✓ Expand the resources for family support, in particular, for single-parent families, and to
allocate sufficient human, technical and financial resources for family support including
safe child care facilities.
Part 4 - Articles 12 - 15
Article 12 Right to Health
Article 13 Right to Education
Article 15 Right to Culture
54. The Commission notes, as part of the ‘Health, Nutrition and Population Strategic
Investment Plan (HNPSIP) 2016-21’ the Government of Bangladesh has introduced its
fourth Health, Population and Nutrition Sector Program, covering the 5.5-year with an
estimated cost of US$14.8 billion. Per the government this is to ensure that all citizens of
Bangladesh enjoy health and well-being by expanding access to quality and equitable
healthcare.
55. Bangladesh has made significant progress in reducing child mortality; which is a proxy
indication of improved access to rights to health and nutrition. Under-five mortality rate
(per 1,000 live births) was 146 in 1990 and has persistently declined to 46 in 2014 55 .
Under-5 mortality is 9 percent higher in girls than boys (48 deaths and 44 deaths per 1,000
live births respectively). The infant mortality rate (per 1,000 live births) has also declined
to 38 per 1,000 live births in 2014 from 92 in 1990 which is lower than that of India (52.7)
and Pakistan (85.5). 56 Several reasons may be cited as reasons for this success; easy access
to quality health services provided through 13,126 community clinics 57, health services at
Upazila Health Complex (UFC) and establishing district hospitals. Further integration of
sector-wide Health and Population Sector Programme (HPSP) has made a significant
contribution to improve the health status of the people, particularly women, children and
the poor by providing essential service packages (ESP). While appreciating, progress
made, the Commissions find that success in reducing infant mortality is not evenly spread
across different regions of the country. The division of Khulna still has a high infant
mortality rate compared to the national average. Thus, moving forward closer attention will
be needed to address specific circumstances affecting pockets of high infant mortality.
56. Maternal health is a key concern in Bangladesh. In South Asia, Bangladesh has the highest
rate (35%) of adolescent pregnancy 58 and the use of skilled maternal health services is still
low 59. Child marriages contributes to the high rates of pregnancies among adolescent girls
in Bangladesh. Thus, it is vital to ensure the recently promulgated Child Marriage Restraint
55
Bangladesh Demographic and Health Survey (BDHS), 2014
mdgs.un.org/unsd/mdg/
57
The government of Bangladesh has launched 13,126 community clinics during the 6th FYP period, which is continued in the 7 th FYP.
58
National Institute of Population Research and Training (NIPORT), Mitra and Associates and II. Bangladesh Demographic and Health
Survey 2014: Key Indicators. Dhaka, Bangladesh, and Rockville, Maryland, USA; 2015.
59
WHO, UNICEF, UNFPA, Group WB, UNPD. Trends in Maternal Mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA,
World Bank Group and the United Nations Population Division. Organization. 2015; 1–38.
56
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