PHC in Bangladesh--too much to ask?
In Bangladesh where the number of those without land is increasing; 30% of the budget (national) goes for "maintaining law and order'; there is massive illiteracy; the common people and more specifically, women, are not involved in decision-making. It is unrealistic to think that PHC has a chance to survive or succeed. Should Government (with all good intentions) try to run a PHC while socio-economic and political factors remain unchanged, it (PHC) will not succeed. Its fate is either a collision, in which PHC will be the victim, or a compromise of some type. In most Third World countries, it is a compromised PHC that one sees. In spite of this, we still believe that community-oriented health care can help to bring about social, economic and political changes, provided such changes are accompanied by structural reform in the political economy of the country.
D001459:Bangladesh; D003906:Developing Countries; D006291:Health Policy; D006801:Humans; D007194:India; D011057:Politics; D011320:Primary Health Care; D012959:Socioeconomic Factors; D013188:Sri Lanka; D000078329:Workforce