Healthcare Assignment: Healthcare Strategy in Bangladesh

Running head: HEALTHCARE ASSIGNMENT
HEALTHCARE STRATEGY (BANGLADESH)
Name of the student
Name of the university
Author note

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Introduction
As per Ashraf et al. (2015), healthcare system is the social response to the healthcare
determinants of any society as every society believes and trusts upon grew social
determinants and through these helps the population of that society to overcome their
healthcare complications. This paper is going to deal with the healthcare system of a South
Asian developing country, Bangladesh and will assess the immunisation status of the children
living in this country. Further, in this context the social determinants of health and its
connection to this health complication would be discussed (Rifat et al., 2015). Furthermore,
through the help of epidemiological studies, the complication or healthcare complication and
their connection in developing health equity would be discussed. Finally, the role of the
nursing professional in dealing with such health complication and the importance of the
cultural competency would be discussed in this paper.
Social determinants of health, equity and social justice and their contribution to the
health issue
As per Naz et al. (2016), social determinants of health are aspects that helps to
develop effective healthcare strategies so that equity and equality could be included in the
healthcare process. Social determinants are the aspects depending upon which or surrounding
by which an individual born, grows ad eventually dies. In such condition, if these
determinants are present unequal amount then it could affect the healthcare system and could
also increase the health complications for the patients involved in the care process (Huda et
al., 2016). Such social determinants of health and associated inequalities are present in
society’s deepening upon their availability among the population. For example, if the
population of the community are unable to receive proper educational and employment
opportunities then their healthcare process would be affected and the population would suffer

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from critical healthcare processes (Huda, Hayes, El Arifeen & Dibley, 2016). Hence, in such
conditions it becomes important analyse the presence of social determinants associated health
inequalities. Bangladesh is considered to be a developing country and hence, this country has
its own issues associated with development, service availability, legislations and other
aspects that could make the healthcare system effective. As per the World Health
Organisation (2019), there are multiple aspects of social determinants of health associated
with Bangladesh and these are the primary concerns of the community. These are climate
change, gender inequality, human resources and healthcare system, presence of arsenic and
other complications due to which the population suffer from critical healthcare complications.
Immunisation is one of the primary healthcare need of children as it help them to
protect themselves from critical healthcare complications associated with viral and bacterial
infections. In such condition, it should be noted that people living in such societies should be
aware of the aspects associated with vaccinations (Huda, 2017). Further, it also requires the
population to be aware and educated about the immunisation process, period and timeline so
that they could provide their children with effective identity so that they could develop
immunity against critical health complications. Hence, if the population is not aware of
effective immunisation process and does not implements these immunisation strategies upon
the healthcare system then it could increase the risk of health population involved (Leslie,
Spiegelman, Zhou & Kruk, 2017). The literacy rate in Bangladesh could be identified as
72.76% and within employment, 40% of the population work in agricultural sector, whereas
20% works in industries. Hence, a large section of the society is present in Bangladesh that
are unable to avail sources to education as well as are unable to develop employment abilities
so that they could develop effective abilities and provide the children with effective
immunisation (Marella et al., 2015). Further, the rural areas of the communities also lack
connectivity, development and other infrastructural aspects which is important for the growth

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and development of abilities for effective vaccination of children. Therefore, these are the
complications due to which the population suffer from critical conditions and health
inequality lies in the country’s healthcare system.
Interpret epidemiological studies to identify this health issue
While discussing about the epidemiological factors that are associated with critical
healthcare complication and poor or decreasing rate of immunisation in the population of
Bangladesh, factors such as their socio- economic aspects, their availability of resources,
their lack of social support, negligence and lack of awareness and other aspects should be
discussed. These epidemiological factors are the primary reason due to which majority of the
community living in Bangladesh are unable to develop effective abilities so that they could
overcome their population’s complication associated with vaccinations. Rifat et al. (2015)
also mentioned in their research proposal as per which these are the complications that are
associated with the improper immunisation process and should be considered while
developing effective vaccination strategies for the population affected with this situation. As
per Ashraf et al. (2015) it has been observed that population that live in the rural areas, lack
their social determinants of health and hence, they do not have proper access to the
vaccination strategies of Bangladesh. Hence, these factors, with lack of social determinants of
health prevent the rural populations of Bangladesh to achieve accurate level of immunisation.
Further, through the paper of Huda et al. (2016) it was also identified that the local
governments or regional governments that are responsible for spreading awareness and
healthcare literacy to the population, are unable to develop or implement the local plan
developed and hence the governmental strategies developed for the immunisation and
vaccination processes are not being implemented properly (Naz et al., 2016). Therefore, lack
of coordination among the governments and resulting lack of awareness could be the primary
reason due to which the populations are unable to develop effective abilities to provide