HSREP in Bangladesh.
HSREP is an independent public-health research, advocacy and implementation platform, founded in Michigan by Md Shafaat Ali Choyon, MBA, MCIM, MPH, CHES®. Its first season examined health systems in the United States and Bangladesh. This edition collects the Bangladesh side: the Season 1 pieces written for readers here, and what the Prevention Adoption Initiative could look like in Bangladesh after its first pilot in Michigan.
The Bangladesh pieces.
Season 1 was one argument told across nine pieces in two countries: that health protection is economic infrastructure, not a residual budget line. These are the four about Bangladesh.
Increasing public health investment must be a top priority
Why health financing is economic protection, not a residual cost line.
Can we use private healthcare to improve health literacy?
When patients cannot read the system, costs rise for everyone.
When the Ground Shakes, Neighbors Respond First
Community preparedness as Dhaka’s most affordable defense against a catastrophic earthquake.
We need public health reform for steady economic growth
The earliest foundation piece connecting reform to growth.
Where new health money should go first
Bangladesh’s budget for FY2026-27 puts Tk 69,409 crore into health, 1.01% of GDP and the first time above 1%; the health ministry’s own share more than doubles last year’s revised figure. Families still pay most of the bill themselves: out-of-pocket payments were about 76% of health spending in 2021 by WHO’s count, and 79.3% in a 2026 BIDS study.
HSREP’s argument is to spend below the hospital first: primary care, prevention and early detection. The front door already exists. More than 14,400 community clinics serve about 490,000 people a day, yet about 84% of health workers report patients coming back because medicines were not available. Money that stocks and staffs that front door keeps families out of the ward and out of debt.
Sources: The Daily Star, 12 June 2026 · WHO Global Health Expenditure Database (via World Bank) · BIDS, reported by The Daily Star, 8 May 2026 · Dhaka Tribune, 29 June 2026
The full season, its engagement record and its methods are on the main site: Season 1 record · Methods and sources.
Finish the tests people already start.
The Prevention Adoption Initiative is a weekly routine for recommended care that people begin and do not complete. Four steps, run by a clinic’s own staff.
- 01 · Find
Everyone who was told to get a test and has no result recorded.
- 02 · Rank
Days overdue, days since a positive result, prior no-shows. Three rules, no model.
- 03 · Act
A call in the patient’s language, a kit, a booking, help with transport.
- 04 · Close
The test is done, and the days from referral to result are counted.
The first pilot is designed for one health center in Michigan, on colorectal cancer screening, including the colonoscopy after a positive test; the design is published and the next step is a host clinic. Bangladesh is where I have standing and screening-service experience, and the national cervical and breast screening program has published its own follow-up gap, so it is the natural second setting, with its own three-month pilot and its own number.
An HSREP initiative in development. The design is published; a Bangladesh partner, site and funding come next.
Where the routine could run here.
The gap in numbers, three ways to run it, who would do what and who would pay, in plain words.
One person, with a record on both sides of the problem.
HSREP is founded and run by Md Shafaat Ali Choyon, MBA, MCIM, MPH, CHES®. Seventeen years getting people to follow through, in health care since 2021.
Inside a Bangladeshi delivery system. At Praava Health in Dhaka, as Head of Marketing & Corporate Sales, I redesigned the diagnostic packages and launched Ghore Lab, a home sample-collection service, during COVID; laboratory screening utilization rose 34% from 2021 to 2022. I sold corporate health to employers, and I watched the break between a test started and a test finished happen, for years, from the inside. Later, as chief operating officer at Laser Treat Group, I ran the company’s ERP, BI and CRM systems.
Public health, published. An MPH in Health Education & Promotion from Eastern Michigan University and CHES® certification. Season 1 of HSREP: nine published pieces across the United States and Bangladesh, with the engagement record, the methods and the corrections log all public.
One HSREP. This edition is not a separate body. The record of work, the editorial standards, the methods and the corrections log live on hsraep.org; the .bd address exists so that readers and institutions in Bangladesh have one that is theirs, and so the Bangladesh work has a home that does not sit inside the page describing the Michigan pilot.
Write to [email protected]. For the initiative, book thirty minutes. More on the founder: why I can do this.