bangladesh hpnsdp 2011-2016

HPNSDP
Health, Population and Nutrition Sector
Development Program (2011-2016)
PIP
Program Implementation Plan
Volume-I
July 2011
Planning Wing
Ministry of Health and Family Welfare
Government of the People’s Republic of Bangladesh

II
Table of Contents
EXECUTIVE SUMMARY ........................................................................................................................ XIV
ESTIMATED BUDGET AND EXPENDITURE OF HNPSP........................................................................... XXIII
RESOURCE ENVELOPE FOR HPNSDP .................................................................................................. XXIV
ESTIMATED DEVELOPMENT BUDGET REQUIREMENT BY THE OPS DURING 2011-16 ........................... XXIV
CHAPTER I: INTRODUCTION ................................................................................................................... 1
CHAPTER II: OVERVIEW OF HPNSDP .................................................................................................... 6
CHAPTER III: MAPPING THE STRATEGY TO THE IMPLEMENTATION STRUCTURE............... 10
3.1 Introduction .............................................................................................................................. 10
3.2 MOHFW Organization and Structure ...................................................................................... 10
3.3 Linking Strategic Priorities to Implementation Structures ........................................................ 12
3.4 Technical Assistance................................................................................................................. 30
3.5 Procurement Management ....................................................................................................... 31
3.6 Macro-level considerations in implementation. ......................................................................... 31
3.7 Coordination Mechanism in HPNSDP ..................................................................................... 32
3.8 Monitoring Implementation of the HPNSDP ............................................................................ 33
3.9 The proposed 32 Operational Plans and designated / proposed Line Directors based on its
management structure during the HPNSDP period (2011- 2016).............................................. 34
CHAPTER IV: PROGRAM DESCRIPTION ............................................................................................. 36
A. DGHS ............................................................................................................................................... 36
4.1. Maternal, Neonatal and Child, Adolescent Health Care (MNCAH) .......................................... 36
4.1.1. Introduction ......................................................................................................................... 36
4.1.2. Objectives ............................................................................................................................. 36
4.1.3. Components .......................................................................................................................... 36
4.1.4. Cross Cutting Issues ............................................................................................................. 42
4.1.5. Indicators ............................................................................................................................. 42
4.1.6. Budget .................................................................................................................................. 44
4.2. Essential Services Delivery (ESD)............................................................................................. 49
4.2.1. Introduction ......................................................................................................................... 49
4.2.2. Objectives ............................................................................................................................. 49
4.2.3. Components .......................................................................................................................... 49
4.2.4. Cross Cutting Issues .............................................................................................................. 54
4.2.5. Indicators ............................................................................................................................. 54
4.2.6. Budget .................................................................................................................................. 55
4.3. Community Based Health Care (CBHC)................................................................................... 58
4.3.1. Introduction ......................................................................................................................... 58
4.3.2. Objectives ............................................................................................................................. 59
4.3.3. Components .......................................................................................................................... 59
4.3.4. Cross Cutting Issues ............................................................................................................. 60
4.3.5. Indicators ............................................................................................................................. 61
4.3.6. Budget .................................................................................................................................. 62
4.4. TB and Leprosy Control (TB-LC) ............................................................................................. 65
4.4.1. Introduction ......................................................................................................................... 65
4.4.2. Objectives ............................................................................................................................. 65
4.4.3. Components .......................................................................................................................... 65

III
4.4.4. Cross Cutting Issues ............................................................................................................. 67
4.4.5. Indicators ............................................................................................................................. 67
4.4.6. Budget .................................................................................................................................. 68
4.5. National AIDS/STD Program (NASP) ...................................................................................... 70
4.5.1. Introduction ......................................................................................................................... 70
4.5.2. Objectives ............................................................................................................................. 70
4.5.3. Components .......................................................................................................................... 70
4.5.4. Cross Cutting issues ............................................................................................................. 71
4.5.5. Indicators ............................................................................................................................. 72
4.5.6. Budget .................................................................................................................................. 73
4.6. Communicable Diseases Control (CDC) ................................................................................... 76
4.6.1. Introduction ......................................................................................................................... 76
4.6.2. Objectives ............................................................................................................................. 76
4.6.3. Components .......................................................................................................................... 76
4.6.4. Cross Cutting Issues ............................................................................................................. 81
4.6.5. Indicators ............................................................................................................................. 81
4.6.6. Budget .................................................................................................................................. 82
4.7. Non-Communicable Diseases Control (NCDC) ........................................................................ 87
4.7.1. Introduction ......................................................................................................................... 87
4.7.2. Objectives ............................................................................................................................. 87
4.7.3. Components .......................................................................................................................... 87
4.7.4. Cross Cutting Issues ............................................................................................................. 94
4.7.5. Indicators ............................................................................................................................. 94
4.7.6. Budget .................................................................................................................................. 96
4.8. National Eye Care (NEC) ....................................................................................................... 102
4.8.1. Introduction ....................................................................................................................... 102
4.8.2. Objectives ........................................................................................................................... 102
4.8.3. Components ........................................................................................................................ 102
4.8.4. Cross Cutting Issues ........................................................................................................... 104
4.8.5. Indicators ........................................................................................................................... 104
4.8.6. Budget ................................................................................................................................ 105
4.9. Hospital Services Management (HSM) ................................................................................... 109
4.9.1. Introduction ....................................................................................................................... 109
4.9.2. Objectives ........................................................................................................................... 110
4.9.3. Components ........................................................................................................................ 110
4.9.4. Cross Cutting Issues ........................................................................................................... 113
4.9.5. Indicators ........................................................................................................................... 114
4.9.6. Budget ................................................................................................................................ 115
4.10. Alternate Medical Care (AMC) ............................................................................................... 121
4.10.1. Introduction ....................................................................................................................... 121
4.10.2. Objectives ........................................................................................................................... 121
4.10.3. Components ........................................................................................................................ 121
4.10.4. Cross Cutting Issues ........................................................................................................... 122
4.10.5. Indicators ........................................................................................................................... 122
4.10.6. Budget ................................................................................................................................ 123
4.11. In-Service Training (IST) ....................................................................................................... 125
4.11.1. Introduction ....................................................................................................................... 125
4.11.2. Objectives ........................................................................................................................... 127
4.11.3. Components ........................................................................................................................ 127
4.11.4. Cross Cutting issues ........................................................................................................... 128
4.11.5. Indicators ........................................................................................................................... 128
4.11.6. Budget ................................................................................................................................ 129

IV
4.12. Pre-Service Education (PSE) .................................................................................................. 134
4.12.1. Introduction ....................................................................................................................... 134
4.12.2. Objectives ........................................................................................................................... 134
4.12.3. Components ........................................................................................................................ 134
4.12.4. Cross Cutting Issues ........................................................................................................... 135
4.12.5. Indicators ........................................................................................................................... 135
4.12.6. Budget ................................................................................................................................ 136
4.13. Planning, Monitoring and Research (PMR-DGHS) ............................................................... 139
4.13.1. Introduction ....................................................................................................................... 139
4.13.2. Objectives ........................................................................................................................... 139
4.13.3. Components ........................................................................................................................ 139
4.13.4. Cross Cutting Issues ........................................................................................................... 141
4.13.5. Indicators ........................................................................................................................... 141
4.13.6. Budget ................................................................................................................................ 142
4.14. Health Information Systems and E-Health (HIS-EH) ............................................................ 145
4.14.1. Introduction ....................................................................................................................... 145
4.14.2. Objectives ........................................................................................................................... 146
4.14.3. Components ........................................................................................................................ 146
4.14.4. Cross Cutting Issues ........................................................................................................... 149
4.14.5. Indicators ........................................................................................................................... 149
4.14.6. Budget ................................................................................................................................ 151
4.15. Health Education and Promotion (HEP) ................................................................................ 155
4.15.1. Introduction ....................................................................................................................... 155
4.15.2. Objectives ........................................................................................................................... 155
4.15.3. Components ........................................................................................................................ 155
4.15.4. Cross Cutting Issues ........................................................................................................... 157
4.15.5. Indicators ........................................................................................................................... 158
4.15.6. Budget ................................................................................................................................ 159
4.16. Procurement, Logistics and Supplies Management (PLSM-DGHS) ....................................... 162
4.16.1. Introduction ....................................................................................................................... 162
4.16.2. Objectives ........................................................................................................................... 162
4.16.3. Components ........................................................................................................................ 162
4.16.4. Cross Cutting Issues ........................................................................................................... 164
4.16.5. Indicators ........................................................................................................................... 164
4.16.6. Budget ................................................................................................................................ 165
4.17. National Nutrition Services (NNS) ......................................................................................... 167
4.17.1. Introduction ....................................................................................................................... 167
4.17.2. Objectives ........................................................................................................................... 168
4.17.3. Components ........................................................................................................................ 168
4.17.4. Cross Cutting Issues ........................................................................................................... 173
4.17.5. Indicators ........................................................................................................................... 174
4.17.6. Budget ................................................................................................................................ 176
B. DGFP ............................................................................................................................................. 181
4.18. Maternal, Child, Reproductive and Adolescent Health (MCRAH) .......................................... 181
4.18.1. Introduction ....................................................................................................................... 181
4.18.2. Objectives ........................................................................................................................... 181
4.18.3. Components ........................................................................................................................ 182
4.18.4. Cross Cutting Issues ........................................................................................................... 184
4.18.5. Indicators ........................................................................................................................... 184
4.18.6. Budget ................................................................................................................................ 185
4.19. Clinical Contraception Service Delivery (CCSD) .................................................................... 188
4.19.1. Introduction ....................................................................................................................... 188

V
4.19.2. Objectives ........................................................................................................................... 188
4.19.3. Components ........................................................................................................................ 189
4.19.4. Cross Cutting Issues ........................................................................................................... 190
4.19.5. Indicators ........................................................................................................................... 190
4.19.6. Budget ................................................................................................................................ 192
4.20. Family Planning Field Service Delivery (FPFSD) .................................................................. 194
4.20.1. Introduction ....................................................................................................................... 194
4.20.2. Objectives ........................................................................................................................... 194
4.20.3. Components ........................................................................................................................ 195
4.20.4. Cross Cutting Issues ........................................................................................................... 197
4.20.5. Indicators ........................................................................................................................... 197
4.20.6. Budget ................................................................................................................................ 198
4.21. Planning, Monitoring and Evaluation of Family Planning (PME-FP) ................................... 200
4.21.1 Introduction ....................................................................................................................... 200
4.21.2 Objectives ........................................................................................................................... 200
4.21.3 Components ........................................................................................................................ 201
4.21.4 Cross Cutting Issues ........................................................................................................... 203
4.21.5 Indicators ........................................................................................................................... 203
4.21.6 Budget ................................................................................................................................ 204
4.22. Management Information Systems of Family Planning (MIS-FP) ......................................... 206
4.22.1 Introduction ....................................................................................................................... 206
4.22.2 Objectives ........................................................................................................................... 206
4.22.3 Components ........................................................................................................................ 206
4.22.4 Cross Cutting Issues ........................................................................................................... 208
4.22.5 Indicators ........................................................................................................................... 208
4.22.6 Budget ................................................................................................................................ 209
4.23. Information, Education and Communication (IEC) ............................................................... 211
4.23.1 Introduction ....................................................................................................................... 211
4.23.2 Objectives ........................................................................................................................... 212
4.23.3 Components ........................................................................................................................ 212
4.23.4 Cross Cutting Issues ........................................................................................................... 214
4.23.5 Indicators ........................................................................................................................... 214
4.23.6 Budget ................................................................................................................................ 216
4.24. Procurement, Storage and Supply Management (PSSM-FP) .................................................. 220
4.24.1 Introduction ....................................................................................................................... 220
4.24.2 Objectives ........................................................................................................................... 220
4.24.3 Components ........................................................................................................................ 220
4.24.4 Cross Cutting Issues ........................................................................................................... 223
4.24.5 Indicators ........................................................................................................................... 224
4.24.6 Budget ................................................................................................................................ 225
C. OTHER AGENCIES ........................................................................................................................... 228
4.25. Training, Research and Development (TRD) ......................................................................... 228
4.25.1 Introduction ....................................................................................................................... 228
4.25.2 Objectives ........................................................................................................................... 228
4.25.3 Components ........................................................................................................................ 228
4.25.4 Cross Cutting Issues ........................................................................................................... 230
4.25.5 Indicators ........................................................................................................................... 230
4.25.6 Budget ................................................................................................................................ 232
4.26. Nursing Education and Services (NES) .................................................................................. 235
4.26.1. Introduction ....................................................................................................................... 235
4.26.2. Objectives ........................................................................................................................... 236
4.26.3. Components ........................................................................................................................ 236