{"id":254851,"date":"2026-01-24T06:05:09","date_gmt":"2026-01-24T06:05:09","guid":{"rendered":"https:\/\/www.newsbeep.com\/il\/254851\/"},"modified":"2026-01-24T06:05:09","modified_gmt":"2026-01-24T06:05:09","slug":"bnp-pledges-5-of-gdp-to-health-jamaat-6-8-but-experts-call-for-clear-roadmaps-for-funds","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/il\/254851\/","title":{"rendered":"BNP pledges 5% of GDP to health, Jamaat 6-8%, but experts call for clear roadmaps for funds"},"content":{"rendered":"<p class=\"rtejustify\">Health has emerged as a central issue in the lead-up to the national election, with political parties placing greater emphasis on public healthcare.\u00a0<\/p>\n<p class=\"rtejustify\">After years of limited investment, both the BNP and Jamaat-e-Islami are promising higher public spending, free treatment, and steps toward universal coverage.<\/p>\n<p class=\"rtejustify\">The current budget allocates Tk41,908\u202fcrore to health, equivalent to 5.3% of the national budget but just 0.67% of GDP, with full utilisation remaining a recurring challenge.\n<\/p>\n<p class=\"rtejustify\">For years, experts and citizens have called for greater public spending on health, as a very high proportion of costs \u2013 around 68-73% \u2013 are paid directly by households, leaving nearly three\u2011quarters of healthcare expenses to out-of-pocket payments.<\/p>\n<p>        <a style=\"font-weight: bold; color: #2b4949; border-bottom: 1px solid #ccc; font-size: 18px;\" href=\"https:\/\/news.google.com\/publications\/CAAqBwgKMIivlQsw2ZKrAw?ceid=US:en&amp;oc=3\" rel=\"nofollow noopener\" target=\"_blank\"><br \/>\n          <img decoding=\"async\" src=\"https:\/\/www.tbsnews.net\/sites\/all\/themes\/sloth\/images\/google_news.svg\" alt=\"The Business Standard Google News\" style=\"display: inline-block; margin-right: 15px; margin-bottom: 10px; height: 30px;\"\/><br \/>\n            Keep updated, follow The Business Standard&#8217;s Google news channel<br \/>\n          <\/a><\/p>\n<p class=\"rtejustify\">Acknowledging the urgent need, the BNP has pledged a universal healthcare system modelled on the UK&#8217;s National Health Service.\u00a0<\/p>\n<p class=\"rtejustify\">The commitments include allocating more than 5% of GDP to health, providing free primary treatment for every citizen, and bringing all hospitals and health centres under accountability mechanisms.<\/p>\n<p class=\"rtejustify\">The party has also promised a 24-hour helpline, strengthen district and specialised hospitals, expand access to complex treatments through public-private partnerships, and recruit 1 lakh health workers.<\/p>\n<p class=\"rtejustify\">Jamaat has announced that, if elected, it would allocate between 6% and 8% of GDP to health, alongside free healthcare for citizens over 60 and children under five.\u00a0<\/p>\n<p class=\"rtejustify\">The party has also pledged to establish specialised hospitals in all 64 districts and ensure health and nutrition security for mothers and children from pregnancy until a child reaches two years of age.<\/p>\n<p class=\"rtejustify\">Experts described the pledges as ambitious but broadly positive.<\/p>\n<p class=\"rtejustify\">However, they warned that just allocating 5% of GDP to health would mean spending roughly Tk3.13\u202flakh\u202fcrore. Besides, the interim government is planning a 104% average salary increase for government employees, requiring an additional Tk1.06\u202flakh\u202fcrore.\u00a0<\/p>\n<p class=\"rtejustify\">Combined with party promises, the next government would face a substantial fiscal burden, experts said, raising questions about the feasibility of fully funding these ambitious pledges.<\/p>\n<p class=\"rtejustify\">They advised that making these pledges achievable will require structural reforms, phased implementation, curbing corruption, and clear explanations of how the commitments would be carried out.<\/p>\n<p class=\"rtejustify\">&#8216;Reforms must be achieved gradually&#8217;<\/p>\n<p class=\"rtejustify\">Professor Dr Syed Akram Hossain, a member of the health sector reform commission, said the commission had also recommended allocating 5% of GDP to health, a position now reflected in political pledges.<\/p>\n<p class=\"rtejustify\">He said achieving universal health coverage would ultimately require health spending to reach 5% of GDP, which would mean raising the sector&#8217;s share to nearly 25% of the total budget.<\/p>\n<p class=\"rtejustify\">&#8220;However, that is not feasible for the state at this moment,&#8221; he said, adding that proposals to allocate 6-8% of GDP were even more ambitious under the current fiscal structure.<\/p>\n<p class=\"rtejustify\">Dr Akram said the target should be pursued gradually, possibly over five years, supported by alternative revenue sources such as tobacco taxes and improved spending capacity.\u00a0<\/p>\n<p class=\"rtejustify\">&#8220;Without structural reforms in health administration, effectively utilising such a large allocation would remain unrealistic,&#8221; he added.<\/p>\n<p class=\"rtejustify\">Commenting on Jamaat-e-Islami&#8217;s pledges of free healthcare and specialised hospitals, Dr Akram said these reflected commendable aspirations for the state.\u00a0<\/p>\n<p class=\"rtejustify\">He noted that the commission had recommended making primary healthcare legally free and modernising district hospitals to provide comprehensive services, which alone would significantly benefit citizens.<\/p>\n<p class=\"rtejustify\">&#8220;If universal health coverage is achieved, separate promises for mothers, children or older people become unnecessary, as everyone would be covered,&#8221; he said.<\/p>\n<p class=\"rtejustify\">Dr Akram added that proposals from political parties are broadly consistent with the commission&#8217;s recommendations. &#8220;All reforms would need to be implemented gradually.&#8221;<\/p>\n<p class=\"rtejustify\">&#8216;Little clarity on how health pledges would be implemented&#8217;<\/p>\n<p class=\"rtejustify\">Dr Shafiun Shimul, director of Health Economics at Dhaka University, said political parties have outlined broad directions but offered little clarity on how their health pledges would be implemented.<\/p>\n<p class=\"rtejustify\">He said it remains unclear whether parties intend to move towards an insurance-based model or simply expand the existing health financing system.<\/p>\n<p class=\"rtejustify\">Dr Shimul said prioritising health in election manifestos is a positive step, but without clarity on funding sources, spending structures, and the scope of coverage, the promises will be difficult to realise.<\/p>\n<p class=\"rtejustify\">&#8220;We are still unable to effectively spend even 1% of GDP. In that context, questions remain about how 6% or more would be utilised,&#8221; he said.<\/p>\n<p class=\"rtejustify\">He added that coverage for mental health, elderly care, and non-communicable diseases remains weak in Bangladesh, and expanding these areas would inevitably raise costs.<\/p>\n<p class=\"rtejustify\">&#8220;The problem is not increasing the budget, but the failure to reform flawed spending structures and internal allocation systems,&#8221; he said.<\/p>\n<p class=\"rtejustify\">He further said party proposals suggest limited adjustments or expansion of the existing system rather than a comprehensive restructuring of the health sector.<\/p>\n<p class=\"rtejustify\">&#8220;In effect, there appears to be a greater focus on expanding the current system rather than building a fully integrated and restructured healthcare framework,&#8221; he said.<\/p>\n","protected":false},"excerpt":{"rendered":"Health has emerged as a central issue in the lead-up to the national election, with political parties placing&hellip;\n","protected":false},"author":2,"featured_media":250478,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[114,184,85,46],"class_list":{"0":"post-254851","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-economy","8":"tag-business","9":"tag-economy","10":"tag-il","11":"tag-israel"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/254851","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/comments?post=254851"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/254851\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/250478"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=254851"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=254851"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=254851"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}