Availability of nurses is very low. Therefore there is a strong need to improve availability of physicians, hospital beds and nurses, in addition to the need for better quality of medical services.


On the contrary , Bangladesh is also recognized as a country with lost of potentials reflected in the capacity to live with disasters discovery and promotion oral dehydration solution , introduction of micro-credit schemes , fertility reduction and many other ,the rest of the world is benefiting from . Bangladesh is also a world leader for innovative NGO programs which work in partnership with the government providing many services, including, skill training, non-formal education, health and family planning, water supply and sanitation.


The rate of population growth declined from over 2.5 percent in 1971 to 1.8 percent in 1996. total facility rate (TFR) declined from 6.3 in 1975 to 3.4 in 1996, infant motility rate declined from 140 per thousand live infant mortality rate declined from 140 per thousand live births in 1975 to 78 per thousand in 1996 and maternal mortality rate from 6.2 in 1981 to 404per rate went up from 8 per cent in 1975 to over 48 per cent in 1996 .life expectancy at birth rose from 45 years in 1970 to 58 in 1996. There have been some impressive achievements in the area of primary health care and sanitation also. Expanded programmed of immunization increased its coverage from 2 percent in 1985 to77 per cent in 1996. Dramatic improvement in the use of oral dehydration therapy (ORT) has also improved child survival significantly.


Over90 per cent of the people in the rural areas now use safe drinking water compared with 56 per cent only in 1975 of latrine. There has also been improvement in 1975 of latrine. There has also been improvement in the coverage of the sanitary methods (if recent problem of arsenic is not accounted for) from 9 percent in 1991 to 37 per cent in 1996.

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