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Striving for Achieving MDGs |
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Eradicate Poverty & Hunger |
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Universal Primary Education |
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Gender Equality
& Women Empowerment |
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Reduce Child Mortality |
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Improve Maternal Health |
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Combat HIV/AIDS & Other Diseases |
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Environmental Sustainability |
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Global Partnership for Development |
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Government - Ministry of Health &
Family Welfare
Bangladesh’s maternal mortality
rate of 4.5 deaths per 1,000 live births is one of the highest in the
world (MOHFW, 1997). Ninety-five percent of all deliveries still take
place in the home (Mitra et al., 1997), and almost a third of
Bangladeshi women report chronic or residual morbidities associated with
childbirth (MotherCare et al., 1997).
Official estimates indicate that
approximately 15,000 pregnancy-related deaths are also occurring in
Bangladesh annually (MOHFW, 1997; BBS, 1997c), although some estimates
are as high as 28,000 deaths per year and even higher (de
Francisco,1997; WHO/UNICEF, 1996). Approximately one in every 40 women
dies of maternal-related causes (de Francisco, 1997). Seventy percent of
pregnant women are anemic, making them more vulnerable to the effects of
hemorrhage (MOHFW, 1998b).
Development in
Health & Family Planning sector:
Twenty years ago, many experts claimed that family planning and child
survival interventions would face insurmountable obstacles in Bangladesh
because of the nation's conservative culture and low standard of living.
Despite serious challenges along the way, Bangladesh has achieved
impressive reductions in fertility and in infant and child mortality
over the past three decades. Nonetheless, the population continues to
grow, and poverty and illness deny many families the opportunity for
long, healthy, productive lives. Continued emphasis on family planning
is required to reach replacement fertility, and basic health services
must be improved.
Although
Bangladesh is currently a low HIV/AIDS prevalence country (<1%), it is
at great risk of a rapidly expanding epidemic due to the widespread
practice of risky behaviors. Bangladesh has widely available commercial
sex, high rates of sexually transmitted diseases, low levels of
knowledge about HIV/AIDS and very low levels of condom use.
Development in Health Sector:
With support from
various donors over the past twenty-five years, Bangladesh has made
impressive gains in indicators of population and child health. Among
these are:
A decline in the total fertility rate from 7 births per woman in the
mid-1970s to 3.3 in 1999-2000.
An increase in the contraceptive prevalence rate from 8% in the
mid-1970s to 54% in 1999-2000.
A decline in infant mortality rates from 150/1,000 live births in the
mid-1970s to 66/1,000 in 1999-2000.
A reduction in mortality for children under five years of age from about
250/1,000 in the mid-1970s to 94/1,000 in 1999-2000.
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