The Ministry of Health and Family Welfare assembled a Committee in 1996 for the purpose of preparing a health policy, with members drawn from civil society and professional bodies, including technocrats and bureaucrats.
A further five sub-committees were formed to:
Design Strategies for HRD
Formulate policies to ensure essential services
Integrate NGOs and the Private Sector and plan for resources and utilisation of funds
Evaluate the existing health services and determining the goals
Formulate policies to ensure hospital-based services
The sub-committees worked for more than a year and submitted their efforts/recommendations. A working group was formed and entrusted with the responsibilities for compiling the recommendations contained in the reports. The working group also organised workshops in all six Divisions to elicit opinions of cross-section of the society on these reports. Finally the working group presented the proposals and recommendations to the National Health Policy Formulation Committee. A report on the health policy was thus formulated on the basis of consensus. The Cabinet on 14 Aug 2000 approved the National Health Policy.
1. Health care system
The health care are designated to meet the health needs of the community through the use of available knowledge and resources. The services provided should be comprehensive and community based. The resources must be distributed according to the needs of the community. The final outcome of good health care system is the changed health status or improve health status of the community which is expressed in terms of lives saved, death averted, disease prevented, disease treated, prolongation of life etc.
Health care delivery system in Bangladesh based on PHC concept has got various Level of service delivery:
Thana level, Thana Health Complex THC: This is the first referral level.
District Hospital: This is the secondary referral level.
Home and community level.
National Level: This is the tertiary referral level.
Union sub centre USC or Health and family welfare centre; This is the first health facility level.
A) Primary level health care is delivered though USC or HFWC with one in each union domiciliary level, integrated health and family planning services through field workers for every 3000–4000 population and 31 bed capacities in hospitals.
B) The secondary level health care is provided through 500 bed capacities in district hospital. Facilities provide specialist services in internal medicine, general surgery, gynecology, paediatrics and obstetrics, eye clinical, pathology, blood transfusion and public health laboratories.
C) Tertiary Level health care is available at the medical college hospital, public health and medical institutes and other specialist hospitals at the national level where a mass wide range of specialised as well as better laboratory facilities are available.
The referral system will be developed keeping in view the following.
1. A clearly spent-out linkage between the specialised national institutes, medical college and district hospitals to ensure proper care and treatment of patients from the rural areas served by lower level facilities.
2. Patients from the rural areas referred by lower level facilities to district and medical college hospitals and specialised institutions should get preferential treatment after admission