2023-09-28 14:46:10 +00:00
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abstract: 'Bangladesh, the eighth most populous country in the world with about 153
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million people, has recently been applauded as an exceptional health
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performer. In the first paper in this Series, we present evidence to
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show that Bangladesh has achieved substantial health advances, but the
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country''s success cannot be captured simplistically because health in
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Bangladesh has the paradox of steep and sustained reductions in birth
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rate and mortality alongside continued burdens of morbidity. Exceptional
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performance might be attributed to a pluralistic health system that has
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many stakeholders pursuing women-centred, gender-equity-oriented, highly
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focused health programmes in family planning, immunisation, oral
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rehydration therapy, maternal and child health, tuberculosis, vitamin A
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supplementation, and other activities, through the work of widely
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deployed community health workers reaching all households. Government
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and non-governmental organisations have pioneered many innovations that
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have been scaled up nationally. However, these remarkable achievements
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in equity and coverage are counterbalanced by the persistence of child
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and maternal malnutrition and the low use of maternity-related services.
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The Bangladesh paradox shows the net outcome of successful direct health
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action in both positive and negative social determinants of health-ie,
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positives such as women''s empowerment, widespread education, and
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mitigation of the effect of natural disasters; and negatives such as low
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gross domestic product, pervasive poverty, and the persistence of income
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inequality. Bangladesh offers lessons such as how gender equity can
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improve health outcomes, how health innovations can be scaled up, and
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how direct health interventions can partly overcome socioeconomic
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constraints.'
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affiliation: 'Chowdhury, AMR (Corresponding Author), BRAC, Dhaka 1212, Bangladesh.
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Chowdhury, A. Mushtaque R., BRAC, Dhaka 1212, Bangladesh.
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Chowdhury, A. Mushtaque R., Columbia Univ, New York, NY USA.
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Bhuiya, Abbas; Chowdhury, Mahbub Elahi; Rasheed, Sabrina, Int Ctr Diarrhoeal Dis
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Res, Dhaka 1000, Bangladesh.
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Hussain, Zakir, WHO, Southeast Asia Reg Off, New Delhi, India.
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Chen, Lincoln C., China Med Board, Cambridge, MA USA.'
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author: Chowdhury, A. Mushtaque R. and Bhuiya, Abbas and Chowdhury, Mahbub Elahi and
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Rasheed, Sabrina and Hussain, Zakir and Chen, Lincoln C.
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author-email: mushtaque.chowdhury@brac.net
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author_list:
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- family: Chowdhury
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given: A. Mushtaque R.
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- family: Bhuiya
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given: Abbas
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- family: Chowdhury
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given: Mahbub Elahi
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- family: Rasheed
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given: Sabrina
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- family: Hussain
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given: Zakir
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- family: Chen
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given: Lincoln C.
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da: '2023-09-28'
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doi: 10.1016/S0140-6736(13)62148-0
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eissn: 1474-547X
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files: []
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issn: 0140-6736
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journal: LANCET
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keywords-plus: CIVIL-SOCIETY
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language: English
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month: NOV 23
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number: '9906'
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number-of-cited-references: '77'
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orcid-numbers: rasheed, sabrina/0000-0002-7444-200X
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pages: 1734-1745
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papis_id: 42ea6d1d7fd202914baa8048e4884d4c
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ref: Chowdhury2013bangladeshinnovation
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researcherid-numbers: 'rasheed, sabrina/A-4145-2010
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'
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times-cited: '213'
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title: 'Bangladesh: Innovation for Universal Health Coverage 1 The Bangladesh paradox:
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exceptional health achievement despite economic poverty'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000327539900031
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usage-count-last-180-days: '1'
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usage-count-since-2013: '19'
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volume: '382'
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web-of-science-categories: Medicine, General \& Internal
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year: '2013'
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