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Bangladesh MDG 2007
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 |  Report Summary: | |  Bangladesh is on track to achieve most of the MDG goals, even the difficult ones like infant and maternal mortality provided that the quality and institutional mechanisms of service delivery to the poor are improved. | |  Author Interview » | Report Summary »
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|  |  |  Facts: - Bangladesh has already achieved the MDG on gender parity in primary and secondary schooling. - Bangladesh is on track to halving the share of population living under $1 a day by 2015. - Infant mortality rate is now only 66 deaths per thousand live births ? the decline over the last decade has been much faster than in India. - Maternal mortality rate has fallen from 574 to 360 deaths per 100,000 live births from 1990-2001. |
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  |  Chapter 1: Introduction and Overview
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|  | Bangladesh has already achieved one of the Millennium Development Goals (MDGs), namely gender parity in primary and secondary schooling and is likely to achieve several more by 2015. However, to do so the country will need to resolve certain institutional and service delivery problems. This chapter provides a background on Bangladesh?s performance on MDGs. It also explains why the report focuses on maternal mortality and child mortality, which are the two most challenging MDGs for Bangladesh. | |  Download Full Report » | Download Chapter » |
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 |  Chapter 2: Development Performance and Challenges
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|  | This chapter examines Bangladesh?s development performance over the past few years. The country is on track to halving the share of population living under $1 a day by 2015. Still many social and economic challenges remain. Bangladesh can become a Middle Income Country within a decade if it can accelerate GDP growth rate to over 7 per year. For this, there needs to be a boost in productivity growth and capital accumulation. Bangladesh also needs to be successful in its transition from an agro-based economy to an industrialized economy. The labour force of Bangladesh, which increases by 2 million every year, represents a huge potential. Recommendations are provided in this section on how Bangladesh can accommodate this increased labour force. | |  Download Chapter » |
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 |  Chapter 3: Maternal and Child Mortality? Trends and Projections
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|  | Bangladesh has made rapid progress on child mortality in the last two decades. There are now only 66 infant deaths per thousand births. The decline is mainly due to adult female schooling, delayed child bearing among women and expanded measles immunization coverage. If current efforts are sustained, the child mortality MDG target can be met. Progress on maternal mortality has been slower and much remains to be done. While it has fallen from 574 to 360 deaths per 100,000 live births during 1990-2001, the maternal mortality rate is still one of the highest in the world. At this rate, and given the generally poor quality of public health services and health care provisions, the MDG target of 143 deaths per 100,000 live births by 2015 will most likely not be met, unless the accountability and transparency of health services are improved. This section provides a quantitative analysis of maternal and child mortality rates and examines reasons behind regional variations. | | Download Chapter » |
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 |  Chapter 4: Special Challenges to Attainment of the MDGs
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|  | This chapter focuses on challenges to MDG progress posed by urbanization, environment and inadequate infrastructure. Urban share of Bangladesh population will increase from 25% to 30% between 2005 and 2015 ? and this will have implications on the achievement of MDG targets. Rapid population growth in urban areas is often not matched with equal growth in health and education services. Poor water and air quality leads to various respiratory diseases and also hampers labour productivity. Quality of life is especially poor in the urban slums where residents often do not have access to education, safe water and other health services. Traditionally, the majority of resources have been allocated for rural development. A major shift in government policy is thus required towards urban areas, particularly in the provision of services to slum dwellers. | |  Download Chapter » |
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 |  Chapter 5: Institutions and Accountability
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|  | This chapter looks into successful and less successful service delivery models in Bangladesh and examines the factors behind the discrepancies. In order to attain the MDG targets, accountability and transparency of public services need to be improved both in rural and urban areas. Basic services can be improved by inducing an environment of creative tension, whereby service users will give regular feedback to providers and thus create a system of accountability and performance checks. A good example of creative tension is Gonoshasthaya Kendra's (GK) service delivery model which initiates a post mortem investigation each time there is a death in the village. Mistakes are analyzed and unveiled to the community. Such engagement is part of a larger strategy to involve the local government for solving problems relating to health service delivery and making the necessary institutional changes. NGOs cannot be the only solution to Bangladesh?s service delivery problems. MDG outcomes will be best attained through public-private partnerships between service providers, elected local government, beneficiary groups and community based organizations. | | Download Chapter » |

 |  More Resources on Bangladesh
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|  | World Bank Program Website maintained by the World Bank Office in Dhaka, a launching pad to all information on World Bank activities in the country (strategy, projects, publications, etc.) | | Visit Page » |
 |  | Bangladesh Country Assistance Strategy 2006-2009. | | Visit Page » |
 |  | Development Data A wide range of social and economic measures on Bangladesh, including links to the World Bank's most important online development databases. | | Visit Page » |
 |  | Analysis and Research Compilation of all the World Bank's publications on Bangladesh, with 'search' options and links to analysis and research on other South Asian countries. | | Visit Page » |
 |  | World Bank Program in South Asia Launching pad to all information on World Bank activities in Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka. | | Visit Page » |
 |  | Request an interview To interview the report's author e-mail South Asia media contact. | | Visit Page » |
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