229.Essential Services Package - child health care: The major interventions are EPI, ARI control, diarrhoeal disease control, Integrated Management of Childhood Illness-IMCI, preventive and therapeutic vitamin A supplementation, and school health services. Main activities under Expanded Programme of Immunisation (EPI) include routine immunisation against seven communicable diseases, EPI disease surveillance, and supplementary immunisation activities (SIA) for measles control and elimination of maternal and neonatal tetanus (MNT).
230.Acute Respiratory Infection (ARI) Control: This includes home management through health education and promotion, early detection and treatment of ARI cases by the field workers, training of service providers, and procurement and supply of drugs and equipment.
231.Diarrhoeal Diseases Control (CDD): This includes short-term training on diarrhoea case management, promotion of appropriate home management practices, and prevention and extension of ORT corners in health centres.
232.Integrated Management of Childhood Illness (IMCI): The important development in the provisions of child health services has been the adoption and implementation of IMCI Strategy. The integrated approach to child care utilises preventive services of immunization, micro-nutrient supplementation, growth monitoring, counselling on feeding, nutrition, care‑seeking and caring of new born and early stimulation and learning. The MoH&FW has developed a community IMCI strategy to strengthen community-based provisions for 5 priority areas, such as, caring and care-seeking; feeding and nutrition; essential new born care; early childhood development; and preventing drowning.
233.Essential Services Package - reproductive and adolescent health care: This includes Comprehensive Emergency Obstetrics Care (CEOC) at all district hospitals and at 40 percent of Upazila Health Complexes, and of Basic Obstetric Care at 60 percent of theses Complexes. Adolescent health activities include: counselling and developing awareness for adolescents on hygienic practices; nutrition; puberty; RTI/STD etc.; de-worming and folic acid supplementation and full immunisation for adolescent girls with 5 dose TT vaccines.
234.National Nutrition Programme (NNP): This covers micronutrient supplementation, universal salt iodization, breast feeding promotion, services for pregnant and lactating mothers, newly wed couples, adolescent girls, Behavioural Communication (BCC) etc.
235.The Government’s commitment to responding to HIV&AIDS is shown through the National AIDS Policy. A National Strategic Plan has been approved, and a National AIDS Committee has been formed. The Government has launched a prevention programme aimed at controlling the spread of HIV infection within vulnerable groups, and to limit its spread to the wider population, without stigmatising or discriminating against vulnerable groups.
236.In 2001, MoHFW adopted the Gender Equity Strategy (GES) to address gender issues in the health sector. A Gender Advisory Committee, with representation from MoHFW and other sectors, was established to support improvement of the health of women and children.
237.Delivery of primary health care services in four major metropolitan cities, Dhaka, Chittagong, Rajshahi and Khulna, began to improve after 1997, when the Urban Primary Health