Political Economy and Quality of Primary Health Service in Rural Bangladesh and the United States of America: A Comparative Analysis

Ferdous Arfina Osman and Sara Bennett

Journal of International Development, 2018, vol. 30, issue 5, 818-836

Abstract: We examined the quality of publicly provided primary healthcare service in two different rural settings: USA and Bangladesh. Using both primary and secondary data, the quality of primary healthcare services was examined across four dimensions: access, equity, responsiveness and citizen's influence over services. Findings demonstrate that apart from responsiveness, the US underperforms across all other dimensions of quality. Compared with the US, Bangladesh fared worse in almost all indicators other than physically accessibility. Wider political economy factors that shaped the quality of service were the colonial legacy, political competition, the economic system and social inequality. Copyright © 2018 John Wiley & Sons, Ltd.

Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:wly:jintdv:v:30:y:2018:i:5:p:818-836

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