHCK.1. 3,269 350 3,619 3,740 677 4,417
BHCKR.4 2 2 2 2
BHCKR.5 488 488 536 536
Total 18,807 34 692 719 32,541 4,034 56,829 20,626 38 770 1,156 35,885 4,534 63,008
2001 2002


Government schemes
Government schemes
Voluntary Schemes
Voluntary Schemes
insurance schemes
insurance schemes
private companies
private companies
financing schemes
financing schemes
Rest of the World
Rest of the World

Voluntary health
Voluntary health
institution/NGO
institution/NGO
Out-of-pocket
Out-of-pocket
Corporations,
Corporations,
cost-sharing
cost-sharing
Non-profit
Non-profit
BHC.1.1 4,605 86 21 7 3,171 386 8,276 4,905 94 20 8 4,038 382 9,447
BHC.1.3 3,098 127 399 4,714 707 9,045 3,262 161 453 5,196 866 9,939
BHC.2.1 76 76 82 82
BHC.3.1 46 46 53 53
BHC.4.1 5 1,598 1,603 6 1,923 1,929
BHC.4.2 977 977 1,176 1,176
BHC.5.1 10 28,920 28,930 11 32,083 32,095
BHC.5.2 159 159 200 200
BHC.6.1 3,887 744 4,283 8,914 7,877 1,060 5,058 13,996
BHC.6.3 50 50 22 22
BHC.6.4 19 19 21 21
BHC.6.5 103 103 109 109
BHC.7.1 1,514 239 46 6 704 2,509 1,370 169 51 2 969 2,560
BHC.RI. 1,133 1,133 1,190 1,190
BHCK.1. 9,555 89 9,645 7,352 515 7,867
BHCKR.4 4 4 66 66
BHCKR.5 527 527 808 808
Total 23,485 86 1,131 557 40,679 6,079 72,017 25,926 94 1,411 1,043 45,809 7,276 81,559
2003 2004


Government schemes
Government schemes
Voluntary Schemes
Voluntary Schemes
insurance schemes
insurance schemes
private companies
private companies
financing schemes
financing schemes
Rest of the World
Rest of the World

Voluntary health
Voluntary health
institution/NGO
institution/NGO
Out-of-pocket
Out-of-pocket
Corporations,
Corporations,
cost-sharing
cost-sharing
Non-profit
Non-profit
BHC.1.1 5,176 103 61 9 5,323 558 11,229 5,280 115 101 10 6,889 735 13,130
BHC.1.3 3,479 257 511 5,985 1,230 11,462 3,444 354 577 6,619 1,593 12,587
BHC.2.1 90 90 138 138
BHC.3.1 70 70 76 76
BHC.4.1 6 2,380 2,386 7 2,834 2,841
BHC.4.2 1,455 1,455 1,733 1,733
BHC.5.1 13 34,863 34,876 14 38,130 38,144
BHC.5.2 240 240 281 281
BHC.6.1 9,526 1,024 5,142 15,692 10,972 1,176 5,877 18,026
BHC.6.3 134 134 145 145
BHC.6.4 20 20 19 19
BHC.6.5 125 125 123 123
BHC.7.1 1,524 182 78 3 978 2,764 1,884 194 66 5 987 3,136
BHC.RI. 1,301 1,301 1,383 1,383
BHCK.1. 3,879 508 4,388 7,377 463 7,840
BHCKR.4 67 67 80 80
BHCKR.5 1,582 1,582 772 772
Total 25,672 103 1,524 1,125 51,551 7,907 87,882 30,310 115 1,825 1,137 57,876 9,192 100,456
2005 2006

Government schemes
Government schemes
Voluntary Schemes
Voluntary Schemes
insurance schemes
insurance schemes
private companies
private companies
financing schemes
financing schemes
Rest of the World
Rest of the World

Voluntary health
Voluntary health
institution/NGO
institution/NGO
Out-of-pocket
Out-of-pocket
Corporations,
Corporations,
cost-sharing
cost-sharing
Non-profit
Non-profit
BHC.1.1 5,547 125 133 11 9,036 821 15,672 6,360 142 180 12 10,361 855 17,910
BHC.1.3 3,499 443 659 7,710 1,474 13,784 4,072 762 759 8,672 1,930 16,196
BHC.2.1 169 169 144 144
BHC.3.1 70 70 66 66
BHC.4.1 8 3,393 3,401 9 4,126 4,135
BHC.4.2 2,115 2,115 2,563 2,563
BHC.5.1 16 44,740 44,756 17 51,941 51,959
BHC.5.2 322 322 305 305
BHC.6.1 10,814 1,681 6,479 18,974 13,410 1,802 5,552 20,764
BHC.6.3 230 230 672 672
BHC.6.4 23 23 49 49
BHC.6.5 146 146 169 169
BHC.7.1 2,544 342 69 11 1,183 4,149 2,725 513 81 12 1,570 4,901
BHC.RI. 1,513 1,513 1,880 1,880
BHCK.1. 6,978 2,338 9,316 10,739 3,497 14,236
BHCKR.4 94 94 140 140
BHCKR.5 664 664 1,027 1,027
Total 30,779 125 2,599 3,099 68,840 9,957 115,399 39,572 142 3,257 4,376 79,860 9,908 137,114
2007 2008


Government schemes
Government schemes
Voluntary Schemes
Voluntary Schemes
insurance schemes
insurance schemes
private companies
private companies
financing schemes
financing schemes
Rest of the World
Rest of the World

Voluntary health
Voluntary health
institution/NGO
institution/NGO
Out-of-pocket
Out-of-pocket
Corporations,
Corporations,
cost-sharing
cost-sharing
Non-profit
Non-profit
BHC.1.1 7,152 168 261 13 12,329 1,193 21,117 7,776 206 217 15 12,797 1,310 22,321
BHC.1.3 4,760 696 888 10,069 2,392 18,805 4,772 700 979 13,654 2,751 22,856
BHC.2.1 150 150 141 141
BHC.3.1 80 80 87 87
BHC.4.1 10 4,673 4,683 11 5,370 5,381
BHC.4.2 3,149 3,149 3,620 3,620
BHC.5.1 19 62,081 62,101 22 69,353 69,374
BHC.5.2 287 287 270 270
BHC.6.1 17,037 1,844 6,499 25,379 15,541 1,875 7,130 24,546
BHC.6.3 424 424 1,893 1,893
BHC.6.4 54 54 33 33
BHC.6.5 179 179 124 124
BHC.7.1 2,341 393 100 10 1,440 4,284 3,011 540 110 11 2,127 5,800
BHC.RI. 2,402 2,402 3,120 3,120
BHCK.1. 8,886 3,833 12,719 10,660 9,701 20,361
BHCKR.4 127 127 207 207
BHCKR.5 1,037 1,037 1,641 1,641
Total 42,227 168 3,194 4,863 95,001 11,525 156,977 45,887 206 3,333 10,838 108,195 13,317 181,775
2009 2010


Government schemes
Government schemes
Voluntary Schemes
Voluntary Schemes
insurance schemes
insurance schemes
private companies
private companies
financing schemes
financing schemes
Rest of the World
Rest of the World

Voluntary health
Voluntary health
institution/NGO
institution/NGO
Out-of-pocket
Out-of-pocket
Corporations,
Corporations,
cost-sharing
cost-sharing
Non-profit
Non-profit
BHC.1.1 9,038 249 242 16 14,403 1,566 25,514 10,321 308 275 18 16,697 1,854 29,472
BHC.1.3 5,564 721 1,140 15,293 3,789 26,507 6,783 746 1,297 17,575 4,272 30,674
BHC.2.1 170 170 215 215
BHC.3.1 102 102 118 118
BHC.4.1 11 7,428 7,439 12 7,427 7,439
BHC.4.2 3,548 3,548 5,173 5,173
BHC.5.1 23 80,471 80,494 27 96,584 96,611
BHC.5.2 253 253 235 235
BHC.6.1 15,731 1,999 9,176 26,906 20,917 2,094 10,264 33,275
BHC.6.3 1,714 1,714 1,510 1,510
BHC.6.4 36 36 51 51
BHC.6.5 137 137 149 149
BHC.7.1 4,267 561 122 12 2,786 7,748 4,900 592 137 19 3,251 8,899
BHC.RI. 3,829 3,829 4,778 4,778
BHCK.1. 13,010 8,378 21,387 15,904 9,430 25,334
BHCKR.4 207 207 226 226
BHCKR.5 1,681 1,681 1,881 1,881
Total 51,655 249 3,523 9,690 125,236 17,317 207,671 62,974 308 3,707 10,922 148,488 19,641 246,040
2011 2012


Government schemes
Government schemes
Voluntary Schemes
Voluntary Schemes
insurance schemes
insurance schemes
private companies
private companies
financing schemes
financing schemes
Rest of the World
Rest of the World

Voluntary health
Voluntary health
institution/NGO
institution/NGO
Out-of-pocket
Out-of-pocket
Corporations,
Corporations,
cost-sharing
cost-sharing
Non-profit
Non-profit
BHC.1.1 12,875 339 361 20 19,111 2,342 35,048 13,623 381 448 22 21,894 2,808 39,176
BHC.1.3 9,097 988 1,414 20,123 4,844 36,465 11,281 1,137 1,544 23,061 5,716 42,740
BHC.2.1 260 260 270 270
BHC.3.1 144 144 159 159
BHC.4.1 14 8,207 8,221 15 9,389 9,403
BHC.4.2 6,180 6,180 7,085 7,085
BHC.5.1 29 116,326 116,355 32 133,782 133,815
BHC.5.2 408 408 428 428
BHC.6.1 23,484 3,168 11,092 37,744 25,544 3,193 13,753 42,489
BHC.6.3 1,204 1,204 1,175 1,175
BHC.6.4 82 82 20 20
BHC.6.5 162 162 169 169
BHC.7.1 5,601 794 158 14 4,036 10,603 7,121 879 180 17 4,868 13,065
BHC.RI. 6,104 6,104 7,750 7,750
BHCK.1. 16,279 10,958 27,236 13,291 9,674 22,965
BHCKR.4 236 236 172 172
BHCKR.5 2,352 2,352 2,555 2,555
Total 71,776 339 5,311 12,593 176,473 22,314 288,806 75,380 381 5,656 11,468 203,407 27,144 323,437
2013 2014


Government schemes
Government schemes
Voluntary Schemes
Voluntary Schemes
insurance schemes
insurance schemes
private companies
private companies
financing schemes
financing schemes
Rest of the World
Rest of the World

Voluntary health
Voluntary health
institution/NGO
institution/NGO
Out-of-pocket
Out-of-pocket
Corporations,
Corporations,
cost-sharing
cost-sharing
Non-profit
Non-profit
BHC.1.1 14,505 507 987 25 28,575 3,883 48,482 15,255 549 1,343 37 31,967 4,901 54,052
BHC.1.3 12,166 1,165 1,801 24,738 5,607 45,477 12,688 1,291 1,927 28,401 5,681 49,986
BHC.2.1 279 279 289 289
BHC.3.1 165 165 145 145
BHC.4.1 15 9,755 9,770 36 10,768 10,803
BHC.4.2 9,511 9,511 10,910 10,910
BHC.5.1 26 144,986 145,012 37 166,999 167,036
BHC.5.2 455 455 496 496
BHC.6.1 25,096 2,032 14,417 41,545 29,172 2,164 14,139 45,475
BHC.6.3 1,805 1,805 1,142 1,142
BHC.6.4 14 14 16 16
BHC.6.5 353 353 393 393
BHC.7.1 8,409 943 208 28 5,795 15,383 8,829 1,136 243 20 5,894 16,122
BHC.RI. 9,659 9,659 11,975 11,975
BHCK.1. 18,089 4,726 22,815 17,920 4,058 21,977
BHCKR.4 183 183 199 199
BHCKR.5 3,052 3,052 7,404 7,404
Total 84,117 507 5,127 6,801 227,707 29,701 353,961 93,452 549 5,933 6,337 261,535 30,614 398,420
Annex Table 50: Total Health Expenditure by Provider and Revenue of the Financing Schemes, 2015 (Million Taka)
2015
BNHA Code BHF.1.1 BHF.2.1 BHF.2.2 BHF.2.3 BHF.3.1 BHF.4.2 Total


Government schemes
financing schemes
Schemes
schemes
BHC.1.1 Inpatient curative care 16,882 705 1,744 44 34,931 5,723 60,029
BHC.1.3 Outpatient curative care 12,991 1,398 2,082 32,182 5,611 54,264
BHC.2.1 Inpatient rehabilitative care 330 330
BHC.3.1 In-patient long-term care (health) 165 165
BHC.4.1 Laboratory services 36 12,081 12,117
BHC.4.2 Imaging services 12,600 12,600
BHC.5.1 Pharmaceuticals and other medical non-durable goods 45 194,948 194,993
BHC.5.2 Therapeutic appliances and other medical goods 564 564
BHC.6.1 Information, education and counseling programmes 30,554 2,362 15,119 48,035
BHC.6.3 Early diseases detection programmes 769 769
BHC.6.4 Healthy condition monitoring programmes 18 18
BHC.6.5 Epidemiological surveillance and disease control programmes 388 388
BHC.7.1 Governance and health system administration 8,443 1,415 278 25 5,660 15,820
BHC.RI. Outpatient and home-based TCAM 14,974 14,974
BHCK.1. Gross capital formation 22,975 4,937 27,912
BHCKR.4 Research and development in health 237 237
BHCKR.5 Education and training of health personnel 8,674 8,674
Total 102,425 705 6,918 7,422 302,306 32,113 451,889
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Bangladesh National Health Accounts 1997-2015 (BNHA-V)

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Total Health Expenditure .............................................................................................................................. 5

Total Health Expenditure by Financing Schemes ........................................................................................ 15

Total Health Expenditure by Revenue of Financing Schemes .................................................................... 18

Total Health Expenditure by Financing Agents ........................................................................................... 19

Out-of-Pocket (OOP) Expenditure on Healthcare ....................................................................................... 20

Total Health Expenditure by Providers ....................................................................................................... 26

Total Health Expenditure by Functions....................................................................................................... 32

Total Health Expenditure by Division.......................................................................................................... 38

Changes in the Bangladesh National Health Accounts 1997-2015 ............................................................. 44

Bangladesh National Health Accounts 1997-2015 i|Page

Bangladesh National Health Accounts 1997-2015 ii | P a g e

FIGURE 1: FLOW OF FUNDS 4

Bangladesh National Health Accounts 1997-2015 iii | P a g e

Bangladesh National Health Accounts 1997-2015 iv | P a g e

The System of National Accounts (SNA-93) Government borrowing or receipt of grants

Expenditures are counted using an accrual

Bangladesh National Health Accounts 1997-2015 v|Page

• Bangladesh National Health Expenditure relating to healthcare. The Ministry of

Bangladesh National Health Accounts 1997-2015 1|Page

Bangladesh National Health Accounts 1997-2015 2|Page

Health system across Bangladesh continues to Flow of Funds

Bangladesh National Health Accounts 1997-2015 3|Page

Figure 1: Flow of Funds

Revenue of the Schemes Financing Schemes Providers

Bangladesh National Health Accounts 1997-2015 4|Page

Bangladesh National Health Accounts 1997-2015 5|Page

Bangladesh National Health Accounts 1997-2015 6|Page

Table 2: THE as Percentage of GDP for SAARC Countries

Bangladesh National Health Accounts 1997-2015 7|Page

Bangladesh National Health Accounts 1997-2015 8|Page

Total health expenditure GDP

1998-2015 13% 12% 2.8

Bangladesh National Health Accounts 1997-2015 9|Page

1998-2015 180,056.2 264,359.6 13.5 7.3

Figure 3: Growth of GDP and THE 1997-2015

Bangladesh National Health Accounts 1997-2015 10 | P a g e

Per Capita THE Per Capita GDP

Annual growth rate

1998-2015 1,281 1,892 $18 5.9 44,597 67,381 649

Bangladesh National Health Accounts 1997-2015 11 | P a g e

Table 7: Public and Private THE and its Share in GDP

Bangladesh National Health Accounts 1997-2015 12 | P a g e

VALUES ARE IN MILLION TAKA

Table 8: Public Expenditure as Percentage of THE by SAARC Nations

Bangladesh National Health Accounts 1997-2015 13 | P a g e

Bangladesh National Health Accounts 1997-2015 14 | P a g e

Bangladesh National Health Accounts 1997-2015 15 | P a g e

Household out-of-pocket NPISH/NGO financing Other private Foreign development

Bangladesh National Health Accounts 1997-2015 16 | P a g e

Bangladesh National Health Accounts 1997-2015 17 | P a g e

Table 13: THE by Revenue of Financing Schemes 1997-2015 (million Taka)

Bangladesh National Health Accounts 1997-2015 18 | P a g e

Table 14: THE by Financing Agents, 1997-2015 (million Taka)

Mutual Corporations Non-profit

Bangladesh National Health Accounts 1997-2015 19 | P a g e

Bangladesh National Health Accounts 1997-2015 20 | P a g e