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  • Title: Policies and strategies. Bangladesh.
    Author: Huq N.
    Journal: Integration; 1992 Aug; (33):44-5. PubMed ID: 12343895.
    Abstract:
    Bangladesh has a population of nearly 108 million on a landmass of 143,998 sq km. The rate of population growth peaked at around 35 in the 1960s. The population increased from about 43 million in 1951 to 68 million in 1970 and to about 90 million in 1981. In 1976 a national policy for population control and family planning (FP) was announced which employed thousands of full-time field workers, and developed information, education, and motivation activities. The implementation strategy entailed the integration of health and FP, maternal child health (FP/MCH) service delivery systems at subdistrict (upazila) levels with a wide choice of contraceptive methods and expanded good quality services. Greater emphasis on MCH services included immunization, oral rehydration, and training of traditional birth attendants. Even if the goal of net reproductive rate of 1 is achieved by 2005, the population will rise to about 137 million by 2000. The Fourth 5 year Plan (1990-95) seeks to lower the growth rate from 2.15 in 1990 to 1.8% by 1995; to cut the crude birth rate of 34.5 live births/1000 people in 1990 to 30.1/1000 by 1995; and to reduce the crude death rate of 13.6/1000 population in 1990 to 11.9/1000 by 1995. The reduction of the total fertility rate from 4.30 in 1990 to 3.40 by 1995 would require increasing the contraceptive prevalence rate of 40% in 1991 to 50% in 1995. It is also planned to raise the number of the continuous users of contraceptives from 8.8 million in 1991 to 12.3 million acceptors by 1995. The government has been providing continuous institutional support to a network of FP clinics in rural areas which the Family Planning Board started to operate in 1965. The present field structure is composed of the division level (4 divisions in the country), district level (64 districts), upazila level (460 upazilas), and union level (4500 rural unions).
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