Health Policy Bangladesh 4l1g2t

Health Policy of Bangladesh

Professor Dr. Be-Nazir Ahmed Professor, Department of Microbiology National Institute of Preventive and Social Medicine (NIPSOM) Former Director, Disease Control & Line Director, Communicable Disease Control Ministry of Health and Family Welfare (MHFW), Bangladesh

Introduction Since the birth of Bangladesh, We have tremendous achievement

in health sector All health indicators improved and MDG achieved Our health system is serving well this huge population with limited resources All this was possible because of good health policy and system However, there are still areas of improvement in our health system

Health policy Health policy refers to decisions, plans, and actions that are undertaken

to achieve specific health care goals within a society or a country

Latest health policy of Bangladesh was published in 2011 The Health Policy (2011) has 15 goals and objectives, 10 policy principles

and 32 strategies

Principles of our Health Policy Every citizen has the basic right to adequate health care. The State and the

government are constitutionally obliged to ensure health care for its citizens. To ensure an effective health care system that responds to the need of a healthy nation, health policy provides the vision and mission for development. Pursuit of such policy will fulfill the demands of the people of the country, while health service providers will be encouraged and inspired. Bangladesh expressed agreement on the following declarations:  The Alma Ata Declaration (1978),The World Summit for Children (1990,International Conference on

Population and Development (1994),Beijing Women's Conference (1995)[2]

Goals of our Health Policy- 15 Goals To make necessary basic medical utilities reach people of all strata To develop a system to ensure easy and sustained availability of health services

for the people Third To ensure optimum quality, acceptance and availability of primary health care, and governmental medical services at the Upazila and Union levels. To reduce the intensity of malnutrition, To undertake programs for reducing the rates of child and maternal mortality within the next 5 years to acceptable levels; To adopt satisfactory measures for ensuring improved maternal and child health

Goals of our Health Policy- 15 Goals  To improve overall reproductive health resources and services; To ensure the presence of full-time doctors, nurses and other

officers/staff, provide and maintain necessary equipment and supplies To devise ways for the people to make optimum usage of the opportunities in government hospitals and health service system, and to ensure quality management and cleanliness of service delivery at the hospitals;  To formulate specific policies for medical colleges and private clinics, and to introduce appropriate laws and regulations for the control and management of such institutions including maintenance of service quality;

Goals of our Health Policy- 15 Goals To strengthen and expedite the family planning programme with the

objective of attaining the target of Replacement Level of Fertility; To explore ways to make the family planning programme more acceptable, easily available and effective To arrange special health services for mentally retarded, the physically disabled and for elderly populations; To determine ways to make family planning and health management more able and cost-effective by equipping it with more skilled manpower. To introduce systems for treatment of all types of complicated diseases in the country, and minimise the need for foreign travel for medical treatment.

Sustainable Development Goals The United Nations Sustainable Development Goals (SDGs) are 17 goals

with 169 targets that all 191 UN Member States have agreed to try to achieve by the year 2030. Health has a central place in SDG 3: Ensure healthy lives and promoting well-being for all at all ages, underpinned by 13 targets. Almost all of the other 16 goals are directly related to health or will contribute to health indirectly. Health policy of Bangladesh aims to achieve SDG in time

Universal Health Coverage The UHC has been defined as “Ensuring that all people can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the to financial hardship.” Bangladesh aims to achieve Universal Health Coverage by 2032.

4th Health, Population and Nutrition Sector Programme Development plan for next 5 years in Health sector of Bangladesh Total budget: 1,15,486 crore taka The 4th HPNSP is built on existing achievement to improve equity, quality

and efficiency with a view to gradually moving towards UHC and achieving health related Sustainable Development Goals (SDGs)

Our Health system The health system of Bangladesh is pluralistic: Government, the private

sector, NGOs and donor agencies

The Government or public sector is the first key actor 53 District Hospitals, 425 Upazila Health Complexes, 1469 Union Health and

Family Welfare Centres, and 13861 community clinics at ward level For tertiary care there are medical colleges and specialized hospitals

Our achievement Achievement in all quantifiable health indicators ??

Challenges In of service delivery: Weak management Limited resources Low quality services In of taking service: Less capacity of receiving services Unhealthy life style

Challenges Specific challenges: Maternal and neonatal mortality rate Child mortality rate Communicable diseases control Non communicable disease control Emmerging diseases Climate change Nutrition deficiency

Challenges Specific challenges: Quality care Lack of manpower Urban health Lifestyle of people Lack of health knoweldge Centralized management Lack of health research

Conclusion Remarkable achievement in the MGD proved the inner strength of health system of Bangladesh that it can do more if and innovations are taken as per demand of time.

And we believe, if we all work together, there’s always a brighter sky ahead.

Thank you.