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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 818-836 |
| Number of pages | 19 |
| Journal | Journal of International Development |
| Volume | 30 |
| Issue number | 5 |
| DOIs | |
| State | Published - Jul 2018 |
Keywords
- Bangladesh
- United States
- political economy
- primary healthcare
- public service
- quality
ASJC Scopus subject areas
- Geography, Planning and Development
- Development