Bangladesh Health Watch (BHW), established in 2006, is a multistakeholder civil society platform advocating for health system improvements through evidence-based actions. BHW operates eight Regional Chapters (RCs) across eight divisions—Manikganj, Khagrachari, Chapainawabganj, Bagerhat, Barguna, Sunamganj, Netrokona, and Kurigram—amplifying the voices of communities, especially in remote areas, while engaging local health providers in problem-solving. RCs include diverse stakeholders such as NGOs, CSO activists, youth leaders, and citizens, with each chapter hosted by an NGO/CSO and supported by a Health Rights Forum (HRF) of active forum members.
This report presents findings from the third phase of a multi-year study (2022–2024) evaluating primary healthcare service delivery across Community Clinics (CCs), Upazila Health Complexes (UHCs), and District Hospitals (DHs) in Bangladesh. It assesses trends in accessibility, quality, and equity, identifies challenges, and proposes actionable recommendations for improvement.
Using a mixed-method approach, both qualitative and quantitative data were collected between November and December 2024 from all eight RC districts. Combined with trend analyses from previous years, the study provides key insights into progress and persisting challenges in healthcare services.