Abstract:
Before independence when Dhaka was a provincial capital, health care
delivery system was limited only to the government hospitals and centres.
After independence when Dhaka became capital city, the city experienced a
sharp rise in population migrating from other parts of the country and the
need for health care facility grew rapidly, Existing government llOspitaland
health care centres with around 5500 beds just failed to cope up with the
rising demand. Under such situation private health care system started
developing.
A total of five zones out of ten zones under Ohaka City Corporation were
studied. The study was conducted considering Iocational and distributional
pattern of the private clinics and hospitals, typology, size and facilities
available and their spatial variations as well as cost and quality of the private
health care services and accessibility of the various income groups to such
services,
Study of the five zone shows that the distribution of the private health care
centre has been largely influenced by the economic consideration of the
prospective users ofthe establishments and as such most of these institutions
are concentrated disproj}{Jriionatelyin some particular areas instead of being
distributed and balanced way.
From the consideration of place and facility, out of the 230 private clinics
and hospitals in the city there are only few recently established specialized
units and are run by part time consultants.
Private health care facility lacks seriously to serve the need of the large
number of least privileged section living in the slums. In other words such
facility especially cater to the well to do sections of the society only. Zone
no. 6 has been considered to be the most ideal from the viewpoint of
location, environment, and patient availability among all other zones.
From cost point of view,ciinics which have better diagnostics facility and
scope, better than average services are found to have higher establishment
cost and monthly expenditure.
