Shortage of nurses

The shortage of nurses remains a major obstacle to improving the quality of healthcare services in Bangladesh. Government hospitals are severely understaffed, with the number of nurses far below the growing patient load. This imbalance is a key cause of strain in the country's medical system.

According to the World Health Organization, there should be at least 23 nurses per 10,000 people. In Bangladesh, the ratio is far lower. WHO also recommends a doctor-to-nurse ratio of 1:3, yet the country continues to face a critical shortfall, with existing manpower far below required standards.

Beyond numbers, the profession faces structural and social challenges. Nurses often work in overcrowded, unhygienic environments with inadequate facilities. A 2021 study revealed that around 86 per cent of nurses operate in unsuitable conditions. Reports of excessive workload, workplace insecurity and occasional violence further highlight the risks they face.

Social undervaluation of the profession has also contributed to the crisis. Despite playing a central role in patient care-especially during the COVID-19 pandemic-nurses often remain underappreciated. Many experts argue that lack of proper training, limited career progression, and weak institutional support continue to hinder professional development.

Healthcare is fundamentally a team effort where nurses play a critical role alongside doctors. Strengthening nursing education, ensuring fair promotion policies, improving working conditions, and incorporating behavioural and communication training in curricula are essential reforms.

Without a clear vision and sustained investment in the nursing sector, Bangladesh's healthcare system cannot achieve the standard it aspires to.

Mahmudul Haq Hasan

Dhaka