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2018 Health SDG Profile: Bangladesh

Bangladesh Last updated October, 2018

GDP per capita² Current health expenditure


Population (000s)¹ Urban population¹ Poverty² (Current US$) as share of GDP³
(ppp<< $1.90
(ppp $1.90 aaday)
day)
166 368 35.9% 18.5 1516.5 3.0%

Monitoring the health SDG goal: Indicators of overall progress


Life expectancy
100
Life expectancy at birth⁴ provides an indication of overall mortality of a
73 country's population. In Bangladesh, from 2000 (65.3 years) to 2016 (72.7
Age (years)

65 63
56 years), the life expectancy at birth has improved by 7.4 years.
50
Healthy life expectancy⁴ reflects overall health of the country's population.
In Bangladesh, from 2000 (56.3 years) to 2016 (63.3 years), healthy life
0 expectancy has improved by 7.0 years.
2000 2007 2015 2016

Life expectancy at birth Healthy life expectancy

Universal health coverage: At the centre of the health goal


The goal of universal health coverage (UHC) is that all people and communities receive the health care they need, without suffering financial
hardship. Monitoring UHC requires measuring health service coverage and financial protection (SDG target 3.8).
HEALTH SERVICE COVERAGE FINANCIAL PROTECTION
A summary measure of essential health services coverage, a
composite service coverage index, is used:16 indicators are derived Financial protection is measured through two indicators:
from four main areas of work: (1) reproductive, maternal, newborn (1) impoverishment, and (2) catastrophic health expenditure.
and child health; (2) infectious diseases; (3) noncommunicable
diseases; (4) service capacity, access and health security. Impoverishment: 3.4% or approximately 5 234 000 people are
being pushed into poverty because of out-of-pocket health
Reproductive, maternal, newborn and child health Latest available data (2010-2017) spending³.
Coverage (%)

100 97

62 Catastrophic expenditure on health: 13.9% of people spent more


42
50 37 than 10% of their household's total expenditure on health care³.
0
Family planning
coverage⁵
Pregnancy care⁵ Care seeking
behaviour suspected
Child immunization
coverage (DTP3)⁶
Out-of-pocket expenditure³ Public spending on health³ is
pneumonia⁵ In most cases, high determined by the capacity of the
Infectious diseases percentage of out-of-pocket government to raise revenues and
expenditure out of the total allocate it to health.
Coverage (%)

100
62 health expenditure is
50 36
47
associated with low financial
0
16
protection.
Tuberculosis HIV antiretroviral Insecticide-treated Access to basic
treatment coverage⁷ therapy coverage⁸ bednets/indoor sanitation¹⁰
residual spray
coverage for malaria
prevention⁹ 5.7%
Noncommunicable diseases 5.7%
Coverage (%)

100 90
75
65
2.8%
50

0
Prevalence of normal Tobacco non-use¹¹ Prevalence of normal Cervical cancer
blood pressure in fasting glucose level¹¹ screening 72% GDP 2015
population¹⁰
Service capacity, access and health security Estimated total government expenditure, 2015
or latest available year
Coverage (%)

100 78
65 Out-of-pocket expenditure, as % of the Estimated government expenditure on health,
health expenditure (2015) 2015 or latest available year
50 33
19
0
Health security: IHR Access to essential Density of hospital Heath worker density,
compliance¹⁰ medicines¹⁴ beds¹⁵, expressed as expressed as % of
% of global threshold, new global threshold, This profile provides an overview of the current status
18/10 000¹² 44.5/10 000¹³
of achieving better health towards the 13 targets
UHC services coverage index of essential health services under the Sustainable Development Goal #3 (SDG3):
To provide a summary measure of UHC services coverage index Ensure healthy lives and promote well-being for all at all ages.
coverage, an index of national 100 All 25 SDG3 indicators plus other selected health-related
service coverage is computed by indicators are presented where data is available.
Coverage (%)

averaging service coverage values


50
across the 16 tracer indicators. The 50
UHC coverage index ranges from
0% to 100%, with 100% implying full
coverage across a range of 0
services. UHC services coverage index
Equity : Leave no one behind
Variation by geography Variation by income Variation by education
Under five mortality⁵ Antenatal care coverage⁵ Stunting⁵
100 100 100
Mortality Rate

Percentage

Percentage
50 50 50

0
0 0
2000 2005 2010 2015
2000 2005 2010 2015 2000 2005 2010 2015

Sanitation¹⁰ Contraceptive (modern) prevalence rate⁵ Full Immunization⁵


100 100 100
Percentage

Percentage

Percentage
50 50 50

0 0 0
2000 2005 2010 2015 2000 2005 2010 2015 2000 2005 2010 2015

Rural
Quintile 5 (richest) No education Primary school
Urban
Quintile 1 (poorest) Secondary school+

SDGs emphasis on equity


SDG target 17.18 emphasizes the need for disaggregated data. By 2020, enhance capacity-building support to developing countries to
increase significantly the availability of high-quality, timely and reliable data disaggregated by income, gender, age, race, location and other
characteristics relevant in national contexts.

Strengthening civil registration and vital statistics (CRVS)


Birth registration¹⁵ Cause of death¹⁶
Death registration¹⁵
100 100
87.2
85.4

85.9

100
85.2

86.4
85.0

87.4
84.2

Percentage
Percentage

Percentage

50.0
50 50
50

0
0 0
2000 2005 2010 2015
2000 2005 2010 2015 2000 2005 2010 2015

SDGs emphasis on mortality statistics


More reliable vital statistics on births, deaths and causes of death from civil registration and vital statistics (CRVS) systems are required for
reporting on 14 health-related SDG mortality indicators. Understanding better what people are dying from can lead to stronger health policies
and plans, and improve monitoring of the health-related SDGs.

SDG 3: Health targets


Maternal and child mortality (SDG target 3.1, 3.2)

Births attended by skilled health personnel⁵ Child mortality¹⁸


Maternal mortality ratio¹⁷
100 150
750
MMR [100 000 live births ]

MR [1000 live births]


Coverage (%)

100 88
500
399
50 42

250 32 50
43
176 34
18
20
0 0
0
2000 2005 2010 2015 2000 2005 2010 2015 2016
2007 2011 2014
Children under-five Neonatal

2018 Health SDG Profile: Bangladesh


Communicable diseases (SDG target 3.3)
TB incidence⁷ Malaria incidence⁹ Regional
New HIV infections among Indicators Year Bangladesh
adults 15 to 49 years⁸ 20 estimate
500
Number of people

Malaria IR [1000 pop. at risk]


TB incidence [100 000 pop.]
requiring
HIV IR [1000 uninfected pop.]

400 15
interventions 2016 47,484,224 671,797,672
0.4 300 against neglected
225 221 10 tropical diseases⁴
200
0.2
5 3.9
100
0.02 1.6
0.0
0.01 0 0
2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016
Malaria incidence is calculated for
confirmed malaria cases

Noncommunicable diseases and injuries


SDG Regional Total alcohol per capita (age 15+ years)
Indicators Year Bangladesh consumption⁴
target estimate
9
Mortality between 30 and 70 years
of age from cardiovascular
3.4.1 2016 21.6 23.1
diseases, cancer, diabetes or
chronic respiratory diseases⁴ (%)
Suicide mortality rate⁴ 6
3.4.2 2016 5.9 13.2
(per 100 000 population)

Litres
Total alcohol per capita (age 15+
3.5.2 2016 <0.05 4.5
years) consumption⁴

Mortality rate from road traffic 3


3.6.1 2013 13.6 17
injuries⁴ (per 100 000 population)
Sexual and reproductive health
Proportion of married or in-union 0.0 0.0
women of reproductive age who 0
3.7.1 2014 72.5 75.1
have their need for family planning 2003 2008 2010 2015 2016
satisfied with modern methods⁵ (%)
Adolescent birth rate (per 1000 women
Adolescent birth rate¹⁹ (per 1000 aged 15 to 19 years)¹⁹
3.7.2 2016 78 33
women aged 15 to19 years)
Mortality due to environmental pollution 126

Mortality rate attributed to


household and ambient air 3.9.1 2016 149 164
pollution⁴ (per 100 000 population) 100
Mortality rate attributed to exposure
78
Proportion

to unsafe WASH services⁴ 3.9.2 2016 11.9 15.4


(per 100 000 population)
Mortality rate attributed to
unintentional poisoning⁴ 3.9.3 2016 0.3 1.8 50
(per 100 000 population)
Tobacco use

Tobacco use among persons (15+


3.a.1 2017 25.2 -
yrs) and older - Female²⁰ 0
2007 2011 2014
Tobacco use among persons (15+
3.a.1 2017 46.0 - Total NCD Mortality¹⁰
yrs) and older - Male²⁰
1000
Essential medicines and vaccines
Total NCD Mortality rate (per 100 000)

Proportion of the population with


access to affordable medicines and - 750
3.b.1 2014 65
vaccines on a sustainable basis¹⁴

Total net official development


assistance to medical research and 500
3.b.2 2016 1.25 -
basic health per capita¹⁴

Health workforce 250


Health worker density¹³
3.c.1 2017 8.3 -
(per 10 000 population)
0
National and global health risks
2000 2005 2010 2015
International Health Regulations
3.d.1 2017 78 73 Female Male
Core Capacity Index⁴
Note: A dash (-) implies relevant data are not available

2018 Health SDG Profile: Bangladesh


Country Other health-related SDGs
Bangladesh
General government health expenditure Prevalence of children under 5 years of age who
are stunted⁵
SDG Regional
Indicators Year Bangladesh 100
target estimate
General government health expenditure as
1.a 2015 2.8 9.3
% of general government expenditure⁴

Proportion (%)
Child nutrition 50.6
50
Children under 5 years who are stunted⁴ 2.2.1 2014 36.1 33.8 36.1

Children under 5 years who are wasted⁴ 2.2.2 2014 14.3 15.3
Children under 5 years who are 0
2.2.3 2014 1.4 5.3
overweight⁴
2004 2007 2011 2014
Drinking water services and sanitation
Proportion of population using improved Prevalence of children under 5 years of age who
6.1 2015 56 - are wasted⁵
drinking water sources⁴
50
Proportion of population using improved
6.2 2015 - -
sanitation⁴
Clean household energy

Proportion (%)
Proportion of population with primary
7.1 2016 18 - 25
reliance on clean fuel⁴
Ambient air pollution 14.5 14.3

Air pollution level in cities⁴ (PM 2.5)


11.6.2 2016 58.6 -
(µg/m³)
0
Natural disasters
2004 2007 2011 2014
Number of deaths by disaster⁴ Prevalence of children under 5 years who are
13.1.2 2016 <0.1 0.3
( per 100 000 people) overweight⁵
Homicide and conflicts 15

Mortality rate due to homicide⁴


16.1.1 2016 2.9 4
(per 100 000 population) Proportion (%)
Estimated direct deaths from major
16.1.2 2011-16 < 0.1 0.1
conflicts⁴ (per 100 000 population) 8
Birth registration
Birth registration coverage¹⁵ 16.9.1 2016 85.9 -
1.4
Cause-of-death data 0
0.9

Completeness of cause-of-death data¹⁶ 2004 2007 2014


17.19.2 2016 50 10
(%)
Note: A dash (-) implies relevant data are not available

1. World population prospects: the 2017 revision. New York: United Nations, Department of Economic and Social Affairs, Population Division; 2017
(http://esa.un.org/wpp/, accessed 9 July 2018).
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(https://esa.un.org/unpd/wup/DataQuery/, accessed 9 July 2018).
3. Global health expenditure database. Geneva: World Health Organization; June 2016 (http://apps.who.int/nha/database, accessed 9 July 2018).
4. World health statistics 2018: monitoring health for the SDGs. Geneva: World Health Organization; 2018.
(http://www.who.int/gho/publications/world_health_statistics/2018/en/, accessed 9 July 2018).
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2014(https://dhsprogram.com/pubs/pdf/FR311/FR311.pdf, accessed 9 July 2018).
6. WHO vaccine-preventable diseases: monitoring system. 2018 global summary. Geneva: World Health Organization(http://apps.who.int/immunization_monitor-
ing/globalsummary/countries?countrycriteria%5Bcountry%5D%5B%5D=TLS&commit=OK, accessed 9 July 2018).
7. Global tuberculosis report 2017.Geneva: World Health Organization; 2017(http://apps.who.int/iris/bitstream/handle/10665/259366/9789241565516, accessed 9 July
2018).
8. UNAIDS 2016 estimates for coverage of people receiving ART. (http://aidsinfo.unaids.org, accessed 9 July 2018).
9. Global malaria report 2017. Geneva: World Health Organization; 2017 (http://www.who.int/malaria/publications/world-malaria-report-2017/en/, accessed 9 July 2018).
10. Global health observatory. Geneva: World Health Organization (http://www.who.int/gho/en/, accessed 9 July 2018).
11. CVD vs Tobacco factsheet http://www.searo.who.int/entity/ncd_tobacco_surveillance/documents/ban_wntd_18/en/ - accessed 20 June 2018.
12. World health statistics 2013. Geneva: World Health Organization, 2013. (http://apps.who.int/iris/bitstream/handle/10665/82058/WHO_HIS_HSI_13.1_eng.pdf,
accessed 9 July 2018).
13. Decade for health workforce strengthening in the South-East Asia Region 2015—2024: Second review of progress, 2018. New Delhi: World Health Organization;
2018.
14. Saha, Tulshi. Bangladesh Service provision Assessment Survey 1999-2000. Calverton, Maryland: National Institute of Population Research and Training (NIPORT),
Mitra and Associates, and ORC Macro; 2002 (https://dhsprogram.com/pubs/pdf/SPA2/SPA2.pdf, accessed 9 July 2018).
15. Report on Bangladesh Sample Vital Statistics 2013-2014, 2017-2018. Dhaka: Bangladesh Bureau of Statistics (https://www.bbs.gov.bd). The figure reported is
based on sentinal sites only not representing the whole country. Further, please note that Bangladesh Demographic and Health Survey, 2014 reported birth registration
coverage as 20.2%.
16. CRVS regional action framework reporting 2013-2017. Bangkok: United Nations Economic and Social Commission for Asia and the Pacific; 2018 (unpublished
document).
17. Trends in maternal mortality: 1990 to 2015 http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/ - accessed 9 July 2018).
18. Levels & trends in child mortality: report 2015: estimates developed by the UN Inter-agency Group for Child Mortality Estimation. New York (NY), Geneva and
Washington (DC): UNICEF, World Health Organization, World Bank, United Nation; 2015 (http://www.childinfo.org/, accessed 9 July 2018).
19. United Nations, Department of Economic and Social Affairs, Population Division (2017). World Fertility Data 2017
http://www.un.org/en/development/desa/population/theme/fertility/index.shtml - accessed 20 June 2018
20. Fact sheet : CVD Vs Tobacco, Department of non-communicable diseases

2018 Health SDG Profile: Bangladesh

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