MNCAH OP will contribute significantly in re
acing the poverty.
Improving maternal. neonatal. child and adole,,..:ent it will make the future generation healthy and thus enable to effectively
participate in the economic development 01 Ili_ country.
Also access and utilization of promotive, Preventive, curative and rehabilitative NINCAH services will reduce Ll-h; morbidity and mortality burden and thereby protecting economic gain achieved. The decline in MMR between 2001 and 2010 and further projected decline to 170/100,000 live births I indicates remarkable progress.
This is linked to fertility reduction; access to qualified maternal health care: and overall care seeking during the antenatal period and during delivery.
In the past decade, the coverage of facility delivery has rapidly increased from 12 percent (2004) to 37 percent (2014). It is evident that there is a clear shift in norm from home delivery to facility deliveries.
In Bangladesh, the neonatal mortality rate declined in the past one decade, but continues to be high at 24 per 1000 live birth in 2014.
Between 1990 and 2013, under-five morLAity decreased by 72 percent, while neonatal mortality decreased by 55percent'.
Stronger efforts are required to bend the curve to achieve national NMR and still births target of 10 or less per 1,0 live births by 2035.
Political commitment has also been evident in the area of MNCH and this is articulated in several policy and strategic documents and formed the basis of considerable progress.
Bangladesh has been able to reduce the under-five mortality far below the MDG 4 target, from 144/1000 live birth in 1990 to 38/1000 live birth in 2015, reducing by 72 percent since 1990 with the annual rate of reduction of 5.4.
Progress on EPI and introduction of new vaccir has progressed well and scaling up of C-IMCI and IMCI, and nutrition corners is taking place.
About 81 percent of chi aged 12-2: hs' received all scheduled vaccines by 12 months of age.
Under the Reach Every District Community S routine I-her been strengthened in low performing 32 districts and 4 City Corporations. NGO/Private sector -;hip ex i.cram in a limited scale especially in urban areas.
According to the Coverage Evaluation Survey 2016 the , 82.3%. As an emergency response to this population EPI has so vaccination coverage under 1 years of age child was ;„onducted 9 campaigns of different diseases including
OPV, OCV, MR, Diphtheria, Td & gradually started routine immunization from Nov 2017 for better providing better services to this population.
Adolescent health has been highlighted frequently during HPNSDP, as a priority area that needs further and focused attention.
Bangladesh national ARSH strategy was formulated in 2006 and related action plan was developed in 2013. Two major operational plans included plans to carry out selected health activities of ARSH strategy.
Training modules were developed by DGHS. A guideline on AFHS (2015) and strategy and guideline on HIV/STII AIDS/ MRI PAC are in place.