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i ii Acknowledgement Professor Dr AFM Ruhal Haque, MP Honorable Minister for Health & Family Welfare Professor Dr Syed Modasser Ali Honorable Adviser to the Prime Minister for Health, Family Planning & Social Welfare Dr Captain (Retd.) Mozibur Rahman Fakir, MP Honorable State Minister for Health & Family Welfare Shaikh Altaf Ali Secretary, Ministry of Health & Family Welfare Heads, managers and data providing staffs of all public and private health organizations Editorial Board Chairman of Editorial Board Professor Dr Shah Monir Hossain, Director General of Health Services Advisor Professor Dr Hosne Ara Tahmin, Additional Director General (Admin) Editor Professor Dr Abul Kalam Azad, Director, MIS, DGHS Assistant to Editor Dr Nasreen Khan, Medical officer, MIS-Health Co-editors Dr Abu Zamil Hussain Imam, Ex-Deputy Director, MIS Dr Mosaddeque Ahmed, Program Manager, IMCI Dr Mizanur Rahman, Chief, Health Information Unit (HIU) Dr Khaled Shamsul Islam, Senior Assistant Chief, HRDU, MOHFW and Deputy Director, MIS Dr Baizid Khoorshid Riaz, Director, PM Office Associate Editors Dr Munir Ahmed, Assistant Chief, MIS Dr A.K.M. Jafar Ullah, DPM, Arsenic & NCD, DGHS Dr Md. Shaikhul Islam Helal, DPM, MNHRH, ESD, DGHS Dr Mohammad Jahirul Karim, DPM (ESP), IST, M.O. DGHS Dr Iqbal Ansary Khan, DPM, MWM, ESD, DGHS Dr Md. Shajedul Hasan, DPM, SWPM, DGHS Assistant Editors Dr Amir Hossain, Medical Officer, Quality Assurance, DGHS Dr Mir Mobarak Hossain, Medical Officer (Planning), DGHS Overall Supervision Dr Jalaluddin, Assistant Director, MIS-Health Dr MA Hannan Bhuiyan, DPM (Logistics), MIS- Health Formatting & Design Md Nezam Uddin Biswas, GIS Consultant, MIS, DGHS Team Mobilization & Data Collection All Civil Surgeons Dr Wahidul Mowla, DPM, MIS-Health Md Fakhrul Islam Khan, Assistant Statistician, MIS-Health AKM Ruhul Amin, Assistant Statistician, MIS-Health Abdul Halim Golder, Statistical Assistant, MIS-Health Abdur Rahman Miah, Statistical Assistant, MIS-Health Md Wasiqur Rahman, Statistical Assistant, MIS-Health Md Jalal Uddin, Statistical Assistant, MIS-Health Md Ali Akber, Statistical Assistant, MIS-Health Md Jashim Uddin, Statistical Assistant, MIS-Health Ms Parveen Akhter, Statistical Assistant, MIS-Health And all Statisticians of District and Upazila level Technical Advisors Moinuddin Ahmad Bhuiyan, System Analyst, MIS-Health Md Ashraful Islam Babul, Deputy Chief , MIS-Health Engineer Sukhendu Shekhar Roy, Programmer, MIS-Health Mohammed Abu Hamid, Database Consultant, MIS, DGHS Data Management Md Abdul Motalib, Assistant Programmer, MIS-Health Burhan Uddin Ahmad, Assistant Programmer, MIS-Health Md Mahfuzar Rahman, Data Entry Operator, MIS-Health Md Ruhul Amin, Data Entry Operator, MIS-Health Md Farhad Alam, Data Entry Operator, MIS-Health Md Emdadul Hoque, Statistical Assistant, MIS-Health SM Rezaul Hoque, Statistical Assistant, MIS-Health Secretarial Assistance Sunil Kumar Pramanik, PA to Director, MIS-Health Md Alamgir Hossain, UDA, MIS-Health Ms Nargis Akter, Office Assistant, MIS-Health Md Shahnawaz Miah, Office Assistant, MIS-Health Md Mezbaul Islam, Office Assistant, MIS-Health Kaniz Fatema, Assistant to editors Support Service AFM Abdul Halim Lasker, Investigator, MIS-Health Abdul Malek, DMO, MIS-Health Monir Hossain, MLSS, MIS-Health Md Abu Sayed, Driver, MIS-Health Md Rakibul Hasan, Driver, MIS-Health Emdadul Hoque, Guard, MIS-Health Mosammamt Milan Khatun, MLSS, MIS-Health Kamrul Hasan Palash, Support Staff to editors iii iv v vi vii viii ix x ACRONYMS ALS Average Length of Stay ARI Acute Respiratory Tract Infection BBS Bangladesh Bureau of Statistics BCC Behavior Change Communication BDHS Bangladesh Demographic and Health Survey BEOC Basic Emergency Obstetric Care BGC Bangladesh Geographic Survey BMI Body Mass Index BMRC Bangladesh Medical Research Council BOR Bed Occupancy Rate BSMMU Bangabandhu Sheikh Mujib Medical University CABG Coronary Artery Bypass Grafting CC Community Clinic CDC Communicable Disease Control CIDD Control of Iodine Deficiency Disorder CMMU Construction, Maintenance and Management Unit CMNS Child and Mother Nutrition Survey CNS Child Nutrition Survey CRF Chronic Renal Failure CS Civil Surgeon DAB Diabetic Association of Bangladesh DDA Directorate of Drug Administration DF Dengue Fever DGFP Directorate General of Family Planning DGHS Directorate General of Health Services DHF Dengue Hemorrhagic Fever DNS Directorate of Nursing Services DOTS Directly Observed Treatment Strategy DPHE Department of Public Health Engineering DSF Demand Side Financing EmOC Emergency Obstetric Care ESD Essential Service Delivery ESP Essential Service Packages ETT Exercise Tolerance Test FEP Filariasis Elimination Program GAVI Global Alliance for Vaccine and Immunization GFTAM Global Fund Tuberculosis, Aids & Malaria GO Government GOB Government of Bangladesh HIV Human Immunodeficiency virus/Acquired Immunodeficiency Syndrome HNPSP Health, Nutrition and Population Sector Program HPSP Health and Population Sector Program IAPB International Association for Prevention of Blindness ICT Information and Communication Technology IDA Iron Deficiency Anemia IDD Iodine Deficiency Disorder IDH Infectious Diseases Hospital xi IEC Information, Education and Communication IEDCR Institute of Epidemiology, Disease Control and Research IHSM Improved Hospital Services Management IMHR Institute of Mental Health and Research IMR Infant Mortality Rate IOL Intraocular Lens IPH Institute of Public Health IPHN Institute of Public Health Nutrition IRS Indoor residual spraying IST In-Service Training IVM Integrated Vector Management IYCF Infant and Young Child Feeding LAN Local Area Network LLIN Long lasting Insecticidal Net MATS Medical Assistants’ Training School MDA Mass Drug administration MDG Millennium Development Goal MIS Management Information System MNC Maternal, Neonatal and Child MNHC Maternal and Neonatal Health Care MO Medical Officer MOHFW Ministry of Health and Family Welfare MOU Memorandum of Understanding MWM Medical Waste Management NCD Non-communicable Diseases NEMEW National Equipment Maintenance and Engineering Workshop NGO Non-government Organization NICRH National Institute of Cancer Research and Hospital NICVD National Institute of Cardiovascular Diseases NID National Immunization Day NIDCH National Institute of Chest Diseases and Hospital NIKDU National Institute of Kidney Diseases and Urology NIMHR National Institute of Mental Health and Research NIO National Institute of Ophthalmology NIPORT National Institute of Population Research and Training NIPSOM National Institute of Preventive and Social Medicine NNP National Nutrition Program NITOR National Institute of Traumatology, Orthopedics and Rehabilitation OP Operational Plan OPD Outpatient Department ORS Oral Rehydration Salt ORT Oral Rehydration Therapy OT Operation Theater PMIS Personnel Management Information System PRSP Poverty Reduction Strategy Paper PSM Preventive and Social Medicine RDU Research and Development Unit RHC Rural Health Center SBTP Safe Blood Transfusion Program SEARO South East Asian Regional Office xii SVRS Sample Vital Registration Survey TB Tuberculosis TT Tetanus Toxoid TTU Technical Training Unit UHC Upazila Health Complex UHFPO Upazila Health and Family Planning Officer UHFWC Union Health and Family Welfare Center UNICEF United Nations Children’s Educational Fund USC Union Sub Center USI Universal Salt Iodization VAC Vitamin A Capsule VAD Vitamin A Deficiency WAZ Weight of Age Z score WCBA Women of Child Bearing Age WHO World Health Organization xiii CONTENTS Bangladesh- Basic Information 01 Health Related Millennium Development Goals (MDGs) 18 Essential Service Delivery 19 Facility Based Health Services 38 Control of communicable diseases 67 Emergency Preparedness & Response (EPR) Program 77 Non-communicable disease 81 Safe Blood Transfusion 91 Nutrition 94 National Eye Care 102 Health Education & Promotion Program 104 Alternative Medical Care (AMC) 111 Other Public Health Interventions 113 Research and Development 121 Human Resources 140 Health MIS in Bangladesh 166 Financing Health Services 181 Annex 0 Bangladesh - Basic Information Location and Geography Bangladesh was emerged as an independent and sovereign country in 1971 following a nine months war of liberation. The country is one of the largest deltas of the world with a total area of 147,570 sq km. Being a low-lying country it stretches latitudinally between 20º34' and 26º38' north and longitudinally between 88º01' and 92º41' east. It is mostlysurrounded by Indian Territory (West Bengal, Tripura, Assam and Meghalaya), except for a small strip in the southeast by Myanmar. Bay of Bengal lies on the south. The standard time of the country is GMT +6 hrs. History Bangladesh has a glorious history and rich heritage. Once it was known as 'Sonar Bangla' or the 'Golden Bengal'. The territory now constituting Bangladesh was under the Muslim rule for over five and a half centuries from 1201 to 1757 AD. Subsequently, it came under the British rule following the defeat of the sovereign ruler, Nawab Sirajuddaula, at the battle of Palassey on 23 June 1757. The British ruled over the Indian sub- continent including this land for nearly 190 years from 1757 to 1947. During that period, Bangladesh was a part of the British Indian provinces of Bengal and Assam. With the termination of British rule in August 1947, the sub-continent was partitioned into India and Pakistan. Bangladesh was a part of Pakistan and was called 'East Pakistan'. It remained so for about 24 years from August 14, 1947 to March

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