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Third and Fourth Periodic Report on CRC - Unicef

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<str<strong>on</strong>g>Third</str<strong>on</strong>g> <str<strong>on</strong>g>and</str<strong>on</strong>g> <str<strong>on</strong>g>Fourth</str<strong>on</strong>g> <str<strong>on</strong>g>Periodic</str<strong>on</strong>g> <str<strong>on</strong>g>Report</str<strong>on</strong>g><br />

Table 6.5: Sanitati<strong>on</strong> Coverage (Household in %)<br />

Sl # Area Baseline in 2003 In 2005<br />

01 Rural 29 66<br />

02 Pourashava/Municipality 53 80<br />

03 City corporati<strong>on</strong> 70 79<br />

Nati<strong>on</strong>al 33 67<br />

Source: Sanitati<strong>on</strong> Secretariat, 2005<br />

The main reas<strong>on</strong>s behind the success may be attributed to a set of initiatives such as massive camping,<br />

decentralizati<strong>on</strong> of government instituti<strong>on</strong>s, involvement of local bodies al<strong>on</strong>g with increase of financial<br />

allocati<strong>on</strong>s, especially for hardcore poor, incentives <str<strong>on</strong>g>and</str<strong>on</strong>g> award for better performances, <str<strong>on</strong>g>and</str<strong>on</strong>g> increasing publicprivate-NGO<br />

partnership. The South Asia C<strong>on</strong>ference <strong>on</strong> Sanitati<strong>on</strong> (SACOSAN), held in Dhaka in October<br />

2003, resulted in Dhaka Declarati<strong>on</strong> of the subsequent commitment of the State Party to achieve 100 percent<br />

sanitati<strong>on</strong> coverage by 2010 (against universal coverage outlined in MDG in 2015). Bangladesh also<br />

participated in sec<strong>on</strong>d SACOSAN held in Islamabad, Pakistan during 20-21 September 2006.<br />

In 2004, over 5 milli<strong>on</strong> people were mobilized for promoting sanitati<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> hygiene through variety of<br />

communicati<strong>on</strong> activities including awareness building, training, community participati<strong>on</strong> such as Water <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

Sanitati<strong>on</strong> (WATSAN) committees in villages, Uni<strong>on</strong>s <str<strong>on</strong>g>and</str<strong>on</strong>g> Upazilas. Some 40,000 students’ brigade have been<br />

trained in sanitati<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> hygiene to carry promoti<strong>on</strong> activities in their own <str<strong>on</strong>g>and</str<strong>on</strong>g> their neighbours’ homes. Based<br />

<strong>on</strong> community acti<strong>on</strong> plans, 4,000 community water facilities <str<strong>on</strong>g>and</str<strong>on</strong>g> 55,000 water sealed <str<strong>on</strong>g>and</str<strong>on</strong>g> low-cost latrines have<br />

been c<strong>on</strong>structed <str<strong>on</strong>g>and</str<strong>on</strong>g> some 150 private latrine producti<strong>on</strong> centres established.<br />

MICS 2006 shows that some 23 percent of child faeces are disposed of safely, with variati<strong>on</strong> am<strong>on</strong>g the<br />

Divisi<strong>on</strong>s but very significant between rural (15 percent) <str<strong>on</strong>g>and</str<strong>on</strong>g> urban areas (44 percent). There is str<strong>on</strong>g positive<br />

correlati<strong>on</strong> between safe disposal <str<strong>on</strong>g>and</str<strong>on</strong>g> both the educati<strong>on</strong> of mothers <str<strong>on</strong>g>and</str<strong>on</strong>g> socioec<strong>on</strong>omic status of households.<br />

At present the Government, besides BAMWSP, is implementing several projects/programmes for improving<br />

WATSAN situati<strong>on</strong> in the country, in associati<strong>on</strong> with a host of development partners <str<strong>on</strong>g>and</str<strong>on</strong>g> NGOS/CBO <str<strong>on</strong>g>and</str<strong>on</strong>g> some<br />

new programmes/projects are in the pipeline.<br />

6.9 School health<br />

Various channels are used to provide health-related informati<strong>on</strong> to children <str<strong>on</strong>g>and</str<strong>on</strong>g> families. The existing school<br />

health clinics are being used as the forum for school health informati<strong>on</strong> services. The specific activities are:<br />

Sensitisati<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> motivati<strong>on</strong> of primary <str<strong>on</strong>g>and</str<strong>on</strong>g> sec<strong>on</strong>dary students for critical child health <str<strong>on</strong>g>and</str<strong>on</strong>g> reproductive<br />

health messages <str<strong>on</strong>g>and</str<strong>on</strong>g> home practices;<br />

Organize school-based visi<strong>on</strong>, hearing <str<strong>on</strong>g>and</str<strong>on</strong>g> dental examinati<strong>on</strong>s for primary school children;<br />

Distribute de-worming drugs at primary schools <str<strong>on</strong>g>and</str<strong>on</strong>g> orient <strong>on</strong> worm infestati<strong>on</strong>; <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

Organize TT-5 campaigns <str<strong>on</strong>g>and</str<strong>on</strong>g> provide ir<strong>on</strong>-folic acid tablets for senior school girls.<br />

Capacity building of doctors, nurses <str<strong>on</strong>g>and</str<strong>on</strong>g> other health workers is a c<strong>on</strong>tinued process. This strengthens capacity<br />

in service provisi<strong>on</strong>, referral <str<strong>on</strong>g>and</str<strong>on</strong>g> networking to increase better case management, address the delays in safe<br />

motherhood <str<strong>on</strong>g>and</str<strong>on</strong>g> inform family planning choices. A cadre of Skilled Birth Attendants (SBAs) are being developed<br />

to strengthen safe delivery at home. The Government is going to elaborately incorporate issues related to<br />

adolescents’ health in the school curriculum from year 2000.<br />

66

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