Chapter-12 (English) 2023
Chapter-12 (English) 2023
Chapter-12 (English) 2023
CHAPTER TWELVE
Human resource development is the government's principal goal, in addition to generating rapid growth,
through increasing the living standards of disadvantaged and underprivileged people. To combat the
long-term impacts of the coronavirus, the government is making continuous efforts to ensure the basic
needs of the people through economic restructuring with priority on life and livelihood, as well as to
improve the living standards of the disadvantaged and poor people. As a result through implementation
of various development programmes, Bangladesh is gradually improving in the Human Development
Index (HDI). According to the ‘Human Development Report-2021’ the position of Bangladesh has been
improved to 129 which is 4 steps ahead from 133 rd place in 2020. In FY 2022-23, the government has
spent about 23.88 percent of the total budget for the sectors related to human resource development such
as education and technology, health and family welfare, women and children, social welfare, youth and
sports development, culture, labour and employment etc. Multiple programmes have been adopted in the
light of the 'National Education Policy 2010' with the aim of creating opportunities for admission at all
levels of education and creating skilled and qualified human resources by improving the quality of
education. In order to ensure education for all in primary schools, special emphasis has been laid on
increasing school enrollment, pre-primary education, stipends and student-teacher connectivity hours. In
order to build skilled manpower to meet the challenges of the Fourth Industrial Revolution, maximum
emphasis has been laid on technical education. Bangladesh has achieved Millennium Development Goal
(MDG) related to health sector, prior to the stipulated time due to undertaking many priorities based
programmes in health, nutrition and population sector. Remarkable progress has been achieved in
reducing child and maternal mortality and in increasing average life expectancy. The National
Deployment and Vaccination Plan has already been formulated under the Extended Immunisation
Programmme (EPI) to protect lives and prevent deaths from the COVID-19. Through this initiative, work
is underway to vaccinate 70 percent of the population against COVID-19. Various development
initiatives, programmes, and other activities are being undertaken, as well as necessary legislation and
regulations for the creation of equal rights in all aspects of state and public life and the elimination of all
types of discrimination against women. The government is carrying out various activities for the welfare
of the poor, disadvantaged, neglected, special needs and orphans. Various reform initiatives, including
financial sector reform, anti-corruption and preventative actions are being adopted and executed in order
to promote balanced development and to establish good governance.
under privileged and impoverished segments of SAARC countries, such as India (132), Nepal
the population. This has resulted in progress in (143), Myanmar (149), Pakistan (161) and
the Human Development Index (HDI). Afghanistan (180) are below the ranking of
According to the ‘Human Development Report- Bangladesh in HDI. Allocations of human
2021’ the position of Bangladesh is 129. Among development related sectors have been boosted
South Asian Association for Regional up day by day. Position of Bangladesh in the HDI
Cooperation (SAARC) countries, Sri Lanka (73), of recent few years have been presented to the
Maldives (90) and Bhutan (127) are ahead of Table 12.1.
Bangladesh (129) in respect of HDI. Other
Sector 2012-13 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19 2019-20 2020-21 2021-22 2022-23
Education, Science & ICT 21561 28272 33499 34370 52914 65444 67935 79488 85762 94877 99978
Health and Family Welfare 9130 9955 11537 12695 17486 20652 23,383 25733 29247 32731 36863
Youth, Sports and Culture 976 1061 1068 1199 1343 1803 2008 2063 2057 1709 1919
Labour and Employment 134 192 226 302 308 262 227 313 350 365 357
Social Welfare, Women’s 4091 4730 5962 7613 9433 11394 13343 15083 16285 19658 21474
Affairs and Liberation War
Affairs
Chittagong Hill Tracts 583 633 684 779 840 1150 1309 1194 1235 1182 1338
Affairs
Total Allocation 36475 44843 52976 56958 82324 100705 108205 123874 134936 150522 161929
(Operating and
Development)
Sources: Finance Division, Ministry of Finance. (*Figures are based on budget)
Figure 12.1: Trend of Government Allocation in the Social Sector of Selected Ministries
180000 161929
150522
160000
134936
140000 123874
120000 108205
100705
Taka in Crore 100000 82324
80000
52976 56958
60000 44843
34718 36475
40000
20000
0
2011-12 2012-13 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19 2019-20 2020-21 2021-22 2022-23
with the Sustainable Development Goals (SDGs), madrassa) in 2021. Number of enrolment and
target has been set to ensure quality pre-primary ratio of female students is increasing
education for all children and quality primary consistently. Rate of enrolment of female
education for all school-going children by 2030. students is more than the male students. In 1991,
Government is implementing Stipend project, 4th the male-female student’s ratio was 55:45.
Primary Education Development Programme Currently, the ratio is about 50:49. Table 12.3
(PEDP-4), Reaching Out of School (ROSC) shows students’ enrolment rate and percentage of
project, School Feeding programme for poor male-female students at primary levels from 2010
areas, need based government and newly to 2021. Some students are compelled to leave
nationnalised primary school development the school before completion of primary
project (1st phase), Basic Literacy project and education for various reasons. Rate of drop out is
some other projects for attaining the goals of consistently decreasing as the government has
SDG. Number of primary schools in the country taken several realistic steps. Table 12.4 shows
was 49,539 in 1991. The number has increased to remarkable changes of drop-out scenario of
1,18,891 (different NGO schools, child welfare students at primary level during the period 2010
and Madrassa/Mosque based centre/Qawmi to 2021.
Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
Dropout
39.8 29.7 26.2 21.4 20.9 20.4 19.2 18.8 18.6 17.9 17.2 14.15
rate (%)
Source: Annual Primary School Census, 2021, Directorate of Primary Education.
buildings with 4-storey foundation have been learners by uploading on web site. The e-
completed in 1,000 madrashas. 11 government learning modules for 6 subject textbooks of
secondary schools have been established in grade 7 and 8 and e-learning materials for 6
Dhaka city. Academic activities have already textbooks for grade 9-10 have been
started in educational institutions. 05 new improvised and uploaded.
universities and 03 engineering colleges have
• Prepared audio visual training content for
been set up. Construction of 07 new government
secondary schools in Khulna, Barisal and Sylhet teachers for proper conduct of class activities
in all subjects of class 6th and 7th in light of
cities has been completed. 14,698 repair and
new curriculum and training provided to all
renovation works have been programmed in
government/private educational institutions. teachers.
Among them, 10,883 repair and renovation • MyGov service has been launched. With the
works have been completed. Modern easy adoption of digital applications by
computer/ICT labs have been constructed in citizens through a service platform, it has
secondary schools, madrasas and technical become possible for government services to
education institutes. At the college level, ICT reach the doorsteps of the people.
buildings, ICT Learning Centers, Teachers
Training Institute (TTC) buildings have been • Online entry of secondary schools under the
constructed. Department of Secondary and Higher
Education is in progress. Field level offices
Use of information technology in education and educational institutions are being
Considering the importance of science and monitored under the Digital Monitoring
technology based education, especially the System (DMS) app.
Fourth Industrial Revolution, a number of
initiatives have been taken to leverage ICT and Providing stipends to students
digital technology in education management and Under the Prime Minister's Education Assistance
education programme. Trust, Tk. 1321.77 crore was distributed for
• In the light of the new National Curriculum stipends and tuition fees among 48.47 lakh poor
framework-2021, Digital Technology subject and meritorious students at secondary level
has been introduced in class 6 and class 7 in disbursed through Mobile Banking and Online
the academic year 2023. As a result of Banking.
uploading e-books on the website of National Free text books distribution among students
Curriculum and Textbook Board, anyone
Free text books are distributed among students
living in different countries of the world
for ensuring the opportunity of education for both
including Bangladesh can download and use
rich and poor, preventing drop outs and making
the textbooks from anywhere in the world.
education standard, comprehensive and effective.
Audio clips of Listening Texts of English for
First day of the year is celebrated as the
Today textbooks for 6th to 9th-10th class
‘Textbook Day’. Free textbooks are distributed
have been created and uploaded on NCTB'
among primary and secondary students on this
website.
day across the country at the same time. A
• In order to make the use of textbooks easy
number of 33.48 crore textbooks were distributed
and attractive in the context of technological
in 2023 under this programme.
development digital content of 21 textbooks
of primary level and Interactive Digital Text Technical Education
(IDT) of 16 textbooks of class 6 have been Various initiatives have been taken to
completed and have been made accessible for mainstream technical education in preparation for
the Fourth Industrial Revolution. At the same of madrasa teachers will continue through the
time, opportunities for quality technical 'Development of Scheduled Madrasas' project.
education have been expanded to create skilled As part of the integration of madrasa education
manpower suitable for the domestic and into the mainstream of education, steps are being
international labor market. For example, taken to ensure transparency in the funding
infrastructure development for the purpose of available from various sources in the private
enrolling more students, project implementation sector for the development of madrasas. At
for capacity building of 64 TSCs, training of present, there are 8,229 MPO registered
English and Mathematics teachers. madrasas in the country. Curriculum on Quran,
There are a total of 10,856 technical education Aqeedah and Fiqh, Arabic and Hadith has been
institutions in government and private developed from 1st to Alim class in order to make
educational institutions approved by the Madrasa education up-to-date. In line with the
Bangladesh Technical Education Board. In the existing general education curriculum and
last 10 years, progress was made in the field of syllabus formulated by the National Curriculum
technical education. In 2021, the enrollment rate and Textbook Board (NCTB) for general
in technical education was 15.79 percent. In that compulsory and optional subjects except Arabic
continuity, various projects/programmes have subjects up to secondary level for madrasa
been taken to improve the enrollment in technical education are being followed. Textbooks on all
education by 30 percent by 2030. subjects are being printed and distributed through
NCTBA.
Again, necessary steps have been taken to
implement National Technical and Vocational Higher Education
Qualifications Framework (NTVQF) at all levels.
During last decade radical change has been
To eliminate inequality in technical and
accomplished in higher education sector in
vocational education, stipends are being provided
Bangladesh. The government has taken a number
to the students, free textbooks are being
of significant steps through the Bangladesh
distributed, and one-time grants are being
University Grants Commission (UGC) to expand
provided to the poor and meritorious students and
and enhance the quality of higher education. A
teachers. Several programmes, such as setting up
public university has been established in almost
of 1 technical school and college (TSC) in each
every old district of the country. At present,
of 100 Upazilas, establishment of 1 women's
number of public universities stands to 53, 50 of
polytechnic institute in 4 divisional cities (Sylhet,
which started academic programme and out of
Barisal, Mymensingh, Rangpur), establishment
110 private universities, 102 already started
of Polytechnic Institutes in 23 districts and
academic activities. For improvement of higher
establishment of 1 Engineering College in each
education and research activity, ‘Strategic Plan
of 4 divisions (Chattogram, Khulna, Rajshahi,
for Higher Education in Bangladesh: 2018-2030’
Rangpur) are underway.
has been formulated as well as initiatives taken to
Madrasah Education implement it by UGC.
The government has undertaken extensive Institutional Quality Assurance Cell (IQAC) has
activities for the development and modernisation been set up in 119 (public 41 and 78 private)
of madrasas. To enhance the quality of madrasa universities to evaluate the activities of each
education, construction of new buildings for department and institute of the country's
1,800 madrasas, setting up of multimedia rooms universities and to ensure quality teaching and
for existing 653 madrasas and capacity building the cells are being closely monitored. Instructions
have been issued by the Commission for the build a healthy, strong and functioning
establishment of IQAC in the remaining population, the government has intensified its
universities. The Bangladesh National efforts to ensure affordable and quality healthcare
Qualifications Framework (BNQF) formulated by for all citizens through development of health,
the Commission has been approved by the nutrition and population sectors. Significant
government and has been sent to all the progress has been made in the health sector as a
universities for necessary purposes. Curriculums result of taking various activities. As a
of all the private universities are being updated consequence of prompt intervention of the
on the basis of OBE Template from 01 Junuary government, significant progress has been made
in lowering the fertility rate and mortality rate,
2023 in a bid to make the higher education time-
improving average life expectancy, and lowering
befitting, modern and world-class. Through this,
infant and maternal mortality rates.
a radical change of taking place in tertiary
education. Besides, academic activities are being The expansion and quality of health services has
conducted laying emphasis on vocational, science improved and significant success has been
and IT education in private universities. achieved in controlling infectious diseases due to
the health and social protection programmes
Development of Health and Family Welfare adopted by the government. In addition, due to
Sector the development of food security system,
The government is making continuous efforts to expansion of women's education, the standard of
address the global pandemic of coronavirus living of the people has improved and life
properly and to overcome its economic impact by expectancy has also increased. Table 12.5 shows
giving priority to life and livelihood. In order to the trend of health indicators from 2014 to 2021.
Indicator Level 2014 2015 2016 2017 2018 2019 2020 2021*
National 18.9 18.8 18.7 18.5 18.3 18.1 18.1 18.8
Crude Birth Rate
Urban 17.2 16.5 16.1 16.1 16.1 15.9 15.3 16.4
(per 1000 population)
Rural 19.4 20.3 20.9 20.4 20.1 20.0 20.4 19.5
National 5.2 5.1 5.1 5.1 5.0 4.9 5.1 5.7
Crude Death Rate 4.9 4.8
(per 1000 population) Urban 4.1 4.6 4.2 4.2 4.4 4.4
Rural 5.6 5.5 5.7 5.7 5.4 5.4 5.2 6.0
Male 24.9 25.3 25.2 25.1 25.5 25.3 25.2 25.3
Average Age at Marriage
Female 18.3 18.4 18.4 18.4 18.9 18.9 19.1 19.1
Both 70.7 70.9 71.6 72 72.3 72.6 72.8 72.3
Life Expectancy at Birth (year) Male 69.1 69.4 70.3 70.6 70.8 71.1 71.2 70.6
Female 71.6 72.0 72.9 73.3 73.8 74.2 74.5 74.1
National 30 29 28 24 22 21 21 22
Infant Mortality Rate (<1 year) 20 21
Urban 26 28 28 22 21 20
(per 1000 live births)
Rural 31 29 28 25 22 22 21 22
National 38 36 35 31 29 28 28 28
Under 5 Mortality Rate (per 1000 live Urban 30 32 32 27 27 26 26 26
births) 28 29
Rural 40 39 36 33 31 29
National 193 181 178 172 169 165 163 168
Maternal mortality Ratio
Urban 182 162 160 157 132 123 138 140
(per lakh live births)
Rural 196 191 190 182 193 191 178 176
Contraceptive users rate (%) 62.2 62.1 62.3 62.5 63.1 63.4 63.9 65.6
Total Fertility Rate
2.11 2.10 2.10 2.05 2.05 2.04 2.04 2.05
(per women, 15-49 years of age)
Source: Report on Bangladesh Sample Vital Statistics-2021.
Community Clinic (CC) based Primary and about 1 lakh normal deliveries have been
Health Care Services completed so far in this system which has been
started gradually since 2009.
Community Clinic (CC) is the first tier public
health facility to provide primary health care Extended Programme on Immunisation (EPI)
services to the people at periphery, especially in
Government is continuing vaccination
remote and very hard to reach areas. At present
programme against vaccine preventable diseases
14,200 CCs are functional all over the country at
(VPD) through the expanded programme of
the union level. These community clinics have
immunization (EPI) to protect the children
become fully operational by recruiting
against those diseases. EPI is providing vaccines
community health care providers (CHCPs) based
against 10 vaccine preventable diseases named:
on community clinics to provide them with
Tuberculosis, Diphtheria, Pertussis, Tetanus,
appropriate training to develop their skills and
Hepatitis-B, Haemophyllus Influenza-type-B,
distribute adequate medicine and family planning
Pneumococcal Pneumonia and Measles and
materials. It is estimated that an average of 38
Rubella. As a result of successful implementation
patients per day receive service from each CC
of EPI, World Health Organization (WHO)
and 95 percent of them are women and children.
declared Bangladesh as Polio free country and
Beneficiaries from the CCs from 2009 to
this position is maintained. To achieve the year
February, 2022 are the rural people getting
wise coverage, EPI programme has procured and
services through around 114 crore visits. During
disbursed routine vaccination for children and
the same period, about 1 crore emergency and
women of 68186.34 lakh for the year 2021-22
complicated patients were referred to centres
and for this current year 2022-23 FY the process
with higher facility for better management.
of procurement of 92402.08 lakh of routine
About 4,000 community clinics across the
vaccines are ongoing.Table 12.6 shows the yearly
country are providing normal delivery services
EPI coverage.
Table 12.6: Vaccination under EPI Programme
2012 99.0 99.0 97.7 95.1 99.0 97.6 90.0 88.5 - 82.9
2013 95.0 95.0 94.0 92.0 91.0 93.0 92.0 86.0 81.0
2014 99.2 95.1 94.2 94.0 91.0 93.0 93.0 86.6 - - 81.6
2015 99.2 94.0 94.7 92.7 92.6 93.3 86.6 86.6 - - 81.6
2016 99.5 97.8 97.0 90.1 97.8 97.0 90.1 87.5 - - 82.3
2017 101.3 100.1 99.3 97.9 100.1 99.9 98.5 98.8 97.7 86.3 98.8
2018 100.6 99.3 98.2 97.7 98.7 97.3 96.6 97.6 97.1 95.3 97.6
2019 102.3 101.4 100.3 99.3 101.4 100.3 99.3 99.0 98.7 96.8 97.1
2020 97.3 95.9 93.9 92.6 95.7 93.7 92.5 91.4 92.8 91.8 92.0
2021 103.2 102.1 101.0 99.9 102.1 100.9 99.7 99.7 99.1 97.2 99.3
2022 104.2 103.3 102.5 101.6 102.8 101.8 101 - 101 98.2 99.9
Source: *Bangladesh EPI Census 2012, 2013, 2014, 2015, 2016, DHIS2 2017, 2018, 2019, 2020, 2021.2022
COVID-19 Vaccination Strategy, in each upazila every month. At present there are
Management and Initiatives 43 colonoscopy centres in Bangladesh at district
and upazila level.
The National Deployment and Vaccination Plan
has already been formulated under the Extended The Maternal Health Voucher Scheme has
Immunization Programme (EPI) to protect lives provided services to 50,472 poor mothers in 55
and prevent deaths from the COVID-19 Upazilas of the country from July, 2021 to June,
epidemic, through which the World Health 2022 and provided cash incentives and travel
Organisation (WHO) targets 70 percent of the allowances through Tk. 1071.32 lakh through
population to be vaccinated against COVID-19. mobile banking. The government has provided
At the initiative of the Department of Health short-term training for community based skilled
Services, age and authority based registration is birth attendant (CSBA) and midwives and
introduced through the web portal deployed them to the remote and rural areas. Till
www.surokkha.gov.bd. So far, 114,328,048 to date 12,510 CSBAs have been trained to
(73%) people have registered for the vaccine provide maternal health care services at the rural
against the target. The government has stocks of level. 3 years midwifery training course is going
vaccines required to provide vaccines with on and 3,000 posts have been created for
booster to the target population. midwives and 2,550 midwives are posted in
different health facilities.
Maternal and Neonatal Health Services
Nutrition
As special priority to the improvement of
Maternal and Child Health, many activities have To expand the nutrition service throughout the
been undertaken at the national level. Various country, the Operational Plan (OP) ‘National
training programmes are being introduced to Nutrition Services (NNS)’ has been taken up
improve the skills of physicians, nurses, under 4th HPNSP. It’s being implanted by the
midwives, and other professionals who offer Directorate of Health. The main purpose of the
emergency maternity care, encourage programme is to provide up to date and scientific
institutional delivery, and provide maternal and nutrition service to the vulnerable population,
child health services. The government has awareness building for the food habit changing
launched Emergency Obstetric Care (EmOC) in and nutrition induced life style and reducing
each district with the help of various maternal and child mortality by prevention of
development partners to provide emergency malnutrition.
maternity services. At present Comprehensive To provide nutrition services to children
Emergency Obstetric Neonatal Care (CEmONC) suffering from acute malnutrition, activities are
services are available in all Medical College being done out in all District Hospitals, Medical
Hospitals, 59 District Hospitals, 03 General College Hospitals, and Upazila Health Complex
Hospitals, 132 Upazila Health Complexes and 63 410 Severe Acute Malnutrition (SAM) units. At
Maternal and Child Welfare centres. Rest of the the grassroots level, 412 Integrated Management
Upazila Health Complexes is providing Basic of Childhood Illness (IMCI) and Nutrition
Emergency Obstetric Neonatal Care (BEmONC) Corners have been set up to prevent child
service. Expansion of EmONC services has malnutrition. In order to provide nutrition
reduced maternal mortality to 163 per lakh live services to the people in slums, remote areas of
births and neonatal mortality to 28 per thousand villages especially in char, haor area, NNS is
live births. In addition, more than 200 mothers conducting nutrition services activities in
are being screened for cervical and breast cancer coordination with various Ministries/Division
/Departments and local and foreign private aid Comprehensive Competency Nutrition Training
agencies. Guideline on COVID-19 has been (CCTN). In addition, 108 episodes of the weekly
formulated and guidelines have been distributed programme titled 'Nutrition Prosperity' have been
among all health and family planning aired on BTV World. Table12.7 shows a whole
officers/service providers. About 62,000 picture of nutrition status of Bangladesh.
officers/service providers have been trained on
Health Information System and E-health Programmes regarding admission in medical and
dental colleges, human resources management in
MOHFW has drawn global attention for the
the health sector, leave and deputation of the
successful utilisation of IT in the health sector.
doctors, every type of training and higher study
Laptops and Android Tablets have been provided
management have been digitalised.
at the community clinics and other grass root
level workers. Programmes are active for A call centre named 'Swasthya Batayan-16263
enrolling information related to each pregnant has been set up to provide health services to the
mother and under-5 children. A uniform 'Health people. Health services are being provided
identifier Code' is being provided to every citizen through mobile phones from every district and
which will be used to make the permanent health upazila level government hospital in the country.
record software design linking with the national Advanced telemedicine services are being
ID card database. A draft of national E-Health provided from 96 hospitals. Video conferencing
Policy and Strategy has been finalised. systems have been installed in all Divisional and
District Health Offices, District Hospitals, In addition, to facilitate women to receive the
Medical Colleges and Hospitals, and Upazila health services from the government health
Hospitals in collaboration with the Department of facilities more easily, the establishment of district
Health. hospitals as “Women Friendly Hospitals” is
underway. Up to February, 2023, 21 district
Shashtho Shurokkha Karmashuchi (SSK)
hospitals have been recognized as “Women
The government has developed the 'Strategy for Friendly Hospitals”, as well as 19 other district
Finance in the Health Sector: 2012-2032' in order hospitals are underway in the process of
to provide universal health care in the country by recognizing as “Women Friendly Hospitals”
2030. The 'Shashtho Shurokkha Karmashuchi according to the operational plan objectives.
(SSK)' has been developed in accordance with
Addressing the COVID-19 pandemic and
the policy to fund healthcare services for those
Protecting Public Life
living in poverty. The pilot programme under the
SSK has been initiated to reduce the out-of- The main scheme was approved on 18 April 2020
pocket expenses of the poor population and to provide health services and prevent future
protect them from the catastrophic health epidemics with emergency loan assistance as part
expenditure in receiving hospital-based services. of the government's response to the Covid-19
While receiving inter-departmental services from pandemic.
hospitals, every family holding a card gets free
The scheme covers the procurement of the
treatment including costs of diagnosis and
COVID-19 vaccine, transport costs of the
medicines.
vaccine, procurement of 11 crores of auto
Specialised Health Care disposable (AD) syringes for administering the
vaccine, and other incidental expenses. Also, a
The project is being implemented to set up a 100
vaccine testing lab (WHO maturity level-3) has
bed full-fledged cancer treatment unit at the
been set up for strengthening the National
Government Medical College Hospital in the
Control Laboratory of Drug Administration
divisional town to facilitate the treatment of
Directorate.
cancer patients. In addition, Currently, under the
“Hospital Services Management (HSM)” The procurement of a cold chain system for
operational plan, there are a total of 35 “Shishu vaccine supply and storage is underway and will
Bikash Kendras” in the country’s 21 medical be completed soon. And as a result, the immunity
college hospitals and 14 district hospitals. Shishu of the people of the country due to coronavirus
Bikash Kendras provide medical services to increases, and the adverse reaction to the disease
children diagnosed with autism and decreases. Five-function beds, emergency
neurodevelopmental disorders. In each center, ventilators, pulse oximeters, compact gas-
Child Health Physicians, Child Psychologists and powered ventilators, oxygen concentrators, and
Developmental Therapists provide the other necessary equipment and MSRs are
specialized services aimed at the physical and provided to various healthcare institutions on an
mental development of children. At the same urgent basis for the treatment of Covid-19
time, for the purpose of improving the health care patients. Liquid medical oxygen systems have
of newborns, SCANU services are currently in been installed and oxygen is being supplied to 30
place in 59 health facilities in 50 districts. In hospitals to meet the urgent medical oxygen
addition to the development/expansion of these needs of Covid-19 patients. In addition,
SCANU, the process of establishment of these construction of 10-bed ICU and 20-bed Isolation
services in the remaining 14 districts is ongoing. has already been completed in 10 Medical
College Hospitals, 10-bed ICUs, and 20-bed 53.8 percent. In 2021, Total Fertility Rates (TFR)
Isolation units in 13 district hospitals with the has been declined sharply from 3.0 in 2011 births
aim of permanently increasing the capacity of to 2.04 in 2021.
health services. In addition, the construction of a
About 9.43 lakh adolescents have been
10-bed ICU and 20-bed isolation, ICU in 2
counselled about prevention of child marriage,
infectious disease hospitals is underway in 30
and prevention of adolescent motherhood. As a
more district hospitals. These activities will
result, the rate of child marriage and adolescent
strengthen the intensive care programme for
pregnancy has decreased from 59% to 52% and
other patients including Covid-19.
from 31% to 22% respectively. 500 Model Union
RT-PCR Kits, Antigen Kits have been provided Health and Family Welfare Center service has
urgently for the identification of patients with the been establish for maternal Child Reproductive
Covid-19 virus. Additionally, the construction of Adolescent health services and free ambulance
27 modern microbiological laboratories and 2 service has been introduced for maternal health
biosafety level-3 laboratories is in progress. services. Fund has been allocated for another 40
During the COVID period, additional patient care Health Center. Administrative approval has been
and identification activities are provided to received for the manpower of 159 newly
various healthcare institutions by recruiting
constructed 10-bed Maternal and Child Welfare
manpower in various positions including doctors,
Centers (1,590 in total in 06 categories), out of
nurses, and lab consultants on an emergency
which 121 Mothers and Child Welfare Centers
basis. Also helping in contact tracing and active
have launched limited services. 1,250 officers
case identification process, providing health
have been brought under digital monitoring till
protection materials (PPE, KN95 mask, hand
January, 2023 for smooth management of family
gloves), and raising social awareness to eliminate
planning-maternal and child health activities at
misconceptions about Coronavirus.
field level. Besides, Clinical Contraception
Also, in order to deal with future epidemics, a Services Delivery Program unit has recruited
total of 07 medical screening units are being set 3,866 PPVs (Paid Peer Volunteers) in 100
up at 05 ports of entry, 20 medical waste Upazilas of 28 districts (hard to reach and low
management plants are being set up, and performing areas) to motivate & counsel young
infection prevention and control units are being married couples & perform domiciliary court
set up in 62 districts hospitals, and yard meetings.
epidemiological units are being set up in 64 civil
surgeon offices. In addition, the two specialized hospitals under
the DGFP, Maternal & Child Health Training
Family Planning Services and Reproductive
Institute (MCHTI), Dhaka and Mohammadpur
Health
Fertility Services and Training Center (MFSTC),
The family planning programme has achieved Dhaka have been brought under the service
significant success as a result of various effective automation including e-ticketing, drug
initiatives taken by the government. In 2001, distribution and medical services to the service
Bangladesh’s population growth rate was 1.57 recipients are provided through automation
percent, which is now 1.37 percent. At the same where medical records are electronically stored.
time, the number of birth control users has Besides, Service information on family planning,
increased. At present, 65.6 percent of couples are maternal and child health, nutrition, adolescent
using birth control methods, but in 2001 it was health and reproductive health services is being
published using the online software 'Monthly curriculum of medical education have been
Service Statistics Report' and 'Monthly Logistics updated.
Report'. Ministry of Health and Family Welfare
Health in Private Sector (MOHFW) is currently implementing Health,
Population and Nutrition Sector Programme
The government has taken various effective
(HPNSP) starting from January, 2017 to June,
initiatives to ensure the health services desired by
2023. The HPNSP is the 4th Sector Wide
the people. The government as well as the private
Approach (SWAP). It is being implemented
sector and NGOs are being encouraged to
through 31 Operational Plans (OPs). Expansion
provide quality health services through open
of quality health-education, technology-based,
competition. For that purpose, 4,544 private
research-based health-education is needed to
hospitals, 9,178 diagnostic centers and 177 blood
sustain the achievements of the health sector and
banks have been licensed in the country. The role
increase its ability to recover from future
of NGOs as well as the government in health
epidemics. Bangabandhu Sheikh Mujib Medical
services, especially hygienic sanitation, supply of
University, the country's first medical university
clean drinking water and elimination of other
established in 1998, is progressing in parallel
infectious diseases including covid-19, diarrhea,
with medical education and services, as well as
dengue, is worth mentioning. Also, several
research activities. Bangladesh Medical Research
domestic and foreign NGOs are actively working
Council (BMRC) is involved in research
in addition to government initiatives to reduce
activities related to medical science.
child and maternal mortality rates significantly
under health, population and nutrition programs. Nursing Services
Opportunities for public-private partnership At present, 42,176 nurses are serving in
(PPP)-based investment in the health sector have government health service and nursing institutes.
been created. In order to improve the quality of nursing and
Medical Education midwifery education and services, Bachelor of
Science in Nursing (4 Years’ Course) has been
The government's multiple endeavors to reform
started in 13 government nursing colleges where
the medical education system have resulted in
1,200 seats exist. Diploma in Nursing Science
significant changes in medical education. Under
and Midwifery (3 years’ course) is being
the direction of Hon'ble Prime Minister, an
conducted in 46 government nursing institutes
initiative has been taken to set up a Medical
where 2,730 seats exist. Diploma in Midwifery (3
University in each division. After the
years’ course) is being conducted in 62
commencement of activities of Rajshahi,
government nursing institutes where 1,825 seats
Chattogram and Sylhet Medical Universities, the
exist. It is to be noted that in addition to these
establishment of Sheikh Hasina Medical
educational institutions at the government level,
University, Khulna is in progress. Besides, the
for pursuing higher education in Nursing, 10
effort for expansion of modern and updated
Nursing Colleges are running 02-year Post Basic
education in medical sciences is continued.
B.Sc. in Nursing and Nursing in Public Health
Initiative has been taken to expand the
and 01 institutions are conducting 2-year MSc
opportunities to improve Medical Education. For
Nursing courses. Nurses and midwives are at the
these reason post-graduation courses have been
frontline fighter of global corona risk
started both in specialized institutions and
management. The Directorate General of Nursing
different Medical colleges. Besides this different
and Midwifery has successfully deployed nurses
and midwives in conjunction with Covid-19 Suppression (Amendment) Act-2020 and The
dedicated hospitals to provide quality nursing and Child Daycare Act-2021 have been enacted.
midwifery services. Deputation of students of
An incentive package has been implemented for
Post Basic B.Sc. in Nursing College and National
women to enable them to address the ongoing
Institute of Advanced Nursing Education and
impact of COVID-19 and facilitate economic
Research (NIENER) has been cancelled and they
recovery. Maternity allowances and working and
have been assigned to corona patient care and
lactating mother allowances have been provided
teachers have been given the responsibility to
to meet the health and nutritional needs of poor
monitor it. 5,045 nurses were recruited on an
pregnant women in rural and urban areas and
urgent basis and deputed to the Covid-19
ensure complete development of the child, and
dedicated hospitals across the country. In order
micro-credit activities have been running to
to improve the quality of nursing and midwifery
ensure self-employment of women. A total of 67
services, the government has undertaken various
programmes, such as- Nurse Expert Exchange One-Stop Crisis Cells (OCCs) have been set up
with different countries, foreign training, creation in 47 District Sadar Hospitals and 20 Upazila
of higher education opportunities at home and Health Complexes under the Multisectoral
abroad etc. Programme to provide services to women and
children victims of persecution across the country
Programmes for Women and Child and 13 One-Stop Crisis Cells have been set up in
Development Government Medical College Hospitals. These
The government is committed to women's One-Stop Crisis Centers and One-Stop Crisis
political, economic, and social empowerment, as Cells have provided services to a total of
well as the abolition of gender inequality, the 1,74,209 abused women and children as of
establishment of child rights, and their February, 2023. Initiatives have been to make
integration into the mainstream of overall less educated, poor and helpless women self-
development. The role of women in reliant by providing income generating training
empowerment and development in Bangladesh and IT training. Projects for the establishment of
has been strengthened as a result of the Community Nursing Degree College for Women
government's timely execution of policies and in Dhaka, and the ‘Promotion of Women
plans. Necessary laws and regulations have been Entrepreneurs for Economic Empowerment at
formulated for the establishment of equal rights Grassroot Level’ are in progress. Under the
in all spheres of state and public life and project, 56,122 women have been trained in 6
elimination of all forms of discrimination against trades (beautification, catering, fashion design,
women and various development projects, interior design and event management, baby care
programmes and other activities are being and housekeeping) till February, 2023 in 80
implemented. National Women Development training centers in 78 Upazilas in 5 years.
Policy-2011, National Child Policy-2011, Government is conducting various activities for
Comprehensive policy on Initial Care and psychological and cultural development as well
Development of Child-2013, Prevention and as flourishing the latent genius of the children
Protection of Domestic Violence Act-2010 and with an objective to developing them as
Rules-2013, Dowry Prevention Act-2018, Child competent citizens of the country. Among them-
Marriage Prevention Rules-2018’, Shishu safety and social security of child from embryo to
Academy Act-2018, Women and Child Abuse 8 years of age, establishment and operation of
Shishu Bikash Kendro for children of 4 years of
international standard players, expanding social activities related to Bangla language and
security in sports, preventing drug abuse, raising literature, compilation of dictionaries, various
health and environmental awareness, researches and publications as well as arranges
empowering women, and enhancing athletes' book fair in the month of February and celebrates
social status. Free sports equipment is being different significant days every year. Besides,
provided for organising and conducting sports in Bangladesh Shilpakala Academy is working to
educational institutions and sports clubs. develop, preserve, spread and encourage national
Bachelor of Physical Education (BPED) culture through fine arts, drama, music etc. 07
education is being imparted to young men and organisations are working under the Ministry of
women with bachelor's degree through 06 Cultural Affairs to preserve and develop the
Government Physical Education Colleges and traditional and colorful cultures of 12 small
Masters of Physical Education (MPED) is being ethnic groups living in the greater Chattogram
imparted through Dhaka Government Physical Hill Tracts region and to integrate those small
Education College. The ‘Bangabandhu ethnic cultures into the mainstream of national
Krirashebi Kalyan Foundation’ was established culture. Initiatives have been taken to implement
by enacting the ‘Bangabandhu Krirashebi development projects on preservation of Rose
Kalyan Foundation Act 2011’ to realise the Garden, various regional archeological
cherished dream of Father of the Nation monuments.
Bangabandhu Sheikh Mujibur Rahman with the
Bangladesh National Museum is devoted to
aim of providing financial assistance to indigent,
archaeological, classical, decorative and
injured and disabled sportsmen and sports
contemporary art, history, natural history,
organisers. In FY 2022-23, steps have been taken
ethnography and world civilisation. It has
to provide grants to a total of 1,500 indigents,
continued to collect different kinds of important
injured and disabled athletes and sports
archaeological artifacts from the remote areas of
organisers through the said foundation.
the country for the purpose of exhibiting
Cultural Affairs hundreds of thousands of visitors to the museum.
A project titled '1971: Construction of Genocide-
The government has been providing necessary
Torture Archive and Museum Building' is being
patronage for the betterment of all branches of art
implemented running at an estimated cost of Tk.
and culture including Bengali language and
32.22 crore. The copyright registration process
literature, music, art, drama, film and creative
has been automated. The project titled
publishing. Various activities are being carried
‘Bangladesh copyright Building construction’ is
out for the development, preservation and
ongoing for the construction of it’s own
expansion of culture of Bangladesh through 18
copyright office building. Different initiatives
departments/agencies under the Ministry of
have been taken to implement special programme
Cultural Affairs. The Department of Archeology
activities related to identification, collection,
is carrying out developmental activities including
evaluation and preservation of folk cultural
survey, excavation, renovation and preservation
expressions. The project titled 'Nationwide
of important archeological sites and monuments
Mobile Library' is being implemented by the
for the purpose of proper preservation and
Department of Public Libraries with the aim of
presentation of archeological resources and
sustaining the activities of the mobile library. 76
monuments of the country.
mobile libraries are providing mobile library
In order to achieve cultural excellence, the services at the doorsteps of readers across the
Bangla Academy conducts various notable country. The project titled 'Establishment of
Bangabandhu and Liberation War Corner' in the Development of Chattogram Hill Tracts
libraries of the country, 'Expansion of online
The Chattogram Hill Tracts is an integral part of
service activities of government public libraries'
our culture and heritage. The government is
is underway.
working tirelessly for the development of
Religious Affairs marginalised communities in the hilly areas. The
government is implementing various
Pilgrimage to Saudi Arabia was halted in 2020
development projects and technical projects for
and 2021 due to the global COVID-19. In 2022
the development of the hill people and for
pilgrims from Bangladesh have performed Hajj
preserving their glorious culture. A total of 1,936
smoothly. In 2022 pilgrims from Bangladesh
projects/schemes have been taken up in the three
have performed Hajj smoothly. In order to apply
hill districts (16 under ADP and 1,920 schemes
the maximum application of information
under development assistance) in the budget for
technology in Hajj activities, database
the FY 2022-2023 at a cost of Tk 932.18 crore.
management and the issuance of biometric visa
These projects aim to improve education,
have been incorporated in the system. In FY
healthcare, agriculture, social welfare, information
2022-23 Imam and Muajjin welfare Trust of
technology, electricity, communication,
Islamic Foundation has distributed tk. 2.65 crore
infrastructure, mixed fruit and spice gardens, basic
as aid to its 8,832 members and tk. 1.20 crore
healthcare services for 4,500 Para centers, provide
interest free loan to its 600 members. In the
safe drinking water, and promote sports, culture,
current fiscal year Hindu Religious welfare Trust
and development through various economic and
has targeted to disburse total tk. 4.80 crore for
social activities, it’s progress is very promising.
development of Monastery/Temple/Crematory
and as aid to its poor people. Buddhist religious Broadcast
welfare Trust has disbursed tk. 30 lakh as yearly Information on the overall activities of the
grant for building and repairing of Buddhist government including development activities is
institutions. Endowment fund of the Christian transmitted from the Ministry of Information and
religious welfare Trust has disbursed tk. 20 lakh Broadcasting to various print and electronic
as grants to its Churches/prayer houses. Islamic media including the top level of the government.
Foundation press, as a self -sufficient division of The government is taking various
Islamic Foundation is an authorised entity for projects/activities for the modernisation and
printing Islamic books, keeps on contributing to development of the media. The government is
the proclamation and expansion of Islam from its currently implementing various projects aimed at
establishment. Since July, 2022 the Islamic modernising Bangladesh Television and Radio
Foundation press has printed books of 85 titles Centre and developing digital broadcasting
from other divisions of Islamic Foundation. Halal system. The number of ongoing projects of the
Sonod division of Islamic Foundation has issued Ministry of Information and Broadcasting in FY
halal certificates as per Islamic law to 67 2022-23 is 13. All of these projects/activities are
commercial institutes of our country in FY 2022- designed to propel Bangladesh forward in the
23. The application of ICT is gradually rising for unparalleled development of communication
the monitoring of all religious education networking with global media, in keeping with
management for the children and its teacher technological advancement and excellence in the
administration system across the country. context of globalisation and that Bangladesh is
going ahead in this development. In addition, to
being aware and involved in the 10 special
initiatives of the Hon'ble Prime Minister, Redress System, E-governance and Innovation,
education, health, nutrition, development of Right to Information and citizen charter action
women and children, climate change, counter- plan.
militancy, migration, making people positively
Apart from nominating suitable candidates for
aware of various issues and promoting the
the service of the Republic through the
development of rural communities to achieve
Bangladesh Public Service Commission,
various goals strengthening projects are being
recommendations are also given on formulation-
implemented. In order to develop the film
amendment and disciplinary matters relating to
preservation system, facilities have been created promotion and appointment. From 2010 to 2023,
for the restoration and preservation of old films, the Commission has recommended 35,662
scientific documentation and research, including candidates for recruitment in different cadres
the creation of state-of-the-art facilities in the through 12 consecutive B.C.S. examinations.
film archiving system. After the successful
completion of first phase of construction of The Independent Anti-Corruption Commission
Father of the Nation Bangabandhu Sheikh Mujib (ACC) was established to curb and prevent
Film City project, the second phase of this corruption and corrupt practices in the country.
project has been taken. Under the ongoing The Commission is implementing multifaceted
project, initiatives have been taken to expand the programmes such as conducting enquiry and
number of FM based radio stations of investigation against allegations of corruption as
Bangladesh Betar and to modernize the existing well as building honesty and integrity in the
stations by installing digital broadcasting society by raising public awareness against
equipment. Besides, the projects for corruption. With the launch of Toll Free Hotline
modernization of central broadcasting system of (106), the daily complaints of public corruption
Bangladesh Television, and Introduction of can be easily presented directly to the ACC.
digital terrestrial broadcasting across the country Besides, ISD number +8809612106106 has been
are running properly. launched for receiving complaints. The
Enforcement Unit of ACC is constantly
Reforms and Good Governance conducting immediate operations in various
departments on the basis of specific allegations.
Aside from achieving high growth, various
As of July, 2022 to February, 2023, a total of
reform measures are being taken and
2,417 instant operations were conducted. Under
implemented to ensure sustainable and inclusive
the project ‘Investigation and Prosecution
balanced development, such as improve service,
Management System (IPMS)’ software has been
and good governance, the implementation of the
launched through which it has become possible
Right to Information (RTI) Act, the formulation
to automate the enquire, investigation and
and amendment of employment-related rules,
prosecution activities of corruption starting from
financial sector reform, and anti-corruption and
complaints of corruption received by the Anti-
prevention activities, etc. In order to strengthen
Corruption Commission. In addition the Anti-
good governance and accountability, the Annual
Corruption Commission has currently a total of 3
Performance Agreement (APA) of the
ongoing research projects to formulate more
ministry/department/agency has incorporated
effective corruption prevention strategies.
National Integrity Strategy (NIS), Grievance