DEPARTMENT OF MANAGEMENT

STUDIES

TERM PAPER
ARTICLE ON
Frustration Regarding the Students of Comilla
University.
SUBMITTED TO
Md.Miraj Hossen
LECTURER
DEPARTMENT OF MANAGEMENT STUDIES

SUBMITTED BY
(Group Number 02)
Name of the students
Kazi Maidul Islam
Ebharim (Tuhin)
Md. Ali Ajgor
Md. Abu Hanif
Kazi Kishwer Safa
Israt Paruma Sharmin
Md.Idris Ali

Roll no

030805
030813
030815
030820
030830
030831
030841

SUBMISSION DATE : 20.January.2011

20 January 2011
The Course Teacher
Md. Miraj Hossen
Lecturer, Department of Management Studies
Comilla University.
Sub : Prayer for granting our term paper.
Sir
With due respect we state that with response to your advice we prepare a term paper on
frustration regarding the students of comilla university. We want to submit this term paper
to you.
Therefore, we pray and hope that you would be kind enough to grant our term paper and
obliged there by.
Your most obedient
Students,
Group number 02

ACKNOWLEDGEMENT
First, we thank almighty Allah for preparing our term paper on frustration regarding the
students of comilla university. We devoted all of our labor to our honorable teacher Md.
Miraj Hossen sir.
To make this term paper, our honorable teacher helps us a lot and all members of our group
co-operated with one another for making this. We are grateful to our course teacher for
helping us. We are very happy to complete this term paper in due time.
Your obedient
students of
Group number 02

ABSTRACT
Despite recent developments in the Bangladesh healthcare sector, there is still great
concern about the quality of healthcare services in the country. This study compared the
quality of healthcare services by different types of institutions, i.e. Public and private
hospitals, form the perspective of Bangladeshi patients to identify the relevant areas for
development. A survey was conducted among Bangladesh citizens who were in patients in
public or private hospitals in Comilla. About 100 exit interviews were conducted using a
structured questionnaire that addressed the probable factors of quality of service in 5 point
interval scales.
The quality of service in private hospital scored higher than that in public hospitals for
nursing care .Tangible hospital matters i.e. cleanliness supply of utilities and availability of
drugs .The overall quality of service is better in the foreign hospitals compared to that the
private hospital in Bangladesh in all factors , even the perceived cost factors. This paper
provides insights into the specific factors of the quality of hospital services that need to be
addressed to meet the needs of Bangladeshi patients.

INDEX
SL No.

Name of contents

Page no.

Introduction, objective of the study Sources of data

Methodology Limitation of the study, what is health

Prevailing condition, World perspective

Table 01,02

Table 03,04,05,

Table 06,07

Findings, Problems of healthcare service

Recommendation, Reference, Appendix

3-4
4
5-6

INTRODUCTION
Our country has a good healthcare network covering both rural and urban areas. There are
about 3,976 healthcares in the public sector and 975 privately-run hospitals/clinics. In
Bangladesh, 13% of treatment-seekers use government services, 27% use private/NGO
services, and 60% get non qualified services.
Large segments of the population in developing countries are deprived of a fundamental
right: access to basic health care. Without an appropriate and adequate health support and
delivery system in place, its adverse effects will be felt in all other sectors of the economy.
In simple terms, an ailing nation equates to an ailing economy as manifested in lower
income-earning capacity of households and significant productivity losses in those sectors
that sustain the economy.

OBJECTIVES OF THE STUDY

We run our study with a view to identifying some specific point and some other distinct
purposes. The following objectives of the study are:

To identify the preference of people towards public and private healthcare services.

To examine whether income and occupation have any impact for choosing private or
public healthcare services.

To identify the major factors that affect for choosing private or public healthcare
services.

To find out why people give special emphasis to private and public hospital.

To know the condition of the public and private healthcare services.

SOURCES OF DATA
To prepare our term paper we collect and use primary and secondary data. We visit public
and private hospital and also browse web address and talk to with some people and collect
information. Here we point out some of this sources:

Comilla Medical College Hospital

Comilla Medical Centre pvt. Ltd

Internet Browsing

Public Opinion

Comilla University Medical Centre

Health Journal 2009 and 2010

Health Magazine, 2010

METHODOLOGY
Our study was a critical and constructive one. We survey public and private healthcare
service and also take interviews from 100 people in our perspective area. For the selected
people we used specialized methods as we divided our whole area into four parts on the
basis of location or standard of living. First area is the center of the town consist of
Kandirpar, Monohorpur, Jhawtala, Police line, second area is the area close to the town
like cantonment, Paduarbazar and Dowlatpur, Debidwar, Chandina and Barura are the
area third and the area fourth consist of several rural villages. To get hospital authority
opinion, we select one famous public hospital name Comilla medical college hospital
and one renowned private hospital name Comilla medical center (pvt.) Ltd.
First we draw a questionnaire and same technique for 100 respondents . We took interview
to our respondents personally so that we can attain our necessary information. We gave
maximum priority to reduce several disturbances or misunderstanding in our field work.
However we find out the choice of the public or private healthcare service. Income and
occupation are the prime factors that verify the choice. When we went to private and public
hospital then we asked same question to the authority and collect different information.

LIMITATIONS OF THE STUDY

This study is very critical. We went to public and private hospital to collect information
about healthcare service for preparing our term paper. When we went to field to collect
information we face many problems which hamper our study these are,

Hospital authority is not co-operative

We didnt get more information to prepare this term paper

Problems of bureaucracy

They didnt provide us all the information

We had some limitation to collect information

WHAT IS HEALTH?
Heath is a study of complete physical, mental and social wellbeing and not merely the
absence of disease or infirmity. It agrees that health is a fundamental human right at that
the attainment of the highest possible level of health is a most important world -wide social

goal whose realization requires the action of many other social and economic sectors in
addition to the health sector.

PREVAILING CONDITION
Despite recent development in Bangladesh healthcare sector, there is still great concern
about the quality of healthcare service in the country. In Bangladesh medical facilities are
not so good. Most of the people in our country are not get public or private healthcare
service. Hospital is not available and they are not aware about their health thats why they
take suggestion and service from village doctor or pharmacy.
Although a lot of public healthcare centre in Bangladesh but these are not fulfill our needs.
Moreover many healthcare centers in rural area have no qualified doctor or have no doctor.
Among the public healthcare service Medical college hospital provide better service. On the
other hand from rural hospital people get limited service, most of the time rural hospital
suggests going to district hospital for treatment and various test.
The private healthcare centre provide better service in comparison to public healthcare
centre but the cost of the private healthcare service is so high for this reason most of the
people are not able to take this service. Only the city people and rich people get this
service properly.
Sometime patients are harassed by brokers and middleman. They also harassed by the
diagnostic centre and others medical related syndicate in various test and operation.
Although public and private hospitals provide a lot of medical facilities to the people but
all the medical facilities and treatment are not available in Bangladesh. For some incurable
diseases people prefer to go foreign countries such as India, Singapore and other developed
countries.

WORLDS PERSPECTIVE
In prevailing condition we see that the condition of healthcare service in Bangladesh. We
see that, the healthcare service is not well in Bangladesh. On the other hand the world
healthcare services are better than Bangladesh. In first world countries all the medical
services are available and the quality of the services is highly affordable. Many people of
the world come here to get better treatment and other facilities. Although the treatment is
available and affordable but all the people cannot get this facilities for higher cost and
other formalities. People face many problems to go developed countries. In third world
countries all the medical facilities are not available and reliable.

People get limited

medical facilities because their hospitals are not able to provide all the medical treatment
for lacking of qualified doctors, nurses and sufficient instrument. For their poverty a few
number of people go to foreign countries to get better treatment. In the world few poor
countries such as Congo, Zimbabwe and some African countries people die for lacking of
treatment. Most of the people in this country do not get basic treatment for this reason they
suffering from many diseases. Moreover developed countries medical facilities are good
and developing countries medical facilities are not good.
Table- 01, Shows that among 100 people (in percentage) 60 people prefer public hospital
and 40 people prefer private hospital to get medical service on the other hand 40 people is
disappointed to public hospital and 60 people is not going to private hospital.
TABLE - 01
Opinion
Yes
No

Public
60
40

Private
40
60

In table- 02, Our frequency distribution table show that, 100 people (in percentage) prefer
public or private medical healthcare service for some specific attributes like as,
responsiveness, discipline, Best quality, effective treatment, availability, low cost and others
factors.
TABLE- 02
Frequency distribution for choosing public and private hospital.(In percentage)
Responsiveness
Discipline
Best quality
Effective treatment
Availability
Low cost
Other

Public
10
20
10
10
10
30
10

Private
30
20
15
10
10
0
15

In table- 03, Show that, 40 people out of 100 (In percentage) dislike public medical service
on the other hand 60 people out of 100, also dislike private medical service for distinct
attributes. They are: Inefficiency, Higher cost, Ineffective treatment, lacking of doctors and
nurses and other attributes.

TABLE- 03
Attributes for avoiding private or public hospital:(In percentage)
Public
100
40
0
20
30
10

Total
Inefficiency
High cost
Ineffective treatment
Lacking of doctors and nurses
Others

Private
100
25
30
5
10
30

Table- 04, Shows that, Income level and occupation have great impact on choosing public
and private healthcare service. Here we divide income in three categories under 10000,
10000-20000 and 20000- above, and we divide occupation in 4 categories. They are
students, service holder, businessman and others, farmer in a different income level and
different occupation, preferring public and private medical service is not same.
TABLE- 04
Showing the preference for choosing private and public hospital based on income and
occupation.(In percentage)
Name of
the
healthcare
Public
Private

Income
below10000
30
--

1000020000

20000above

Student

Job
holder

Businessman

Others

18
12

12
25

12
2

16
12

15
13

17
13

Table-05, showed that the comparative cost in various test both public and private hospital.
There is huge difference between public and private test cost these are,
TABLE- 05
Cost effectiveness table.
Group of Test

Biochemical Test

Serology test

Name of the test

S. Bilurubine
Globulin
S. Calcium
Acid phosphates
L.D.H
S. Electrolytes
Lipid profile
VDRL
Widal test
TPHA

Cost of public
60
100
120
240
220
260
370
40
100
120

Cost of private
100
240
300
480
540
600
780
120
250
360

Blood test

X-Ray

Urine Test

Stool test

Eliza test

ECG and Echo

charge

Others

ASO (Immunee)
AIDS (HIV)
CFT for kala azan

180
250
120

480
720
600

TCE
BTCT
TCDC, ESR, HB
%=cp
CBC (cp+P/A
telets)
Rose waller test
Haematocrit value
X-ray chest P/A
X-Ray chest b/v
X-Ray (child) A/p
Urine R/E
Urine Sugar
Urine pregnancy
test
Urine urobilirogen
Urine Albumin
Stool for R/E
Stool O.B.T
Stool for AFB
Stool for C/S
Anti HBS ag
Urine Micro
Albumin
Serum IBE
ICT for Malaria
ECG (Manual)
ECG
(Computarized)
ECHO (colour)
Color Dopler
HIV
PSA
Growth hormone
S. Cortisol test
Anti T.B LG, LGA,
IGM
Whole abdomen
If any part of USG
Sity scan
ETT

40
50
125

100
120
240

150

300

120
180
150
255
165
Free
free
80

360
440
360
540
320
60
40
180

40
265
20
95
20
110
245
350

120
480
60
170
60
300
720
720

300
250
70
90

800
660
180
200

475
960
370
295
300
425
740

1040
2420
780
700
960
1300
1820

210
180
2200
1135

550
440
3600
2600

Table 6: By visiting public and private hospital we get some different amount of categories
for different operations and pre operation charges. we present this figure with a table.
TABLE-06
Cost of pre operation and deferent kinds of operations.

Pre operations

Operations

Name of pre operation

and operation
Admission fee
Service charge
Consultation fee
Vat
Ambulance (per k.m)
Paying bed rent for one
day
paying bed major
operations
Paying bed minor
operation
Cabin rent for one day
Cabin major operations
charge
Cabin minor operation
charge

Public

Private

50
00
00
00
5
150

2000
3000
700
15% of total
20
750

1000

7000

500

15000

400
2000

900
15000-100000

1000

10000-30000

Table-7, Shows basic difference between public and private hospital in Bangladesh. Some
selected items create major difference between these two categories. This attributes are
presented with table
Difference items
Quality

Public hospital
Average

Private hospital
High

Cost
Availability
Effectiveness
Responsiveness
Moderate instruments
Environment
Brokers

Low
Available
Not effective
Not responsible
Not available
Is not favorable
More

High
Not available
Effective
Responsible
Available
Favorable
Less than public

FINDINGS
We were asked our respondents to maintain their most favorite hospital with a view to
examine the condition of different hospital. The respondents showed their opinion about
their favorite hospital in accordance with responsiveness, discipline, best quality, effective
treatment, availability, low cost. We can decide from table- 01, that about 60% of our total
respondents prefer public healthcare service. Respondents also showed their cause for
voting public healthcare service. They prefer it because it ensures quality, low cost,
availability, good facility and other attributes of public expectation. Rural area, urban area,
town area and in big city public healthcare service are available.
We also decide from table-01, that about 40% of our total respondents prefer private
healthcare service. They prefer it because it ensures high quality, availability, good facility,
standard service, high status and other attributes of public expectation. In Bangladesh,
private healthcare service are available all town, city and big cities.

Problems of Public and private healthcare service:

Problem of Public healthcare services:
There are many problems in public healthcare centre for this problems people are
disappointed about public healthcare service. Some major problems are pointed out below:

Indiscipline

Brokers problem

Shortage of doctors and nurses

Bacdated and shortage of instrument

Doctors and nurses are not co-operated

Illigality

sortage of seat and residence facilities

Atmosfare is not favorable

Problems of Private healthcare services:

Higher cost of service

Is not available

Lack of qualified doctors and nurses

Syndicate

RECOMMENDATION
To recover this problem Govt. should take some effective steps. People also prevent this
problem by increasing awareness among them.

Government can solve this problem by

providing some rules and regulation and others support, Such as

Govt. can impose specific rules and regulation in healthcare service which is strictly

maintain

by healthcare service.

Doctors and Nurses should be responsible and disciplined.

Seat problem can be solved by providing extra seat and improving other residence

facilities.

Every healthcare service should have rules and consciousness about Brokers.

Govt. can solve instrument problem by providing latest and necessary instrument.

REFERENCES
1. Comilla medical college hospital
a. Dr.md.Ali hasan Newaz(MBBS,FCPS)
b. Dr. Md. Mamunur Rashid Khan(MBBS)
2. Comilla medical center pvt.Ltd.
a. Dr. Md. Zahirul islam (managing director)
b.

Prof. Dr. Md. Azizul haque(MBBS,FCPS Medicine)

3. Bangladesh Ministry of health and family wealfare.

4. Health journal 2009
5. Internate browsing
a. www.ministry of health.com
b. www.public hospital.com
c. www.private hospital.com
d. others internet related document
6. Direct conversation to the people

APPENDIX
At the end of the day we see that although our healthcare condition is not good but if govt.
and hospital authority try to recover this problem then there is huge possibility to recover
this situation. Although private hospital provide better service but its cost is so higher than
public hospital. It should minimize this cost. On the other hand public hospital quality is not
good. It should improve its quality because a large number of people in our country depend
on public hospital.