Rural Health Centres

By Z. Rahman Gulshan, Dhaka
24 March 2005, 18:00 PM
In an interview on BBC Bangla service at 6-30am on 12 March, 2005 our health minister made a very bold and significant announcement regarding the future plan for management and operation of the subject clinics by NGOs. This is indeed a great decision for which the present administration ought to be hailed like few other pragmatic steps taken so far in the public interest. All the Rural Health Centres established in the past with lot of human efforts and huge public funds/aids are today examples of great failures. Poor service delivery linked to lack of accountability has very recently been cited in the media news as the reason for this great disappointment by the Chief Economist of the World Bank's South Asia region.

The higher rate of doctors' absence has also been blamed as the primary cause for the failure of these government health clinics, meant for the people in the rural areas. It is further alleged that performance of these clinics compared to those run by the NGOs or private sector is not only unacceptable but also examples of gross negligence by all concerned. We surely do not require the expertise/service of an eminent person like that of the Chief Economist of the World Bank to point this out before we wake up to take corrective measures! Anyone visiting our villages will be able to observe the aforesaid position and must wonder as to the justification of keeping these clinics, presently doing absolutely no good in most cases to the cause for which these were created.

The proposed action plan by the health minister as indicated in the aforementioned BBC Bangla programme is the only way out of this mess. Steps as contemplated must therefore be taken to reactivate the Rural Clinics under NGOs or private sector without further loss of time to render the desired essential services for the basic medicare needs of our rural people.