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Raising Development Impact through Evaluation

Bangladesh: Second Urban Primary Health Care Project

Evaluation Document | 12 August 2015

In Bangladesh, rural–urban migration by the poor and vulnerable has caused rapid growth in the urban population. Poor living conditions and limited public health centers in urban areas have deteriorated the health of the urban poor, making their situation worse than that of the rural poor. Good quality public health centers in the rapidly growing urban slums were essential to prevent an epidemic of emerging or reemerging communicable diseases. From 1990 to 2002, Bangladesh showed improvements in primary health care (PHC), but the urban poor still faced difficult living and health conditions. The Asian Development Bank (ADB) through the first Urban Primary Health Care Project and the United States Agency for International Development (USAID) through its nongovernment organization service delivery program helped the Government of Bangladesh to continue enhancing the quality of and access to PHC services in urban areas. The Urban Primary Health Care Project was considered a success; nevertheless, the need for urban PHC remained crucial. Thus, in response to the government’s request, in 2005, ADB prepared the Second Urban Primary Health Care Project (the project).

This report validates the completion report’s assessment of the project. IED overall assessment: Successful.