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Permanent URI for this collectionhttps://hdl.handle.net/10361/6663

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Innovation for universal health coverage in Bangladesh: a call to action
(© 2013 The Lancet, 2013) Adams, Alayne M.; Ahmed, Tanvir; El Arifeen, Shams E.; Evans, Timothy Grant; Huda, Tanvir M.; Reichenbach, Laura J.; Ahmed, Faruque S K; Ahmed, Shamim; Ahmed, Syéd Masud; Azad, Kishwar; Bhuiya, Abbas Uddin; Mahmood, Shehrin Shaila; Cash, Richard A.; Chen, Lincoln; Chowdhury, Mahbub Elahi Khan; Chowdhury, Ahmed Mushtaque Raza; Christou, Aliki; Halder, Shantana R.; Husain, Mushtuq Mushtaq; Islam, Mohammad Sirajul; Islam, Khaled Shamsul; Huq, Shireen; Hussain, Zakir; Mahmud, Simeen; Mallick, Fuad Hassan; May, Maria A.; Osman, Ferdous Arfina; Peters, David H.; Perry, Henry B.; Rabbani, Atonu; Rahman, Mijanur Aminur; Rahman, Mahmudur Ziaur; Rasheed, Sabrina; Rashid, Sabina F.; Al-Sabir, Ahmed; Standing, Hilary; Mahmud, Simeen; BRAC James P Grant School of Public Health
A post-Millennium Development Goals agenda for health in Bangladesh should be defined to encourage a second generation of health-system innovations under the clarion call of universal health coverage. This agenda should draw on the experience of the first generation of innovations that underlie the country's impressive health achievements and creatively address future health challenges. Central to the reform process will be the development of a multipronged strategic approach that: responds to existing demands in a way that assures affordable, equitable, high-quality health care from a pluralistic health system; anticipates health-care needs in a period of rapid health and social transition; and addresses underlying structural issues that otherwise might hamper progress. A pragmatic reform agenda for achieving universal health coverage in Bangladesh should include development of a long-term national human resources policy and action plan, establishment of a national insurance system, building of an interoperable electronic health information system, investment to strengthen the capacity of the Ministry of Health and Family Welfare, and creation of a supraministerial council on health. Greater political, financial, and technical investment to implement this reform agenda offers the prospect of a stronger, more resilient, sustainable, and equitable health system.
Measuring 'empowerment' using quantitative household survey data
(© 2014 Elsevier Ltd.) Mahmud,Simeen; Tasneem, Sakiba; BRAC Institute of Governance and Development;
For poor women paid work is not simply a pathway out of poverty, but has more deeper transformative potential, including both internal transformation (changes in women's personal and political consciousness and agency as citizens) and external transformation (changes in women's social position). Hence, measurement of women's empowerment requires identifying appropriate qualitative indicators to capture these dynamic processes of change that are not all observable. We were faced with two crucial measurement challenges: first, to estimate the magnitude and nature of women's paid work that is often unrecognized, and second, to assess a transformative process like women's empowerment. The paper describes the methods used for enumerating women's economic activity and measuring women's empowerment in the context of Bangladesh, using quantitative indicators estimated from a large household survey. Our experience suggests that to capture women's work adequately interviewer bias due to social perception of work can be minimized through training and capacity building and careful wording of questions that have been pretested. In addition, to gain a more nuanced understanding of the impact of paid work on the process of women's empowerment we included several new indicators for assessing various dimensions of empowerment that have been examined widely in the literature.
Diverging stories of “Missing Women” in South Asia: is son preference weakening in Bangladesh?
(Routledge) Kabeer N.; Huq, Lopita; Mahmud, Simeen; BRAC Institute of Governance and Development
ABSTRACT: South Asia is a region characterized by a culture of son preference, severe discrimination against daughters, and excess levels of female mortality, leading to what Amartya Sen called the phenomenon of “missing women.” However, the onset of fertility decline across the region has been accompanied by considerable divergence in this phenomenon. In India, improvements in overall life expectancy have closed the gender gap in mortality rates among adults, but persisting gender discrimination among children and increasing resort to female-selective abortion has led to growing imbalance in child sex ratios and sex ratios at birth. In Bangladesh, by contrast, fertility decline has been accompanied by a closing of the gender gap in mortality in all age groups. Using quantitative and qualitative data, this study explores changing attitudes toward sons and daughters in Bangladesh to explain why the phenomenon of “missing women” has played out so differently in these two neighboring countries.

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