Impact

A response to how healthcare is paid for in Bangladesh

The figures below come from WHO, the World Bank, BIDS, and the insurance industry. They are independent of CareLink's own operating data, and they are why this platform exists.

Out-of-pocket care

WHO's November 2025 technical assessment, and the 2022 household survey.

54 / 100
UHC service coverage index
WHO Bangladesh, Nov 2025
41.7%
People facing financial hardship
About 70 million people, 2025
73%
Health spending that was out of pocket
2021, National Health Account
6.13m
People pushed into poverty by care costs
BIDS, HIES 2022

Out-of-pocket payments financed 73 percent of current health expenditure in 2021, among the highest shares in South Asia, and well above the WHO ceiling of 20 percent. Per-capita current health expenditure was 58 dollars in 2021.

A BIDS analysis of the 2022 Household Income and Expenditure Survey found that 17.7 percent of households incurred catastrophic health expenditure, and 61.1 percent of hospitalised patients faced financial distress. Outpatients put 54 percent of their out-of-pocket spending into medicines. That is the bill IMP's OPD medicine benefit, and Prescription AI's catalog check, are built to make visible and auditable.

Insurance and connectivity

0.33% of GDP

Insurance penetration in 2025, among the lowest in South Asia. About 60 percent of premium income is concentrated in Dhaka and Chattogram. Rural households are largely outside the commercial market except through targeted micro-insurance.

Bangladesh Insurance Association

82 licensed insurers

2025 premium income was BDT 18,534 crore: life BDT 12,042 crore and non-life BDT 6,492 crore. Programme-linked cover is one of the few mechanisms reaching the people commercial products do not.

IDRA, 2025

Mobile reach, thin telemedicine use

About 185 million mobile connections and 77.7 million internet users in early 2025, and 72.8 percent of households owning a smartphone by late 2023. A regional survey still found 44 percent awareness of telemedicine and 20 percent actual use.

BTRC, cited 2025

0.72 physicians per 1,000

Physician density in 2023. The BMDC-registration rule and the provider directory exist so beneficiaries are steered toward registered providers, especially outside major cities.

World Bank / WHO

What IMP changes in operations

Access

A verified directory, telemedicine, and a 14-working-day settlement target shorten the distance between a SWAPNO or TCCF member and usable care.

Healthcare access

Administration

One dashboard, a standard claim status path, and structured document upload replace paper coordination across three project areas.

Workload

Engagement

10,563 registered users and 10,551 enrolled beneficiaries — rural women and informal workers — now transact through a mobile application.

Digital reach

A system of record

Enrolment, packages, claims, and the provider and medicine directory sit in one database. Loss ratios, programme comparisons, and anomaly detection can be built on data that is already captured. Those analytics are not built yet.

Future analysis

External statistics are attributed in section 10 of IMP System Overview v2.0. Operating counts are the 30 August 2026 snapshot.