Several gains have been made in surveillance. The Bangladesh Network for Non-Communicable Disease Surveillance and Prevention (BanNet) data network has been created and includes government and private clinical institutions. The recently formed Alliance for Community Based Surveillance (ACSNet) promotes periodic population-based surveys of NCDs and their risk factors.
A national risk factor survey is planned for completion in 2010. The 2006 Bangladesh
Urban Health Survey included NCD-related items in slum and non-slum areas of the country’s six largest city corporations. The 2003 Bangladesh Health and Injury Survey (BHIS) was the largest injury survey conducted in a developing country.
The new Centre for Control of Chronic Diseases in Bangladesh (C3D) aims to bring scientific rigor to the study of the NCD burden; develop community-based prevention and management programs; and evaluate the link between NCDs and poverty in the country, as well as the health system’s response to NCDs. In spite of this progress, there is no current surveillance of NCDrelated morbidity and mortality, nor a cancer registry.
In 2008, total expenditures on health amounted to 3.5 percent of GDP. Household out-of-pocket expenditures at drug outlets account for 46 percent of total health sector expenditures, making such drug purchases by far the single largest expenditure item within the sector.
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