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805

Group No. A

1XX - Medical Education Division


Medium Term Expenditure

(Taka in Thousands)
Budget Projection
Description
2019-20 2020-21 2021-22
Operating Expenditure 3128,05,00 3605,65,00 3965,85,00
Development Expenditure 2100,01,00 2145,22,00 2360,05,00
Total 5228,06,00 5750,87,00 6325,90,00

Recurrent 4211,54,59 4608,90,27 4818,48,77


Capital 1012,73,41 1138,18,73 1503,63,23
Financial Assets 3,78,00 3,78,00 3,78,00
Liability 0 0 0
Total 5228,06,00 5750,87,00 6325,90,00

1.0 Mission Statement and Major Functions


1.1 Mission Statement

Building a healthy, strong and effective workforce ensuring quality health education through improvement
of the health, population and nutrition sector.

1.2 Major Functions (any two)

1.2.1 Formulation and implementation of acts, rules and policies related to Health, Nutrition and Medical
Education.

1.2.2 Providing health education, expansion of its scope and expanded programme of immunization, alternative
health care and nutrition development programme.
806

2.0 Medium Term Strategic Objectives and Activities (two)

Medium Term Strategic Implementing


Activities
Objectives Departments/Agencies

1 2 3
1.Expansion of the scope  Preparation/updating the acts, rules,  Secretariat
of quality health education policies related to health education.  Directorate of Health
Services
 Impart education and training to
managers, doctors, nurses,
paramedics, fieldworkers
,technologists and other health
related human resources.

2.Building and  Expansion of health education  Secretariat


infrastucture development  Providing training to the managers,  Directorate of Health Services
and Expansion of the doctors, nurses and health workers.
scope of research and
 Conduct research and survey related to
training
Health and Nutrition,

3.0 Poverty, Gender & Climate Activity Reporting ( one)


3.1 Impact of Medium Term Strategic Objectives on Poverty Reduction, Women's
Advancement and Climate activities:

3.1.1 Expansion of the scope of quality health education

Impact on Poverty Reduction:

Health consciousness of the population will improve as a result of expansion of quality health education.
Side by side the number of doctors, nurses and paramedics will also increase in proportion to the
population as a result of improvement in the field of medical education. As a result the number of people
falling into poverty due to health reason will decrease. At the same time the improvement of quality
alternative medical care will make the health serves more affordable and easily reachable to the poorer
section of the people irrespective of the gender. Safety net of the elderly people will improve due to
expansion of care for the elderly. Consciousness on healthy life of the ultra poor population group is
increasing due to health communication activities. As a result a healthy, strong and active population will
be created. This active population will be earn more, which will help in alleviate poverty
807

Impact on Women’s Advancement:

With the expansion of quality health education the number of doctors, nurses and paramedics will increase.
Women will also be able to easily get the affordable regular and alternative health care services. It will
reduce their health risk and will be involve in the earning activities.

Climate Activity:

No effect on climate activity

3.2 Poverty Reduction and Women’s Advancement Related Spending

(Taka in Thousands)

Budget Projection
Description
2019-20 2020-21 2021-22
Poverty Reduction 2088,54,32 2186,98,70 2342,87,34
Gender 1624,96,89 1772,22,40 1908,27,61
Climate Activity 8246,45,44 1145,24,54 1535,55,42

4.1 Priority Spending Areas/Schemes (one)

Priority Spending Areas/Schemes Related Strategic Objectives


1. Provide Health, Nutrition services and medical education and training  Expansion of the scope of
programme: quality health education
To ensure participation of the community in general health care  Expansion of the scope of
services and nutrition at grass-roots level, 13,500 community clinics, research and training
30 medical colleges and 05 medical training institutes have been
launched so far. This has therefore been given the highest priority to
achieve the health, nutrition and population of rural and poor
community. A well trained health workforce will be developed through
education and training of doctors, nurses, paramedics and other
relevant personnel.
.

4.2 Medium Term Expenditure Estimates and Projection (2019-20 to 2021-22)


4.2.1 Expenditure by Department/Agencies/Institutional Units
(Taka in Thousands)
Description Budget Revised Budget Projection
2018-19 2019-20 2020-21 2021-22
Secretariat 1162,58,93 1306,62,95 1415,57,62 1697,75,59 2010,08,95
Directorate 2,84,00 2,97,80 3,12,40 3,43,64 3,78,00
Directorate 384,60,75 411,11,61 423,06,83 465,37,50 511,91,26
Grand Total :

4.2.2 Expenditure by Economic Group Wise


(Taka in Thousands)
Economic Description Budget Revised Budget Projection
Group 2018-19 2019-20 2020-21 2021-22
Recurrent Expenditure
3111 Wages and salaries in cash 2233,46,68 2233,21,06 2406,04,68 2485,00,87 2604,77,89
3211 Administrative Expenses 53,07,18 62,08,75 243,85,34 264,92,04 265,94,14
3221 Fees, charges and commissions 29,25 71,14 22,75,04 24,34,32 23,51,67
808

Economic Description Budget Revised Budget Projection


Group 2018-19 2019-20 2020-21 2021-22
Total : - Recurrent Expenditure
Capital Expenditure
4111 Buildings and structures 327,44,39 247,85,94 336,44,71 428,95,23 621,06,23
4112 Machinery and equipment 418,11,76 344,09,08 531,76,17 658,73,32 880,26,95
Total : - Capital Expenditure
Assets
7215 Loans 6,28,00 3,78,00 3,78,00 3,78,00 3,78,00
Total : - Assets
Grand Total :

5.0 Key Performance Indicator (KPIs) (any three)


Indicator Related Unit Revised Actual Target Revised Medium Term Targets
Strategic Target Target
Objectives
2017-18 2018-19 2019-20 2020-21 2021-22

1 2 3 4 5 6 7 8 9 10
1. Increasing the number of
doctors
2 Number 5000 4790 5500 5300 6000 6500 7000

2. Child Malnutrition (under


five )
1 Per hundred 32 36.1 30 30 28 26 25

3. Expansion of the coverage


of the Expanded % of
Programme of Immunisation 2 targeted 84 82.3 87 87 90 93 95
(EPI) population

6.0 Recent Achievements, Activities, Output Indicators and Targets and


Expenditure Estimates of the Departments/Agencies
6.1 Secretariat

6.1.1 Recent Achievements:

Bangabandhu Sheikh Mujibur Rahman Medical University (Amendment) Act, 2012 has been enacted.
Chittagong Medical University Act, 2016 and Rajshahi Medical University Act 2016 has also been enacted
and these two medical universities has already start activites. In 2015 four new government medical
colleges has been established in Jamalpur, Patuakhali, Sirajganj and Rangamati. In 2017 new medical
college established in Habiganj. The admission and result publication of MBBS/BDS courses has been
done using web portal. Private Medical College Establishment and Operation (Amendment) Policy 2011
has been circulated. About 1400 doctors are granted deputation for higher studies.
809

6.1.2 Activities, Output Indicators and Targets

Activities Output Related Unit Revised Actual Target Revised Medium Term Targets
Indicator Strategic Target Target
Objectives
2016-17 2017-18 2018-19 2019-20 2020-21

1 2 3 4 5 6 7 8 9 10 11

Eastablished
Number 13,247 13,369 13,761 13,500 13,861 14,890 15,000
Community Clinic
1.Conduct Community Clinic based
3
primary health and nutrition Number
Beneficiary 10.75 10.75 11.00 11.00 11.25 11.35 11.50
(in Crore)

2.Expansion of health services in the


private sector using Government Government
3 Number 50 14 55 14 16 18 20
grants through Public-Private grants
Partnership (*)

6.1.3 Medium Term Expenditure Estimates by Institutional Unit, Programmes and Projects
(Taka in Thousands)
Name of the Institutional Unit/Scheme/ Related Actual Budget Revised Medium Term Expenditure Estimates
Project Activity 2017-18 2018-19 2019-20 2020-21 2021-22
1 2 3 4 5 6 7 8
Operating Activities
General Activity

1-4 0 73,31,93 64,42,95 122,11,12 298,83,64 328,40,80

1-3 2,12,77 2,84,00 2,97,80 3,12,40 3,43,64 3,78,00

Total : General Activity


Support Activity

3 0 162,00,00 187,95,00 192,00,00 186,54,35 201,68,29

3 0 2,65,00 3,00,00 3,25,00 3,50,00 3,75,00

Total : Support Activity


Total : Operating Activities
Development Activities
Annual Development Program

1-3 0 50,00,00 0 87,07,00 0 0

1-3 0 360,00,00 748,27,00 385,00,00 331,41,00 378,37,00

Total : Annual Development Program


Total : Development Activities
Total :
810

6.2 Directorate of Health Services

6.2.1 Recent Achievements:

From December 2014 till January 2018 a total of 4000 doctors, 10000 nurses and 12000 medical
assistants and 40000 village doctors (LMAF) have been trained. 5 million children have been brought
under immunization programme and vitamin A + campaign has also been done. 12 new medical colleges
have been built.

6.2.2 Activities, Output Indicators and Targets

Activities Output Related Unit Revised Actual Target Revised Medium Term Targets
Indicator Strategic Target Target
Objectives
2017-18 2018-19 2019-20 2020-21 2021-22

1 2 3 4 5 6 7 8 9 10 11

1. Medical education and training

Number of
trained 2 number 4000 4500 5000 5500 5600 6000 7000
manpower

2. Immunization programme Number of


immunized million 10 12 15 16 18 20 22
children
2

6.2.3 Medium Term Expenditure Estimates by Institutional Unit, Schemes and Projects
(Taka in Thousands)
Name of the Institutional Unit/Scheme/ Related Actual Budget Revised Medium Term Expenditure Estimates
Project Activity 2017-18 2018-19 2019-20 2020-21 2021-22
1 2 3 4 5 6 7 8
Operating Activities
General Activity

1-10 52,96,02 109,42,12 116,22,27 118,42,33 132,39,97 145,63,96


811

Name of the Institutional Unit/Scheme/ Related Actual Budget Revised Medium Term Expenditure Estimates
Project Activity 2017-18 2018-19 2019-20 2020-21 2021-22
1 2 3 4 5 6 7 8

1-10 1,44,43 1,87,60 1,97,65 2,06,36 2,27,00 2,49,97

Total : General Activity


Total : Operating Activities
Development Activities
Annual Development Program

5-10 0 2,85,00 3,45,00 7,00,00 4,78,00 4,72,00

2-10 0 16,92,00 9,06,00 38,95,00 0 0

Total : Annual Development Program


Total : Development Activities
Total :

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