Course: Health & Society

Course ID:HEA101
Course Instructor:

Lecture – 3
Health Care Delivery in Bangladesh
& Basic Presentation Skills
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 Road Map

 Administrative divisions
 Health care systems

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 Administrative Division of Bangladesh

Bangladesh has the following divisions:

1.Barishal
2.Dhaka
3.Chittagong
4.Khulna
5.Rajshahi
6.Sylhet
7.Rangpur
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 Administrative Division of Bangladesh

• The divisions are divided into 64 districts,

or zila.
• The districts are further subdivided into 493
sub-districts, or upazila or thana.
• The upazilas are the second lowest tier of
administrative government in Bangladesh.

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 Administrative Division of Bangladesh

 The upazilas can be further divided into

union, then village (gram) and para.
 Upazila/thana has a “Thana Parishad”
 Union has a “Union Parishad”
 Gram and para has no administrative units.

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 Division (Bibhag)

District (Zila)

Sub-District
(Upazila/Thana)

Union

Para

Village (Gram) mahalla or

ward of a town.

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 Health System

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 What is a health care system?
 Health care systems are composed of
individuals and organizations that aim to
meet the health care needs of target
populations.
 There are a wide variety of health care
systems around the world.

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 What are the targets of a health care system?
 Promotion of health.
 Responsiveness to the expectations of the
population.
 Fair distribution of services.

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 Health System of Bangladesh

• At the national level, the Ministry of Health

& Family Welfare (MOH&FW) is
responsible for policy, planning and
decision making.

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 Health System of Bangladesh
• 1.Secretariat –responsible for policy
planning and decision making at macro-
level. Headed by Hon’ble Minister &
staffed by civil servants.

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 Health System, Bangladesh

Under MOH&FW, there are four Directorates :

(The implementation wings)
 Director General of Health Services.
 Director General of Family Planning.
 Directorate of Nursing Services and
 Directorate of Drug Administration.

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 Health Care System of Bangladesh
Facility (Primary level) Service
Village & Ward: FP, MCH, immunization,
community clinics & communicable disease
home visits. control, treatment of
common problems &
referral.
Union: Family welfare Out door services , FP,
centre/union health center MCH, communicable
disease control, clinical
care, normal delivery &
adolescent health care.
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 A rural family planning center

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 Health System of Bangladesh

Facility Service
Upazila: Upazila health Out door services,
complex inpatient services (31-50
beds) with diagnostic and
operative treatments.
(Secondary level) Out door & Indoor
District Hospitals Services (50-250 beds)
with laboratory, radio
graphic & ambulance
services
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 Health System of Bangladesh

Facility Service
Maternal & Child welfare Emergency Obstetric
Centre (MCWC) Care (EOC) and other
related services
(Tertiary Level)
Next-

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 Health System of Bangladesh
At the tertiary level:
 Medical college Hospitals-
 Post graduate institutes & hospitals-
 Dental College hospital-20
 Specialized Hospitals-1
 Homeopathic Medical College hospital
 Ayurvedic Degree College hospital

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 Reading
 http://sunzi.lib.hku.hk/hkjo/view/50/5000004.pdf
 http://countrystudies.us/bangladesh/89.htm
 http://www.bangladeshstudies.org/files/WPS_no7.
pdf
 http://www.who.int/social_determinants/action/M
OHFW%20Bangladesh.pdf
 http://www.photius.com/countries/bangladesh/soci
ety/bangladesh_society_health_care_faciliti~234.h
tml

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