The Impact of Health Sector Reforms on Health System in Bangladesh: A Scoping Review

Abstract Background Climate-induced environmental changes, and their potential impact on population health, are among the most pressing challenges affecting health systems. These impacts put additional strain systems, putting resilience capacity to deal with increased shocks stresses test. Implementing reforms address vulnerabilities in system can help build its cope these shocks. We conducted a scoping review explore literature sector Bangladesh understand Methods A was by searching through academic (MEDLINE, SCOPUS, Web of Science Google Scholar) grey published English French between 1991 2021 that addressed national impacting access care. Results Our search yielded 2688 articles for screening 22 were included our review. One major shift from project-based approach sector-wide (SWAp) health. Studies found implementing initiatives such as community clinics, voucher scheme pregnant women, increase hospital beds at public facilities improved care delivery care, especially rural districts. Despite government efforts, continues be vulnerable due significant shortage formally qualified professionals nurses technologists relatively low financing. Conclusions Evidence suggests implemented part SWAp have had limited improvement system. More emphasis should placed future critical issues human resources financing, which may contribute building emerging threats climate change improving Key messages Building resilient involve assessing system's vulnerabilities, strengths limitations perspective reforms. Current addressing