Policy Discourse and the Paradigm Shift in Reproductive Health in Bangladesh.
- 1st ed.
- 1 online resource (221 pages)
Intro -- Table of Contents -- Preface -- Abbreviations -- Chapter One -- 1.1 Background and Rationale -- 1.2 Research Questions -- 1.3 Objectives and Scope of the Study -- 1.4 Significance of the Study -- 1.5 Research Methods -- 1.5.1 Content Analysis -- 1.5.2 In-depth Interview -- 1.5.3 Interview Technique -- 1.5.4 Recording of Responses -- 1.5.5 Analysis of Interview Transcripts -- 1.5.6 Validation Techniques -- 1.6 Theoretical Framework of the Study -- 1.6.1 Discourses on the Notion of Justice Relating to Health and Health Care -- 1.6.2 Rights-Based Approach to Health -- 1.7 Conceptual Framework of the Study -- 1.8 Study Outline -- Chapter Two -- 2.1 Delineating the Health System -- 2.1.1 Public Sector Health Nutrition and Population Program Management Structure -- 2.1.1.1 Primary Health Care Facility -- 2.1.1.2 Secondary Health Care Delivery Facilities -- 2.1.1.3 Tertiary Health Care Hospitals -- 2.1.2 Urban Primary Health Care -- 2.2 Logistic Management System of the Government -- 2.3 Regulatory and Statutory Bodies for Health Services -- 2.4 Major Reproductive Health Care Issues -- 2.4.1 Equity in the Health System -- 2.4.2 Health Workforce Challenges -- 2.4.3 Urban Poor -- 2.5 Reproductive Health Issues -- 2.6 Summary and Assessment -- Chapter Three -- 3.1 Contextualizing Policy Development in the Family Planning and Maternal Child Health-Based Regime -- 3.2 Legacy of FP-MCH Program -- 3.3 Policy Framework in the FP-MCH R -- 3.3.1 Policy Framework in the First Five-Year Plan -- 3.3.1.1 Bangladesh National Population Policy 1976 during the First Five-Year Plan -- 3.3.1.2 Policy Framework vis-à-vis the Implementation Scenario of the First Five-Year Plan -- 3.3.1.3 The First Five-Year Plan: FP-MCH Policy and Program Issues, Gaps and Challenges -- 3.3.2 Policy Framework in the Second Five-Year Plan -- 3.3.2.1 The National Drug Policy 1982. 3.3.2.2 Policy Framework vis-à-vis the Implementation Scenario of the Second Five-Year Plan -- 3.3.2.3 The Second Five-Year Plan: FP-MCH Policy and Program Issues, Gaps and Challenges -- 3.3.3 Policy Framework in the Third Five-Year Plan -- 3.3.3.1 Policy Framework vis-à-vis the Implementation Scenario of the Third Five-Year Plan -- 3.3.3.2 The Third Five-Year Plan -- 3.3.4 Policy Framework of the Fourth Five-Year Plan -- 3.3.4.1 Policy Framework vis-à-vis the Implementation Scenario of the Fourth Five-Year Plan -- 3.3.4.2 The Fourth Five-Year Plan -- 3.4 Summary and Assessment -- Chapter Four -- 4.1 Contextualizing Policy Development in the Reformist Reproductive Health Regime -- 4.2 Policy Framework in the Reproductive Health Regime with a Reformist Approach -- 4.2.1 Reproductive Health Program Framework in the Health and Population Sector -- 4.2.2 Linking the Health and Population Sector Program (HPSP) and the First National Health Policy 2000 -- 4.2.3 Linking the Health and Population Sector Program (HPSP) and the National Strategy for Maternal Health 2001 -- 4.3 Policy Framework vis-à-vis the Implementation Scenario of Reproductive Health Program -- 4.4 Reproductive Health Policies and Programs -- 4.5 Summary and Assessment -- Chapter Five -- 5.1 Contextualizing Policy Development in the Reproductive Health Regime with Conformist Framework -- 5.2 Policy Framework in the Conformist Reproductive Health Regime -- 5.2.1 Reproductive Health Program Framework in the Health Nutrition Population Sector Program -- 5.2.2 Linking Poverty Reduction Strategy and the Reproductive Health Program Framework in the Health Nutrition Population Sector Program -- 5.2.3 Linking Bangladesh Population Policy 2004 and Reproductive Health Program Framework in Health Nutrition Population Sector Program. 5.2.4 Linking the National Communication Strategy for Family Planning and Reproductive Health and Reproductive Health Program Framework -- 5.3 Policy Framework vis-à-vis Implementation Scenario of Health, Nutrition and Population Sector Program (HNPSP) -- 5.4 Reproductive Health Policy and Program Issues, Gaps and Challenges -- 5.5 Summary and Assessment -- Chapter Six -- 6.1 Major Policy Issues -- 6.1.1 Family Planning Services -- 6.1.2 Maternal Health Services -- 6.1.3 Participation in the Health and Population Sector -- 6.1.4 Behavior Change Communication Activities and Demand Generation -- 6.1.5 Management and Implementation Structure for Reproductive Health Service Delivery -- 6.1.6 Integration of the Nutrition Program -- 6.1.7 Human Resource Challenges -- 6.1.8 Primary Health Care for the Urban Poor -- 6.1.9 Unmet Demand for Family Planning -- 6.1.10 Community Clinics -- 6.1.11 Responsiveness of the Service Providers -- 6.2 Strengths and Weaknesses of the Reproductive Health Program -- 6.3 Future Directions -- 6.4 Synopsis of the Opinions of the Policy Actors -- 6.5 Summary and Assessment -- Chapter Seven -- 7.1 Summary of Study Findings -- 7.2 Revisiting Research Questions -- 7.2.1 Policy Frameworks of the Three Policy Regimes and Entitlement to and Freedoms of Availing Reproductive Health Services in Bangladesh -- 7.2.2 Policy Framework and Paradigm Shift -- 7.2.3 Policy Frameworks and Major Policy Actors and Factors -- 7.2.4 Interconnectivity Between and Among the Policy Frameworks -- 7.3 Relevance to the Conceptual Framework of the Study -- 7.4 Epilogue -- References.
The reproductive health care program of Bangladesh is still striving to address the very basic reproductive health issues of its people. Reproductive health services here still confronting issues surrounding 'availability'. Equality issues like 'accessibility' to, and 'quality' of services are far away from the reach of the majority of people. This book analyses the policy discourses and the paradigm shift relating to reproductive health care in Bangladesh. It explores the extent to which the policy frameworks reflect a paradigm shift towards a rights-based reproductive health program. In so doing, it also investigates how the complementarities and inconsistencies within the policy frameworks have affected reproductive health through 'the availability of, accessibility to, and quality of reproductive health services' in Bangladesh.