International Health Day

By Eng. M A Siddique, Islamic University of Technology (IUT), Dhaka
8 April 2004, 18:00 PM
. PHOTO: AFP
Regarding the International Health Day (April 7), it should be mentioned that Bangladesh has covered many miles on the road toward reduced fertility and childhood mortality in its first three decades since independence in 1971. It is the only country among the 20 poorest that has recorded a sustained reduction in birth rates over the past 15 years. On an average, in the 1990s women had 3.3 births, one-half the number in 1974. Infant mortality has dropped from about 140 to 88 per 1,000 live births. The government's strategy is now directed toward reducing the high levels of maternal illness and deaths, tackling malnutrition, and consolidating and sustaining the gains already made.

Although Bangladesh had a basic health care infrastructure in the 1980s, much remained to be done, particularly in the rural areas, where the majority of the people faced critical health problems. The main dangers to health in the late 1980s were much the same as they were at the time of independence. The incidence of communicable disease was extensive, and there was widespread malnutrition, inadequate sewage disposal, and inadequate supplies of safe drinking water. The fertility rate was also extremely high. Only 30 percent of the population had access to primary health care services, and overall health care performance remained unacceptably low by all conventional measurements.

Life expectancy at birth in FY 1985, according to official Bangladesh statistics was estimated at 55.1 years, as opposed to 61 years in comparable developing countries. Morbidity and mortality rates for women and children were high. Infant mortality rates exceeded 125 deaths per 1,000 live births, the maternal mortality rate was 6 per 1,000 live births, and 56.1 percent of infants suffered from chronic malnutrition. More than 45 percent of rural families and 76 percent of urban families were below the acceptable caloric intake level and about two- thirds of all families received insufficient protein and vitamins.