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WHO
defines Human resources for health (HRH) as
the men and women who make health care happen.
They include dentists, nurses and midwives,
pharmacists, physicians and other health professionals.
They also include auxiliary health care workers,
community health workers, and practitioners
of traditional medicine, technicians and other
paraprofessional personnel.
HRH is the most expensive resource within the
health system and is the major detrimental factor
for quality of health care provided. Human resource
for health issues is a constraint to achieving
the Millennium Development Goals (MDGs) and
to scaling up interventions on major health
problems in Bangladesh.
Country Situation:
Bangladesh has managed to develop
nationwide network of health services delivering
different levels of health care. A wide range
government and no-government institutes have
also been developed with the aim of providing
need-based health workforce, capable in addressing
the health of the people and efficient in utilising
the available resources.
The government owned health workforce producing
institutes include one medical university, five
post-graduate medical institutes, thirteen medical
colleges, one dental college, one nursing college,
thirty eight nursing institutes, two institutes
for health technology (IHT) and eight medical
assistant training schools (MATs). The non-government
sector runs nineteen medical colleges, six dental
colleges, and three IHTs. Admission capacity
and output of each category and institute varies.
The Service Delivery Survey and repeated Annual
Performance Review of the Health and Population
Sector Programme, highlighted the essential
need for improving the human resource management
and development functions, in order to achieve
the goal of the health system in Bangladesh,
of improving the health of the people and fulfilling
their expectation.
WHO Support:
WHO, within its country work
plan in Bangladesh, is supporting Human Resources
Development activities, under the Organization
of Health Services Area of Work. Methods, guidelines
and tools devised for planning, managing, and
improving the performance of the health workforce
in achieving the national health goals is the
expected result of these activities. This includes
the production of health workforce, with proper
skills mix, attitude and abilities necessary
to deliver health care, which effectively address
the health needs of the people.
Human Resources for Health Programme provides
support to Bangladesh College of Physicians
and Surgeons (BCPS), Bangabandhu Sheikh Mujib
Medical University (BSMMU), National Institute
of Preventive and Social Medicine (NIPSOM),
medical colleges and paramedical institutes
to enhance its managerial and technical capacity.
While implementing the collaborative work plan
2002-2003, WHO supported the achievement of
the following:
- Enhancing administrative and technical capacity
of Bangladesh College of Physicians &
Surgeons (BCPS).
- Improving standards of fellowship examinations
in BCPS.
- Enhancing teaching resource of medical colleges.
- Updating and facilitating implementation
of medical and para-medical curricula.
- Technical capacity building of teaching
staff of medical and public health institutes
through external training and study tour.
- Institutionalising Quality Assurance in
medical and para-medical institutes.
- Enhancing teaching resources of BSMMU.
- Enhancing teaching resources of NIPSOM.
- Establishing continuing medical education
programme (CME) for teachers of medical colleges.
- Generating evidence for health workforce
planning and best teaching practices.
- Generating evidence about best public health
practices.
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