277
Grant No -
27 - Ministry of Health and Family Welfare
Medium Term Expenditure
(Taka in Thousand)
Projection
Budget
Description
2014-15
2015-16
2016-17
Non-Development
Development
Total:
Revenue
Capital
Total:
1.0
Mission Statement and Major Functions
1.1
Mission Statement
Ensure affordable and quality health care and family planning services for all by improving the health,
population and nutrition sector and building a healthy, strong and effective workforce.
1.2
2.0
Major Functions
a)
Formulation and implementation of policies relating to health and family planning;
b)
Provide health, nutrition and family planning services and the expansion of such services as per the
aspirations of the people;
c)
Ensure medical facilities, public health, sanitation and the prevention and cure of different
communicable and non-communicable diseases;
d)
Quality control of the production, import and export of drugs;
e)
Undertake activities on matters relating to population control, medical education, training of nurses,
national population research and training;
f)
Construction, maintenance and expansion of health and family planning institutions, nursing institutes
and colleges;
g)
Implementation of activities relating to maternal and child health care, Expanded Programme on
Immunization (EPI), alternative medical care and nutrition improvement; and
h)
Undertake activities on matters relating to national/international bodies in health and allied fields.
Medium Term Strategic Objectives and Activities
Medium Term Strategic
Objectives
Activities
Implementing
Departments/Agencies
1
2
3
1.
Ensuring improved
health care for mother
and child

Expansion of the coverage of the Expanded
Programme of Immunisation (EPI)
 Directorate of Health
Services
 Directorate of Family
Planning
278
Medium Term Strategic
Objectives
Activities
Implementing
Departments/Agencies
1
2
3

Continue Maternal Health Voucher Scheme
(DSF) and expansion of its coverage
 Directorate of Health
Services

Expansion of services related to ante- natal,
natal and post- natal care and continue
the service of midwifery and communitybased skilled birth attendants
 Directorate of Health
Services
 Directorate of Family
Planning
 Directorate of Nursing
Services
2. Expansion of
population control and
improved reproductive
health

Expansion of the coverage of Integrated
Management of Childhood Illness (IMCI)
and introduce a School Health Services
programme
 Directorate of Health
Services

Distribution of vitamin-A capsules and deworming drugs among children and iron
tablets to pregnant women
 Directorate of Health
Services

Encourage breast feeding and create
awareness of its benefits

Expansion of family planning services at the
doorstep of the recipients by family planning
field workers

Conduct a programme to motivate couples
of reproductive age to adopt permanent or
long or short –term contraception methods

Strengthen family planning activities in
areas with a low rate of adopting
contraception
 Directorate of Family
Planning
 Directorate of Family
Planning
 Conduct appropriate awareness building
programmes on reproductive health for
adolescents and youths
3. Upgrading quality
health care services for
all

Conduct Community Clinic based primary
health, nutrition and population programme
for rural population
 Secretariat

Implementing the Essential Service Delivery
(ESD) activities
 Directorate of Health
Services

Expansion of health facilities
 Secretariat
 Directorate of Health
Engineering

Expansion of nursing services
 Directorate of Nursing
Services

Expansion of alternative medical care in
Government health institutions
 Directorate of Health
Services

Expansion of health care services available
for senior citizens
 Directorate of Health
Services
 Expansion of health services in the private
sector using Government grants through
 Secretariat
279
Medium Term Strategic
Objectives
1
Activities
Implementing
Departments/Agencies
2
3
Public-Private Partnership

4. Ensuring quality
specialized health care
services
5. Control of
communicable, noncommunicable
diseases and new
diseases, which arise
from climate change
6. Increasing food safety
with nutritional
standards
Facilitate community outreach activities and
improvement of health care services through
NGOs, for the poor and vulnerable
population including those residing in
remote and inaccessible areas
 Directorate of Health
Services
 Inclusion of health education in school
curriculum
 Directorate of Health
Services

Create mass awareness about existing and
probable new diseases by introducing
information campaigns and operating
community mobilization programme
 Directorate of Health
Services

Creating an effective network of referral
system including setting up of ICUs and
Cardiac Units to provide specialized
services in district hospitals, medical
colleges and specialized hospitals
 Directorate of Health
Services

Provide training for specialized health care
services

Provide emergency medical treatment to
accident victims at a variety of trauma
centres

Implementing the national AIDS/STD
programme and strengthening targeted
interventions among the HIV/AIDS high risk
population

Implementation of control programmes for
Arsenic ,Leprosy, TB, Kalazar, Malaria,
Fileria and Dengue related diseases and
provide services to affected people

Initiate a programme and formulate a
strategy to prevent new diseases which
arise from climate change

Formulate and implement a strategy to
reduce the number of smokers and tobacco
users
 Secretariat

Implementation of the community nutrition
programme
 Directorate of Health
Services

Expansion of activity providing
supplementary foods to pregnant women,
nursing mothers and children
 Directorate of Family
Planning

Formulate and implement a strategy to
ensure food safety and to determine food
standards

Conduct a nutrition awareness programme
 Directorate of Family
Planning
 Directorate of Health
Services
 Directorate of Health
Services
280
Medium Term Strategic
Objectives
1
Activities
Implementing
Departments/Agencies
2
3
with the help of the mass media and NGOs
7. Establishment of
improved and efficient
pharmaceutical sector
8. Development of
efficient human
resources in health,
population and
nutrition sector

Initiate a programme to ensure availability of
essential drugs at competitive prices
 Department of Drug
Administration

Initiate a programme to enhance efficiency
in the drug sector and to ensure the
production, import-export, preservation,
distribution and marketing of quality drugs

Ensure quality in traditional medicine
including Homeopathy, Ayurvedic and Unani

Impart education and training to managers,
doctors, nurses, midwives, communitybased skilled birth attendants , paramedics,
fieldworkers , technologists and other
health related human resources
 Directorate of Health
Services

Ensure quality education in traditional
medicines including Homeopathy, Ayurvedic
and Unani and effective measures to
improve herbal medicines
 Directorate of Health
Services

Conduct research and survey related to
Health, Nutrition, Population and
Reproductive health
 NIPORT
 Directorate of Nursing
Services
 NIPORT
3.0
Poverty and Gender Reporting
3.1
Impact of Strategic Objectives on Poverty Reduction and Women's Advancement
3.1.1
Ensuring improved health care for mother and child
Impact on Poverty Reduction: Infant mortality rate (IMR) will be reduced through activities of the EPI,
IMCI and Mother and Child Health (MCH) programmes of the Maternal and Child Welfare Centres.
Improvements in maternal health and the maternal mortality rate (MMR) will be brought about through the
activities of the MCH. The Maternal Health Voucher Scheme will be further extended to 73 Upazilas to
ensure the necessary health care for poor pregnant women.
Impact on Women’s Advancement: Maternal health services and the Maternal Health Voucher Scheme
will contribute to the improvement in women’s health and nutrition status, especially for pregnant women
and lactating mothers.
3.1.2
Expansion of population control and improved reproductive health
Impact on Poverty reduction: Expansion of family planning activities will motivate both men and women
to use birth control measures and this will keep family size small. As a result, family expenditure will be
reduced leading to improvement in the pecuniary condition of the family.
Impact on Women’s Advancement: Family planning services, the supply of necessary contraceptives
and drugs, home visits from field workers, and access to reproductive health care services will improve the
health of women and adolescent girls. Reproductive health related programmes will reduce the mortality
risk of women and adolescent girls. Awareness will enhance the health of women and adolescent girls.
Through these activities, awareness about pregnancy, child birth and related issues will be generated
among women. As a result, healthy women/adolescent girls will be able to earn their living
281
3.1.3
Upgradating quality of health care services for all
Impact on poverty reduction: Initiatives taken on primary health care services, nutrition and population
control for rural areas through the general health care services of community clinics will contribute to the
health of poor and vulnerable population of the country irrespective of religion, colour and gender.
Alternative medical care and treatment programmes will promote Homeopathy, Ayurvedic and Unani
medicines. This form of medicine and treatment will be easily accessible to the poor community
irrespective of gender. Providing health care services to senior citizens will improve social safety of the
aged and poor people. Inclusion of health related study in school curriculum and health education
programmes will increase awareness on health issues among the ultra-poor male and female population.
This would encourage them towards a healthy and productive life-style.
Impact on Women’s Advancement: Improvement and expansion of the General Health Service will
increase the scope for rural women to access primary health care, nutrition and family planning related
services. Women will be able to access locally available alternative medical facilities at a lower cost, thus
reducing their health risks and improving their productivity. Preference given to aged women in accessing
health related services and initiatives to improve the health situation of aged women, would contribute to
their social security. Awareness will enhance the health of women and adolescent girls. As a result healthy
women will be able to earn more and will enjoy greater social status.
3.1.4
Ensuring quality specialized health care services
Impact on Poverty reduction: The construction and expansion of specialized hospitals will increase the
scope of specialized health care services which will further enhance access to health services and improve
the health status of the poor.
Impact on Women’s Advancement: The provision and expansion of a variety of specialized health care
services will further enhance the opportunities for women to access health care.
3.1.5
Control of communicable, non-communicable diseases and new diseases, which arise from climate
change
Impact on Poverty reduction: Poorer communities will be brought within the coverage of the control of
communicable and other diseases by the implementation of a national AIDS/STD programme, through
necessary medical treatments for Leprosy, TB, Kalazar, Malaria and Dengue fever, through the supply of
drugs and awareness building. As a result, access to health care and the improvement of health will be
increased for the poor. In addition, sex-workers will also be brought under coverage of the health care
programme. As a result, health risks will be reduced.
Impact on Women’s Advancement: Opportunities for the control of communicable and other diseases
including AIDS/STD will be enhanced for women and it will reduce health risks and possible damages.
Especially female sex-workers’ will be brought under this service. Females will benefit comparatively more
as they are more vulnerable to being affected by these diseases.
3.1.6
Increasing food safety with nutritional standards
Impact on Poverty reduction: Nutrition status has been improved through community nutrition
programmes for poor groups at 173 Upazilas through area-based nutrition activities and through mass
awareness building campaigns with NGOs’ participation. The National Nutrition Programme (NNP) will be
expanded to all Upazilas in phases. As a result, it will be possible to provide nutritious food to more
pregnant women and children. Moreover, poor communities will be brought within the coverage of the
nutrition programme which will create opportunities to build a healthier workforce irrespective of religion,
colour or gender. A healthy workforce will be developed by setting food standards and creating mass
awareness of the adulteration of food. As a result, poor people will not be required to incur additional
expenditures to maintain their health.
Impact on Women’s Advancement: Women will be better protected from malnutrition through the
nutrition programme, which would also facilitate availability of safe and quality food.
282
3.1.7
Establishment of improved and efficient pharmaceutical sector
Impact on poverty reduction: Procurement of raw materials and standard pharmaceutical equipment,
training of human resources (male and female) and implementation of a national drug policy will enhance
the quality and supply of essential drugs at affordable prices through price rationalization.
Impact on Women’s Advancement: Efficiency in the drug sector will ensure the supply of quality drugs
and reduce the problem of access to medicine for the masses, including women. Quality drugs will help
improve women's health and reduce health related risks.
3.1.8
Development of efficient human resources in the health, population and nutrition sector
Impact on Poverty reduction: Well trained and skilled health workers will strengthen the quality of
medical services, especially to the poor.
Impact on Women’s Advancement: Improved quality of health services through trained manpower will
enable effective medical care for women.
Poverty Reduction and Women’s Advancement Related Spending
3.2
(Taka in Thousand)
Particulars
Budget
2014-15
Projection
2015-16
2016-17
Poverty Reduction
Gender
4.1
Priority Spending Areas/Programmes
Priority Spending Areas/Programmes
Related Strategic Objectives
1. Provide Health and Family planning services to rural poor
through community clinics and Union Health and Family Welfare
Centres:
 Ensuring improved health care for
mother and child
To ensure participation of the community in the provision of general
health care services, and nutrition and family planning activities at the
grass-roots level, 12,217 community clinics have already been revived
and the remaining 1,283 community clinics will be re-constructed. This
has therefore been given the highest priority.
2. Conducting Family Planning Activities in order to improve
Population Control and Reproductive Health Care:
One of the important targets of the Government is the control of
population and reduction in child mortality and maternal mortality rates,
TFR through family planning activities and uses of contraceptives,
keeps population growth rate at an optimum level. In order to develop
the country, one of the important preconditions is to control population
and to improve reproductive health as well as to implement the
Government’s development activities. Therefore, these activities are
marked as a priority.
3. Hospital-based Health Care Services:
Further expansion of infrastructure and placements of required
personnel in hospitals at District and Upazila levels will be made and
by doing so opportunities to access medical care services will be
ensured for all strata of people. Better treatments will be provided
through the development of a referral system. This is, therefore,
considered as a priority.
 Expansion of population control
and improved reproductive health
 Upgradating quality health care
services for all
 Increasing food safety with
nutritional standards
 Ensuring improved health care
for mother and child
 Expansion of population control
and improved reproductive health
 Upgradating quality health care
services for all
 Ensuring improved health care
for mother and child
 Expansion of population control
and improved reproductive health
 Up gradating quality health care
services for all
 Control of communicable, noncommunicable diseases and new
diseases, which arise from climate
283
Priority Spending Areas/Programmes
Related Strategic Objectives
change
 Ensuring quality specialized
health care services
4. Specialized Health Care Services:
Specialized health care services against complex and acute diseases,
provided in modern heath care facilities, will be expanded further for
the benefit of the general public through a general and referral system.
As a result, people will receive specialized medical services similar to
those available in developed countries at reasonable costs. By doing
this, people will be relieved from physical and mental anguish and
financial losses and the country will be able to save its hard-earned
foreign currencies. In order to expand specialized medical services to
the people, this area has been given a priority.
 Development of efficient human
resources in the health,
population and nutrition sector
5. Medical Education and training programmes:
A well trained and coordinated health workforce will be developed
through education and training of doctors, nurses, paramedics and
other relevant personnel. In order to reduce maternal mortality rate,
midwifery/TBA training activities will be strengthened. As a trained and
efficient workforce is necessary to ensure quality medical care, this
activity has been given priority.
 Establishment of improved and
efficient pharmaceutical sector
6. Enhancement of the production and export of quality medicine:
The drug policy will be revised to produce drugs of international
standards, to supply essential drugs to the people at a reasonable cost
and to increases exports. To achieve self- sufficiency in this sector and
to increase exports of drugs are the main target of the Government.
Therefore this area is considered as priority.
4.2
Medium Term Expenditure Estimates and Projection (2014-15 to 2016-17)
4.2.a
Expenditure by Department/Agencies/Operational Units
(Taka in thousand)
Description
Budget
Revised
Budget
2014-15
2013-14
Projection
2015-16
2016-17
Grand Total :
4.2.b
Expenditure by Economic Group Wise
(Taka in thousand)
Description
Economic
Group
Code
Budget
Revised
Budget
2014-15
2013-14
Projection
2015-16
2016-17
Revenue Expenditure
4600
5.0
Pay of Establishment
Key Performance Indicator (KPIs)
Indicator
1
1. Infant Mortality Rate (under five)
2. Maternal Mortality Rate
3. Delivery rate by Trained Birth
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
Target
Revised
Target
2014-15
2015-16
2016-17
8
9
10
50
49
48
47
1.70
1.61
1.51
1.43
1.33
36
41
46
50
54
2
3
4
1,6
Per thousand
live births
51
1,2,6
Per thousand
live births
1
Per hundred
5
2013-14
Medium Term Targets
6
7
284
Indicator
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
1
2
3
4
Target
Revised
Target
Medium Term Targets
2013-14
5
6
2014-15
2015-16
2016-17
8
9
10
7
Attendant
4. Total Fertility Rate (TFR)
2
Per hundred
2.22
2.14
2.07
2.0
2.0
5. Child Malnutrition (under five )
6
Per hundred
36
35
34
33
32
6. Expansion of the coverage of
the Expanded Programme of
Immunisation (EPI)
1
% of targeted
population
82
86
88
90
90
6.0
Recent Achievements, Activities, Output Indicators
Expenditure Estimates of the Departments/Agencies
6.1
Secretariat
6.1.1
Recent achievements: National Health Policy 2011 and National Population Policy 2012 have been
finalized. According to the pre-election commitment of the government, over the last three years, 12,217
community clinics were established and 12,991 health care providers appointed in these clinics. Poor and
vulnerable pregnant women with complications have been supported by health voucher programs, which
have been running in 53 upazilas. Initiatives have been undertaken to expand the programs to 20 new
upazilas. Patient welfare fund policy, user fees collection policy, appointment of doctors on an ad-hoc basis
and appointment of nurses by seniority and merit have been introduced. 3551 new doctors have been
appointed on an ad-hoc basis and 335 doctors have been appointed through 31st BCS examination.
Iimplementation of the 5-year program on Health, Population and Nutrition Sector Development (HPNSDP)
has been initiated. Nutrition services are being provided throughout the country under mainstreamed
National Nutrition Service Program.
6.1.2
Activities, Output Indicators and Targets
Activities
Output
Indicator
1
2
1. Conduct Community Clinic
based primary health, nutrition
and population programme for
rural population
2. Expansion of health facilities
3. Expansion of health services in
the private sector using
Government grants through
Public-Private Partnership
4. Formulate and implement a
strategy to reduce the number
of smokers and tobacco users
6.1.3
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
3
4
5
Number
Eastablished
Community Clinic
3
Beneficiary
(in Thousand)
Number (in
Crore)
Target
and
Revised
Target
2013-14
7
6
Targets
Medium Term Targets
2014-15 2015-16
8
and
2016-17
9
10
11
12.75
13.50
13.50
13.50
13.50
7.80
8.27
8.60
9.12
9.57
Constructed
health facilities
3
Number
345
198
100
82
75
Government
grants
3
Number
39
42
45
45
45
250
300
300
300
350
5
Number
1
1
1
1
1
Manpower
training
Research
activities
Medium Term Expenditure Estimates by Operational Unit, Programmes and Projects
(Taka in Thousand)
Actual
Name of the Operational Unit/
Programme/Project
Related
Activity
2012-13
1
2
3
Operational Units
Budget
Revised
2013-14
4
5
Medium Term Expenditure Estimates
2014-15
2015-16
2016-17
6
7
8
285
6.2
Directorate of Health
6.2.1
Recent achievements: To expand the use of information technology and to improve the standard of
medical services, internet connections have been provided to 1030 hospitals/ medical centers and mobile
phones have been supplied to 485 hospitals, 64 district hospitals and 421 upazila hospitals. At various
posts 39,092 persons were appointed. Student enrolments at 4 new medical colleges (Jessore Medical
College, Shaheed Syed Nazrul Islam Medical College at Kishoregonj, Satkhira Medical College and Kustia
Medical College) were completed. The number of students admitted to the MBBS program in 22 medical
colleges has increased to 2811 persons. 50 dental units were inaugurated at each of 7 old medical
colleges. The number of students admitted to dental unit courses at 9 dental colleges and medical colleges
have increased to 567. 133 upazila health complexes have been included in the medical waste
management program. Dots program has been initiated in all the 488 upazilas under the National TB
control Program. As a result, success was achieved in identifying 3,25,390 patients from July 2011 to
December 2012 and curing 92% of TB patients. Further, success was achieved in identifying 87% of
leprosy patients. The disease of filaria has been completely eradicated from the districts of Dinajpur,
Rajshahi, Meherpur, Barguna and Patuakhali. “Mini laptop, the Digital Doctor”- this theme will be used to
give telemedicine services to patients coming to community clinics. Information storage regarding to health
status of rural people will be updated. 18000 mini laptop computers with webcams will be provided to
community clinics to give health education to rural people and training on e-mail and internet to health
personnel. Through the ‘Hibpenta’ scheme under the Expanded Program of Immunization (EPI), 6 vaccines
can be delivered in one injection. Under the routine EPI, the coverage of children received vaccination has
increased to 80.2%. Emergency mother care programs have been strengthened in 132 upazilas.
6.2.2
Activities, Output Indicators and Targets
Activities
Output
Indicator
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
1
2
3
1. Continue Maternal Health
Voucher Scheme (DSF) and
the expansion of the coverage
No of upazilas
under maternal
voucher scheme
1
Beneficiary
4
5
Number
70
Person in
lakh
Person in
lakh
2. Expansion of the services
Pregnant women
related to ante- natal, natal and receive health
post- natal problems and
care services
introduce the service of
Women receive
midwifery and communitypostpartum care
based skilled birth attendants
1
3. Expansion of the coverage of
Integrated Management of
Childhood Illness (IMCI) and
introduce a School Health
Services programme
1
Per thousand
live births
1
Number in
lakh
4. Distribution of vitamin-A
capsules and de-worming
drugs to children and iron
tablets to pregnant women
Neonatal
mortality rate
Vitamin A
capsules to
children under 5
years
Anti helminthes
to children
5. Encourage breast feeding and
create awareness of its
benefits (1)
Target
Revised
Target
2013-14
2014-15 2015-16
2016-17
9
10
11
93
113
133
153
2.00
2.43
2.51
2.83
3.51
15.15
15.23
15.27
15.32
15.32
5.93
6.31
6.05
6.07
6.07
31
28
25
21
20
203.28
200.00
190.00
180.00
170.00
154.77
150.00
149.00
148.00
145.00
6
7
Medium Term Targets
8
Children under 6
months who are
exclusively
breastfed
1
%
64
68
70
72
74
6. Implementing the Essential
Service Delivery (ESD)
activities
Health facilities
with effective
waste
management
3
Number
235
306
375
400
421
7. Expansion of alternative
medical care in Government
health institutions
Health facilities
with capacity to
deliver
3
Number
220
225
467
467
467
286
Activities
Output
Indicator
1
2
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
3
4
5
Health facilities
with capacity to
deliver
services for
senior citizens
3
Number
140
Inaccessible
areas under
NGO activities
3
Number
Primary school
teachers
received training
in health
services
3
11. Creating an effective network
to establish referral system
District hospital
including setting up of ICUs
under the
and Cardiac Units to provide
piloting of
specialised services in district structural referral
hospitals, medical colleges
system
and specialized hospitals
Target
Revised
Target
2013-14
2014-15 2015-16
2016-17
9
10
11
170
180
190
200
40
46
50
55
55
Number in
thousand
0.66
0.27
1.10
1.10
1.10
4
Number
10
17
10
11
64
Trained
specialist
surgeon
4
Number
550
650
550
500
525
13. Provide emergency medical
treatment to accident victims
at a variety of trauma centres
Trauma
management
center
4
Number
6
8
9
10
11
14. Implementing the national
AIDS/STD programme and
strengthening targeted
interventions among the
HIV/AIDS high risk population
High risk
population under
AIDS/ HIV
control
programme
5
Person in
lakh
45
60
65
70
75
Number in
lakh
1.77
1.87
1.94
1.98
2.00
%
92
92
92
92
92
6
7
Medium Term Targets
8
alternative
medical care
8. Expansion of health care
services available for senior
citizens
9. Facilitate community outreach
activities and improvement of
health care services through
NGOs, for the poor and
vulnerable population including
those residing in remote and
inaccessible areas
10. Inclusion of health education
in school curriculum
12. Expand specialized health
care services
15. Implementation of Arsenic
,Leprosy, TB, Kalazar,
Malaria, Fileria and Dengue
related diseases control
programme and provide
services to affected people
Identification
rate of
suspected
tuberculosis
patients
5
Cure rate of
tuberculosis
disease
16. Initiate programme and
formulate strategy to prevent
new diseases which arise
from climate change
Training on
infectious
diseases
derived
from climate
change
5
Number of
training
sessions
1000
1019
611
611
672
17. Formulate and implement a
strategy to reduce the number
of smokers and tobacco users
Training and
workshop on
prevention of
Tobacco use
5
Number of
training
sessions
875
903
542
542
596
18. Implementation of community
nutrition programme
Coverage of
community
participation in
nutrition program
6
Number of
upazilas of
target group
-
-
-
-
-
19. Expansion of activity providing Coverage area
supplementary foods to
for distribution of
pregnant women, nursing
supplementary
6
Number of
upazilas
-
-
-
-
-
287
Activities
Output
Indicator
1
2
3
4
5
Coverage of
Campaign
activities
6
Number
35
Total trained
health workers
8
Number of
training
batches
975
mothers and children
20. Conduct nutrition awareness
programme with the help of
the mass media and NGOs
21. Impart education and training
to manager, doctors, nurses,
midwives, community-based
skilled birth attendants ,
paramedics, fieldworkers ,
technologists and other health
related human resource
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
Target
Revised
Target
2013-14
7
6
Medium Term Targets
2014-15 2015-16
2016-17
9
10
11
40
55
70
80
1050
1050
750
700
8
food
(*) National targets are shown. Data on contributions by this directorate has not been separately recorded and
estimated.
6.2.3
Medium Term Expenditure Estimates by Operational Unit, Programmes and Projects
(Taka in Thousand)
Actual
Name of the Operational Unit/
Programme/Project
Related
Activity
2012-13
1
2
3
Budget
Revised
Medium Term Expenditure Estimates
2013-14
4
5
2014-15
2015-16
2016-17
6
7
8
Operational Units
6.3
Directorate of Family Planning
6.3.1
Recent achievements: To keep the population growth rate at an optimum level and to ensure family
planning services at the doorstep of the recipients, couples of reproductive age to adopt permanent or long
or short-term contraception methods are motivated by family planning field workers. According to the
commitment of the present government, countrywide family planning and health services are being
continued to be at the doorstep of the recipients through community clinics. During the last three years
(July 2009 to October 2012), 36.47 crore cycle oral pills, 41.51 crore pieces of condoms and 4.42 crore vial
injections were supplied. In addition, 8.89 lakh women started using IUD and 6.09 lakh to wear implants.
Further, total 9.87 lakh persons, of which 5.33 lakh are males and 4.54 lakh are females, were brought
under permanent methods of birth control. Internet connection has been established in 7 divisions, 64
districts and 483 upazillas. A total of 518 laptops along with printers have been supplied to allow for the use
of the internet connection. 6,500 persons have been appointed to support all these activities and sustain
the achievements.
6.3.2
Activities, Output Indicators and Targets
Activities
Output
Indicator
1
2
1. Procurement, deposition
,distribution and supply of
contraceptives and M.S.R
Related
Unit of
Revised Actual
Strategic Measurement Target
Objective
2012-13
s
3
4
Oral pill-cycle
150
Number in
million
Injection-vial
Condom-piece
2,3
Implant-set
Number in
lakh
IUD
SDP
2.
Undertake special activities
on different contraception
methods with the help of
NGOs for those who residing
in remote and inaccessible
areas
Camps
5
2,3
Number
6
Target
Revised
Target
2013-14
7
180
Medium Term Targets
2014-15 2015-16
8
2016-17
9
10
11
230
230
230
11.9
19
21
21
21
150
150
215
215
215
-
9.5
11
11
11
-
5
8.25
5.55
5.55
-
3
2.4
3.8
3.8
2475
2600
2640
2640
2640
288
Activities
Output
Indicator
1
2
3
4
5
3. Conduct programme to
motivate couples of
reproductive age to adopt
permanent or long - term or
short –term contraception
methods
Workshop
2,3
Number
150
4. Strengthen family planning
activities in areas with a low
rates of adopting contraception
Workshop
2,3
Number
5. Conduct appropriate
awareness building
programmes on reproductive
health for adolescent and
youth
Workshop
2
Number
1,6
Number in
lakh
6. Provide services related to
ante- natal, natal and postnatal care for mother and child
Related
Unit of
Revised Actual
Strategic Measurement Target
Objective
2012-13
s
Beneficiary
pregnant
Beneficiary
children
Target
Revised
Target
2013-14
7
Medium Term Targets
2014-15 2015-16
2016-17
9
10
11
200
200
200
200
150
150
150
150
150
80
80
123
123
124
20.00
27.00
43.00
60.00
60.00
-
-
-
-
-
6
8
(*) BDHS 2011, * * BMSS.
6.3.3
Medium Term Expenditure Estimates by Operational Unit, Programmes and Projects
(Taka in Thousand)
Actual
Name of the Operational Unit/
Programme/Project
Related
Activity
2012-13
1
2
3
Budget
Revised
Medium Term Expenditure Estimates
2013-14
4
5
2014-15
2015-16
2016-17
6
7
8
Operational Units
6.4
Directorate of Health Engineering (DPHE)
6.4.1
Recent achievements: 275 health complexes with 31 beds were upgraded to 50-bed, 17 complexes of
50-bed district hospitals upgraded to 100-bed, number of beds at 63 Mother and Child Welfare Centers
raised from 10 to 20 beds, and 4 medical training assistant schools upgraded to medical assistant training
institutes. Ten new 31-bed upazila health complexes, fifteen 20-bed hospitals, two nursing colleges, 78
upazila stores, one 200-bed dental college & hospital at Mirpur, two 100-bed diabetic hospitals, one
FWVTI, four IHT, one RTC, 01 Drug Testing Laboratory (DTL), expansion of National Control Laboratory
(NCL), NIPSOM, one tropical infectious disease control institute at Fouzdarhat in Chittagong, doctors
quarters at 20 district hospitals and 606 union family welfare centers were established. In addition, ICU and
casualty units at three medical colleges, upgrading of the Comilla Medical College Hospital from 250-bed to
500-bed, construction of 5 trauma centers, construction of a 200-seat women hostel at Rajshahi Medical
College, construction of the 250-bed Sheikh Abu Naser Specialized Hospital at Khulna, construction of a
250-bed TB hospital at Shaymoli in Dhaka, upgrading the Mymensingh Medical College Hospital from 500bed to 1000-bed, construction of one asthma center at Mohakhali in Dhaka, construction of interned
doctors’ hostels at eight medical colleges, establishment of CCU unit at the Jessore Sadar Hospital,
construction of women and nurses hostels in eight medical colleges, and modernisation of Rangpur,
Rajshahi, Barisal, Chittagong and Sir Salimullah medical colleges were also completed.
6.4.2
Activities, Output Indicators and Targets
Activities
Output Indicator
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
1
2
3
4
5
1. Expansion of health
facilities
Constructed union,
upazila and district level
hospitals / health center
3
Number
-
6
Target
Revised
Target
2013-14
7
182
Medium Term Targets
2014-15 2015-16
8
2016-17
9
10
11
85
77
70
289
Activities
Output Indicator
1
2
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
3
4
5
Constructed other health
facilities
6.4.3
Target
Revised
Target
2013-14
7
6
-
Medium Term Targets
2014-15 2015-16
8
16
2016-17
9
10
11
15
5
5
Medium Term Expenditure Estimates by Operational Unit, Programmes and Projects
(Taka in Thousand)
Actual
Name of the Operational Unit/
Programme/Project
Related
Activity
2012-13
1
2
3
Budget
Revised
Medium Term Expenditure Estimates
2013-14
4
2014-15
2015-16
2016-17
6
7
8
5
Operational Units
6.5
Directorate of Drug Administration
6.5.1
Recent achievements: Steps were taken to improve/ update the National Drug Policy, 2005. Required
changes have been incorporated in the Drug Control Ordinance 1982. Laws related to drugs (Drug Act
1940, Drug Rules 1945 and 1946, Drug Ordinance 1982 and Drug Policy 2005) were compiled and
published. The Essential Drug List was updated according to the Model List of WHO. An Inspection check
list was published and supplied according to the GMP Guidelines of WHO. Dhaka Drug Testing Laboratory
was brought under authority of the Directorate General of Drug Administration. Posters, ADR forms, code
of pharmaceutical marketing were printed and distributed to create awareness about rational use of drugs.
Training on GMP was imparted to pharmacists and chemists working in the drug industry.
6.5.2
Activities, Output Indicators and Targets
Activities
Output Indicator
1
2
1. Initiate programme to ensure
availability of essential drugs
at competitive prices
Inspection of
production and
sales unit of drug
industries
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
3
2. Initiate programme to
Issuing production
enhance efficiency in the
license
drug sector and to ensure
Issuing and renewal
production, import-export,
of retail license
preservation, distribution and
Sample collection
marketing of quality drugs
for examination
3. Ensure quality of traditional
medicine including
Homeopathy, Ayurvedic and
Unani
6.5.3
7
4
Number in
thousand
New product
registration
5
Target
Revised
Target
2013-14
7
6
Medium Term Targets
2014-15 2015-16
8
2016-17
9
10
11
40
50
55
60
60
10
20
20
25
30
35.00
40.00
45.00
48.00
50.00
2.50
3.00
3.50
4.00
4.50
2.20
2.50
2.70
2.90
3.00
Medium Term Expenditure Estimates by Operational Unit, Programmes and Projects
(Taka in Thousand)
Actual
Name of the Operational Unit/
Programme/Project
Related
Activity
2012-13
1
2
3
Budget
Revised
2013-14
4
Medium Term Expenditure Estimates
2014-15
2015-16
2016-17
6
7
8
5
Operational Units
6.6
National Institute of Population Research and Training (NIPORT)
6.6.1
Recent achievements: During the last three fiscal years, 29,089 directors, trainers, paramedic and field
workers at the districts and upazilas were trained and 20 curricula and training modules/materials were
290
prepared. In addition, 65 research works/ surveys/ evaluations were completed and published, 32 persons
were given training abroad and 105 workshops/seminars/meetings were organized.
6.6.2
Activities, Output Indicators and Targets
Activities
Output Indicator
1
2
1. Impart education and
training to manager,
doctors, nurses,
midwives, communitybased skilled birth
attendants , paramedics,
fieldworkers ,
technologists and other
health related human
resource
Basic, refreshers and
other training activities
2. Conduct research and
survey related to Health,
Nutrition, Population and
Reproductive health
6.6.3
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
3
4
5
Person in
thousand
7.68
Number
Target
Revised
Target
2013-14
7
Medium Term Targets
2014-15 2015-16
2016-17
9
10
11
7.70
7.80
6.91
9.00
3
6
6
6
6
17
15
16
14
15
72
56
64
59
60
6
8
8
Curriculum and training
materials
Research/ survey/
evaluation
Workshops/seminars/
training of research
methodology/capacity
development/research
brief/ bibliography
8
Number
Medium Term Expenditure Estimates by Operational Unit, Programmes and Projects
(Taka in Thousand)
Actual
Name of the Operational Unit/
Programme/Project
Related
Activity
2012-13
1
2
3
Budget
Revised
Medium Term Expenditure Estimates
2013-14
4
5
2014-15
2015-16
2016-17
6
7
8
Operational Units
6.7
Directorate of Nursing Services (DNS)
6.7.1
Recent achievements: A total of 360 students have been enrolled at the 12 newly constructed nursing
institutes. To meet the demands for B.Sc. qualified nurses in the country, 3 new nursing colleges were
established in Bogra, Fouzdarhat and Khulna. At the Bogra and Fouzdarhat nursing colleges, students
were enrolled in the post-basic B.Sc. in nursing and B.Sc. in public health courses. During the current fiscal
year, additional 1075 students will have the opportunity to study B.Sc. in nursing due to the upgrading of
seven nursing institutes in Dhaka, Rajhshahi, Chittaging, Mymensingh, Barisal, Sylhet and Rangpur. To
reduce the mother and child death rates, 179 nurses have been posted at various upazilas after receiving
training in midwifery. In addition, during the current fiscal year, 525 students have been enrolled in 3-year
midwifery course at 20 nursing colleges and nursing institutes. 4,000 posts of senior staff nurses have
been made permanent. 605 new posts have been created at various hospitals and appointments against
these posts have been completed. Post of Diploma Nurses was upgraded from class 3 to class 2.
6.7.2
Activities, Output Indicators and Targets
Activities
Output
Indicator
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
1
2
3
4
5
1. Expansion of the services
related to ante- natal, natal and
post- natal problems and
introduce the service of
midwifery and communitybased skilled birth attendants
Midwifery
students
1
Number
525
2. Expansion of nursing services
Nursing institute
upgraded as
3
Number
03
6
Target
Revised
Target
2013-14
7
Medium Term Targets
2014-15 2015-16
2016-17
9
10
11
1050
1600
2200
2800
05
05
04
05
8
291
Activities
Output
Indicator
1
2
Related
Unit of
Revised Actual
Strategic Measurement Target
Objectives
2012-13
3
4
5
Target
Revised
Target
2013-14
7
6
Medium Term Targets
2014-15 2015-16
8
2016-17
9
10
11
nursing college
Establishment of
nursing Institute
3. Impart education and training
to manager, doctors, nurses,
midwives, community-based
skilled birth attendants,
paramedics, fieldworkers ,
technologists and other health
related human resource
6.7.3
Students
received
diplomas in
Nursing
8
Students
received BSC in
Nursing
01
01
02
02
05
2.55
2.50
2.35
2.65
2.75
2.00
2.00
2.50
3.00
3.50
Number in
thousand
Medium Term Expenditure Estimates by Operational Unit, Programmes and Projects
(Taka in Thousand)
Actual
Name of the Operational Unit/
Programme/Project
Related
Activity
2012-13
1
2
3
Operational Units
Budget
Revised
2013-14
4
5
Medium Term Expenditure Estimates
2014-15
2015-16
2016-17
6
7
8