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

Ferdous Arfina Osman, Sara Bennett

Research output: Contribution to journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)818-836
Number of pages19
JournalJournal of International Development
Volume30
Issue number5
DOIs
StatePublished - Jul 2018

Keywords

  • Bangladesh
  • United States
  • political economy
  • primary healthcare
  • public service
  • quality

ASJC Scopus subject areas

  • Geography, Planning and Development
  • Development

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