Non-communicable diseases like cardiovascular disease and diabetes place a large burden on Bangladesh's health system. Over 50% of deaths in Bangladesh are due to non-communicable diseases. Bangladesh faces a dual burden of infectious diseases as well as a growing burden from non-communicable diseases. Unhealthy lifestyles and environmental changes promoted by globalization and urbanization contribute to common risk factors such as high blood pressure, blood glucose, and obesity, which increase the risk of fatal conditions. The Bangladeshi government has established community clinics throughout the country to improve access to healthcare and reduce the burden of non-communicable diseases, especially in rural areas.

2. Non communicable Diseases:
Bangladesh Perspective
Presenter
DR. MOHAMMAD ARIFUR RAHMAN, MD
Department of Cardiology
National Institute of cardiovascular diseases & Hospital
Dhaka, Bangladesh
Venue:
Ministry of Public Health
Bangkok, Thailand

3. Background
Bangladesh, like many transitional nations, is straddling the demographic
and epidemiological transition.
In a review of twenty-three developing countries, Bangladesh was found
to have the ninth highest rate of age-standardized mortality among the
included countries due to chronic diseases, primarily cardiovascular
diseases and diabetes.
Some 51% of deaths in Bangladesh are due to non-communicable diseases
and other chronic health conditions .

4. Bangladesh is facing a dual burden, with a huge load of infectious
diseases and an increasing burden due to NCDs, which lead the
Government to update the strategic plan to combat NCDs in the
country.
Unidirectional globalization and rapid unplanned urbanization serve as
conduits for the promotion of unhealthy lifestyles and environmental
changes.

5. These common risk factors give rise to intermediate risk factors such as raised
blood pressure, raised blood glucose, unfavourable lipid profiles, obesity and
impaired lung function.
In turn, the intermediate risk factors predispose individuals to the "fatal four" -
cardiovascular disease (heart disease and stroke), cancer, chronic respiratory
disease and diabetes.

6. NCDs have further burdened the already strained health system and
inflict great cost on the society.
Economic growth has a number of key determinants and precursors, of
which health is a significant field.
In developing countries like Bangladesh, NCDs have historically not
received adequate attention from policy makers, development
partners, researchers and academicians

13. Healthy food habit

14. Bad Dietary habit

15. Unhealthy Food Habit

17.  National Institute of Cardiovascular diseases & Hospital
 National Centre for control of RF , RHD & NCD

19. The framework for health promotion targeted at—
1. Building healthy public policies,
2. Creating supportive environments for health,
3. Strengthening community actions,
4. Capacity building,
5. Orienting health services according to people's need,
6. Advocacy and community empowerment for prevention of
NCDs and
7. Promotion of healthy lifestyle.

26. Community Clinic
With a view to serve the people with medical services Bangladesh
government start a project of medical services for the rural people
specially who lives in villages. govt. associates planned for
establishing 18000 community clinics thus every 6000 people could
get one-step services at the near place.
Already 13500 community clinics have been completed and the rest
will be completed soon. Specially the pregnant Women get some
special service by this community clinic. Now they don’t need to visit
Sadar hospitals far away from the villages. And they get almost every
medical service as they need. It protects the people from any kind of
accidental case due to late. Eventually it grows social awareness of
village people about health.

27. It has some other services too. Like integrated management of
childhood illness, reproductive health and family planning services,
Health and family planning education and counseling, maternal &
neonatal health care services, nutritional education & micro-nutrient
supplements, identification of other severe illness like TB, Malaria,
Pneumonia, Influenza, Obstetric emergencies and refer to higher
facilities, Identification of emerging and re-emerging diseases & refer to
higher facilities, Treatment of minor ailments and Registration of newly
married couple, pregnant women, birth and death, preservation from
EDD etc. Even some clinics conduct normal delivery case through SBA
& CSBA.

28. Thank You