Bangladesh is a developing country with relatively low health and education levels. For those in rural areas, village doctors with little or no formal training constitute 62% of the healthcare providers. On the other hand, the formally trained providers are occupying a mere 4% of the total health workforce. A survey conducted by Future Health Systems revealed significant deficiencies in treatment practices of village doctors, with a wide prevalence of harmful and inappropriate drug prescriptions. A 2007 study of 1000 households in rural Bangladesh found that direct costs (payment to formal and informal health care providers) and indirect costs (loss of earnings associated with workdays lost due to illness) associated with illness were important deterrents to access health care from qualified healthcare providers.