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Reform plan to improve healthcare, arrest population boom

By Naimul Haq
The government has adopted a reform programme to Improve basic public healthcare services and to slow down population growth.
The programme, styled Health and Population Sector Strategy (HPSS) targets five main areas: child health, ma ternal health, control of com municable diseases, services for curative care and overall Im provement In the management of hospitals In rural ana urban
The programme has been prepared in consultation with donors, sources in the Ministry of Health said
The programme for child healthcare will focus on extended immunisation through increased activities of health workers at community union, thana and district levels
The programme will also in elude prevention and control of ARI. diarrhoeal diseases, measles malaria malnutrition, iodine deficiency and
Vitamin A deficiency. Measures will be taken for early diagnosis and prompt treatment (EDFT) of malaria, encouraging breastfeeding of children and counselling mothers on died. Vitamin A tablets will tie dis trlbuted among children upto six years and cases of night blindness among children will be detected for treatment Iodine deficiency will be monitored and steps will be taken to encourage use of Iodised salt
Maternal healthcare will
include registration of pregnant women, vaccination, giving post natal and obstetric care and encouraging family planning. Steps will be taken for creating awareness for 'safe sex'
To control communicable diseases, measures will be taken for creating awarenesa about tuberculosis, leprosy, malaria and kala zar and preventive measures.
Under the HPSS. 'vigilance team', comprising members of
parliament and local body representatives will be formed to monitor the activities of the thana health complexea and hospitals.
Talking to The Daily Star Health Secretary Mohammad All said more than two dozen common problems has been Identified which need to be corrected
Overcrowding in hoapitals. crista of drugs, doctors' tendency to private practice during office hours, equipment lying out of order, poor water supply, unhygienic condition of hospital premises. «epnduct of nurses and Class Foiir employees are among those which have been given priority for correction. These problems will be removed to ensure better services in hospitals", he added.
No post of doctor will remain vacant in the THCs and district hospitals. Government will fill up the posts in phases, he said.
The HPSS will be integrated into the new National Health Policy to provide a safety net' for the poor and disadvantaged groups. Services to the extremely poor women and adolescent girls will be ensured through an appropriate funding mechanism. The funding will come from donors who have indicated support for such services for the poor. The donors have suggested increased access of the poor to public hospital services, he said.