Urban health services are provided by four key actors: the Government, private sector, NGOs, and development partners. The provision of urban health lies within the responsibilities of MOLGRD and urban local government institutions (city corporations and municipalities). The MOF is involved in generating revenue, allocating fund to city corporations, and keeping allocation and expenditure record. City corporations also receive drugs and vaccination from MOHFW. In this study, the resource flows (financial and in-kind) across MOF, MOLGRD, MOHFW, DP and NGOs will be tracked. Series of consultation workshops will be arranged with these key actors which will create a platform for all actors to identify the challenges and possible solutions in public financial management at city corporation level. This will create opportunity to ensure collaboration across different sectors for improved public financial management.

Bangladesh, financed by a mix of general tax revenue and private financing, has historically low budget for health in city corporations. City corporations are responsible to provide primary health care to 40% of the country’s population residing in urban areas. This study aims to investigate the health expenditure at city corporation and their affiliated urban health service providers in Dhaka. The study will be conducted in three linked stages. A mix method study which will be implemented in 3 stages; Stage-1: 1) an assessment of the existing budget and resource allocation process of the city corporation, and their affiliated health facilities  using data from iBAS++ (July’22-June’23), on health budget, disbursement and actual expenditure at DNCC (health sector) and health facility-level. 2) KIIs to explore sources of funds received; procedures to receiving resources/fund; expenditure reporting channels; quality of financial data and reports; financial authority of spending at different levels; revenue generation. Stage 2 will explore physical verification of resource disbursement & utilization to assess how flows of funds affect quantity of service delivery of urban health facilities using semi-structured questionnaire. In stage 3, two stakeholder workshops will be held. This study will create more funding opportunities for urban health and better coordination among different stakeholders.