1. INTREC - INDEPTH Training and Research Centres of Excellence
SOCIAL DETERMINANTS OF HEALTH AND BANGLADESH
Prepared by Nazmun Nahar
ISS, Bangladesh

2. INTREC - INDEPTH Training and Research Centres of Excellence
SDH Issues in Bangladesh
Major SDH
Training Availability
Civil Society and Social
Determinants of Health
SDH related Policies
Recommendations

3. INTREC - INDEPTH Training and Research Centres of Excellence
SDH Issues in Bangladesh
Increasing aging population
High levels of infectious disease
Double burden of disease

4. INTREC - INDEPTH Training and Research Centres of Excellence
Major Social Determinants of
Health

5. INTREC - INDEPTH Training and Research Centres of Excellence
SDH
Gender
Inequity
Human
Resources
and
Health
Arsenic
Climate
Change
Figure: I-Major Social
Determinants of Health
Others

6. INTREC - INDEPTH Training and Research Centres of Excellence
Major SDH/1
Gender Inequity-
Due to gender women suffers a lot in
many sector like health, education, social
status. Violence against women also a big
issue here.
Human Resources and Health-
In Bangladesh the number of health
professionals are not enough to cover the
whole population.

7. INTREC - INDEPTH Training and Research Centres of Excellence
Major SDH/2
Climate Change-
Climate change has a huge and long term
serious consequences on the life of people in
Bangladesh. Due to climate change frequent
and severe floods, tropical cyclones will be
increased and sea level also rising.
Arsenic –
Arsenic contamination of drinking water make
life miserable. Almost seven million people
affected by the arsenic.

8. INTREC - INDEPTH Training and Research Centres of Excellence
Social Determinants of Health
Related Training Availability

9. INTREC - INDEPTH Training and Research Centres of Excellence
Figure: II- SDH
Training
Availability
NGOs
Univers
ities
SDH
Training
Private
Public
Others
ICDDR,
B
Mahila
Parish
ad
JPGSPH
NSU
IUB
DU
Others

10. INTREC - INDEPTH Training and Research Centres of Excellence
Social Determinants of Health Related
Training Availability
 Universities roles to teaches SDH
Courses
 NGOs‘ provides SDH training
 High cost of courses
 No Clarification about the term “Social
Determinants of Health ”
 Capital based opportunity

11. INTREC - INDEPTH Training and Research Centres of Excellence
Civil Society and Social Determinants of
Health
 Girls’ Education
 Early Marriage Issue
 Micro-Finance and Poverty Reduction
 Increases Literacy Rate

12. INTREC - INDEPTH Training and Research Centres of Excellence
SDH Related Policies and
Implementation
 SDH-related policies-
Health, Nutrition, Agriculture, Water,
Forestry, and Poverty Mitigation.
 Policy and Implementation
Mismanagement,
Corruption,
Lack of political will.

13. INTREC - INDEPTH Training and Research Centres of Excellence
Recommendations

14. INTREC - INDEPTH Training and Research Centres of Excellence
FOR
POLICY
MAKERS
FOR
INTREC
RECOMME
NDATIONS
Run an
SDH-
Specific
Course
Collabor
ation
Address
CorruptionPolicy
Implemen
tation
Address
the
Human
Resources
Exchange
Program
me
Promote
Research
(SDH)
Figure: III-
Recommendations for
policy makers and INTREC

15. INTREC - INDEPTH Training and Research Centres of Excellence
Recommendations/1
FOR POLICY MAKERS
Implement SDH-related policies Those
policies which are already in place need to be
implemented properly. Need to investigate to
explore the reason why these policies are not
successfully works.

16. INTREC - INDEPTH Training and Research Centres of Excellence
Recommendations/2
Address corruption-
Policy makers needs to consider the corruption
issue which is one of the big barrier to implement
the policy specially in health sector. Authority
should focus to discourage the corruption.
Address the Human Resources-
To serve the people through the whole country we
need a good number of health professionals. Now
the time to increase the professionals by giving
proper training, appointing them more specially
for poor people and rural areas.

17. INTREC - INDEPTH Training and Research Centres of Excellence
Recommendations/3
FOR INTREC
Run SDH-specific courses-
Many universities has programme and courses on
SDH but not through the lens of SDH so INTREC
can work to run SDH related courses in the context
of Bangladesh.

18. INTREC - INDEPTH Training and Research Centres of Excellence
Recommendations/4
Promote Research-
INTREC can support to research on specific and
important SDH issues in Bangladesh like gender,
NCDs, rural poverty, slum life, mental health, ageing,
arsenic contamination, tobacco, and natural disasters
Collaboration
There are many courses ongoing on SDH issues in
universities and NGO’s where INTREC can play a
important role by collaborate with them to run those
courses more effectively.

19. INTREC - INDEPTH Training and Research Centres of Excellence
Recommendations/5
Exchange Programme-
Arrange Exchange Programme Between
INDEPTH sites It will be a good experience
for INTREC scientists to sharing there
experience between different Asian HDSS.
They can share experience by spends
periods of time in other South Asian
countries.

20. INTREC - INDEPTH Training and Research Centres of Excellence
THE END