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		<lang class="3" colour="#000000" orgstyle="HEAD new" style="Headline1"  font="Blacker Pro Display" fontStyle="Bold" size="41">10 ‘diseases’ plague the health system </lang>
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		<lang class="3" colour="#000000" orgstyle="2ND HEAD new" style="Headline2"  font="Blacker Pro Display" fontStyle="Regular" size="16">Ministry says reform plans include decentralisation, stronger primary healthcare </lang>
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	<lang class="3" style=".Bodylaser" colour="#000000" orgstyle="BY NAME LINE new" font="Blacker Pro Display" fontStyle="Bold" size="8">STAFF CORRESPONDENT
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	<lang class="3" style=".Bodylaser" colour="#000000" orgstyle="INDENTLESS BODY new" font="Blacker Pro Display" fontStyle="Regular" size="9">The health ministry has identified 10 major “diseases” in the healthcare system and has taken or planned measures to address them, aiming to improve the country’s overall healthcare.
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	<lang class="3" style=".Bodylaser" colour="#000000" orgstyle="BODY new" font="Blacker Pro Display" fontStyle="Regular" size="9">If healthcare reform is not at the centre of planning, all other reforms will become meaningless, the ministry said yesterday.
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	<lang class="3" style=".Bodylaser" colour="#000000" orgstyle="BODY new" font="Blacker Pro Display" fontStyle="Regular" size="9">“We promise that change is coming and reforms have already begun,” said Prof Sayedur Rahman, special assistant to the chief adviser for the health ministry.
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	<lang class="3" style=".Bodylaser" colour="#000000" orgstyle="BODY new" font="Blacker Pro Display" fontStyle="Regular" size="9">Health Adviser Nurjahan Begum said, “We are undertaking various initiatives to bring positive changes to the country’s health sector. We hope the benefits of these efforts will become visible in the coming days.”
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	<lang class="3" style=".Bodylaser" colour="#000000" orgstyle="BODY new" font="Blacker Pro Display" fontStyle="Regular" size="9">They were speaking at a press conference held at the Shaheed Abu Sayed International Convention Centre in the capital to highlight the ministry’s achievements over the past year and outline future reform plans.
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	<lang class="3" style=".Bodylaser" colour="#000000" orgstyle="BODY new" font="Blacker Pro Display" fontStyle="Regular" size="9">Prof Sayedur said they have identified 10 major problems in the health system, describing them as “diseases”.
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	<lang class="3" style=".Bodylaser" colour="#000000" orgstyle="BODY new" font="Blacker Pro Display" fontStyle="Regular" size="9">These are the absence of merit, knowledge, and competence in the system; excessive centralisation; overreliance on specialised treatment and neglected primary healthcare; lack of transparency and a culture of impunity; unmotivated and demoralised healthcare providers; absence of critical thinking and proper mindset; erosion of ethics and conflicts of interest; overdependence on external actors; weak leadership and poor management; and </lang>
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	<lang class="3" style=".Bodylaser" colour="#000000" orgstyle="SEE PAGE" font="ITC Giovanni Std" fontStyle="Bold" size="7">SEE PAGE 4 COL 1</lang>
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	<lang class="3" style=".Bodylaser" colour="#000000" orgstyle="HIGHLIGHT  new" font="Blacker Pro Display" fontStyle="Heavy" size="12">We are undertaking various initiatives to bring positive changes to the country’s health sector. We hope the benefits of these efforts will become visible in the coming days.
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	<lang class="3" style=".Bodylaser" colour="#000000" orgstyle="[No Paragraph Style]" font="Blacker Pro Display" fontStyle="Bold" size="9">NURJAHAN BEGUM, </lang>
<lang  class="3" style=".Bodylaser" colour="#000000" orgstyle="[No Paragraph Style]" font="Blacker Pro Display" fontStyle="Regular" size="9">health adviser</lang>
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