Bangladesh was a low-income country until 2013 and graduated to low/middle-income category in 2014. Over the last 10 years Bangladesh has also made substantial progress reducing poverty and improving health and nutrition outcomes in. Since independence in 1971, Bangladesh has achieved impressive improvements in population health status and reached Millennium Development Goal 4 (MDG4) by reducing child mortality before the 2015 target, receiving a UN award for it in 2010. It also improved on other key indicators, including MDG5 indicators such as maternal mortality and survival from some infectious diseases including malaria, tuberculosis, and diarrhea.
Two tracer policies on health reforms were chosen for the study: (a) introduction of Sector Wide Approach (SWAp) in 1998; (b) Community Clinics that started at the sub-district level in the 90’s and then revitalized from 2009.