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“Let a Rule Nisi be issued calling upon the respondents to show cause as to why the inaction of the respondent Nos. 1, 2 and 5 in constituting a separate Regulatory Body and to prepare a separate Rules for rendering professional service and for using the prefix “Dr.” before the names of the member of the petitioner’s Association having MBBS (AS) degree in Alternative System of Medicine inspite of the recommendation of Bangladesh Medical and Dental Councel, Bangladesh Homeopathic Board and Bangladesh board of Unani and Ayurbadic Systems of medicine should not be declared to have been passed without lawful authority and is of no legal effect and as to why they should not be directed to constitute an independent Regulatory council and to prepare a separate Rules for rendering (medical) professional service and for using the prefix “Dr” before the names of the members of the petitioner’s association having MBBS (AS) decree in Alternative System of Medicine and as to why they should not be directed not to disturb or harass the members of the petitioners Association in course of rendering professional services and for using the prefix “Dr” before their names having MBBS (AS) decree in Alternative System of Medicine and/or such other or further order or orders passed as to this Court may seem fit and proper.”

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“4. That the respective members of the petitioner No. 1 Association completed 5 years M. B. B. S. Alternative

System (A. S) Course including Allopathic, Unani, Ayurbedic, Homeopathic, Herbal and Acupuncture system of medicine and it hears an extra ordinary modernize though than that of M. B. B. S course and the said course is also a combined system of medicine and it is also free from any kind of side effect of medicine and this is why the developing countries as well as the developed countries of the world cordially accepted this system of medicine and that all of the members of the petitioners Association were admitted in M. B. B. S. Alternative System (A. S) course, under “The Global Open Research University of Indo-Allopathy and Complementary Medicines” Kolkata, West Bengal, India and the Premier University of Technology Uttara, Dhaka was established in Bangladesh as its study center and there after it was re-named as Pitchblende University of Science and Technology” and after successfully completion of the said Degree, the members of the petitioners Association obtained testimonials from the said study center and the Association of the petitioners having an Executive Committee and as many as 96 (ninety six) members and the Association is represented

by their Secretary General namely Dr. M. G. Bhuiyan.”

clM¡Ù¹L¡l£N−Zl Aœ l£V ¢f¢Vn−e h¢ZÑa hZÑe¡ j−a Global Open Research University of Indo Allopathy & Complementary Medicine fТaù¡e¢V Complementary Medicine-H ¢h¢iæ ®ju¡−c ¢X−fÔ¡j¡ J ¢XNË£pj§q fÐc¡−el m−rÉ Pitch- Blende University of Science & Technology-−L A¢di¥š² L−lz ®p−qa¥ Pitch- Blende University HL¢V Tuition Provider Hhw Aœ l£V clM¡Ù¹L¡l£NZ fÐL«af−r Global Open Research University −b−LC (MBBS) in Alternative System of Medicine ¢XNË£ ASÑe L−l−Rez

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…l¦aÅf§ZÑ ¢hd¡u h¡wm¡−cn ®j¢X−Lm Hä ®X¾V¡m L¡E¢¾pm Hl ¢hNa Cw−lS£ 04.07.2019 a¡¢l−Ml fœ¢V ¢e−jÀ A¢hLm Ae¤¢mMe q−m¡x

h¡wm¡−cn ®j¢X−Lm Hä ®X¾V¡m L¡E¢¾pm

BANGLADESH MEDICAL & DENTAL COUNCIL

203, Shaheed Syed Nazrul Islam Sarani, (46, Bijoy Nagar), Dhaka- 1000

Ref. No. BM&DC/43  Date: 04.07.2019

To

Dr. Bardan Jung Rana

Representative to Bangladesh

World Health Organization

Country Office for Bangladesh

United House (GF to 3rd Floor)

10 Gulshan Avenue, Gulshan-1

Dhaka- 1212, Bangladesh PO. Box: 250

Subject: Query with regard to affiliation of World Health Organization with Alternative Medical Council Calcutta.

Dear Sir,

The Bangladesh Medical and Dental Council (BM&DC) is a statutory body with the responsibility of recognition of medical qualifications and establishing and maintaining high standards of medical education in Bangladesh. The BM&DC is also responsible for registration of doctors to practice in Bangladesh, in order to protect and promote the health and safety of the public by ensuring proper standards in the practice of medicine.

We have receive a number of applications from individuals for registration as medical practitioners and for reorganization of their degrees namely the M. B. B. S (A.M.) Alternative Medicine obtained from the Alternative Medical Council Calcutta (AMCC).  

The certificates submitted by the individuals illustrates that the Alternative Medical Council Calcutta is affiliated with the Open  International  University  for  Complementary  Medicines Established under World Health Organization.

In the circumstances, we requested you to confirm whether the World Health Organization has any association or relationship with the Calcutta based institute namely the Alternative Medical Council Calcutta, Barasat, Kolkata-700 125, West Bengal, India.

A Copy of the certificate, issued by the Alternative Medical Council Calcutta, is provided for the purpose of this query.

Kind Regards

Sd/- Illegible

Dr. Md. Arman Hossain

Registrar (In Charge)

Bangladesh Medical @ Dental Council

…l¦aÅf§ZÑ ¢hd¡u  World  Health  Organization  Hl  ¢hNa Cw−lS£ 18.07.2019 a¡¢l−Ml fœ¢V ¢e−jÀ A¢hLm Ae¤¢mMe q−m¡x

World Health Organization

Bangladesh

In reply please

refer to : BAN/HSD/B/1  Dr. Md. Arman Hossain,

Registrar (In charge)

Bangladesh Medical & Dengal Your reference : BM&DC/45 Date:  Council

04 July 2019  203, Shaheed Syed Nazrul Islam

Sarani,

Bijoy Nagar

Dhaka- 1000

18 July 2019

Dear Sir,

Subject:  Query  with  regard  to  affiliation  of  World  Health

Organization  with  Alternative  Medical  Council Calcutta

In response to the above query, we would like to inform you that Alternative Medical Council Culcatta, Barasat, Kolkata, India is not a WHO Collaborating Centre and WHO does not provide any recognition or affiliation to this Council.

Furthermore, any individual, who locks for recognition of certificates or degrees in Unari or Ayurvedic systems of medicine in Bangladesh, should communicate with the Bangladesh Board of Unani and Ayurvedic systems of medicine as per the Bangladesh Unani and Ayurvedic Practitioners Ordinance, 1983.

Hope this information is helpful

Thank you for your continuous cooperation.

Yours sincerely Sd/- Illegible

Dr. Bardan Jung Rana WHO Representative

…l¦aÅf§ZÑ ¢hd¡u West Bengal Medical Council Hl ¢hNa Cw−lS£ 07.08.2019 a¡¢l−Ml Query in regard to MBBS (AM) fœ¢V ¢e−jÀ A¢hLm Ae¤¢mMe q−m¡x

West Bengal Medical Council

IB-196, SECTOR- III, SALT LAKE CITY, KOLKATA- 700 106 No. 2077   - C/3-2019                Date: 7th August 2019

Dr. Md. Arman Hossain,

Registrar (In charge)

Bangladesh Medical & Dengal Council 203, Shaheed Syed Nazrul Islam Sarani, (86, Bijoy Nagar)

Dhaka- 1000

BANGLADESH

Sir,

Query in regard to MBBS (AM)

With  reference  to  your  letter  No.  BM&DC/45  dated 04.07.2019 (received at our end on 25.07.2019) please note that the qualifications, which only appear in the Schedule of Medical Council of India, New Delhi, are recognized qualifications and the West  Bengal  Medical  Council  as  also  all  other  State  Medical Councils  of  India  grant  registration  to  those  who  obtains  the qualification(s) as per schedule of Medical Council of India.

Alternative  Medical  Council(s)  is/are  not  recognized council(s)  and  qualifications(s)  awarded  by  them  is/are  not recognized as per Schedule of Medical Council of India.

In view of what has been stated above the qualification(s) holder(s)  of  Alternative  Medical  Council(s)  is/are  not  at  all eligible  to  practice  modern  scientific  system  of  medicine (Allopathic).

Thanking you,

Yours faithfully,

Sd/- Illegible

06.08.2019

(Manas Chakraborti) Registrar

West Bengal Medical Council 

West Bengal Medical Council

IB-196, SECTOR- III, SALT LAKE CITY, KOLKATA- 700 106

TO WHOM IT MAY CONCERN

This is to certify that the envelope containing letter No. 2077 C/03-2019 dated 07.08.2019 addressed to Dr. Md. Arman Hossain, Registrar, (In Charge), Bangladesh Medical & Dental Council, 203, Shaheed Syed Nazrul Islam Sarani, (86, Bijoy Nagar, Dhaka- 1000, Bangladesh is an official letter issued by this office for confirmation about the genuineness of a degree of medical practitioner.

Sd/- Illegible Debasis Ray

Assistant Registrar,        West Bengal Medical Council

…l¦aÅf§ZÑ ¢hd¡u CE¢ei Ñ¡¢p¢V Ah ¢fp Hl BCe fl¡jnÑL LaѪL h¡wm¡−cn ®j¢X−Lm Hä ®X¾V¡m L¡E¢¾pm Hl X¡x ®j¡x Blj¡e ®q¡−pe Hl fТa ®fÐl£a ¢hNa Cw−lS£ 03.09.2019 a¡¢l−Ml fœ¢V ¢e−jÀ A¢hLm Ae¤¢mMe q−m¡x

San Jose, 3rd of September, 2019 SJO-ICO-JJ-19-025

To

Dr. Md. Arman Hossain

Registrar

Bangladesh Medical and Dental Council

Subject: Answer to query to affiliation of University for peace with Alternative Medical Council Calcutta and Institute of Alternative Medicines.

Dear Sir,

Greetings from the University for Peace and thank you for your letter sent on July 4th, 2019, Ref. N. BM&DC/44, Regarding your question, we have consulted our legal records and we can

confirm that the University for Peace has no record of having an agreement with such institutions and therefore is not associated in any way with the institute Alternative Medical Council Calcutta of Barasat, Kolkata-700 125, West Bengal, India nor with the Institute of Alternative Medicines of 15 Srigopal Mullic Lane, Kolkata- 700 012, hence, the submitted certificates are not endorsed nor issued by the University for Peace and should be considered fake and illegally using the name of the University for Peace and of the United Nations.

The University for Peace is an International Organization and University, established by the resolution 35/55 of the General Assembly of the United Nations on December 5th of 1980. According to the Charter of the University for Peace, article 15, “The University shall, inter alia, grant master’s degrees and doctorates under terms and conditions established by the Council.” As such, UPEACE is only allowed to issue master’s and doctoral decrees.

In this regard, we really appreciate the inquire made by the Bangladesh Medical and Dental Council, as it allows us to take legal actions with the corresponding authorities.

Kind regards

Sd/- Illegible

Juan Jose Vasquez-Pacheco Legal Advisor

University for Peace.

…l¦aÅf§ZÑ ¢hd¡u LmL¡a¡ q¡C−L¡−VÑl ®j¡LŸj¡ eðl-  C. R. M. 5503 of 2017 Hl ¢hNa Cw−lS£ 09.08.2017 a¡¢l−Ml l¡u J B−cn ¢e−jÀ A¢hLm Ae¤¢mMe q−m¡x

Annexure- 19

Calcutta High Court (Appellate Side)

An Application For Anticipatory... vs Unknown on 9 August, 2017 09.08.2017 C.R.M. 5503 of 2017 In the matter of:- An application for anticipatory bail under Section 438 of the Code of Criminal Procedure, 1973 presented on 14.06.2017. In the matter of: Chandan Agarwal

(ii) Dr. Suresh Kumar Agarwal.

............petitioners Mr. Bikash Ranjan Bhattacharya, Mr. Uday Sankar Chattopadhyay, Mr. Suman Sankar Chattopadhyay, Mr. Santanu Maji, Ms. Snigdha Saha.

......For the petitioners.

Mr. Madhusudan Sur, Ld. Addl, P.P., Mr. Debojyoti Deb... For the State.

Apprehending arrest in connection with Bidhannager Police Station FIR No. 99 of 2017 dated 25.05.2017 under Sections 419/420/465/467/468/471/472/474/475/120B/34 of the Indian Penel Code, corresponding to GR case no. 425 of 2017 pending before the learned Additional Chief Judicial Magistrate, Bidhannagar, North 24 Parganas, the petitioners being the secretary and the president of Indian Board of Alternative Medicine, having its registered office at 80, Chowringhee Road, Kolkata - 700020, have filed this application under Section 438 of the Code of Criminal Procedure for anticipatory bail.

Mr. Bhattacharya, learned senior advocate appearing on behalf of the petitioners contended that the activities of the Indian Board of Alternative Medicine were held to be legal and the institution is registered under the West Bengal Societies Registration Act, 1961 bearing registration no. S/68765/1991-92. Mr. Bhattacharya further contended that CO/CR No. 13597(W) of 1996 under Article 226 of the Constitution of India is still pending in the High Court and in fact a criminal case against the Council of Alternative System of Medicine and another was quashed by this Court in a decision reported in 1991 (2) CLJ 173 (the Council of Alternative Systems of Medicine and Anr. Vs. State of West Bengal and Ors).

Mr. Bhattacharya further contended that the allegations levelled in the first information report are not applicable to the present petitioners and the activities of the present petitioners as secretary and president of the Indian Board of Alternative Medicine are not subject to scrutiny in terms of the first information report filed by the defacto-complainant.

Mr. Bhattacharya also contended that the petitioners be admitted to bail in terms of Section 438 of the Code of Criminal Procedure.

Mr. Sur, learned Additional Public Prosecutor appearing on behalf of the State contended that in the name of pursuing the cause of alternative medicine, the petitioners are in fact issuing

fake certificates of MBBS/MD degrees against payment of huge amount by some persons, who have not even passed class-X examination. The petitioners are responsible for creating fake doctors and thereby the petitioners are not only cheating innocent persons but also endangering the entire health service of public at large. Sufficient materials have been collected against the petitioners and their custodial interrogation is required to unearth the racket involved in such issuance of fake MBBS/MD certificates. At the outset, it may be mentioned that legality of the Board/Council is not subject matter of this application. Therefore, the submission of Mr. Bhattacharya regarding legality of the institution does not affect the legality of the prosecution against the present petitioners. Moreover, in paragraph 24 of the application, the petitioners have themselves admitted that in fact the Indian Board of Alternative Medicine never claimed itself as a council, recognized by the Medical Council of India (MCI). That clearly goes to show that the Indian Board of Alternative Medicine had or

has no capacity to issue certificate of MBBS/MD degrees.

Having considered the submission of learned advocates and after going through the case diary, we find sufficient materials against the present petitioners. Having regard to the complicity of the petitioners in the case under reference, we are of considered view that the petitioners are not entitled to any order under Section 438 of the Code of Criminal Procedure in the context of their role in the alleged offences.

Prayer for anticipatory bail stands rejected. Accordingly, the CRM 5503 of 2017 is disposed of. Urgent photostat copy of this order be supplied to the parties, if applied for, upon compliance with all requisite formalities. (Debi Prosad Dey, J.) (Dipankar Datta, J.)

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Declaration of Alma-Ata

International Conference on Primary Health Care, Alma-Ata, USSR, 6-12

September 1978

The International Conference on Primary Health Care, meeting in Alma-Ata this twelfth day of September in the year Nineteen hundred and seventy-eight, expressing the need for urgent action by all governments, all health and development workers, and the world community to protect and promote the health of all the people of the world, hereby makes the following Declaration:

1.               The Conference strongly reaffirms that health, which is a state of complete physical, mental and social wellbeing, and not merely the absence of disease or infirmity, is a fundamental human right and that the attainment of the highest possible level of health is a most important world-wide social goal whose realization requires the action of many other social and economic sectors in addition to the health sector.

2.              The existing gross inequality in the health status of the people particularly between developed and developing countries as well as within countries is politically, socially and economically unacceptable and is, therefore, of common concern to all countries.
3.           Economic and social development, based on a New International Economic Order, is of basic importance to the fullest attainment of health for all and to the reduction of the gap between the health status of the developing and developed countries. The promotion and protection of the health of the people is essential to sustained economic and social development and contributes to a better quality of life and to world peace.
4.           The people have the right and duty to participate individually and collectively in the planning and implementation of their health care.
5.             Governments have a responsibility for the health of their people which can be fulfilled only by the provision of adequate health and social measures. A main social target of governments, international organizations and the whole world community in the coming decades should be the attainment by all peoples of the world by the year 2000 of a level of health that will permit them to lead a socially and economically productive life. Primary health care is the key to attaining this target as part of development in the spirit of social justice.
6.           Primary health care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of selfreliance and self- determination. It forms an integral part both of the country's health system, of which it is the central function and main focus, and of the overall social and economic development of the community. It is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work, and constitutes the first element of a continuing health care process.

7. Primary health care:

1. reflects and evolves from the economic conditions and sociocultural and political characteristics of the country and its communities and is based on the application of the relevant results of social, biomedical and health services research and public health experience;
2. addresses the main health problems in the community, providing promotive, preventive, curative and rehabilitative services accordingly;
3. includes at least: education concerning prevailing health problems and the methods of preventing and controlling them; promotion of food supply and proper nutrition; an adequate supply of safe water and basic sanitation; maternal and child health care, including family planning; immunization against the major infectious diseases; prevention and control of locally endemic diseases; appropriate treatment of common diseases and injuries; and provision of essential drugs;
4. involves, in addition to the health sector, all related sectors and aspects of national and community development, in particular agriculture, animal husbandry, food, industry, education, housing, public works, communications and other sectors; and demands the coordinated efforts of all those sectors;
5. requires and promotes maximum community and individual self-reliance and participation in the planning, organization, operation and control of primary health care, making fullest use of local, national and other available resources; and to this end develops through appropriate education the ability of communities to participate;
6. should be sustained by integrated, functional and mutually supportive referral systems, leading to the progressive improvement of comprehensive health

care for all, and giving priority to those most in need;

7. relies, at local and referral levels, on health workers, including physicians, nurses, midwives, auxiliaries and community workers as applicable, as well as traditional practitioners as needed, suitably trained socially and technically to work as a health team and to respond to the expressed health needs of the community.

VIII. All governments should formulate national policies, strategies and plans of action to launch and sustain primary health care as part of a comprehensive national health system and in coordination with other sectors. To this end, it will be necessary to exercise political will, to mobilize the country's resources and to use available external resources rationally.

9.           All countries should cooperate in a spirit of partnership and service to ensure primary health care for all people since the attainment of health by people in any one country directly concerns and benefits every other country. In this context the joint WHO/UNICEF report on primary health care constitutes a solid basis for the further development and operation of primary health care throughout the world.
10.             An acceptable level of health for all the people of the world by the year 2000 can be attained through a fuller and better use of the world's resources, a considerable part of which is now spent on armaments and military conflicts. A genuine policy of independence, peace, détente and disarmament could and should release additional resources that could well be devoted to peaceful aims and in particular to the acceleration of social and economic development of which primary health care, as an essential part, should be allotted its proper share.

The International Conference on Primary Health Care calls for urgent and effective national and international action to develop and implement primary health care throughout the world and particularly in developing countries in a spirit of technical cooperation and in keeping with a New International Economic Order. It urges governments, WHO and UNICEF, and other international organizations, as well as multilateral and bilateral agencies, nongovernmental organizations, funding agencies, all health workers and the whole world community to support national and international commitment to primary health care and to channel increased technical and financial support to it, particularly in developing countries. The Conference calls on all the aforementioned to collaborate in introducing, developing and maintaining primary health care in accordance with the spirit and content of this Declaration.

fСb¢jL ü¡ÙÛÉ ®ph¡ 2000 p¡m e¡N¡c m−r É ®f±R¡−e¡l Lb¡ b¡L−mJ a¡ A¢SÑa qu¢ez gmnЦa£−a S¡a£pwO 2000 p¡−m ¢j¢m¢eu¡j −X−i ¡mf−j¾V ®N¡m ¢edÑ¡lZ L−l 2015 p¡m e¡N¡c mr Éj¡œ¡ ASÑ−el pju ¢edÑ¡lZ Ll¡ quz flhaÑ£−a S¡a£pwO 2016 ®b−L 2030 ®ju¡−c Hp¢X¢Sl (sustainable development goal) mr Éj¡œ¡ ¢edÑ¡le L−l k¡l j−dÉ pL−ml SeÉ ü¡−ÙÛÉl ¢hou¢V ¢h−no i ¡−h fСd¡eÉ f¡uz

…l¦aÅfZÑ ¢hd¡u Global Conference on Primary Health Care From Alma-Ata towards universal health coverage and the Sustainable Development Goals ab¡ “BpV¡e¡ ®O¡oZ¡”  ¢e−jÀ A¢hLm Ae¤¢mMe q−m¡x

Global Conference on Primary Health Care

From Alma-Ata towards universal health coverage and the Sustainable Development Goals

Astana, Kazakhstan, 25 and 26 October 2018

We, Heads of State and Government, ministers and representatives of States and Governments1, participating in the Global Conference on Primary Health Care: From Alma-Ata towards universal health coverage and the Sustainable Development Goals, meeting in Astana on 25 and 26 October 2018, reaffirming the commitments expressed in the ambitious and visionary Declaration of Alma-Ata of 1978 and the 2030 Agenda for Sustainable Development, in pursuit of Health for All, hereby make the following Declaration.

We envision

Governments and societies that prioritize, promote and protect people’s health and well-being, at both population and individual levels, through strong health systems;

Primary health care and health services that are high quality, safe, comprehensive, integrated, accessible, available and affordable for everyone and everywhere, provided with compassion, respect and dignity by health professionals who are well-trained, skilled, motivated and committed;

Enabling and health-conducive environments in which individuals and communities are empowered and engaged in maintaining and enhancing their health and well-being;

Partners and stakeholders aligned in providing effective support to national health policies, strategies and plans.

I

We strongly affirm our commitment to the fundamental right of every human being to the enjoyment of the highest attainable standard of health without distinction of any kind. Convening on the fortieth anniversary of the Declaration of Alma- Ata, we reaffirm our commitment to all its values and principles, in particular to justice and solidarity, and we underline the importance of health for peace, security and socioeconomic development, and their interdependence.

II

We are convinced that strengthening primary health care (PHC) is the most inclusive, effective and efficient approach to enhance people’s physical and mental health, as well as social well-being, and that PHC is a cornerstone of a sustainable health system for universal health coverage (UHC) and health-related Sustainable Development Goals. We welcome the convening in 2019 of the United Nations General Assembly high-level meeting on UHC, to which this Declaration will contribute. We will each pursue our paths to achieving UHC so that all people have equitable access to the quality and effective health care they need, ensuring that the use of these services does not expose them to financial hardship.

III

We acknowledge that in spite of remarkable progress over the last 40 years, people in all parts of the world still have unaddressed health needs. Remaining healthy is challenging for many people, particularly the poor and people in vulnerable situations. We find it ethically, politically, socially and economically unacceptable that inequity in health and disparities in health outcomes persist.

We will continue to address the growing burden of noncommunicable diseases, which lead to poor health and premature deaths due to tobacco use, the harmful use of alcohol, unhealthy lifestyles and behaviours, and insufficient physical activity and unhealthy diets. Unless we act immediately, we will continue to lose lives prematurely because of wars, violence, epidemics, natural disasters, the health impacts of climate change and extreme weather events and other environmental factors. We must not lose opportunities to halt disease outbreaks and global health threats such as antimicrobial resistance that spread beyond countries’ boundaries.

Promotive, preventive, curative, rehabilitative services and palliative care must be accessible to all. We must save millions of people from poverty, particularly extreme poverty, caused by disproportionate out-of-pocket spending on health. We can no longer underemphasize the crucial importance of health promotion and disease prevention, nor tolerate fragmented, unsafe or poor- quality care. We must address the shortage and uneven distribution of health workers. We must act on the growing costs of health care and medicines and vaccines. We cannot afford waste in health care spending due to inefficiency.

We commit to:

IV

Make bold political choices for health across all sectors

We reaffirm the primary role and responsibility of Governments at all levels in promoting and protecting the right of everyone to the enjoyment of the highest attainable standard of health. We will promote multisectoral action and UHC, engaging relevant stakeholders and empowering local communities to strengthen PHC. We will address economic, social and environmental determinants of health and aim to reduce risk factors by mainstreaming a Health in All Policies approach. We will involve more stakeholders in the achievement of Health for All, leaving no one behind, while addressing and managing conflicts of interest, promoting transparency and implementing participatory governance. We will strive to avoid or mitigate conflicts that undermine health systems and roll back health gains. We must use coherent and inclusive approaches to expand PHC as a pillar of UHC in emergencies, ensuring the continuum of care and the provision of essential health services in line with humanitarian principles. We will appropriately provide and allocate human and other resources to strengthen PHC. We applaud the leadership and example of Governments who have demonstrated strong support for PHC.

V

Build sustainable primary health care

PHC will be implemented in accordance with national legislation, contexts and priorities. We will strengthen health systems by investing in PHC. We will enhance capacity and infrastructure for primary care – the first contact with health services – prioritizing essential public health functions. We will prioritize disease prevention and health promotion and will aim to meet all people’s health needs across the life course through comprehensive preventive, promotive, curative, rehabilitative services and palliative care. PHC will provide a comprehensive range of services and care, including but not limited to vaccination; screenings; prevention, control and management of noncommunicable and communicable diseases; care and services that promote, maintain and improve maternal, newborn, child and adolescent health; and mental health and sexual and reproductive health2. PHC will also be accessible, equitable, safe, of high quality, comprehensive, efficient, acceptable, available and affordable, and will deliver continuous, integrated services that are people-centred and gender-sensitive. We will strive to avoid fragmentation and ensure a functional referral system between primary and other levels of care. We will benefit from sustainable PHC that enhances health systems’ resilience to prevent, detect and respond to infectious diseases and outbreaks.

The success of primary health care will be driven by:

Knowledge and capacity-building.  We  will apply knowledge, including scientific as well as traditional knowledge, to strengthen PHC, improve health outcomes and ensure access for all people to the right care at the right time and at the most appropriate level of care, respecting their rights, needs, dignity and autonomy. We will continue to research and share knowledge and experience, build capacity and improve the delivery of health services and care.

Human resources for health. We will create decent work and appropriate compensation for health professionals and other health personnel working at the primary health care level to respond effectively to people’s health needs in a multidisciplinary context. We will continue to invest in the education, training, recruitment, development, motivation and retention of the PHC workforce, with an appropriate skill mix. We will strive for the retention and availability of the PHC workforce in rural, remote and less developed areas. We assert that the international migration of health personnel should not undermine countries’, particularly developing countries’, ability to meet the health needs of their populations.

Technology. We support broadening and extending access to a range of health care services through the use of high-quality, safe, effective and affordable medicines, including, as appropriate, traditional medicines, vaccines, diagnostics and other technologies. We will promote their accessibility and their rational and safe use and the protection of personal data. Through advances in information systems, we will be better able to collect appropriately disaggregated, high-quality data and to improve information continuity, disease surveillance, transparency, accountability and monitoring of health system performance. We

will use a variety of technologies to improve access to health care, enrich health service delivery, improve the quality of service and patient safety, and increase the efficiency and coordination of care. Through digital and other technologies, we will enable individuals and communities to identify their health needs, participate in the planning and delivery of services and play an active role in maintaining their own health and well-being.

Financing. We call on all countries to continue to invest in PHC to improve health outcomes. We will address the inefficiencies and inequities that expose people to financial hardship resulting from their use of health services by ensuring better allocation of resources for health, adequate financing of primary health care and appropriate reimbursement systems in order to improve access and achieve better health outcomes. We will work towards the financial sustainability, efficiency and resilience of national health systems, appropriately allocating resources to PHC based on national context. We will leave no one behind, including those in fragile situations and conflict-affected areas, by providing access to quality PHC services across the continuum of care.

VI

Empower individuals and communities.

We support the involvement of individuals, families, communities and civil society through their participation in the development and implementation of policies and plans that have an impact on health. We will promote health literacy and work to satisfy the expectations of individuals and communities for reliable information about health. We will support people in acquiring the knowledge, skills and resources needed to maintain their health or the health of those for whom they care, guided by health professionals. We will protect and promote solidarity, ethics and human rights. We will increase community ownership and contribute to the accountability of the public and private sectors for more people to live healthier lives in enabling and health- conducive environments.

VII

Align stakeholder support to national policies, strategies and plans.

We call on all stakeholders – health professionals, academia, patients, civil society, local and international partners, agencies and funds, the private sector, faith-based organizations and others

–  to align with national policies, strategies and plans across all sectors, including through people-centred, gender-sensitive approaches, and to take joint actions to build stronger and sustainable PHC towards achieving UHC. Stakeholder support can assist countries to direct sufficient human, technological, financial and information resources to PHC. In implementing this Declaration, countries and stakeholders will work together in a spirit of partnership and effective development cooperation, sharing knowledge and good practices while fully respecting national sovereignty and human rights.

•        We will act on this Declaration in solidarity and coordination between Governments, the World Health Organization, the United Nations Children’s Fund and all other stakeholders.

•        All people, countries and organizations are encouraged to support this movement.

•        Countries will periodically review the implementation of this Declaration, in cooperation with stakeholders.

•        Together we can and will achieve health and well-being for all, leaving no one behind.

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…l¦aÅf§ZÑ ¢hd¡u 1m¡ S¡e¤u¡l£ 2017 p¡−m fÐL¡¢na  NEJM Catalyst H fÐL¡¢na fÐhå¢V C¾V¡l−eV ®b−L ¢e−jÀ A¢hLm Ae¤¢mMe q−m¡x

What Is Patient-Centered Care?

Explore the definition, benefits, and examples of patient- centered care. How does patient-centered care translate to new delivery models?

This article appeared in NEJM Catalyst prior to the launch of the NEJM Catalyst Innovations in Care Delivery journal. Learn more.

In patient-centered care, an individual’s specific health needs and desired health outcomes are the driving force behind all health care decisions and quality measurements. Patients are partners with their health care providers, and providers treat patients not only from a clinical perspective, but also from an emotional, mental, spiritual, social, and financial perspective.

Elements of Patient-Centered Care

Patient- and family-centered care encourages the active collaboration and shared decision-making between patients, families, and providers to design and manage a customized and comprehensive care plan.

Most definitions of patient-centered care have several common elements that affect the way health systems and facilities are designed and managed, and the way care is delivered:

• The health care system’s mission, vision, values, leadership, and quality-improvement drivers are aligned to patient-centered goals.
• Care is collaborative, coordinated, and accessible. The right care is provided at the right time and the right place.
• Care focuses on physical comfort as well as emotional well-being.
• Patient and family preferences, values, cultural traditions, and socioeconomic conditions are respected.
• Patients and their families are an expected part of the care team and play a role in decisions at the patient and system level.
• The presence of family members in the care setting is encouraged and facilitated.
• Information is shared fully and in a timely manner so that patients and their family members can make informed decisions.

Figure 1 .

Patient-Centered Care: Patient at heart of care continuum. Patient goals & values top priority. Family involved at every stage.

Patient-Centered Care

Benefits of Patient-Centered Care

The primary goal and benefit of patient-centered care is to improve  individual health outcomes, not just  population health outcomes, although population outcomes may also improve. Not only do patients benefit, but providers and health care systems benefit as well, through:

• Improved satisfaction scores among patients and their families.
• Enhanced reputation of providers among health care consumers.
• Better morale and productivity among clinicians and ancillary staff.
• Improved resource allocation.
• Reduced expenses and increased financial margins throughout the continuum of care.

Patient-Centered Care Examples

Patient-focused care is realized in a number of ways, across a variety health care settings, from family care and specialty providers, to acute, emergency, and long-term care providers. Here are a few examples.

1. Patient-centered care in the doctor’s office. Under patient- centered care, care focuses more on the patient’s problem than on his or her diagnosis. Patients have trusted, personal relationships with their doctors in patient-focused care models. Empathy, two-way communication, and eye- to-eye contact are crucial, as is the ability of the doctor to see beyond a patient’s immediate symptoms or pain. This broader look at the needs of the whole patient requires providers to offer services or referral to services such as peer support programs, social workers, financial counselors, mental and emotional health providers, transportation and daily living assistance, and in some communities, language and literacy education. While human interaction takes a primary role in patient-centered care, physician practices may also employ a variety of technology-based tools to help patients take ownership of their health care outside of the doctor’s office. Tools range from 24/7 online portals that let patients schedule appointments, get information about their condition and care instructions, review lab results and doctor’s notes, and pay bills at their convenience, to wearable technology and apps that let patients track their “important numbers”

such as weight, blood pressure, glucose levels, and cholesterol.

2. Patient-centered care in the hospital. Strict visiting hours and visitor restrictions are a thing of the past in a patient- centered care model. Patients are given the authority to identify who can visit and when. Family members (as defined by the patient and not limited to blood relations) are invited to visit during rounding and shift changes so they can be part of the care team, participating in discussions and care decisions. When not in the room with the patient, they are kept informed of their loved one’s progress through direct and timely updates. A patient- centered care hospital’s infrastructure encourages family collaboration through a home-like environment that not only meets the needs of the patient, but also meets the needs of family members. For example, maternity wards are being redesigned with family-friendly postpartum rooms that can accommodate the mom, new baby, and family members, who are encouraged to spend up to 24 hours a day together in the room to foster family bonding.
3. Personalized medicine. The concept of patient-centered care extends to the treatments and therapies clinicians provide. Not only are care plans customized, but medications are often customized as well. A patient’s individual genetics, metabolism, biomarkers, immune system, and other “signatures” can now be harnessed in many disease states — especially cancer — to create personalized medications and therapies, as well as companion diagnostics that help clinicians better predict the best drug for each patient.

Cultural Shift to Patient-Centered Care

As with other forms of value-based health care, patient- centered care requires a shift in the way provider practices and health systems are designed, managed, and reimbursed. In keeping with the tenets of patient-centeredness, this shift neither happens in a vacuum, it driven by traditional hierarchies in which providers or clinicians are the lone authority. Everyone, from the parking valet and environmental services staff to c-suite members, are engaged in the process, which impacts hiring, training, leadership style, and organizational culture.

Patient-centered care also represents a shift in the traditional roles of patients and their families from one of passive “order taker” to one of active “team member.” One of the country’s leading proponents of patient-centered care, Dr. James Rickert, has stated that one of the basic tenets of patient-centered care is that “patients know best how well their health providers are meeting their needs.” To that end, many providers are implementing patient satisfaction surveys, patient and family advisory councils, and focus groups, and using the resulting information to continuously improve the way health care facilities and provider practices are designed, managed, and maintained from both a physical and operational perspective so they become centered more on the individual person than on a checklist of services provided.

As the popularity of patient- and family-centered health care increases, it is expected that patients will become more engaged and satisfied with the delivery of their care, and evidence of its clinical efficacy should continue to mount.

…l¦aÅf§ZÑ ¢hd¡u  Health Lead  J−uh p¡C−V ¢hNa Cw−lS£ 09.11.2018 a¡¢l−Ml fÐL¡¢na  “Patient-Centered Care: Elements, Benefits and Examples”  ¢n−l¡e¡−jl fÐhå¢V ¢e−jÀ A¢hLm Ae¤¢mMe q−m¡x

Patient-Centered Care: Elements, Benefits and Examples

The Institute of Medicine defines patient-centered care as “Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.” This approach requires a true partnership between individuals and their healthcare providers, one where the individual’s needs and aspirations drive both healthcare decisions and how outcomes are measured.

Under a patient-centered model model, care teams work to know and treat the full patient — developing individualized, comprehensive care plans in which mental health and social needs receive equal attention to traditional medical treatment. As the overview from NEJM Catalyst states, patient- or family-centered care plans prompt health systems to rethink their approach to healthcare delivery — bringing new attention to active collaboration and shared decision-making with patients.

Among the common elements of effective patient-centered care plans:

• The health system’s mission, vision, values, leadership, and quality-improvement drivers are aligned to patient- centered goals.
• Care is collaborative, coordinated, and accessible. The right care is provided at the right time and the right place.
• Care focuses on physical comfort as well as emotional well-being.
• Patient and family preferences, values, cultural traditions, and socioeconomic conditions are respected.
• Patients and their families are an expected part of the care team and play a role in decisions at the patient and system level.
• The presence of family members in the care setting is encouraged and facilitated.
• Information is shared fully and in a timely manner so that patients and their family members can make informed decisions.

While the primary goal of any patient-centered care plan is to improve individual health outcomes, healthcare providers also stand to benefit through improved patient satisfaction scores, higher staff productivity and morale, reductions in the overall cost of care, and more. This makes patient- or family-centered care an approach worth exploring in almost any healthcare delivery setting.

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Annexure- 17

4th Health, Population and Nutrition Sector Programme (4th HPNSP)

OPERATIONAL PLAN (OP)

Alternative Medical Care (AMC) (January 2017-June 2022)

April 2017

Directorate General of Health Services Health Service Division

Ministry of Health and Family Welfare           Government of the People’s Republic of Bangladesh

Contents

Sd/- Illegible

Dr. Monowara Sultana Line Director

Alternative Medical Care DGHS, Mohakhali, Dhaka.

Operation Plan (OP)

1. Name of the Operational Plan (OP): Alternative Medical Care (AMC)
2. Name of the Sector Programme: 4th Health, Population and Nutrition Sector Programme (4th HPNSP).  
3. Sponsoring Ministry: Ministry of health & Family welfare
4. Implementing  Agency:  Directorate  General  of  Health Services (DGHS)
5. Implementation Period:

a)                 Date of Commencement: January, 2017

b)                 Date of Completion: 30 June, 2022

6. Objectives of the OP:

1. Overall objective:

To  scale  up  Unani,  Ayurvedic  &  Homeopathic  Medical service throughout the country along with the Allopathic treatment to ensure quality & equitable health services for all citizen of Bangladesh and develop of Unani, Ayurvedic

& Homeopathic education system.

2. Specific objectives:

1. To  develop  and  expand  Unani,  Ayurvedic  & Homeopathic  Medical  services  as  an  effective treatment and give those institutional shape.
2. To  monitor  &  Control  AMC  practitioners  by strengthening and functioning the regulatory bodies of  Homeopathic,  Unani,  Ayurvedic  registration council.

3. To  establish  a  central  research  council  and  a national herbal garden for academic and research purpose.
4. To develop a strict regulation to control the quality of AMC drugs in the country.
5. To  establish  a  Central  research  Council  and  a National Herbal garden for academic and reserch purpose.
6. To  upgrade  the  existing  Unani,  Ayurvedic  & Homeopathic Medical College & Hospital.
7. To develop capacity of AMC service providers by conducting workshop; Orientation & Training.
8. To developed a carrier path (a national strategic plan)  for  the  development  of  Unani/  Ayurvedic/ Homeopathic system of medicine.
9. To  explore  people’s  perceptions  about  Unani, Ayurvedic & Homeopathic medicine by providing quality  services  and  thus  reduces  the  unsound practices by the name of the AMC.

7. Estimated Costs

7.1  PIP and OP Cost

7.2  Estimate Cost of OP (Accounting to Financing Pattern):

8. OP Management Structure and Operational Plan Components (Attached Management set up at Annexure- I)

8.1 Line Director: Director, Homeo & Traditional Medicine, DGHS.

8.2 Major Components of OP and their Programme Managers/DPM:

8.3 Proposed manpower in the development budget:

1. The list of the existing manpower (carried over from HPNSDP):

• This post transferred in the 4th Sector Programme as RP (Ayur) and Register (Ayur) because existing Manpower appointed from Ayurvedic department.
• This Manpower come from UNPSP.

2. Newly created man power in the development budget (2017-2021):