Public Healthcare

 

 

Why these functions?

The health service is inaccessible for many citizens of Bangladesh. Almost half of the population of the country lives under the poverty line, frequently in NOT accommodations with insufficient hygiene. By floods in threatened areas diseases are very frequent. House births often occur, but the lack of prenatal care and handling for complications increase the risks of life for mothers and babies. Hygiene lacking, not existing toilets and bad access to clean water are a cause of most diseases in the Bangladesh. Many mothers and children die by the birth. With the support of MAAKbari village committee operate on the improvement of the health and nutrition situation, created pre and aftercare with births, install toilets and take care vaccination as well as family planning.

How is the present situation?

Bangladesh is one of the most density-populated countries in the world. The total number of physicians amounts to 32.498; the relation of the physician number for population is 1:4043. There are altogether only 45.607 hospital beds. The child number of deaths rate amounts to about 64 with 1000 living person births; also the mothers are endangered with the birth, the number of deaths are situated here with approx. 3 to 1000 each. The cost of healthcare per head amount 3€. Bangladesh is divided in six administrative regions, which are divided into 64 district towns again. Each district town has its administrative units (“Thana”). These unite in districts and administer in rural areas some villages.

The health care system is accordingly organized and structured. In Bangladesh the “traditional medicine” is very popular in restricted of the “scientific medicine”. A multiplicity of these sound ones offers a much closer spectrum of health treatments handlings than the physicians.

Different relevant areas of the health problems in Bangladesh are:

Population problem:
Bangladesh has one of the highest population densities in the world and a growth rate of net 1,5%. The growth rate influences the socio-economic development of the country unfavorably.

Problem of the transferable diseases:
Transferable diseases are the main diseases in Bangladesh. Infections such as Cholera, typhoid fever, tuberculosis, leprosy, Tetanus, whooping cough, masers, rabies, parasitic diseases such as malaria and worm infestation are responsible for larger seeknes.

Nutrition problem:
Bangladesh suffers the most serious nutrition problems. About 49,5% of the population lives with a deficit of calorie. To the most sufferer groups are children belong among 5 years, pregnant woman and breastfeeding mothers. To the predominating problem fields lack of protein, lack of micro nutrition and parasitic contamination.

Problem with the medical supply service:
The primary health service is not satisfactory. Insufficient number of the physicians, the laboratories, technician, trained nurses and other worker problems make it difficult to carry out an appropriate health service. The high patient number in relation to the physicians makes it very difficult to carry out even the minimum needed health care service.

In addition come the following environmental technical hygiene problems:

Lack of clean drinking water:
About 118 persons use together tubing well in rural areas. The use of open polluted water from ponds and rivers for drinking and cooking increases the risk of the transferable diseases. Due to the contamination of the groundwater with arsenic the rural population is compelling, to use polluted surface water.

Primitive method of sewerage:
It is estimated that almost 80% of all diseases in Bangladesh directly or indirectly hang with the bad hygienic with together by insufficient use of clean water and the unhygienic removal of human wastes. The children are the most vulnerable group. Failure is the cause in almost 30-32% of the deaths in the age of the 1 - to 9-year old.

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