Timeline of healthcare in Bangladesh

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This is a timeline of healthcare in Bangladesh.

Big picture

Time period Development summary
1980s In the 1980s, Bangladesh has a basic healthcare infraestructure. However, most people in rural areas face critical health problems. The incidence of communicable disease is extensive, and there is widespread malnutrition, inadequate sewage disposal, and inadequate supplies of safe drinking water.[1]

Full timeline

Year Event type Details
1971 Bangladesh gains independence.[2]
1975 - 1980 Bangladesh starts to implement its Expanded Program on Immunization (EPI).[3]
c.1979 An estimated 70% of the rural population do not have access to modern medical facilities.[1]
1982 Policy A Drug Policy is formulated under the leadership of Dr Zafrullah Chowdhury.[4] The policy allows local pharmaceutical companies to acquire essential materials for producing drugs at home. Thanks to this, Bangladesh would become the first low-income country to develop a domestic pharmaceutical industry.[3]
1985 Infrastructure There are 341 functional subdistrict health centers, 1,275 rural ddispensaries (to be converted to union-level health and family welfare centers), and 1,054 union-level health and family welfare centers. The total number of hospital beds at the subdistrict level and below is 8,100. Of the total country's 21,637 hospital beds in the mid-1980s, about 85% belong to the government health services, and there is only about one hospital bed for every 3,600 people.[1]
1986 (April) Organization A National Committe on AIDS is formed in the country, two years before an incidence of acquired immune deficiency is reported.[1]
1986 Human capital Bangladesh has about 16,000 physicians, 6,900 nurses, 5,200 midwives, and 1580 "lady health visitors", all registered by the government.[1]
1987 Program A national program to train and supervise traditional birth attendants (dhais) is started for maternal healthcare.[1]
1988 Organization The Bangladeshi government upgrades its nutrition policy-making capacity by creating the National Nutrition Council.[1]
1990 Policy The first National Health Policy is announced by the government of Hussain Muhammad Ershad. The policy proposes some drastic reforms of the health sector, to align with the suggestions of donors.[4]
1991 Bangladesh has its first free election and General Ershad is forced to quit. The caretaker government of Shahabuddin Ahmed rescinds the National Health Policy, mostly under the pressure of health professionals. The new democratically elected regime led by the Bangladesh Nationalist Party, attempts to formulate a new policy.[4]
1996 The World Bank and other members of the donor consortium informs the government of Bangladesh that they would not proceed with further credits until a comprehensive, sector-wide strategy is adopted by the country. Including among their demands are substantive structural and organizational reforms of the Ministry of Health and Family Welfare.[4]
1997 Program A Health and Population Sector Strategy (HPSS) is formulated under intense pressure from external donors.[4]
1990s The share of donor support to the total health sector is estimated at 25.8% in the decade.[4]
2000 Policy The second National Health Policy is framed by the Bangladesh Awami League. It is closely influenced by the Health and Population Sector Strategy (HPSS), formulated earlier in 1997. The NHP2000 suggests several major institutional reforms, including the emphasis on client-centered reproductive health, cost-effective health service provision in a package called the Essential Service Package (ESP). The policy offers institutional facilities to the public sector doctors intending to do private practice, instead of banning it as in the 1990NHP.[4]
2007 The share of donor support to the total health sector is estimated at 8%.[4]
2010 Bangladesh receives a United Nations award for cutting the child mortality rate by two thirds well before the time frame set by the Millennium Development Goals.[3]
2011 The National Health Policy is revised, introducing some new provisions but keeping the major policy objectives and strategies almost the same as in the NHP2000. Two major additions to the NHP2011 are: (1) emphasis on universal health coverage through health insurance and health cards, and (2) application of Information and communications technologies (ICT) in health service provision.[4]
2011-2012 Estimates show that Bangladesh has a total of 219,000 community health workers in the period, of which 56,000 come from the public sector.[3]
2012 The Bangladeshi Government takes an initial step toward universal health coverage by developing health-financing strategies to raise funds through taxation and donor contributions.[5]
2012 Campaign On National Immunization Day, some 600,000 voluntary health workers are assembled at over 140,000 sites across Bangladesh with the aim to provide polio vaccines and vitamin A capsules to 24 million children.[3]

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See also

External links

References

  1. ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Bangladesh Country Study Guide Volume 1 Strategic Information and Developments. IBP USA. 
  2. ↑ "Universal health care in Bangladesh—promises and perils". thelancet.com. Retrieved 6 August 2018. 
  3. ↑ 3.0 3.1 3.2 3.3 3.4 Riaz, Ali; Rahman, Mohammad Sajjadur. Routledge Handbook of Contemporary Bangladesh. 
  4. ↑ 4.0 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 Ahmed, Nizam. Public Policy and Governance in Bangladesh: Forty Years of Experience. 
  5. ↑ Rahman, Shafiur; Rahman, Mizanur; Gilmour, Stuart; Thet Swe, Khin; Krull Abe, Sarah; Shibuya, Kenji. "Trends in, and projections of, indicators of universal health coverage in Bangladesh, 1995–2030: a Bayesian analysis of population-based household data". doi:https://doi.org/10.1016/S2214-109X(17)30413-8 Check |doi= value (help). 
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