This analytical study conducted in 2009 highlights governance failures and problems in the public health sector that hinder the efficiency and effectiveness of service delivery. It is also intended in gaining a better understanding of how to overcome poor governance and service management in this sector. From the findings, it has been found that the present condition of governance in the field of public health in Bangladesh is not satisfactory. Many problems act as barriers to good health governance. The findings of the present study will assist the policy makers to initiate and to implement policy decisions and strategies that will ensure good health governance in the country.