Scenario And Necessity In Bangladesh.

1. 1 | P a g e
“‡gwW‡Kj wk¶v I †mevq ev‡qv‡gwW‡Kj mvBÝ
Ges †gwW‡Kj ev‡qv‡UK‡bvjwR:
†cÖ¶vcU I cÖ‡qvRbxqZv|
eZ©gvb kZvãx‡Z ev‡qv‡gwW‡Kj weÁvb (ev‡qv‡gwW‡Kj Ges †gwW‡Kj ev‡qv‡UK‡bvjwR), wPwKrmv weÁv‡bi
DbœwZ I cwieZ©‡bi gyj AbyNUK; hvnv AvaywbK wPwKrmv weÁv‡bi ZvwË¡K / e¨envwiK Ávb mn Pjgvb wPwKrmv,
wk¶v, M‡elYv I Dnvi cÖ‡qvM Kvh©µg Gi h_vh_ mgš^q, Dbœqb I DrKl©Zv wbqš¿b Kwiqv _v‡K| wPwKrmv
weÁv‡bi bZzb bZzb Avwe¯‹vi I wPwKrmv ‡¶‡Î Bnvi cÖ‡qv‡Mi d‡j wPwKrmv wkÿv/‡mevi aibI µgk AwaKZi
hš¿, cÖhyw³ I RxecÖhyw³ wbf©ikxj nB‡Z‡Q| GB kvLvi we‡klÁMb wPwKrmv wkÿv I ‡mev Kvh©µ‡gi mwnZ cÖhyw³
I A¨jvBW wPwKrmv weÁvb (Allied Medical Science) Gi mgš^q Kwiqv _v‡Kb|
DbœZ we‡k¦ †gwW‡Kj wek¦we`¨vjq/ K‡jR A_ev ¯‹z‡ji gvb A‡bK Lvwb wbf©i K‡i H cÖwZôv‡bi ev‡qv‡gwW‡Kj
mvBÝ/ ev‡qv-‡gwW‡Kj BwÄwbqvwis I †gwW‡Kj ev‡qv‡UK‡bvjwR wel‡qi gvb Z_v GB welqK GKv‡WwgK wkÿv,
cÖwkwÿZ Rbej Ges we`¨gvb wPwKrmv M‡elbvi wi‡mvm© mn GB wefv‡Mi mvwe©K Kvh©µ‡gi e¨wß Z_v H cÖwZôv‡bi
GB wefv‡Mi mwnZ Ab¨vb¨ wefv‡Mi h_vh_ I Kvh©¨Kix mswkøóZvi Dci|
wPwKrmv-wkÿv I wPwKrmv-†mev G‡K Ac‡ii m¤ú~iK ; Dchy³ wPwKrmv-wkÿv e¨wZZ DbœZ wPwKrmv †mev cÖ`vb
Am¤¢e | ‡gwW‡Kj wPwKrmv †mevi DrKl©Zv wbf©i K‡i †gwW‡Kj wkÿvi AvaywbKvqb Z_v GB wel‡q wkÿv, cÖ‡qvM
I M‡elbvi Dci| AvaywbK wPwKrmv, wPwKrmv-wkÿv I wPwKrmv-M‡elbvq †gwW‡Kj BbwówUDU, BDwbf©vwmwU,
K‡jR, ¯‹zj I nvmcvZv‡j ev‡qv‡gwW‡Kj I ‡gwW‡Kj ev‡qv‡UK‡bvjwR Acwinvh©¨ Ask Ges cvV¨µ‡gi wbqwgZ
welq (Kwc | DbœZ / Dbœqbkxj (‡hgbt fviZ) we‡k¦ GB wef‡vMi mwnZ †gwW‡Kj wkÿv I †mevi mswkøóZv GB
Av‡e`b c‡Îi mwnZ mshyw³ ch©‡eÿb Kwi‡j mn‡RB Aby†gq|
Wvt †gvnv¤§` bRiæj Bjvg
wefvMxq cÖavb
ev‡qv‡gwW‡Kj GÛ †gwW‡Kj ev‡qv‡UK‡bvjwR wefvM|
knx` †mvnivIqv`x© †gwW‡Kj K‡jR I nvmcvZvj| XvKv|

2. 2 | P a g e
GB wel‡q DbœZ ‡`k mg~‡n mg‡qi mwnZ Zvj wgwj‡q cÖhyw³i e¨envi eû ¸b e„w× cvB‡jI evsjv‡`‡ki
wPwKrmv wkÿv/ †mevq Bnv A‡bK Lvwb wcwQ‡q Av‡Q| GB ev¯ÍeZvq evsjv‡`‡kI ¯^vaxbZvi ciciB RvwZi RbK
e½eÜz †kL gywReyi ingv‡bi Avgš¿‡b AvšÍR©vwZK (Av‡gwiKvb) wewkó wPwKrmvwe`, cÖ‡dmi Wvt Avi.‡R. M©v÷
(Prof. R. J. GRAST) Av‡mb| ZvunviB GKvšÍ cÖ‡Póvq RvZxq A‡_©v‡cwWK I cyb©evmb nvmcvZv‡j
(NITOR) GB wefvM I Rbej m„wói cÖ¯Íve Kiv nBqvwQj| BnviB avivevwnKZvq cieZ©x‡Z H cÖwZôv‡b
ev‡qv‡gwW‡Kj BwÄwbqvwis wefv‡M mn‡hvMx Aa¨vc‡Ki c` m„wó Kiv nq |
evsjv‡`‡k miKvix ch©v‡q knx` †mvnivIqv`x© †gwW‡Kj K‡jR nvmcvZvj, RvZxq ü`‡ivM BbwówUDU (NICVD),
b¨vkbvj BbwówUDU Ae wbD‡iv mvBÝ (NINS), XvKv G GB wefvM (ev‡qv‡gwW‡Kj) iwnqv‡Q (Kwc mshy³) Ges
†emiKvix ch©v‡q; AvB.wm.wW.Avi.we,¯‹qvi nvmcvZvj I G¨‡cv‡jv nvmcvZv‡j ev‡qv-‡gwW‡Kj BwÄwbqvwis/
ev‡qv‡gwW‡Kj I †gwW‡Kj ev‡qv‡UK‡bvjwR wel‡q ¯^Zš¿ wefvM I Rbej iwnqv‡Q | knx` †mvnivIqv`©x †gwW‡Kj
K‡jR nvmcvZv‡j GB wefvM iwnqv‡Q Ges gš¿bvjq KZ©„K GKRb ev‡qv‡gwW‡Kj- we‡klÁ mshyw³‡Z AwZwi³
`vwq‡Z¡ G wefv‡M c`vqb Kivq QvÎQvÎx‡`i GB wel‡q wk¶v †`Iqvi c_ cÖmvi nBqv‡Q| cvZv-
knx` †mvnivIqv`x© †gwW‡Kj K‡jR 1997 Bs mv‡ji Av‡M wQj GKwU 75 kh¨v wewkó wefvMxq nvmcvZvj|
1997 Bs mv‡j gvbbxq cÖavbgš¿x †kL nvwmbv D³ nvmcvZvj‡K 375 kh¨vq DbœxZ K‡ib| 2006 mv‡j GB
nvmcZvjwU †gwW‡Kj K‡jR nvmcvZv‡j DbœxZ Kiv nq Ges eZ©gv‡b Bnv 850 kh¨v wewkó †gwW‡Kj K‡jR
nvmcvZvj| AÎ †gwW‡Kj K‡jR nvmcvZv‡j ev‡qv-‡gwW‡Kj BwÄwbqvwis wefvM m„wó Kiv nB‡jI G-mswkøó /
we‡klÁ I cÖ‡qvRbxq Rbej / c` m„wó Kiv nq bvB|
knx` †mvnivIqv`x© †gwW‡Kj K‡jR nvmcvZv‡j hš¿cvwZ iÿbv‡eÿYmn GKv‡WwgK, †gwW‡Kj M‡elbv Ges
we`¨gvb wPwKrmv e¨e¯’vi Dbœqb/ AvaywbKvqbmn hy‡Mvc‡hvMx ¯^v¯’¨ e¨e¯’v cÖeZ©‡bi Rb¨ cÖ¯ÍvweZ ev‡qv‡gwW‡Kj mvBÝ
GÛ †gwW‡Kj ev‡qv‡UK‡bvjwR wefvM mn cÖ‡qvRbxq Rbej m„wó I c`vqb AZxe Riæix| Bnv knx` †mvnivIqv`x©
†gwW‡Kj K‡j‡Ri †gwW‡Kj I ‡W›Uvj QvÎ/ QvÎx‡`i AvaywbK cÖhyw³ mswkøó †gwW‡Kj wkÿvq wkwÿZ nIqvi
cvkvcvwk †gwW‡Kj hš¿cvwZ , Bgcøv›U I wWfvB‡mi mwVK cÖ‡qvM I e¨envwiK Ávb `vb Ges j¨v‡e wbivc`
ÓwPwKrmv M‡elbvÓ DrmvwnZ Kwi‡e, Ges GKwesk kZvãxi Dc‡hvMx (¯^v¯’¨ †mevq) Ávb mg„× nB‡e I evsjv‡`‡k
fwel¨r †gwW‡Kj wkÿv/‡mevq Ae`vb ivwL‡e|
m¤úªwZ cÖKvwkZ cÖwZ‡e`b G †`Lv hvq `ÿ Rbej Z_v ev‡qv‡gwW‡Kj wefvM mswkøó we‡klÁ bv _vKvq Ges A`ÿ
e¨e¯’vcbvi Rb¨ cÖwZermi evsjv‡`k miKv‡ii †KvwU †KvwU UvKvi †gwW‡Kj hš¿cvwZ/ wWfvBm Ace¨envi/
A‡K‡Rv Z_v miKvix m¤ú` Rbmvavib Gi wPwKrmv Z_v †gwW‡Kj wkÿv/ †mevq f~wgKv ivwL‡Z cvwi‡Z‡Qbv|
AZGe, wPwKrmv weÁv‡bi GB welq mg~n‡K m¤§wjZfv‡e wkÿv I M‡elYvi gva¨‡g wPwKrmv wkÿv, M‡elbv I
wPwKrmv †mevi gvb Dbœqb Kiv GLb evsjv‡`‡ki wPwKrmv e¨e¯’vi mg‡qi `vex|

3. 3 | P a g e
KvR I Kv‡Ri eY©bv :
eZ©gv‡b wPwKrmv†mev I wPwKrmvwkÿvq ev‡qv-‡gwW‡Kj BwÄwbqvwis /ev‡qv‡gwW‡Kj weÁvb I †gwW‡Kj
ev‡qv†UK‡bvjwR Gi eûgvwÎK e¨envi nBqv _v‡K| cÖm½µ‡g wb¤œwjwLZ welqmg~n D‡jøL Kiv hvB‡Z cv‡i|
wPwKrmv †mev :
K). wK¬wbK¨vj:
1. †gKvwbK¨vj †fw›U‡jkb (AvB.wm.BD) iÿYv‡eÿb|
wkï wefv‡Mi Incubator, Phototherapy Ges Ventilator.
2. wKWwb WvqvjvBwmm †gwkb|
3. G¨v‡bm‡_wkqv hš¿cvwZ|
4. ÷xg ‡mj wPwKrmv|
5. wW.Gb.G. Gi eûgvwÎK d‡ibwmK e¨envi|
L). †_ivwcDwUKm:
1. †Pv‡Li †jÝ
2. Kv‡bi wnqvwis wWfvBm
3. nv‡U©i fvj&f, †cBm‡gKvi
4. A_©‡cwWK, bvK-Kvb-Mjv, evb©-cøvw÷K mvR©vix, Maxillofacial I †Rbv‡ij mvR©vix‡Z
e¨eüZ Bgcø¨v›U mg~n|
5. wW.Gb.G. I ÷xg ‡mj Gi †_ivwcDwUK e¨envi|
M). WvqvM‡bvw÷Km:
1. †iwWIjwR B‡gwRs (X-ray, CT Scan, MRI), Avëªvm‡bvMÖvg
2. c¨v_jwR wefv‡Mi Blood Gas Analysis, Ges Serum Electrolytes.

4. 4 | P a g e
wPwKrmv wk¶v :
1. †gwW‡Kj QvÎ QvÎx‡`i †gwW‡Kj ev‡qv‡UK‡bvjwR welqK (ev‡qvBbdi‡gwUKm ev‡qv‡UK‡bvjwR- h_v wW Gb
Gi e¨envwiK I †_ivwcDweK wkÿv, wUm¨y-BwÄwbqvwis mn) AvaywbKZg wPwKrmv wkÿvq wkwÿZ Kiv
2. †gwW‡Kj I †W›Uvj QvÎ-QvÎx‡`i wK¬wbK¨vj K¬v‡m ev‡qv‡gwW‡Kj ZvwË¡K wkÿv †`Iqv| (†hgb-
ev‡qvBbdi‡gwUKm&, †gwW‡Kj ev‡qv†UK‡bvjwR, ev‡qv‡gwW‡Kj BÝUªy‡g›U / hš¿cvwZ (Z_v †beyjvB‡Rkb,
K¨‡_Uvi, ivBjmÕwUDe †Pv‡Li K›UvK&U-†jÝ,wnqvwis Bgcøv›U, nv‡U©i ‡cm-†gKvi I WvqvjvBwmm †gwkb) mn
A‡_©v‡WvbwUK I A‡_©v‡cwWK Bgcøv›U I wWfvBm mg~n|
3. †gwW‡Kj I †W›Uvj QvÎ-QvÎx‡`i j¨v‡e ‡gwW‡Kj wWfvBm, c¨v_jwRK¨vj hš¿cvwZ, wWwRUvj B‡gwRs Ges
G·-‡i, wmwU-¯‹¨vb, Gg- Avi-AvB †gwkbmn Ab¨vb¨ wbZ¨ e¨envh©¨ hš¿cvwZ I wWfvBm Gi ZvwË¡K /
e¨envwiK Ávb †`Iqv|
4. †gwW‡Kj I †W›Uvj QvÎ-QvÎx‡`i IqvW©, Acv‡ikb w_‡qUvi, AvB-wm-BD, Gb-AvB-wm- BD'I Kvh¨©µg
m¤ú©‡K wkÿv †`Iqv (ZvwË¡K I e¨envwiK)| †gwW‡Kj I †W›Uvj QvÎ-QvÎx‡`i †gwW‡Kj M‡elbv Kvh©¨µ‡g
mswkøó Kiv I fwel¨‡Z †gwW‡Kj M‡elbvq Ae`vb ivLvi c‡_ ev¯Íe wkÿv †`Iqvi †ÿ‡Î f~wgKv ivLv|
5. †gwW‡Kj hš¿cvwZ, c¨v_jwR, †iwWIjwR, gvB‡µvev‡qvjwR welqK Kvh¨©µ‡g m„ó ev‡qv-¯^v¯’¨ m¤úwK©Z
wbivcËv wbwðZ Kiv Ges †gwW‡Kj I‡qó g¨v‡bR‡g›U m¤ú‡K© mvwe©K e¨e¯’vcbv Kiv mn QvÎ-QvÎx‡`i
ev‡qvn¨vRvW©-(Biohazards) Z_v †gwW‡Kj `~lY m¤ú©‡K ZvwË¡K I e¨envwiK wkÿvi cvkvcvwk wbivc`
cwi‡e‡k Kvh¨©µg cwiPvjbv wkÿv ‡`Iqv|
6. †gwW‡Kj K‡jR j¨v‡e †gwW‡Kj hš¿cvwZi wbqwgZ (cÖwZ mßv‡n/ cªwZ gv‡m) K¨vwj‡eªkb, ‡¯úwmwc‡Kkb,
wmgy‡jkb Ges †gwW‡Kj K‡j‡R ev‡qv‡gwW‡Kj hš¿cvwZ, Bgcøv›U, wWfvBm mn M‡elYv Kvh¨©µ‡g e¨eüZ
hš¿cvwZi mwVK gvb wbqš¿b, cwiPvjbv, iÿbv‡eÿb I Z`viwK Kiv Kiv|

5. 5 | P a g e
Kv‡Ri e„w× I aib :
µwgK bZyb Kv‡Ri aib cÖK…Z KvR KvR e„w×i cwigvb
1| (¯’vqx I A¯’vqx)
 GKv‡WwgK
 wK¬wbK¨vj
 ‡_ivwcDwUK
 WvqvMbwóK
 ‡gwW‡Kj wimvP©
‡gwW‡Kj wkÿv_©x, B›Uvbx wPwKrmK
I nvmcvZv‡j Kg©iZ Ab¨vb¨
Kg©KZ©v-Kg©Pvix‡`i AvaywbK I
DbœZZ hš¿cvwZ I †gwW‡Kj
G‡·mwiR Gi mv‡_ cwiwPZ Kiv,
cÖwkÿY †`Iqv I cÖ‡qvM mg‡Ü
mvgwMªK Ávb cÖ`vb Kiv|
w_DwiwUK¨vj I cÖvKwUK¨vj
cÖ‡qv‡Mi gva¨‡g †gwW‡Kj hš¿cvwZ
I G‡·mwi‡Ri cwiwPwZ, e¨envi I
iÿYv ‡eÿY m¤ú‡K© cwiwPZ
nIqv|
wPwKrmv weÁv‡bi mwnZ
B‡jw±ªK I B‡j‡±ªwbK
mvB‡Ýi mgb¦q mvab I
Rbm¦v¯n¨ †mevq
DbœwZKiY|
GKv‡WwgK
‡gwWK¨vj hš¿cvwZ, Bgcøv›U I
wWfvBR Gi gvbe kix‡i e¨envi| wK¬wbK¨vj BDR Ae ‡gwW‡Kj
wWfvBm I Bgcøv›U|
‡ivMxi wPwKrmvi †gwWK¨vj
`ÿZv I gvbe kix‡i Bnv
h‡_vchy³ e¨envi|
GKv‡WwgK
‡gwWK¨vj hš¿cvwZ, Bgcøv›U Gi
‡_ivwcDwUK e¨envi|
wPwKrmv
Diagnostic use of medical
Instrument.
†ivMwbY©q `ÿZv e„w×
GKv‡WwgK
Perform Medical Research wPwKrmv M‡elYv wPwKrmv M‡elYv
GKv‡WwgK
2| AvB.wm.BD, Gb.AvB.wm.BD,
†cvó Acv‡iwUf c¨v_jwR,
†iwWIjwR, I Iqv‡W©i hš¿cvwZ,
Bgcø¨v›U I wWfvBm g¨v‡bR‡g›U
mvwf©m Dbœqb
Bb÷‡jkb I †gBb‡Ub¨vÝ-‡gwkb,
wWfvBm Bgcø¨v›U
`ÿZv e„w×
GKv‡WwgK
3| G¨v‡mm‡g›U, †gBb‡Ub¨vÝ Ae
†gwW‡Kj BÝUªy‡g›U, Bgcø¨v›U GÛ
wWfvB‡mm
mvwf©m Dbœqb
G¨v‡mm‡g›U, †gBb‡Ub¨vÝ
†gwW‡Kj BÝUªy‡g›U, Bgcø¨v›U GÛ
wWfvB‡mm
`ÿZv e„w×
GKv‡WwgK
4| ‡gwW‡Kj hš¿cvwZ, Bgcø¨v›U I
wWfvBm µq I msMÖ‡n mn‡hvwMZv
Kiv|
(Help Procurement and
Purchase Committee/
Personnel to estimate
and bye medical
accessories.)
mvwf©m Dbœqb
‡gwW‡Kj hš¿cvwZ, Bgcø¨v›U I
wWfvBm µq I msMÖ‡n mn‡hvwMZv
Kiv|
(Assist Procurement and
Purchase Committee/
Personnel to estimate
and bye medical
accessories.)
`ÿZv e„w×