The document describes the health care network of Bangladesh, with three main points:
1) It outlines the hierarchy within the Ministry of Health and Family Welfare, which is responsible for national health policy, and its subordinate executing authorities and regulatory bodies.
2) It explains the organizational structure of the Directorate General of Health Services, the largest executing authority, and its implementation of health programs.
3) It provides an overview of the management structure and types of health facilities at different administrative tiers from national to village levels.
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
Unit-VII M.sc II Use of Various prosthetic Devices in rehabilitation.pptxanjalatchi
There are four main types of prosthetics. These are known as transradial, transhumeral, transtibial, and transfemoral prosthetics. Each prosthetic serves a different function depending on what body part was amputated.
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
Unit-VII M.sc II Use of Various prosthetic Devices in rehabilitation.pptxanjalatchi
There are four main types of prosthetics. These are known as transradial, transhumeral, transtibial, and transfemoral prosthetics. Each prosthetic serves a different function depending on what body part was amputated.
Population at risk and its preventive practice of mental health nursingselvaraj227
The population at risk and its preventive practice of mental health nursing, THE CHANGING FOCUS OF CARETHE COMMUNITY AS CLIENTSITUATIONAL CRISES, Maturational Crises
Mode of Human Resource for Health Production in Nepal
Various Academic and Non Academic Institutes and Councils producing all sorts of Human Resource for Health in Nepal.
National Health Policy of 1983, 2002 and 2017nirupama mishra
An presentation on National Health Policy, whose initiation taken during 1983 committed to attain the goal of Health for all by the year 2000AD and further matters added from to time considering present scenario.
About Healthcare system of Bangladesh: Health care delivery is a daunting challenge area of the Bangladesh’s healthcare systems. The Health
care system in Bangladesh falls under the control of the Ministry of Health and Family Planning. The
government is responsible for building health facilities in urban and rural areas.
Universal health coverage (UHC) means that all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.
Human resource situation analysis in Nepal.pptxJagat Upadhyay
This presentation is prepared as part of the Course assignment of "HSM 614 Development and Management of HRH” for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials.
*Health Insurance in India and Genesis of the Ayushman Bharat PMJAY Pradhan Mantri Jan Arogya Yojana
*Critical review of the health insurance schemes
*SWOCh analysis of Ayushman Bharat PMJAY
Created - July 2019
Author- Dr. Madhushree Acharya, Academic Junior Resident, Community & Family Medicine, AIIMS Bhubaneswar
SlideShare now has a player specifically designed for infographics. Upload your infographics now and see them take off! Need advice on creating infographics? This presentation includes tips for producing stand-out infographics. Read more about the new SlideShare infographics player here: http://wp.me/p24NNG-2ay
This infographic was designed by Column Five: http://columnfivemedia.com/
No need to wonder how the best on SlideShare do it. The Masters of SlideShare provides storytelling, design, customization and promotion tips from 13 experts of the form. Learn what it takes to master this type of content marketing yourself.
Population at risk and its preventive practice of mental health nursingselvaraj227
The population at risk and its preventive practice of mental health nursing, THE CHANGING FOCUS OF CARETHE COMMUNITY AS CLIENTSITUATIONAL CRISES, Maturational Crises
Mode of Human Resource for Health Production in Nepal
Various Academic and Non Academic Institutes and Councils producing all sorts of Human Resource for Health in Nepal.
National Health Policy of 1983, 2002 and 2017nirupama mishra
An presentation on National Health Policy, whose initiation taken during 1983 committed to attain the goal of Health for all by the year 2000AD and further matters added from to time considering present scenario.
About Healthcare system of Bangladesh: Health care delivery is a daunting challenge area of the Bangladesh’s healthcare systems. The Health
care system in Bangladesh falls under the control of the Ministry of Health and Family Planning. The
government is responsible for building health facilities in urban and rural areas.
Universal health coverage (UHC) means that all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.
Human resource situation analysis in Nepal.pptxJagat Upadhyay
This presentation is prepared as part of the Course assignment of "HSM 614 Development and Management of HRH” for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials.
*Health Insurance in India and Genesis of the Ayushman Bharat PMJAY Pradhan Mantri Jan Arogya Yojana
*Critical review of the health insurance schemes
*SWOCh analysis of Ayushman Bharat PMJAY
Created - July 2019
Author- Dr. Madhushree Acharya, Academic Junior Resident, Community & Family Medicine, AIIMS Bhubaneswar
SlideShare now has a player specifically designed for infographics. Upload your infographics now and see them take off! Need advice on creating infographics? This presentation includes tips for producing stand-out infographics. Read more about the new SlideShare infographics player here: http://wp.me/p24NNG-2ay
This infographic was designed by Column Five: http://columnfivemedia.com/
No need to wonder how the best on SlideShare do it. The Masters of SlideShare provides storytelling, design, customization and promotion tips from 13 experts of the form. Learn what it takes to master this type of content marketing yourself.
10 Ways to Win at SlideShare SEO & Presentation OptimizationOneupweb
Thank you, SlideShare, for teaching us that PowerPoint presentations don't have to be a total bore. But in order to tap SlideShare's 60 million global users, you must optimize. Here are 10 quick tips to make your next presentation highly engaging, shareable and well worth the effort.
For more content marketing tips: http://www.oneupweb.com/blog/
Are you new to SlideShare? Are you looking to fine tune your channel plan? Are you using SlideShare but are looking for ways to enhance what you're doing? How can you use SlideShare for content marketing tactics such as lead generation, calls-to-action to other pieces of your content, or thought leadership? Read more from the CMI team in their latest SlideShare presentation on SlideShare.
How to Make Awesome SlideShares: Tips & TricksSlideShare
Turbocharge your online presence with SlideShare. We provide the best tips and tricks for succeeding on SlideShare. Get ideas for what to upload, tips for designing your deck and more.
Essential Package of Health Services Country Snapshot: IndonesiaHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
Strengthening Primary Care as the Foundation of JKNHFG Project
Central to the vision of JKN and the Government of Indonesia’s commitment to enhancing the health of all of its citizens is strengthening the role of primary care to prevent, treat and manage health conditions. How it is working, what the challenges are, and where might changes to regulations or operationalization of JKN contribute to strengthening the system so that JKN can achieve its goals. This brief focuses on JKN regulations at the primary care level, and shares insights into whether regulations are effective and how they are being implemented in a range of Indonesian contexts.
Directorate of Health and Family Welfare Services, Karnataka State, India - Annual Report of 2015-2016. The Department of Health and Family Welfare Services implements various National and State Health Programs in the State.
Essential Package of Health Services Country Snapshot: EthiopiaHFG Project
Resource Type: Brief
Authors: Jenna Wright
Published: July 2015
Resource Description:
An Essential Package of Health Services (EPHS) can be defined as the package of services that the government is providing or is aspiring to provide to its citizens in an equitable manner. Essential packages are often expected to achieve multiple goals: improved efficiency, equity, political empowerment, accountability, and altogether more effective care. There is no universal essential package of health services that applies to every country in the world.
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The government of Ethiopia published its “Essential Health Services Package for Ethiopia” in 2005 (Federal Ministry of Health 2005). This package was published with the intention to have public sector facilities provide a minimum standard of care that fosters an integrated service delivery approach essential for advancing the health of the population. The major components of the Essential Health Services Package for Ethiopia are classified building on the Health Service Extension Program, which was launched in 2002 as an essential health services package at the community level, in recognition of the failure of essential services to reach remote communities in the country. By 2010 over 33,000 trained health extension workers were serving both rural and urban areas throughout Ethiopia.
The National Health Mission (NHM) encompasses
its two Sub-Missions, the National Rural Health
Mission (NRHM) and the National Urban Health
Mission (NUHM). The main programmatic
components include Health system strengthening
in rural and urban areas, ReproductiveMaternal-Neonatal-Child and Adolescent Health
(RMNCH+A) and Communicable and NonCommunicable Diseases. The NHM envisages
achievement of universal access to equitable,
affordable & quality healthcare services that are
accountable and responsive to people’s needs.
Essential Package of Health Services Country Snapshot: MalawiHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
A new group of healthcare professionals who are not doctors are called community health officers CHOs . As a part of Comprehensive Primary Health Care, CHOs will be vital in providing an increased range of essential services. They are expected to direct the primary care staff at the Sub Centre, Health and Wellness Center, offer ambulatory care and clinical management to the neighborhood, and act as a crucial coordination link to guarantee the continuum of car. Mr. Saneesh CM | Dr. S. Victor Devasirvadam "Community Health Officer (CHO): An Overview" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-1 , February 2023, URL: https://www.ijtsrd.com/papers/ijtsrd53840.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/53840/community-health-officer-cho-an-overview/mr-saneesh-cm
কোভিড-১৯ সংক্রমনের সময় কীভাবে আপনি নিরাপদে রোজা রাখবেন। ইসলামিক সেন্টার ফর আয়ারল্যান্ড এর নীতিমালা শুধুমাত্র কোভিড-১৯ সংক্রান্ত পরিস্থিতির জন্য তৈরি করা হয়েছে।
Safe Ramadan Practices in the Context of the COVID-19 (WHO-COVID-19-Ramadan-2...Mohammad Masum Chowdhury
কোভিড-১৯ সংক্রমনের সময় কীভাবে আপনি নিরাপদে রোজা রাখবেন। ওয়াল্ড হেলথ্ অর্গানাইজেশন এর নীতিমালা শুধুমাত্র কোভিড-১৯ সংক্রান্ত পরিস্থিতির জন্য তৈরি করা হয়েছে।
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
NVBDCP.pptx Nation vector borne disease control program
Bangladesh health network
1. Health Care Network of Bangladesh
under the Ministry of Health & Family Welfare
Hierarchies in Ministry of Health & Family Welfare
The Ministry of Health & Family Welfare (MOHFW) is one of largest ministries under the
Government of Bangladesh. It is responsible for national level policy, planning and decision
making at macro level, which are then implemented by different executing and regulatory
authorities. The ministry is headed by the Honorable Minister for Health & Family Welfare,
who is assisted by the Honorable State Minister for Health & Family Welfare. The principal
executing staff of the ministry is the Secretary who works with a set of bureaucrats under
him, viz. Additional Secretary, Joint Secretaries/Joint Chiefs, Deputy Secretaries/Deputy
Chiefs, Senior Assistant Secretaries/Senior Assistant Chiefs, etc.
Minister
State Minister
Secretary
Additional
Secretary
Joint Secretary
(Administration)
Joint Secretary
(Hospital)
(Public Health & WHO)
Joint Secretary
Joint Secretary
(Finance)
Joint Secretary
(Coordination)
Joint Chief
(Planning)
Joint Chief (Health
Economics Unit)
Deputy Secretary
Deputy Secretary
Deputy Secretary
Deputy Secretary
Deputy Secretary
Deputy Chief
Deputy Chief
Senior Assistant
Secretary
Senior Assistant
Secretary
Senior Assistant
Secretary
Senior Assistant
Secretary
Senior Assistant
Secretary
Senior Assistant
Chief
Senior Assistant
Chief
Figure-1.1. Hierarchy of Ministry of Health & Family Welfare
Executing authorities under the Ministry of Health & Family Welfare
Under the MOHFW, there are several executing authorities and regulatory bodies. The
executing authorities are Directorate General of Health Services (DGHS), Directorate
General of Family Planning, Directorate General of Drug Administration (DGDA), Directorate
of Nursing Services (DNS), Health Engineering Department (HED), National Nutrition
Program (NNP), Transport & Equipment Maintenance Organization (TEMO), National
Electro-medical & Engineering Workshop (NEMEW) and Essential Drugs Company Limited
(EDCL).
1 | Health Care Network of Bangladesh
2. MOHFW
Directorate
General of
Health
Services
(DGHS)
Directorate
General of
Family
Planning
(DGFP)
Directorate
General of
Drug
Administration
(DGDA)
Directorate of
Nursing
Services
(DNS)
Construction
Management
&
Maintenance
Unit (CMMU)
National
Nutrition
Program
(NNP)
Transport &
Equipment
Maintenance
Organization
(TEMO)
National
Electromedical
Maintenance
Workshop
(NEMEW)
Essential
Drugs
Company
Limited
(EDCL)
Figure-1.2. Executing authorities under the Ministry of Health & Family Welfare
Regulatory bodies under the Ministry of Health & Family Welfare
The Regulatory bodies are Bangladesh Medical & Dental Council (BMDC), Bangladesh
Nursing Council (BNC), State Medical Faculty (SMF), Homeo, Unani & Ayurvedic Board &
Bangladesh Pharmacy Council.
MOHFW
Bangladesh Medical &
Dental Council (BMDC)
Bangladesh Nursing
Council (BNC)
State Medical Faculty
(SMF)
Homeo, Unani &
Ayurvedic Board
Bangladesh Pharmacy
Council (BPC)
Figure-1.3. Regulatory bodies under MOHFW
Directorate General of health Services (DGHS)
The Directorate General of Health Services (DGHS) is the largest executing authority under
the Ministry of Health & Family Welfare. Having over one hundred thousand officers and
staffs, it operates the health care delivery system for the ministry all over the country
extending as low as up to village level. DGHS also provides technical guidance to the
ministry. The activities of the DGHS are implemented both through the regular revenue set
ups as well as under the development programs. The MOHFW undertakes sector-wide
multi-year approach to draw the development programs. The sector-wide multi-year
development program is popularly known as Health, Nutrition and Population Program
(HNPSP), which has been begun in 2003 and will be completed in June 2011. The ministry is
now planning the new sector program to be started from July 2011.
2 | Health Care Network of Bangladesh
3. Director
General of
Health
Services
Additional
Director
General
(Administratio
n)
Additional
Director
General
(Planning)
Director,
Planning,
Research &
Development
Director,
Administration
Director, Central
Medical Stores
& Depot
Director,
Finance
Director,
Homeo, Unani
& Ayurvedic
Medicine
Director,
Management
Information
System
Director, Medical
Education &
Health Manpower
Development
Director,
Myco-bacterial
Disease
Control
Deputy
Directors
Deputy
Directors
Deputy
Directors
Deputy
Directors
Deputy
Directors
Deputy
Directors
Deputy
Directors
Deputy
Directors
Assistant
Directors
Assistant
Directors
Assistant
Directors
Assistant
Directors
Assistant
Directors
Assistant
Directors
Assistant
Directors
Assistant
Directors
Figure-1.4. Administrative set up of DGHS
Health, Nutrition & Population Program (HNPSP 2003-2011)
The development programs of the Ministry of Health & Family Welfare have been
implemented under a sector-wide program called Health, Nutrition & Population Sector
Program (HNPSP). The ongoing HNPSP has been launched in July 2003 and is expected to be
completed in June 2011, when a new sector-wide program will take the course. Currently
the MOHFW is preparing the next sector-wide program. Under HNPSP (2003-2011), there
are 38 Operational Plans (OPs), of which the DGHS implements 19 OPs. The remaining 19
OPs are implemented by MOHFW itself (5 OPs), Directorate General of Family Planning (9
OPs), Directorate General of Drug Administration (1 OP), Construction Management &
Maintenance Unit (CMMU) (1 OP), Directorate of Nursing Services (1 OP), National Nutrition
Program (1 OP) and National Institute of Population, Research & Training (NIPORT) (1 OP).
The chief executive officer responsible for implementation of each OP is called Line Director.
Line Directors are brought on deputation or given additional responsibility beyond his or her
regular tasks. Under each Line Director, there are few to several Program Managers and
Deputy Program Managers depending upon the number of programs under specific OPs.
Like the Line Directors, the Program Managers and Deputy Program Managers are also
brought on deputation or given additional responsibility. The list of the Operational Plans
under DGHS is given below:
3 | Health Care Network of Bangladesh
4. List of Operational Plans (OPs) under DGHS
1.
2.
3.
4.
5.
6.
7.
Alternative Medical Care (AMC)
Communicable Disease Control (CDC)
Essential Service Delivery (ESD)
Health Education and Promotion (HEP)
Human Resource Management (HRM)
Improved Financial Management (IFM)
Improved Hospital Services Management
(IHSM)
8. In-Service Training (IST)
9. Management Information System (MIS)
10. Micronutrient Supplementation (MS)
11. Mycobacterial Disease (Tuberculosis & Leprosy)
Control
12. National AIDS/STD Program (NASP) and Safe Blood
Transfusion Program (SBTP)
13. National Eye Care (NEC)
14. Non-communicable Diseases and Other Public Health
Interventions (NCD&PHI)
15. Pre-service Education (PSE)
16. Procurement, Logistics & Supplies Management
(CMSD)
17. Quality Assurance (QA)
18. Research & Development (Health)
19. Sector-wise Program Management (SWPM)
Management structure and type of health facilities beyond DGHS
The distribution of health infrastructures under the DGHS can be divided into different tiers,
viz. national, divisional, district, upazila (sub-district), union, ward and village levels. At the
national level, there are institutes, both for public health functions as well as for
postgraduate medical teaching/training and specialized treatment for patients.
In each division, there is one divisional director for health and under him/her are deputy
directors and assistant directors. In each divisional head quarter, there is one infectious
disease hospital and one or more medical college(s). Each medical college has an attached
medical college hospital. Some divisional head quarters also possess general hospital and
institutes of health technologies.
The district health manager is called civil surgeon (CS). In each district, there is a district
hospital. Some district hospitals have Superintendent to look after the hospital
management. In others, civil surgeons look after the district hospitals. Some of the district
head quarters have medical colleges and attached medical college hospitals. There are also
medical assistant training schools and nursing training institutes in some districts.
In the upazila, upazila health & family planning officer (UHFPO) is the Health Manager. He
manages all public health programs in the upazila and also looks after the upazila hospital
(31- to 50-bed).
In the union level, one or other of the three kinds of health facilities may exist, viz. rural
health center, union sub-center or union health & family welfare center (UHFWC). In a
union health facility, there is a post of medical doctor. All union facilities possess medical
assistants to provide health service to the people.
In the ward level, community clinics (CC), one for every 6,000 population are being
established. So far 9,525 independent community clinics have been established as of May
2010. The existing union and upazila facilities (4,500) also provide community clinic services.
Therefore, about 14,000 community clinics are already in operation. The Government
estimates that 18,000 community clinics will be required to cover all the rural population.
There remaining community clinics will be constructed and added in next 2 to 3 years. In the
ward or village levels, there are domiciliary workers, one for every 5 to 6 thousand
population. There are 26,436 sanctioned posts of domiciliary workers under DGHS, of which
20,841 are for health assistants (HA), 4,196 for assistant health inspectors (AHI) and 1,399
4 | Health Care Network of Bangladesh
5. for health inspectors (HI). The Directorate General of Family Planning (DGFP) also has
domiciliary family planning staffs to work in the village levels. Currently, the domiciliary
staffs both from DGHS and DGFP share the responsibility of running the independent
community clinics. However, the ministry will soon recruit 13,500 full time community
health care providers (CHCP) to run the community clinics.
DGHS
Divisional
Level
National Level
District Level
Upazila Level
Union Level
Ward Level
Director of
Institute
Principal of
Medical
College
Divisional
Director, Health
Civil Surgeon
Superintendent
Upazila Health &
Family Planning
Officer
Medical Officer
Health
Inspector
Deputy Director
Vice Principal
Deputy Director
Medical Officer
Consultant /
Medical Officer
Jr consultant /
Medical Officer
Medical
Assistant
Assistant
Health
Inspector
Assistant
Director
Assistant
Director
Health
Assistant
Figure-1.5. Managerial hierarchies from national to the lowest level under DGHS
National
Table-1.1. Type of health facilities under DGHS in different administrative tiers
Divisional
District
Upazila
Union
• Public Health
Institute
• Postgraduate
Medical Institute &
Hospital with
nursing institute
• Specialized
Health Center
• Medical College
& Hospital with
nursing institute
• General hospital
with nursing
institute
• Infectious
Disease Hospital
• Institute of Health
Technology
• District Hospital with
nursing institute
• General Hospital with
nursing Institute (in
some)
• Medical College &
Hospital with nursing
institute (in some)
• Chest Clinic (in some)
• Leprosy Hospital (in
some)
• Medical Assistants’
Training School
5 | Health Care Network of Bangladesh
• Upazila
Health
Complex
• TB Clinic (in
some)
• Rural Health
Center (in
some)
• Union subcenter in
some)
• Union Health
& Family
Welfare
Center (in
some)
Ward
• Community
Clinic (in some)
6. Managerial structure and health facilities under Directorate General of Family Planning
(DGFP)
The primary intention of Health Bulletin 2010 is to capture the health information pertaining
to Directorate General of Health Services. However, to give the readers an impression of the
family planning services under the public sector, a brief mention about the latter is
pertinent. The DGFP also has more or less similar type of managerial structure from the
national down to ward levels, viz. director general, directors, deputy directors and assistant
directors at the head office, divisional director, deputy director and assistant director at the
division, district family planning officer (DFPO) at the district and upazila family planning
officer (UFPO) in the upazila. DGFP has limited number of medical doctors, viz. one medical
officer for maternal and child health (MO, MCH) in each upazila, one sub-assistant medical
officer (SACMO – a medical assistant by background) in union health facility. For performing
family planning procedures, DGFP also has FWV (family welfare visitor) in the upazila and
union facility. The domiciliary staffs of DGFP to work in the ward level are called family
planning inspector (FPI), assistant family planning inspector (AFPI) and family welfare
assistant (FWA). The DGFP run union facility which is equivalent to that of union health &
family welfare center of DGHS is called family welfare center (FWC). There are 3,719 HFWCs
at the union level. Besides, DGFP operates 97 MCWCs (maternal and child welfare centers:
24 in union level, 12 in upazila level and 61 in district level), 471 MCH-FP clinics (407 in
upazila level and 64 in district level) and 8 model clinics (2 at national level and 6 at regional
levels). DGFP organizes 30,000 makeshift satellite clinics each month. It also supports
operation of 179 NGO clinics (27 in union level, 86 in upazila level, 44 in district level and 22
in national level).
________________________________
Source of information: DGHS and DGFP (2010)
6 | Health Care Network of Bangladesh