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Annex to Chapter 3. Results Framework for the 4Th HPBSP 2016

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Annex to Chapter 3. Results Framework for the 4Th HPBSP 2016 Annex to Chapter 3. Results Framework for the 4th HPBSP 2016-2021 Means of Result Indicator verification & Baseline & source Target 2021 timing Goal GI 1. Under-5 Mortality Rate (U5MR) BDHS, every 3 years 46, BDHS 2014 37 All citizens of GI 2. Neonatal Mortality Rate (NNMR) BDHS, every 3 years 28, BDHS 2014 21 Bangladesh enjoy health and well-being GI 3. Maternal Mortality Ratio (MMR) BMMS; MPDR 176, WHO 2015(http:// 105 www.who.int/ reproductivehealth/ publications/monitoring/ maternal-mortality-2015/ en/ GI 4. Total Fertility Rate (TFR) BDHS, every 3 years 2.3, BDHS 2014 1.7 GI 5. Prevalence of stunting among under- BDHS, every 3 years; 36.1%, BDHS 2014 25% 5children UESD, every non-DHS years GI 6. Prevalence of diabetes and hypertension BDHS, every 3 years; Dia: 11.2%; Hyp: 31.9%, Dia: 10%; Hyp: among adult women (Estimated as elevated blood NCD-RF, every 2 years BDHS 2011 30% sugar and blood pressure among women and men aged 35 years or older) GI 7. Percentage of public facilities with key BHFS, every 2 years FP: 38.2; ANC 7.8%; CH FP: 70%; ANC service readiness as per approved Essential 6.7%, BHFS 2014 50%; CH 50% Service Package (Defined as facilities (excluding CCs) having: a. for FP: guidelines, trained staff, BP machine, OCP, and condom; b. for ANC: Health Bulletin 2019 Health guidelines, trained staff, BP machine, hemoglobin, and urine protein testing capacity, Fe/folic acid tablets; c. for CH: IMCI guideline and trained staff, child scale, thermometer, growth chart, ORS, zinc, Amoxicillin, Paracetamol, Anthelmintic) Program objective ן To ensure quality and equitable healthcare for all citizens of Bangladesh by gradually achieving Universal Health Coverage (UHC) 1 2 Annex ן Means of Health Bulletin 2019 Health Result Indicator verification & Baseline & source Target 2021 timing Component 1: MOHFW’s governance and stewardship roles strengthened Result 1.1 Legal and 1.1.1 Governance and Stewardship Action Plan Admin records; APIR GSAP developed and GSAP operational framework implemented in line with milestones approved, Planning Wing implemented on governance and 2016 stewardship in place Result 1.2 Overall 1.2.1 Number of public and non-public facilities Admin records; APIR Process initiated, Planning a.Accreditation sector governance accredited Wing 2016 mechanism improved established; b. 22 MCH, 59 DH and 50 non- public hospitals accredited 1.2.2 % of DPs submitting annual reports on APIR 54%, MPIR 2014 100% offbudget activities 1.2.3 Incremental budget for MOHFW ensured ADP; APIR 14.0% increase of ADP Annual increment between FY’11-16, APIR of ADP >15% 2015 Component 2: Health systems strengthened to increase performance and efficiency Result 2.1 Quality 2.1.1 Percentage of service providers’ positions BHFS, every 2 years Physician: 30.5%, Physician: 15%, workforce made functionally vacant in public facilities by category Nurse: 7.8%, Nurse/Midwife: available in health (physician, nurse/Midwife, paramedics) Paramedics: 7.1%, BHFS 4%, Paramedics: sector 2014 4% Result 2.2 Core 2.2.1 Percentage of OPs with spending >80% of ADP; APIR 50%, APIR 2015 80% systems (FM, ADP allocation infrastructure, 2.2.2 Percentage of serious audit objections settled APIR 68%, APIR 2015 80% procurement) (As defined by the World Bank) strengthened 2.2.3 Percentage of procurement packages tracked Admin records NA 90% under SCMP Means of Result Indicator verification & Baseline & source Target 2021 timing Result 2.3 Disease 2.3.1 No. of performance monitoring reports Reports; APIR 4 (HB, MIS/FP AR, APIR, 08 (APIR, SmPR, surveillance and prepared and disseminated annually SmPR) MISs, implementation NIPORT, DGDA, monitoring DNS, HEU [For strengthened to HEU, the report promote evidence- will be Public based decision-making Expenditure Review (PER)] 2.3.2 Number of districts under RHIS scale-up Admin records Pilot ongoing at one district 64 (Tangail) and 2 upazilas of Habiganj district Component 3: Quality basic services reach the disadvantaged population to progress towards UHC Result 3.1 Public 3.1.1 Percentage of children aged less than 6 BDHS, every 3 years; 55.3%, BDHS 2014 65% health services months receiving exclusive breastfeeding UESD, every non-DHS years strengthened to 3.1.2 Percentage of infants age 6-23 months are BDHS, every 3 years; 22.8%, BDHS 2014 45% promote healthy fed with minimum acceptable diet UESD, every non-DHS years behavior 3.1.3 Percentage of women age 15-19 years who BDHS, every 3 years; 30.8%, BDHS 2014 25% have begun childbearing UESD, every non-DHS years Result 3.2 Equitable 3.2.1 Contraceptive Prevalence Rate (CPR) BDHS, every 3 years; 62.4%, BDHS 2014 75% coverage of ESP UESD, every non-DHS years ensured Health Bulletin 2019 Health 3.2.2 Percentage of delivery by skilled birth BDHS, every 3 years; 42.1%, BDHS 2014 65% attendant (SBA) UESD, every non-DHS years 3.2.3 CPR (modern methods) in lagging regions BDHS, every 3 years; Syl: 40.9%, Ctg: 60% UESD, every non-DHS years 47.2%, BDHS 2014 Annex ן 3 4 Annex ן Means of Health Bulletin 2019 Health Result Indicator verification & Baseline & source Target 2021 timing 3.2.4 Percentage of public health facilities BHFS, every 2 years Drugs [Defined as Drugs: 75%, FP without stock-outs of essential medicines/FP availability of at least methods: 90% supplies six of eight essential medicines of a DDS kit: Amoxicillin tablet/ capsule, Amoxicillin syrup, Cotrimoxazole, Paracetamol tablet, Paracetamol syrup, Tetracycline eye ointment, Iron tablet, and Vitamin A capsule):66%, FP methods(Defined as availability of methods (see Table 3.14 of BHFS 2014 Preli Report): 84.4%, BHFS 2014] 3.2.5 Percentage of births in health facilities by 2 BDHS, every 3 years; 15.0% : 69.5% = 1:4.6, 1 : 3.5 lowest socio-economic groups UESD, every non-DHS years BDHS 2014 3.2.6 ANC coverage (at least 4 visits) BDHS, every 3 years; 31.2%, BDHS 2014 50% UESD, every non-DHS years 3.2.7 TB case detection rate NTP MIS, every year 53%, GTBR 2014 75% [Global Tuberculosis Report 2014 by the World Health Organization (WHO)] 3.2.8 Measles immunization coverage among CES, every year 86.6%, CES 2014 95% children under 12 months Means of Result Indicator verification & Baseline & source Target 2021 timing Result 3.3 Quality of 3.3.1 Percentage of public health facilities with BHFS, every 2 years 9.9% [Staff in facilities 75% care improved staff trained in IMPAC (labor management and up to union-level CNCP) in the last 24 months trained in integrated management of pregnancy and child birth (IMPAC) during the last 24 months] 3.3.2 No. of districts implementing Admin records 10, CIPRB 2014 64 comprehensive maternal, perinatal and newborn [http://www.ciprb. death review org/wp-content/ uploads/2015/01/ MPDR-Fact-Sheet.pdf] 3.3.3 Percentage of public facilities with regular Admin records NA 100% DHs, 70% quality assurance activities [QA activity to be UHCs, specified by HEU/HSM; check baseline with 50% of UHFWCs HEU] and CCs Health Bulletin 2019 Health Annex ן 5 Annex to Sub-chapter 4.8. Distribution of medical consultations by disease/ailment by Government and other partners in FDMN area during 24 October 2017 to 28 January 2020 Sl. No. Disease/Ailment No. of consultations 1. Abscess 67,609 2. COPD 65,774 3. Cough & Cold (no pneumonia) 897,265 4. Acute Watery Diarrhoea 481,197 5. Bloody Diarrhoea 135,503 6. Eye Infection 116,748 7. Unexplained Fever 734,591 8. Gastroenteric Problems 856,158 9. Musculoskeletal Problems 396,655 10. Neuro Disorder 3,047 11. Sexually Transmitted Disease 11,147 12. ANC 4 Service 49,216 13. Pregnancy Test Positive 49,216 14. Pregnancy Complication 45,890 15. Pregnant Woman Received IFA 303,686 16. Newborn Care 19,557 17. Malnutrition (6-59 months) 2,514,687 18. Filariasis Test 1,050 19. Malaria Test (Total 8 positive case) 42,144 20. Skin Infection 203,941 21. ANC (Adolescent) 69,375 22. ANC (Adult) 369,662 23. PNC (Adolescent) 2,486 24. PNC (Adult) 21,874 25. SAM identified (NAW Round 2) 1,376 26. MAM identified (NAW Round 2) 3783 27. TB cases 2,068 28. Total +(ve) TB cases 1,863 Total 7,467,568 1 ן Health Bulletin 2019 Annex to Chapter 5 : Four hundred twenty-four upazila health complexes reported OPD, emergency attendance, and indoor admission data in 2018 in Bangladesh Sl. No. of OPD visit Emergency visit Indoor admission Division Name of Organisation/Unit no. beds Female Male Female Male Female Male 1 Barisal Amtali Upazila Health Complex 50 16987 13346 3516 3627 2910 2400 2 Bamna Upazila Health Complex 50 9087 8331 187 304 994 885 3 Betagi Upazila Health Complex 50 9819 7221 590 548 1256 1049 4 Patharghata Upazila Health Complex 50 11477 7854 622 936 2229 1890 5 Agailjhara Upazila Health Complex 50 13054 9382 3380 3854 2036 1816 6 Babuganj Upazila Health Complex 31 14515 9039 367 447 542 451 7 Bakerganj Upazila Health Complex 50 24622 16350 2202 2106 2122 1675 8 Banaripara Upazila Health Complex 50 30437 22372 4018 2618 3387 1877 9 Gournadi Upazila Health Complex 50 29904 17781 4111 4375 3262 2853 10 Hijla Upazila Health Complex 50 7484 3205 455 597 1705 1449 11 Mehendiganj Upazila Health Complex 50 29189 19203 1736 1704 2502 1564 12 Muladi Upazila Health Complex 50 10788 10088 3309 3332 2165 2235 13 Wazirpur Upazila Health Complex 50 18352 13549 2822 3068 2676 2506 14 Borhanuddin Upazila Health Complex 50 30802 19634 5380 5088 5103 4302 15 Charfession Upazila Health Complex 50 54020 36371 3382 3880 7199 5356 16 Daulatkhan Upazila Health Complex 50 22782 17116 1483 2445 2588 2060 17 Lalmohan Upazila Health Complex 50 32675 18415 2563 2840 6651 4882 18 Manpura Upazila Health Complex 50 32339 24486 2628 2777 2117 1855 Health Bulletin 2019 Health 19 Tajumuddin Upazila Health Complex 31 30932 22735 2013 2106 1839 1759 20 Kathalia Upazila Health Complex 50 16651 13332 1421 1318 1299 1164 21 Nalchithi Upazila Health Complex 50 26473 15899 3521 4721 2230 1433 22 Rajapur Upazila Health Complex 50 28947 26703 3771 3633 2801 2235 23 Bauphal Upazila Health Complex 50 17859 15353 3915 3500 3116 2918 ן 24 Dashmina Upazila Health Complex 50 20062 11523 724 1535 2829 2113 1 2 Annex ן Sl.
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