✓ 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 18

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