MDG Report 2012 - United Nations in Bangladesh

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Chapter 7Combat HIV/AIDS, Malaria and Other DiseasesMDG 6: Combat HIV/AIDS, malaria and other diseasesGoal, targets and indicators (as revised) Base year1990/1991Current status(source)Targetby 2015Goal 6: Combat HIV/AIDS, malaria and other diseasesTarget 6.A: Have halted by 2015 and begun to reverse the spread of HIV/AIDS6.1: HIV prevalence among population, % 0.005 0.1 Halting(9th SS 2011)6.2: Condom use rate at last high risk sex, % 6.3 44-67 -(UNGASS2010)6.3: Proportion of population aged 15-24 years - 17.7 -with comprehensive correct knowledge of(NASP 2009)HIV/AIDS , %6.4: Ratio of school attendance of orphans toData not availableschool attendance of non-orphans aged 10-14yearsTarget 6.B: Achieve, by 2010, universal access to treatment for HIV/AIDS for allthose who need it6.5: Proportion of population with advanced HIV - 100 (NASP 100infection with access to antiretroviral drugs, %2012)Target 6.C: Have halted by 2015 and begun to reverse the incidence of malaria andother major diseases6.6a Prevalence of malaria per 100,000 776.9 270.84 310.8population(2008) (MIS NMCP2012)6.6b Deaths of Malaria per 100,000 population 1.4 0.101 (MIS 0.66.7 Proportion of Children under-5 sleeping underinsecticide treated bed nets (13 high risk malariadistricts) %6.8 Proportion of children under 5 with fever whoare treated with appropriate anti malarial drugs(2008)81(2008)60(2008)NMCP 2012)94.40 (MISNMCP 2012)89.50(MIS NMCP2012)6.9a Prevalence of TB per 100,000 population 493 411(GTBR WHO2011)6.9b Deaths of TB per 100,000 population 58 43(GTBR WHO2011)6.10a: Detection rate of TB under DOTS, % 21(1994)6.10b: Cure rate of TB under DOTS, % 73(1994)70 (MIS NTP2011)92(MIS NTP2011)90(targetmet)90(almostattained)3203870(targetmet)>8572
7.1 IntroductionBangladesh has performed quite well in halting communicable diseases under MDG 6. Theavailable data show that the prevalence of HIV/AIDS in Bangladesh currently is less than 0.1percent and thus is still below the epidemic level. There has been significant improvement inthe reduction of malarial deaths in the country over the years. Moreover, a couple ofindicators related to TB have already met the MDG targets. It may also be mentioned thatsome of the indicators are non-measurable in quantitative terms while, for several others, thebenchmarks are not available. In addition, several targets are defined in percentage termswhile others refer to absolute numbers.7.2 Progress of achievements in different targets and indicatorsTarget 6.A: Have halted by 2015 and begun to reverse the spread of HIV/AIDSIndicator 6.1: HIV prevalence among population aged 15-24 yearsThe data of the 9 th round National HIV Serological Surveillance (SS) conducted in June 2011show that the prevalence of HIV/AIDS in Bangladesh is currently less than 0.1 percent andthus still below an epidemic level. However, in Bangladesh, behavioural factors among mostat risk populations (MARPs), explored in several rounds of Behavioural Surveillance Survey(BSS) show a trend that could fuel the spread of HIV from MARPs to the general population.The findings of the 9 th round National HIV SS are very encouraging as these show that theoverall prevalence of HIV in populations most at risk remains below 1 percent and mostimportantly, HIV prevalence has declined among people who inject drugs in Dhaka from 7percent to 5.3 percent. Moreover, hepatitis C has also declined which is a marker for unsafeinjecting practices. Thus, the overall data suggest that the intervention programmes arehaving a positive effect. Still the most number of HIV positive people, irrespective ofpopulation groups, live in Dhaka despite the decline in the proportion of HIV positivesamong people who take drugs through injection. The first case of HIV/AIDS in Bangladeshwas detected in 1989. Since then 2,871 HIV positive cases have been identified; among them1,204 developed AIDS. Out of the total AIDS cases, 390 deaths have been recorded (as ofDecember 2012).The specific issues emerging from the 9 th round of SS highlight that both HIV and HCV rateshave declined in PWID in Dhaka suggesting that ongoing harm reduction programmes areeffective in preventing the spread of blood borne infections in Dhaka. Other than PWID,another vulnerable population group appears to be the Hijra community as HIV was detectedin the group from the locations where sampling was conducted. High rates of active syphilis(at >5%) was recorded in 10 cities amongst different population groups suggesting thepractice of unprotected sex. Geographically, Dhaka appears to be the most vulnerable as thisis where the most numbers of HIV positive individuals were detected. Border areasparticularly Hili and Benapole are also vulnerable as HIV has been detected in these locationsamong different groups and cross border mobility in Hili is very high.73
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The Millennium Development GoalsBan
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Foreword„Millennium Development G
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MDG related progress reports/studie
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List of TablesPage No.Table 2.1: Co
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Figure 5.1: Trends of Under-Five Mo
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IUCN International Union for Conser
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Executive SummaryIt is encouraging
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drowning, have emerged as a conside
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Chapter 1IntroductionBuilding on th
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Target 6.C: Have halted by 2015 and
Page 22 and 23: Chapter 2Eradicate Extreme Poverty
Page 24 and 25: Indicator 1.1a: Proportion of popul
Page 26 and 27: In percentThe squared poverty gap,
Page 28 and 29: The information relating to growth
Page 30 and 31: Indicator 1.6: Proportion of employ
Page 32 and 33: There has been some improvement in
Page 34 and 35: Figure 2.14: Per Capita per Day Cal
Page 36 and 37: livelihood components such as healt
Page 38 and 39: Chapter 3Achieve Universal Primary
Page 40 and 41: Indicator 2.2: Proportion of pupils
Page 42 and 43: environment and learning achievemen
Page 44 and 45: For mitigating the hurdles, importa
Page 46 and 47: 4.1 IntroductionBangladesh has alre
Page 48 and 49: double compared with what it was in
Page 50 and 51: Table 4.1: Participation of Labour
Page 52 and 53: to narrow the gap through intensive
Page 54 and 55: Chapter 5Reduce Child MortalityMDG
Page 56 and 57: the case of rural areas, the under-
Page 58 and 59: oth sexes. In the case of males, IM
Page 60 and 61: immunization campaigns, e.g., tetan
Page 62 and 63: MMR per 100,000 live births6.1 Intr
Page 64 and 65: %Figure 6.3: Trend of MMR of Bangla
Page 66 and 67: Survey 2011, on average, women have
Page 68 and 69: At risk of becoming pregnant, not u
Page 70 and 71: The life-cycle approach should be u
Page 74 and 75: Indicator 6.2: Condom use at last h
Page 76 and 77: Indicator 6.6b: Death rate associat
Page 78 and 79: Figure 7.1: DOTS Coverage and Treat
Page 80 and 81: The coverage of most at risk popula
Page 82 and 83: Chapter 8Ensure Environmental Susta
Page 84 and 85: Indicator 7.2: CO 2 emissions, tota
Page 86 and 87: Target 7.B: Reduce biodiversity los
Page 88 and 89: systems. Table 8.4 shows the progre
Page 90 and 91: Table 8.6: Percentage of Urban Popu
Page 92 and 93: Development and implementation of s
Page 94 and 95: Goal, targets and indicators (as re
Page 96 and 97: US$ MillionYearTable 9.1: Trends in
Page 98 and 99: Table 9.3: ODA Received from the OE
Page 100 and 101: No quantitative information on this
Page 102 and 103: Indicator 8.15: Cellular subscriber
Page 104 and 105: Stimulating South-South trade still
Page 106 and 107: information and strategy on various
Page 108 and 109: Chapter 10The Journey towards Post-
Page 110 and 111: intensity of growth, institutional
Page 112 and 113: Social protection as an instrument
Page 114 and 115: MDG framework should be on acknowle
Page 116 and 117: Annexure116
Page 118 and 119: Goals, targets and indicators (revi
Page 120 and 121: Goals, targets and indicators (revi
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Annex 2Some macroeconomic indicator
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Annex 3Some tables and figures rela
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Figure 3: Regional comparison of po
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Table 7: International comparison o
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Table 4: Adult literacy rate, 1991-
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Table 5: Proportion of female membe
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Table 3: Infant mortality rate (IMR
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Table 4: Vaccination coverage (meas
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6. Data related to MDG 6Table 1: In
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Table 2: International comparison o
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Annex 4POST 2015 DEVELOPMENT AGENDA
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21 January 2013 at the Planning Com
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support from the developed countrie
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TargetsIndicators1.4 Create opportu
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Targets3.4 Ensure sustainable suppl
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TargetsIndicatorsdiseases by typeGo
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Targets7.2 Reduce vulnerability of
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Goal 9: Promote sustainable product
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TargetsIndicators Percentage of non
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TargetsIndicators11.7 Strengthen pa
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MDG Report 2012 - United Nations in Bangladesh

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