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Viewing cable 09DHAKA698, BANGLADESH HEALTH MINISTER FOCUSED ON FAMILY PLANNING AND

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Reference ID Created Released Classification Origin
09DHAKA698 2009-07-16 09:45 2011-08-25 00:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Dhaka
VZCZCXRO8885
RR RUEHAST RUEHBI RUEHCI RUEHDBU RUEHLH RUEHNEH RUEHPW
DE RUEHKA #0698/01 1970945
ZNR UUUUU ZZH
R 160945Z JUL 09
FM AMEMBASSY DHAKA
TO RUEHC/SECSTATE WASHDC 9167
INFO RUCNCLS/ALL SOUTH AND CENTRAL ASIA COLLECTIVE
RUEHPH/CDC ATLANTA GA USA
UNCLAS SECTION 01 OF 02 DHAKA 000698 
 
SENSITIVE 
SIPDIS 
 
DEPT FOR SCA/INSB 
USAID FOR A/AID, ANE, GH, RENEE HOWELL DESK OFFICER 
 
E.O. 12958: N/A 
TAGS: EAID ECON EINV PREL TBIO BG
SUBJECT: BANGLADESH HEALTH MINISTER FOCUSED ON FAMILY PLANNING AND 
LOCAL HEALTH PROGRAMS 
 
SUMMARY 
------- 
 
1.  (SBU) Family planning and improving local health care programs 
are top priorities for Bangladesh's Health Minister, Dr. A.F.M. 
Ruhal Haque.  Minister Haque welcomed USG-funded health programs and 
emphasized the importance of decentralization to improving health 
services in Bangladesh.  The Ambassador highlighted private sector 
initiatives in the health sector here. 
 
GOB HEALTH PLANS 
---------------- 
 
2.  (SBU) Bangladesh's Health Minister, Dr. A.F.M. Ruhal Haque, 
accompanied by the Health Secretary, told the Ambassador and USAID 
Mission Director July 7 that 20 years ago Bangladesh's family 
planning programs were robust and successful.  The Minister 
observed, however, that Government of Bangladesh (GOB) programs had 
lost momentum over the past several years, noting his top priority 
was to resuscitate family planning in Bangladesh. 
 
3.  (SBU) According to Minister Haque, Prime Minister Sheikh Hasina 
is focused on quickly revitalizing the delivery of health care 
services, particularly community clinics.  As a first step, Haque 
said the Awami League Government planned to restart 18,000 community 
clinics the opposition Bangladesh Nationalist Party (BNP) scrapped 
during its 2001-2006 government.  Minister Haque acknowledged that 
centralization and bureaucracy stymied GOB efforts to meet local 
needs.  While there were more than 10,000 unemployed medical doctors 
in Bangladesh, over-centralization and bureaucratic inertia had 
stalled the Health Ministry's recruitment of doctors to fill 4,000 
vacant slots.  The Minister said the PM planned to use ad hoc 
appointments to overcome these obstacles.  When the Ambassador asked 
how the ministry planned to address Bangladesh's nursing shortage, 
Haque said his ministry hoped to double its nursing cadre by forcing 
all new hospitals to open nursing schools.  Simultaneously the 
Ministry would work with the hospitals to intensify training of 
medical technologists. 
 
USG INTERNATIONAL HEALTH PRIORITIES 
----------------------------------- 
 
4.  (SBU) The Ambassador previewed aspects of President Obama's FY 
2010 Global Health Initiative.  The initiative would focus on: 
--integrating global health programming while retaining US 
leadership in HIV/AIDS, Tuberculosis and Malaria; 
--increasing efforts to reduce child mortality, improve maternal 
health and avert unintended pregnancies; 
--strengthening health care systems in developing countries; 
--improving efficiency in the deployment of health resources; and 
--increasing financial support for agriculture and food security 
programs to cut global hunger. 
While uncertainty existed about funding for this initiative, the 
Ambassador noted that many of these priorities could support 
programs in Bangladesh. 
 
5.  (SBU) The Ambassador highlighted for the Minister aspects of 
USAID's health programs and the USG's commitment to coordinating its 
efforts with donors supporting Bangladesh's Health, Nutrition and 
Population Sector Program (HNPSP).  The Health Secretary praised 
USAID's programs for filling gaps not covered by the 4.2 billion USD 
multi-donor HNPSP sector program.  The Minister criticized the 
vertical nature of some programs and urged stronger coordination of 
USAID activities to help strengthen the health system.  The USAID 
Mission Director explained that the current USG health assistance 
commitment to Bangladesh was 174 million USD over five years and was 
aligned both with the Government's health strategy and the HNPSP. 
The Ambassador invited the Health Minister to participate in two 
upcoming events to showcase USG work in family planning, safe 
motherhood and maternal/child health. 
 
PRIVATE US INVESTMENT IN BANGLADESH HEALTH SECTOR 
--------------------------------------------- - 
 
6.  (SBU) In addition to USG assistance for health care, U.S. 
businesses also were investing in the health sector, the Ambassador 
noted.  A consortium of American business people and health 
professionals, including Bangladeshi-Americans, had invested 4 
million USD in refurbishing and runing a private hospital in Dhaka. 
The Ambassador urged the Health Ministry and GOB to support projects 
like this private hospital, which brought high quality health care, 
technology and medical expertise to Bangladesh.  Claiming he 
supported the involvement of the private sector, the Minister 
described his support for a village hospital in his constituency 
that drew on the expertise of Americans and other expatriate 
Bangladeshis. 
 
 
DHAKA 00000698  002 OF 002 
 
 
COMMENT 
------- 
 
7.  (SBU) The Health Minister warmly supported USG assistance in 
Bangladesh's health sector.  He acknowledged the GOB could not "go 
it alone" and needed help from donors, non-governmental 
organizations (NGOs) and the private sector.  In a highly 
centralized country, the Minister's emphasis on the need for local 
solutions to health care challenges was encouraging. 
MORIARTY