Non-communicable disease control major challenge
Lack of service for women and children
Inadequacies in non-communicable disease control measures pose a major threat in the country’s health sector despite other commendable achievements in improving the healthcare services. Particularly, there is a serious shortage in healthcare services in this regard for women and children. Insufficient infrastructure and lack of preparedness to meet the patient demands are also part of the scenario.
Speakers discussed these issues at the launch ceremony of the sixth Bangladesh Health Watch Report 2016 today on Thursday (10 August 2017) at the BRAC Centre Auditorium in the capital.
The event titled ‘Non-Communicable Diseases in Bangladesh: Current Scenario and Future Directions’ had Nahin Razzaq MP, member of the parliament standing committee on youth and sports ministry, as its chief guest.
Simeen Mahmud, head (acting) of Gender Studied Cluster, and coordinator of Centre for Gender and Social Transformation, Bangladesh Institute of Governance and Development, BRAC University, chaired the programme.
Gonoshasthaya Kendra founder Dr Zafrullah Chowdhury, Jane Edmondson, Dhaka Office head of United Kingdom’s Department for International Development, and Anders Ohstrom, head of Swedish International Development Cooperation Agency, spoke among others at the event.
Dr Ahmed Mushtaque Raza Chowdhury, vice-chairman of BRAC, gave the welcome address.
Nahin Razzaq MP said, ‘With the increased prevalence of non-communicable diseases the government has started investing in this area. We are going to formulate an action plan on next month. We have also increased emphasis on young people’s engagement in sports and cultural activities.’
Dr Zafrullah Chowdhury said, ‘Although the government is implementing many commendable programmes, due only to some wrong policies non-communicable diseases is heading towards a crisis situation. The organ transplant law that the government has recently enacted is not practical. I believe, the government could have the law formulated with directions that allowed not only close relatives but anyone to donate kidney.’
The report presented data and analysis on the nature and risk factors regarding the non-communicable diseases in Bangladesh. The challenges highlighted in the report among others include: One, Mainstreaming non-communicable disease service provision at the primary healthcare level, two, Non-functioning regulatory framework and lack of coordination at the national level and three, lack of robust national database incorporating data from rural and urban areas as well as public and private sources for regular and strong surveillance of such diseases.
To mitigate the challenges the report has put forward five challenges:
- Build awareness across the society about the urgency of tackling non-communicable diseases and its consequential impact on poverty alleviation, economic development and achieving the universal healthcare policy.
- Develop an integrated, multi-sector approach to prevent and manage non-communicable diseases with the health and family welfare ministry in the lead.
- Strengthen the current health systems at all levels to address non-communicable diseases, focusing on human and physical capacity of the primary healthcare services for early diagnosis and treatment, follow-up services and disease risk reduction.
- Establish a comprehensive national-level surveillance system for the four major non-communicable diseases.
- Generate evidence for preventive and curative service delivery regarding non-communicable diseases effectively and efficiently, keeping equity and universal coverage in focus.
- The report also stressed that a ‘concerted, strategic, and multi-sectoral policy approach’ is essential to tackle the emerging epidemic of non-communicable diseases in Bangladesh.