1otPoKy

CHAPTER 4: PRIMARY HEALTHCARE
(iv) diarrhea, (v) fever-malaria, (vi) fever-no
malaria, (vii) fever-malaria unlikely, (viii) measles,
(ix) ear problem, (x) drowning, (xi) child injury,
(xii) pus draining from umbilicus, and (xiii) other
diseases.
The Management Information System (MIS) of
the DGHS, with support from UNICEF, collects
data on IMCI services. For 2015, data on
Table 4.9. Division-wise distribution of children
aged 0 to 5 year(s), who received treatment from
IMCI facilities in 2015 (total 5,798,375)
Division Male Female Total
Dhaka
Chittagong
Rajshahi
Khulna
Sylhet
Rangpur
Barisal
Total
951,335
474,746
470,182
342,205
246,537
247,245
214,395
2,946,645
909,454
465,369
454,252
341,338
244,014
241,065
196,238
2,851,730
1,860,789
940,115
924,434
683,543
490,551
488,310
410,633
5,798,375
5,798,375 children, aged 0 to 5 year(s), who
received treatment from the IMCI facilities of
the 64 districts, have been received. Table 4.9
shows distribution of the children by division.
Table 4.10 shows the type of disease treated
from IMCI corners. Major diseases are cough
and cold-no pneumonia (35%), fever (21%) and
diarrhea (13%).
School health program
In Bangladesh, school health program began
in 1951 in Dhaka and Chittagong and gradually
expanded by 1972 to a network of 23 school
health clinics located mainly in one school campus
of the district headquarters. Currently, two medical
officers are assigned to each of the clinics. The
school health clinics provide clinical services
to pupils of the schools. In addition, the clinics
help in the improvement of school environment,
improvement of school health and nutrition
Table 4.10. Distribution diseases treated at IMCI
facilities in 2015 (total 5,742,074)
Sl.
no.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Disease/Condition
Cough and cold-no pneumonia
Fever-no malaria
Diarrhea
Referral (for various problems)
Pneumonia
Ear problem
Very severe disease
Anemia (0-5 years)
Underweight (0-5 years)
Moderate acute malnutrition
Fever-malaria unlikely
Child injury
Low birthweight
Stunting (0-5 years)
Wasting (0-5 years)
Severe acute malnutrition
Drowning
Pus draining from umbilicus
Fever-malaria
Total
No. of
patients
2,020,182
1,183,466
719,594
497,226
431,215
191,320
157,378
112,411
96,577
73,515
60,749
56,550
38,755
31,798
23,886
16,682
10,527
10,431
9,589
5,742,074
%
35.18%
20.61%
12.53%
8.66%
7.51%
3.33%
2.74%
1.96%
1.68%
1.28%
1.06%
0.98%
0.67%
0.55%
0.42%
0.29%
0.18%
0.18%
0.17%
100%
services, and health education to the pupils. The
HPNSDP 2011-2016 has broadened the scope
of school health program to expand all over the
country, to provide preventive and promotional
health services through health education;
screening for eye, ENT, nutrition and dental health;
first-aid, and referral. School health program
includes training of school teachers for teaching on
first-aid to the school students, as well as personal
hygiene, handwashing, nutrition, safe water and
sanitation, and provision of first-aid box.
Adolescent health program
The adolescents (10-19 years) constitute about
23% of the population in Bangladesh. The annual
growth rate of the adolescent population is
4.3% compared to 1.37% growth rate among
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