Health Bulletin 2009

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Type of Service Assistance in monetary form for DSF services Taka Registration 10.00 Lab tests for 3 ANCs (2 Blood and 2 Urine tests) 140.00 Consultati on fees for 3 ANCs and 1 PNC 200.00 Safe Delivery 300.00 Medicines 100.00 Total 750 Type of Complications Taka Forceps/ Manual Removal of Placenta/ DE&C/ Vacuum extraction 1000 Management of Eclampsia 1000 C-Section 6000 21
The community skilled birth attendant program in Bangladesh In 2003, the Ministry of Health and Family Welfare initiated a 6-month basic community skilled birth attendants'(C-SBA) training program, with the goal to reduce the ratio of maternal and infant mortality and morbidity in Bangladesh. After a positive evaluation in 2004, the government decided to scale up the program nation-wide and the training was extended to a total of 18 months (6 months basic + 9 months field work under supervision + 3 months additional course). Under the overall supervision and direction of the Directorate General of Health Services (DGHS) and Directorate General of Family Planning (DGFP) and with financial and technical support from UNFPA and WHO, the program is being implemented by the Obstetric and Gynecological Society of Bangladesh (OGSB). The OGSB is entrusted with the overall responsibility for the coordination of the training program. The purpose of the training is to equip Family Welfare Assistants (FWA) and Female Health Assistants (FeHA) with the basic skills to function as C-SBAs in an effort to contribute to the achievement of MDGs 4 and 5 on child and maternal health and to further guarantee safe motherhood for pregnant women in Bangladesh. To improve their performance and to monitor their activities in a supportive way, a supervisory system was established. The Ministry of Health and Family Welfare (MoHFW) has identified Family Welfare Visitor (FWVs) to provide supportive supervision to the C-SBAs and monthly submit their performance reports. A total of 140 FWVs have already been trained on this Pro- Active Supervision training. Up to June 2009, nearly 5000 C-SBAs have been trained and are serving in their own area of living. In order to create a better and safer service for the mothers in the communities, there is an urge to update their midwifery competencies through providing a refresher training, to keep up the quality of their services. Under the leadership of DGHS, a 2-week refresher training is in progress with the aim to improve and strengthened the C-SBAs with further technical skills and knowledge based on the 6 months basic course. Joint Government-UN Maternal and Newborn Health Program (MNH) MNH program is being implemented in 4 districts (Thakurgaon, Jamalpur, Narail and Moulavi bazar) covering all areas of the respective districts. The program has been based on local level planning (LLP) with decentralization. 22
Page 3: Acknowledgement Professor Dr AFM Ru
Page 8: viii
Page 12 and 13: IEC IEDCR IHSM IMHR IMR IOL IPH IPH
Page 14 and 15: CONTENTS Bangladesh- Basic Informat
Page 16 and 17: Climate Bangladesh has a tropical m
Page 18 and 19: District-wise distribution of popul
Page 21 and 22: District-wise distribution of popul
Page 23 and 24: Health care delivery systems of Ban
Page 25 and 26: one MLSS. Number of USC is 1,362; t
Page 27: A. GEOGRAPHY Basic Information and
Page 31 and 32: Health Related Millennium Developme
Page 33: Demand side financing: Maternal Hea
Page 37 and 38: Essential Service Delivery. To simp
Page 39 and 40: In-patient children in IMCI upazila
Page 42 and 43: Sex distribution of causes of death
Page 44 and 45: Distribution of causes of death wit
Page 46 and 47: Routine Immunization Coverage by Di
Page 48 and 49: Support service and coordination fo
Page 50 and 51: Facility Based Health Services Hosp
Page 52 and 53: No. of different types of hospitals
Page 54 and 55: Other Special Purpose Hospitals und
Page 56 and 57: Dhaka 32 Tangail 250 100 150 0 0 Kh
Page 58 and 59: Number of hospitals with bed capaci
Page 60 and 61: Indoor and outdoor statistics of di
Page 62 and 63: Indoor & outdoor Statistics of Lepr
Page 64 and 65: Barguna 100 12932 13084 26016 224 1
Page 66 and 67: and a well equipped radioimmunoassa
Page 68 and 69: Patient statistics of SSFP during J
Page 70 and 71: Morbidity Profile National level Th
Page 73 and 74: Medical College Hospitals In Bangla
Page 75 and 76: hospitals), 5 medical college hospi
Page 77 and 78: Improved Hospital Services Manageme
Page 79 and 80: Control of communicable diseases Th
Page 81 and 82: Malaria Malaria is one of the major
Page 83 and 84: In Bangladesh, all age groups are a
Page 85 and 86:
Filariasis Filariasis is a mosquito
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Treatment Schedule (once in a year
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Source: Nipah in short, 2006, Dr. B
Page 91 and 92:
HIV Prevalence over the Rounds Sali
Page 93 and 94:
Avian Influenza (Bird flu) Avian In
Page 95 and 96:
Leprosy Elimination of leprosy as a
Page 97 and 98:
Emergency Preparedness & Response (
Page 99:
Response to Super Cyclone SIDR Supe
Page 102 and 103:
Non-communicable disease There have
Page 104 and 105:
Rheumatic heart disease (RHD) Rheum
Page 106 and 107:
Number of Cancer patients treated a
Page 108 and 109:
Bladder Stone 100 110 210 BOO 200 2
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Substance abuse with Complication 5
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Since 2005, in Dhaka Medical Colleg
Page 114 and 115:
The prerequisites for establishing
Page 116 and 117:
Nutrition Nutritional status of peo
Page 118 and 119:
Prevalence (%) of low birth weight
Page 120 and 121:
vi. Behavior change communication (
Page 122 and 123:
Reduction of Protein Energy Malnutr
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Committee (BRAC),2003 and Helen Kel
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• Development, field testing and
Page 128 and 129:
• Interpersonal communication and
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Alternative Medical Care (AMC) Alte
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Other Public Health Interventions T
Page 139 and 140:
• Epidemiology of Influenza in Ba
Page 141 and 142:
2007 24,46,900 4,89,380 34,955 4,83
Page 143 and 144:
2007 5992 3488 58.2% 2504 41.8% 200
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Rubella Positive 0 55 609 164 432 2
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without antibiotics in adjunct to s
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Institute-wise distribution of ongo
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• Adolescent pregnancy is an emer
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• Awareness about otitis media am
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• Socio-demographic profile and h
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• Evaluation of results of open r
Page 159 and 160:
• Clinical Presentation of pregna
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• Comparative study of early and
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Pathology • A comparative study o
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• Role of heparin in the manageme
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• Screening for risk factors of D
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• Free conjunctival graft and amn
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• Prevalence and risk factor of u
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104
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Alternative Medical Care Fourty fiv
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8. Sher-e-Bangla Medical College, B
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Number of seats in the different po
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Private medical colleges and their
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It is estimated that there are over
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116
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Production of community based skill
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Production of medical technologists
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Institute of Health Technology in p
Page 193 and 194:
Training Achievement of In-Service
Page 195 and 196:
Programme/ Administrative Managemen
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128
Page 199 and 200:
Health MIS in Bangladesh Introducti
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What are the types of data the heal
Page 203 and 204:
The data handling environment is st
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success. The relatively few intelli
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Staff profile of MIS (health), DGHS
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6. Internet mail server under own d
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142
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facilities will need to create thei
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population; reaching people living
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Allocation, Expenditures and Progre
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Annex Division and district wise no
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Division and district wise no. of d
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Page 225 and 226:
Page 227 and 228:
Khulna Division (contd...) 158
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Health Bulletin 2009

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