2019 Health SDG Profi le: Bangladesh
74.4
71.9%
Out-of-pocket expenditure ⁴ In most cases, high percentage of out-of-pocket
expenditure out of the total health expenditure is associated with low financial protection.
Bangladesh
Urban population²
37.4%
Life expectancy at birth
Life expectancy⁵ measures how long people will live and is an indication of overall mortality of a country's population. Lost healthy life expectancy (HALE) represents equivalent year(s) of full health lost through years lived with morbidity and disability. Although females live longer, lost HALE is longer as well, on average 1.8 years or 21.2% more than males.
Population (000s)¹
163 046
Poverty³
14.8%
GDP per capita³ (Current US$)
1698.3
Current health expenditure as share of GDP⁴
2.4%
0 20 40 60 80
Age (years) Male
Female
HALE Lost HALE
Monitoring the health SDG goal: Indicators of overall progress
(ppp < $1.90 a day)
5.7%
The goal of universal health coverage (UHC) is that all people and communities receive the health care they need, without suffering financial hardship. Monitoring UHC requires measuring health service coverage and financial protection (SDG target 3.8).
Universal health coverage: At the centre of the health goal
HEALTH SERVICES COVERAGE
The summary measure of essential health services coverage, service coverage index of 16 indicators in four main areas: (1) reproductive, maternal, newborn and child health; (2) infectious diseases; (3) noncommunicable diseases; (4) service capacity, access and health security.
FINANCIAL PROTECTION
Financial protection is measured through two indicators:
(1) impoverishment, and (2) catastrophic health expenditure.
Impoverishment: 7.0% or approximately 11 413 000 people are being pushed into poverty (at $1.90 level) because of out-of-pocket health spending¹⁷ .
Catastrophic expenditure on health: 24.7% of people spent more than 10% of their household's total expenditure on health care¹⁷.
Family planning
coverage⁶ Pregnancyand
delivery care⁶ Child immunization
coverage⁷ (DTP3) Care seeking behaviour suspected pneumonia⁶ 0
50 100
Coverage (%) 97
73
36 42
Reproductive, maternal, newborn and child health
Latest available data (2010-2019)Tuberculosis (effective) treatment
Coverage⁸
HIV antiretroviral
therapy coverage⁹ Insecticide-treated bednets/IRS coverage for malaria prevention¹⁰
Access to basic sanitation¹¹ (%) 0
50 100
Coverage (%) 100
63
19
47
Infectious diseases
Prevalence of normal fasting glucose level¹²
Prevalence of normal blood pressure¹²
Cervical cancer
screening Tobacco non-use¹³ 0
50 100
Coverage (%)
83 75 65
Noncommunicable diseases
Density of hospital beds¹², expressed as % of global threshold, 18/10
000
Heath worker density¹⁴, expressed as % of
global threshold, 44.5/10 000
Access to essential
medicines¹⁵ Health security: IHR compliance¹⁶ 0
50 100
Coverage (%)
43 19
65 58
Service capacity, access and health security
UHC services coverage index of essential health services To provide a summary measure of
coverage, an index of national service coverage is computed by averaging service coverage values across the 16 tracer indicators. The UHC coverage index ranges from 0% to 100%, with 100% implying full coverage across a
range of services.
2010 20190 50 100
Coverage (%)
34 54
UHC services coverage index
Out-of-pocket expenditure, as % of the health expenditure (2016)
Public spending on health ⁴ is determined by the capacity of the government to raise revenues and the level of priority it attaches to the health sector.
This profile provides an overview of the current status of progress towards the 13 targets under the
Sustainable Development Goal #3 (SDG3): Ensure healthy lives and promote well-being for all at all ages.
All SDG3 indicators plus other selected health-related indicators are presented using global health estimates or country comparable reported values if available.
When nationally reported indicators from other sources are available, these are included in the references.
71.1 74.4
2019 Health SDG Profi le: Bangladesh
Equity status and trends: Variation by income, geographical location and education*
*There are many dimensions of equity, including but not limited to examples based on income, geographical location, and education presented here but also age, sex, race, and others. SDG 17.18 emphasizes the need for disaggregated data to facilitate better measurement of inequalities.
SDG 3: Health targets
Maternal and child mortality (SDG target 3.1, 3.2)
Births attended by skilled health personnel⁶
⋅¹⁸
1999 2004 2007 2011 2014 0
50 100
Pe rc en ta ge (% )
12.9 15.6 18.0
31.7 42.1
Maternal mortality ratio²²
2000 2005 2010 2015
0 150 300 450
M M R (p er 1 00 0 00 li ve b irt hs )
399.0176.0
1990 2000 2005 2010 2015 2016 2017 0
50 100 150 200
C M R (p er 1 00 0 liv e bi rth s)
32.4 18.4 144.0
64.0
Child mortality²³
Neonatal mortality rate Under-five mortality rate
Health service delivery
NCD risk factors
2000 2005 2010 2015
0 50 100
Su cc es s ra te
81.094.0
TB treatment success rate for new cases²⁰
2000 2005 2010 2015
0 50 100
Pe rc en ta ge (% )
97.082.0
Coverage of DTP3 immunization⁷
Cervical cancer screening
Female Male
2000 2005 2010 2015
0 25 50
Pe rc en ta ge (% )
0.72.0 5.02.3
Prevalence of obesity among adults²⁰ (18+ years of age)
1999 2004 2007 2011
0 50 100
Pe rc en ta ge (% )
30.7
43.2
6.3
17.9
Antenatal care covergae⁶
⋅¹⁸(4+ visits)
Rural Urban
Variation by education
2011 2012 2013 2014 2015 2016 2017 0
1 2
Pe r p er so n pe r y ea r
0.7 0.9
OPD utilization¹⁹ (per person per year)
1999 2004 2007 2011 2014 0
50 100
Pe rc en ta ge (% )
47.4
34.6 29.1
52.9 43.9
58.8
Prevalence of stunting among children under-five by mother's education level⁶
⋅¹⁸None Primary Secondary+
1999 2004 2007 2011
0 50 100
Pe rc en ta ge (% )
42.1
61.1
3.5 9.4
Proportion of births attended by skilled birth attendant⁶
⋅¹⁸Quintile 1 (poorest) Quintile 5 (richest)
Variation by geographical location
1999 2004 2007 2011 2014 0
50 100
Pe rc en ta ge (% )
35.2
66.1
Children < 5 yrs with diarrhoea receiving ORT
and continued feeding⁶
⋅¹⁸0 50 100 150 200
2015 2016 2015 2016 2015 2016
137 137 148
153 79
78
Bed occupancy rate²¹ (BOR)
Variation by income
2000 2005 2010 2015
0 25 50
Pe rc en ta ge (% )
24.5 24.9 25.5
25.5
Prevalence of raised blood pressure among adults²⁰ (18+ years of age)
Female Male
2009 2017
0 50 100
Pe rc en ta ge (% )
46.0 25.2 58.0
28.7
Prevalence of tobbaco use²⁰
Female Male
District/general hospital Medical college hospita
Upazila health complex
Current data are insufficient for analysis
2019 Health SDG Profi le: Bangladesh
Malaria incidence rate¹⁰
2013 2014 2015 2016 2017 0
1 2 3
Incidence (per 1000 pop. at risk)
1.3 2.9
2.4
1.6 1.6
TB incidence rate²⁴
2013 2014 2015 2016 2017 0
100 200 300
TB incidence (per 100,000 pop.)
224 227 225 221 221
Communicable diseases (SDG target 3.3)
Indicators SDG
target Year Bangladesh Regional estimate Probability of dying from any of CVD,cancer,
diabetes,CRD between age 30 and age 70²⁵ 3.4.1 2016 21.6 Suicide mortality rate²⁵ ⋅ ²⁶
(per 100 000 population) 3.4.2 2016 5.9
Total alcohol per capita (age 15+ years)
consumption²⁵ 3.5.2 2016 0.0
Road traffic mortality rate²⁵ ⋅ ²⁷
(per 100 000 population) 3.6.1 2016 15.3
23.1 13.2 4.5 20.7 Noncommunicable diseases and injuries
Malaria incidence is calculated for confirmed cases
Indicators Year Bangladesh Regional estimate Number of people
requiring interventions against neglected tropical diseases²⁵
2017 56,339,392
Hepatitis B surface antigen prevalance among children under 5 years²⁵ (%)
2015 1.38
73,300,000
0.26
1999 2004 2007 2011 2014 2016 0
50 100 150 200
Ad ol es ce nt b irt h ra te
144.0 137.0
126.0
118.0 113.0 78.0
Adolescent birth rate⁶
⋅¹⁸⋅²⁰(per 1000 women aged 15 to 19 years)
International Health Regulations Core Capacity
Index¹⁶ 3.d.1 2018 58 56
National and global health risks
Female Male
2000 2005 2010 2015
0 250 500 750 1000
To ta l N C D m or ta lit y ra te (p er 1 00 0 00 p op .)
566.8
571.0 523.2
611.1
Total NCD mortality²⁰
DTP3 immunization coverage among 1-year-
olds⁷ 3.b.1 2017 97
MCV2 immunization coverage by the nationally
recommended age²⁵ 3.b.1 2017 96
PCV3 immunization coverage among 1-year
olds²⁵ 3.b.1 2017 97
88 77 12 Essential medicines and vaccines
Proportion of married or in-union women of reproductive age who have their need for family
planning satisfied with modern methods⁶ (%) 3.7.1 2014 72.6 71.4 Sexual and reproductive health
Age-standardized mortality rate attributed to household and ambient air pollution²⁵
(per 100 000 population) 3.9.1 2016 149 165.8
Mortality due to environmental pollution
Prevalence of tobacco use among persons
aged 15 years and older¹³ (%) - Female 3.a.1 2017 25.2 Prevalence of tobacco use among persons
aged 15 years and older¹³ (%)- Male 3.a.1 2017 46
- - Tobacco use
Note: A dash (-) implies relevant data are not available 2013 2014 2015 2016 2017
0.00 0.05 0.10
HIV incidence [per 1000 pop.]
<0.01 <0.01 <0.01 0.01 0.01
New HIV infections⁹
Mortality rate attributed to exposure to unsafe
WASH services²⁵ (per 100 000 population) 3.9.2 2016 11.9 Mortality rate attributed to unintentional
poisoning²⁵ (per 100 000 population) 3.9.3 2016 0.3
15.4 1.8 Adolescent birth rate⁶ (per 1000 women aged
15 to19 years) 3.7.2 2014 113 33
Total net official development assistance to medical research and basic health per capita²⁵
(US $) 3.b.2 2017 1.25
Proportion of the population with access to affordable medicines and vaccines on a
sustainable basis²⁵ 3.b.3 2014 65
0.6
-
Health worker density¹⁴ (per 10 000
population) 3.c.1 2016 8.3
Health workforce
Reported road traffic deaths (per 100 000 population)
Current data are insufficient for analysis
2019 Health SDG Profi le: Bangladesh
References
1.World population prospects: the 2019 revision. New York: United Nations, Department of Economic and Social Affairs, Population Division; 2019 (https://population.un.org/wpp/, accessed 29 June 2019).
2. World urbanization prospects: 2018 revision. New York: United Nations, Department of Economic and Social Affairs, Population Division; 2018 (https://population.un.org/wpp/, accessed 29 June 2019).
3.World Bank. (https://data.worldbank.org/, accessed 28 May 2019)
4.Global health expenditure database. Geneva: World Health Organization; June 2019
5.Global health estimates 2016: Life expectancy, 2000–2016. Geneva: World Health Organization; 2018 (https://www.who.int/gho/mortality_burden_disease/life_tables/en/, accessed 29 June 2019).
6. Bangladesh Demographic and Health Survey 2014. Dhaka, Bangladesh, and Rockville, Maryland, USA: NIPORT, Mitra and Associates, and ICF International.
(https://dhsprogram.com/pubs/pdf/FR311/FR311.pdf , accessed 29 June 2019)
7. WHO/UNICEF estimates of national immunization coverage. (http://apps.who.int/immunization_monitoring/globalsummary/countries?countrycriteria%5Bcountry%5D%5B%5D=BGD, accessed 29 June 2019) 8. Global tuberculosis report 2018. Geneva: World Health Organization; 2018 (https://www.who.int/tb/publications/global_report/en/, accessed 15 March 2019).
9. UNAIDS/AIDSINFO [Online database]. (http://aidsinfo.unaids.org/, accessed 29 June 2019)
10. Calculated. World Malaria Report 2018. Geneva: World Health Organization; 2018 (https://www.who.int/malaria/publications/world-malaria-report-2018/en/, accessed 15 March 2019).
11. WHO/UNICEF Joint Monitoring Programme estimate 2015.
12. Tracking universal health coverage: 2017 global monitoring report
13. Global Adult Tobacco Survey data (GATS). (https://www.who.int/tobacco/surveillance/survey/gats/bgd/en/, accessed 3 July, 2019) 14. HRH profiles 2018
15. Bangladesh Service Provision Assessment (SPA) Survey 2014. (https://dhsprogram.com/pubs/pdf/SPA23/SPA23.pdf , accessed 29 June 2018)
16. International Health Regulations (2005) Monitoring Framework [online database], Global Health Observatory (GHO) data. Geneva: World Health Organization (https://www.who.int/gho/ihr/en/, accessed 21 March 2019).
17. SEARO staff estimates from (Bangladesh) Household Income and Expenditure Survey 2016 18. Bangladesh DHS Survey 1999, Bangladesh DHS Survey 2004, Bangladesh DHS Survey 2007
19. Calculated. Ministry of Health and Family Welfare. Health Bulletin. Dhaka: Management Information System/ Directorate General of Health Services; 2017.
(http://www.dghs.gov.bd/images/docs/Publicaations/HB%202016%20_2nd_edition_13_01_17.pdf – accessed 29 June 2019) 20. WHO. Global Health Observatory (GHO) (https://www.who.int/gho/en/ - accessed 29 June 2019)
21. Ministry of Health and Family Welfare. Health Bulletin 2017. Dhaka: Management Information System/ Directorate General of Health Services; 2018.
(http://www.dghs.gov.bd/images/docs/Publicaations/HealthBulletin2017Final13_01_2018.pdf22 , accessed 29 June 2019)
22. Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva; 2015
(https://apps.who.int/iris/bitstream/handle/10665/194254/9789241565141_eng.pdf;jsessionid=56B6C12830EA6EA8CD0F30A8433E8FC3?sequence=1, accessed 28 May 2019). See for Maternal Mortality Ratio.
Country reported value: 2017=172; 2016=178, 2015=181, 2014=193, 2013=197 Data source: Bangladesh Sample Vital Statistics
23. Levels & trends in child mortality: report 2017: estimates developed by the UN Inter-agency Group for Child Mortality Estimation. New York (NY), Geneva and Washington (DC): UNICEF, World Health Organization, World Bank, United Nation; 2017 (http://www.childinfo.org/, accessed 28 May 2019). See for under-five mortality. Country reported value: 2017=31, 2016=35, 2015=35;2014=38, 2013=41 Data source:
Bangladesh Sample Vital Statistics. See for neonatal mortality rate. Country reported value: 2017=17, 2016=19, 2015=20, 2014=21, 2013=20.Data Source: Bangladesh Sample Vital Statistics 24. WHO Global Tuberculosis database [online]. ( https://www.who.int/tb/country/data/download/en/, accessed 29 June 2019).
25. World Health Statistics 2019.
(https://apps.who.int/iris/bitstream/handle/10665/324835/9789241565707-eng.pdf?ua=1, accessed 28 May 2019) 26. See for suicide mortality rate. Country reported value:2016=14.7 Data Source:
27 See for road traffic mortality rate. Country reported value: 2016=14.4. Data Source: Bangladesh Health Injury Survey 2016
28. See for Annual mean concentrations of the particulate matter (PM 2.5). Country reported value 2014=107, 2015=94, 2013=57. Data Source: Administrative Data taken from Ministry of Environment and Forest (MoEF) and Air Now, DOS
Other health-related SDGs
Note: A dash (-) implies relevant data are not available
Indicators SDG
target Year Bangladesh Regional estimate Domestic general government health
expenditure as percentage of general
government expenditure⁴ 1.a 2016 3.4 6.7
General government health expenditure
2000 2005 2010 2015 2016 2017 0
50 100
Percentage (%)
10.0 13.0 17.0 18.0 19.0 7.0
Population with primary reliance on clean fuels²⁰ (%)
2011 2012 2014
0 50 100
Percentage (%)
30.5 37.0
20.2
Birth registration coverage⁶
⋅¹⁸(%)Proportion of ever-partnered women and girls aged 15 yrs and older subjected to physical, sexual or psychological violence by a current or former intimate partner in previous 12 months⁵
5.2 2009-2017 29 -
Intimate Partner Violence
Amount of water- and sanitation-related official development assistance that is part of a government-coordinated spending plan²⁵
(constant 2016 US$ millions) 6.a 2017 283.77 1484.41
Proportion of population using safely
managed drinking-water services²⁵ 6.1 2015 56
Proportion of population using safely
managed sanitation services 6.2 2015 -
- - Drinking water services and sanitation
Children under 5 years who are stunted⁶ 2.2.1 2014 36.1 Children under 5 years who are wasted⁶ 2.2.2 2014 14.3 Children under 5 years who are overweight⁶ 2.2.3 2014 1.4
31.9 15.1 3.8 Child nutrition
Proportion of population with primary
reliance on clean fuel²⁵ 7.1 2016 18 41
Clean household energy
Annual mean concentrations of fine particulate matter (PM2.5) in urban
areas²⁵ ⋅ ²⁸ (µg/m3) 11.6 2016 58.3 57.3
Ambient air pollution
Mortality rate due to homicide²⁵
(per 100 000 population) 16.1.1 2016 2.9 4
Homicide and conflicts
Birth registration coverage⁶ 16.9.1 2014 24.6 -
Birth registration
Completeness of cause-of-death data⁵ (%) 17.19.2 2017 - 10 Cause-of-death data
Prevalence of stunting among children under-five⁶
⋅¹⁸ (%)
2004 2007 2011 2014 0
50 100
Percentage (%)
50.6
43.1 41.3
36.1
