Assessment of health sustainability concept: 
The core concept of this project is self-sustainability. People's participation is required to make it successful. Tying health service provision with the revolving credit program means that communities are paying themselves making it more sustainable. This indicates that a participatory process can be a reality for wider health care service provision.

Current thinking:
It should be mentioned that presently micro-credit institutions throughout the world typically provide one product--general loan through its outlets but this is a shallow approach. In order to make poverty alleviation efforts a success, there is a need for supply of a bigger variety of financial and non-financial services. From this point of understanding, it is important to look at the issues of primary health care more carefully, because, it is well argued that income earned by depressed families’ washes away with the blow of an illness-related episode. Specialists in Dhaka conclude that health care spending of these communities traditionally amounted to 30 – 40% of income earned in a year by a household (Sen BIDS ’93). 

Presently through our revolving credit outlet, we are offering one particular product - a small loan delivered to slum women in-group setting and paid back in weekly instalments over a year. It is very difficult to reach the very poor using micro-credit tool. In order to really put a dent in the poverty-alleviation effort, it is necessary to devise a comprehensive health package that can help people to decrease their expenses incurred in relation to illnesses. In view of this, it is necessary for NGO's to respond to such realities with new products. In connection with this, Dushtha Shasthya Kendra is pilot testing its concept, main features of which and results so far available are narrated below: