Non communicable Diseases

Bangladesh Perspective

Presenter

DR. MOHAMMAD ARIFUR RAHMAN, MD

Department of Cardiology

National Institute of cardiovascular diseases & Hospital

Dhaka, Bangladesh

Venue:

Ministry of Public Health

Bangkok, Thailand

Background

Bangladesh, like many transitional nations, is straddling the demographic

and epidemiological transition.

In a review of twenty-three developing countries, Bangladesh was found

to have the ninth highest rate of age-standardized mortality among the

included countries due to chronic diseases, primarily cardiovascular

diseases and diabetes.

Some 51% of deaths in Bangladesh are due to non-communicable diseases

and other chronic health conditions .

Bangladesh is facing a dual burden, with a huge load of infectious

diseases and an increasing burden due to NCDs, which lead the

Government to update the strategic plan to combat NCDs in the

country.

Unidirectional globalization and rapid unplanned urbanization serve as

conduits for the promotion of unhealthy lifestyles and environmental

changes.

These common risk factors give rise to intermediate risk factors such as raised

blood pressure, raised blood glucose, unfavourable lipid profiles, obesity and

impaired lung function.

In turn, the intermediate risk factors predispose individuals to the "fatal four" -

cardiovascular disease (heart disease and stroke), cancer, chronic respiratory

disease and diabetes.

NCDs have further burdened the already strained health system andinflict great cost on the society.

Economic growth has a number of key determinants and precursors, ofwhich health is a significant field.

In developing countries like Bangladesh, NCDs have historically notreceived adequate attention from policy makers, developmentpartners, researchers and academicians

National Institute of Cardiovascular diseases & Hospital

National Centre for control of RF , RHD & NCD

The framework for health promotion targeted at—

1. Building healthy public policies,

2. Creating supportive environments for health,

3. Strengthening community actions,

4. Capacity building,

5. Orienting health services according to people's need,

6. Advocacy and community empowerment for prevention of

NCDs and

7. Promotion of healthy lifestyle.

Community Clinic

With a view to serve the people with medical services Bangladesh

government start a project of medical services for the rural people

specially who lives in villages. govt. associates planned for

establishing 18000 community clinics thus every 6000 people could

get one-step services at the near place.

Already 13500 community clinics have been completed and the rest

will be completed soon. Specially the pregnant Women get some

special service by this community clinic. Now they don’t need to visit

Sadar hospitals far away from the villages. And they get almost every

medical service as they need. It protects the people from any kind of

accidental case due to late. Eventually it grows social awareness of

village people about health.

It has some other services too. Like integrated management of

childhood illness, reproductive health and family planning services,

Health and family planning education and counseling, maternal &

neonatal health care services, nutritional education & micro-nutrient

supplements, identification of other severe illness like TB, Malaria,

Pneumonia, Influenza, Obstetric emergencies and refer to higher

facilities, Identification of emerging and re-emerging diseases & refer to

higher facilities, Treatment of minor ailments and Registration of newly

married couple, pregnant women, birth and death, preservation from

EDD etc. Even some clinics conduct normal delivery case through SBA

& CSBA.

Bad Dietary habit

Thank You