Health is a basic requirement to improve the quality of life. A national economic and social development depends on the state of health. A large number of Bangladesh’s people, particularly in rural areas, remained with no or little access to health care facilities. The lack of participation in health service is a problem that has many dimensions and complexities. The Government of Bangladesh has taken some initiatives according to the Alma Ata Declaration of 1978 to increase the people’s participation in health service. However, these initiatives have not been achieved in Bangladesh till now. Now-a-days, the Government tries to create awareness among the village people as stipulated in the constitution.The book shows that the Government’s allocation and technical support (medical equipments) are not sufficient in the rural health service delivery and that the people’s participation is far from being satisfactory. This book concludes with a variety of recommendations.