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Health care Systems Bangladesh

 

The health care system run by the public sector and the private sector is run by local entrepreneurs, different NGOs and international organizations. In public sector, The Ministry of Health and Family Welfare is the leading organization for policy formulating, planning and decision making at macro and micro level. Under the ministry four Directorates i.e. Directorate General of Health Services, Directorate General of Family Planning, Directorate of Nursing Services and Directorate General of Drug Administration are providing health care services to the citizens.

Since independence Bangladesh has made significant studies in health care and the government has been pursuing a policy of health development that ensures provision of basic services to the entire population, particularly to the under served communities.The goal of health, nutrition and population (HNP) sector is to achieve sustainable improvement in health, nutrition and reproductive health, including family planning status particularly of vulnerable groups, including women, children, the elderly, and the poor with the ultimate aim of their economic emancipation and physical, social, mental and spiritual well-being. Three sub-sectoral policies, i.e., National Health Policy, National Food and Nutrition Policy, and National Population Policy are under implementation by the MOHFW.

Non government organizations (NGOs) are key sources of HNP services in both rural and urban Bangladesh.Their services have mainly been in the areas of family planning and MCH(Maternal and Child Health).More recently, NGOs have extended their range of services and are now the major providers of urban primary care.

One of the successful policies in health sector reformation in Bangladesh is Drug policy which was promulgated in 1982 aimed to remove medicine considered harmful, useless and unnecessary from the market and ensures the supply of essential drugs of all levels of health care delivery, at affordable price. Bangladesh had shown commendable development in the pharmaceutical sector following successful implementation of the National Drug Policy 1982. The policy provides additional legislative powers to control this sector and to bring about appropriate legal coverage.

To achieve the Millennium development Goals (MDGs) – improvements in some health indicators have been remarkable, especially in reducing fertility, reducing under 5 mortality, providing vaccines to children and mothers, reducing vitamin A deficiency, and others. In other areas the country is lagging behind and more must be done and coordinated effort will be needed to ensure that the promise of the MDGs is realized.

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