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+**Telemedicine Services in Bangladesh (Government Facilities)**
+
+**Introduction & Background**
+
+- **Population & Context**: Bangladesh has a population of over 180 million, with many living in rural areas lacking robust healthcare infrastructure.
+- **Telemedicine Emergence**: The Ministry of Health & Welfare (MoHFW) launched the telemedicine system in 2010 to bridge rural-urban healthcare gaps.
+- **COVID-19 Impact**: The need for remote healthcare surged during the pandemic, accelerating the push for telemedicine solutions.
+
+**Current Status**
+
+- **Digital Health Transformation**: Telemedicine is a flagship initiative under Bangladesh’s broader “Digital Health” strategy.
+- **Facilities & Deployment**: As of 2023, **232 Telemedicine Centers** are operational:
+
+**1\. 22 Centers as Both Providers and Receivers**:
+
+- 1. Nachol Upazila Health Complex (Chapai Nawabganj, Rajshahi)
+  2. Kotalipara Upazila Health Complex (Gopalganj, Dhaka)
+  3. Kashiani Upazila Health Complex (Gopalganj, Dhaka)
+  4. Chaddagram Upazila Health Complex (Cumilla, Chittagong)
+  5. Tanore Upazila Health Complex (Rajshahi, Rajshahi)
+  6. Modhupur Upazila Health Complex (Tangail, Dhaka)
+  7. Mithapukur Upazila Health Complex (Rangpur, Rangpur)
+  8. Banshkhali Upazila Health Complex (Chittagong, Chittagong)
+  9. Kazipur Upazila Health Complex (Sirajgonj, Rajshahi)
+  10. Panchbibi Upazila Health Complex (Joypurhat, Rajshahi)
+  11. Chakaria Upazila Health Complex (Cox's Bazar, Chittagong)
+  12. Rajarhat Upazila Health Complex (Kurigram, Rangpur)
+  13. Mongla Upazila Health Complex (Bagerhat, Khulna)
+  14. Panchari Upazila Health Complex (Khagrachhari, Chattogram)
+  15. Singair Upazila Health Complex (Manikganj, Dhaka)
+  16. Chilmari Upazila Health Complex (Kurigram, Rangpur)
+  17. Fenchuganj Upazila Health Complex (Sylhet, Sylhet)
+  18. Kaunia Upazila Health Complex (Rangpur, Rangpur)
+  19. Shibchar Upazila Health Complex (Madaripur, Dhaka)
+  20. Haripur Upazila Health Complex (Thakurgaon, Rangpur)
+  21. Subarnachar Upazila Health Complex (Noakhali, Chattogram)
+  22. Nasirnagar Upazila Health Complex (Brahmanbaria, Chattogram)
+
+**2\. 194 Centers Exclusively as Recipients**:
+
+1. Adamdighi Upazila Health Complex,Bogura,Rajshahi
+2. Ajmiriganj Upazila Health Complex,Habiganj,Sylhet
+3. Akkelpur Upazila Health Complex,Joypurhat,Rajshahi
+4. Alikadam Upazila Health Complex,Bandarban,Chittagong
+5. Amtali Upazila Health Complex,Barguna,Barishal
+6. Anwara Upazila Health Complex,Chittagong,Chittagong
+7. Ashuganj Upazila Health Complex,Brahmanbaria,Chittagong
+8. Assasuni Upazila Health Complex,Satkhira,khulna
+9. Bagherpara Upazila Health Complex,Jashore,Khulna
+10. Baniachong Upazila Health Complex,Habiganj,Sylhet
+11. Banshkhali Upazila Health Complex,Chittagong,Chittagong
+12. Baraigram Upazila Health Complex,Natore,Rajshahi
+13. Barhatta Upazila Health Complex,Netrokona,Mymensingh
+14. Belabo Upazila Health Complex,Narsingdi,Dhaka
+15. Barlekha Upazila Health Complex,Moulavibazar,Sylhet
+16. Belkuchi Upazila Health Complex,Sirajganj,Rajshahi
+17. Bera Upazila Health Complex,Pabna,Rajshahi
+18. Betagi Upazila Health Complex,Barguna,Barishal
+19. Bhedarganj Upazila Health Complex,Shariatpur,Dhaka
+20. Bhangura Upazila Health Complex,Pabna,Rajshahi
+21. Bheramara Upazila Health Complex,Kustia,Khulna
+22. Bhurungamari Upazila Health Complex,Kurigram,Rangpur
+23. Birampur Upazila Health Complex,Dinajpur,Rangpur
+24. Birganj Upazila Health Complex,Dinajpur,Rangpur
+25. Birol Upazilla Health Complex,Dinajpur,Rangpur
+26. Bishwanath Upazila Health Complex,Sylhet,Sylhet
+27. Bochaganj Upazila Health Complex,Dinajpur,Rangpur
+28. Boda Upazila Health Complex,Panchagarh,Rangpur
+29. Borhanuddin Upazila Health Complex,Bhola,Barishal
+30. Burichong Upazila Health Complex,Cumilla,Chittagong
+31. Chaddagram Upazila Health Complex,Cumilla,Chittagong
+32. Chakaria Upazila Health Complex,Cox's Bazar,Chittagong
+33. Chandina Upazila Health Complex,Cumilla,Chittagong
+34. Chatkhil Upazila Health Complex,Noakhali,Chittagong
+35. Chatmohor Upazila Health Complex,Pabna,Rajshahi
+36. Chhatak Upazila Health Complex,Sunamgonj,Sylhet
+37. Charghat Upazila Health Complex,Rajshahi,Rajshahi
+38. Charfession Upazila Health Complex,Bhola,Barishal
+39. Chhagalnaya Upazila Health Complex,Feni,Chittagong
+40. Chilmari Upazila Health Complex,Kurigram,Rangpur
+41. Chirirbandar Upazila Health Complex,Dinajpur,Rangpur
+42. Chowgacha Upazila Health Complex,Jeshore,Khulna
+43. Chunarughat Upazila Health Complex,Habiganj,Sylhet
+44. Companiganj Upazila Health Complex,Sylhet,Sylhet
+45. Dacope Upazila Health Complex,Khulna,Khulna
+46. Damurhuda Upazila Health Complex,Chuadanga,Khulna
+47. Dashmina Upazila Health Complex,Patuakhali,Barishal
+48. Daulatkhan Upazila Health Complex,Bhola,Barishal
+49. Debhata Upazila Health Complex,Satkhira,Khulna
+50. Debiganj Upazila Health Complex,Panchagarh,Rangpur
+51. Derai Upazila Health Complex,Sunamganj,Sylhet
+52. Dewanganj Upazila Health Complex,Jamalpur,Mymensingh
+53. Dharmapasha Upazila Health Complex,Sunamganj,Sylhet
+54. Dhubaura Upazila Health Complex,Mymensingh,Mymensingh
+55. Dhunat Upazila Health Complex,Bogura,Rajshahi
+56. Dhupchachia Upazila Health Complex,Bogura,Rajshahi
+57. Dimla Upazila Health Complex,Nilphamari,Rangpur
+58. Dighalia Upazila Health Complex,Khulna,Khulna
+59. Dighinala Upazila Health Complex,Khagrachari,Chittagong
+60. Domar Upazila Health Complex,Nilphamari,Rangpur
+61. Dumuria Upazila Health Complex,Khulna,Khulna
+62. Faridpur Upazila Health Complex,Pabna,Rajshahi
+63. Fenchuganj Upazila Health Complex,Sylhet,Sylhet
+64. Galachipa Upazila Health Complex,Patuakhali,Barishal
+65. Ghatail Upazila Health Complex,Tangail,Dhaka
+66. Godagari Upazila Health Complex,Rajshahi,Rajshahi
+67. Gournadi Upazila Health Complex,Barishal,Barishal
+68. Gowainghat Upazila Health Complex,Sylhet,Sylhet
+69. Gurudashpur Upazila Health Complex,Natore,Rajshahi
+70. Haimchar Upazila Health Complex,Chandpur,Chittagong
+71. Haluaghat Upazila Health Complex,Mymensingh,Mymensingh
+72. Harinakunda Upazila Health Complex,Jhenaidah,Khulna
+73. Haripur Upazila Health Complex,Thakurgaon,Rangpur
+74. Harirampur Upazila Health Complex,Manikganj,Dhaka
+75. Hatibandha Upazila Health Complex,Lalmonirhat,Rangpur
+76. Islampur upazila Health Complex,Jamalpur,Mymensingh
+77. Iswardi Upazila Health Complex,Pabna,Rajshahi
+78. Jaldhaka Upazila Health Complex,Nilphamari,Rangpur
+79. Jhenaigati Upazila Health Complex,Sherpur,Mymensingh
+80. Jhikargacha Upazila Health Complex,Jashore,Khulna
+81. Kachua Upazila Health Complex,Bagerhat,Khulna
+82. Kachua Upazila Health Complex,Chandpur,Chittagong
+83. Kalai Upazila Health Complex,Joypurhat,Rajshahi
+84. Kalapara Upazila Health Complex,Patuakhali,Barishal
+85. Kalia Upazila Health Complex,Narail,Khulna
+86. Kaliganj Upazila Health Complex,Gazipur,Dhaka
+87. Kalihati Upazila Health Complex,Tangail,Dhaka
+88. Kalukhali Upazila Health Complex,Rajbari,Dhaka
+89. Kamalganj Upazila Health Complex,Moulavibazar,Sylhet
+90. Kaptai Upazila Health Complex,Rangamati,Chittagong
+91. Kashiani Upazila Health Complex,Gopalganj,Dhaka
+92. Kathalia Upazila Health Complex,Jhalokathi,Barishal
+93. Katiadi Upazila Health Complex,kishoreganj,Dhaka
+94. Kazipur Upazila Health Complex,Sirajgonj,Rajshahi
+95. Kawkhali Upazila Health Complex,Pirojpur,Barishal
+96. Kawkhali Upazila Health Complex,Rangamati,Chittagong
+97. Khaliajhuri Upazila Health Complex,Netrokona,Mymensingh
+98. Khetlal Upazila Health Complex,Joypurhat,Rajshahi
+99. kishoreganj Upazila Health Complex,Nilphamari,Rangpur
+100.Kotalipara Upazila Health Complex,Gopalganj,Dhaka
+101.Kotchandpur Upazila Health Complex,Jhenaidah,Khulna
+102.Koyra Upazila Health Complex,Khulna,Khulna
+103.Kaunia Upazila Health Complex,Rangpur,Rangpur
+104.Kulaura Upazila Health Complex,Moulvibazar,Sylhet
+105.Lakshmichari Upazila Health Complex,Khagrachari,Chittagong
+106.Lakhai Upazila Health Complex,Habiganj,Sylhet
+107.Lalmohan Upazila Health Complex,Bhola,Barishal
+108.Lalpur Upazila Health Complex,Natore,Rajshahi
+109.Lohagara Upazila Health Complex,Narail,Khulna
+110.Manikchari Upazila Health Complex,Khagrachari,Chittagong
+111.Mathbaria Upazila Health Complex,Pirojpur,Barishal
+112.Matiranga Upazila Health Complex,Khagrachari,Chittagong
+113.Matlab Daxin Upazila Health Complex,Chandpur,Chittagong
+114.Mirpur Upazila Health Complex,Kushtia,Khulna
+115.Mithamoin Upazila Health Complex,kishoreganj,Dhaka
+116.Mithapukur Upazila Health Complex,Rangpur,Rangpur
+117.Modhupur Upazila Health Complex,Tangail,Dhaka
+118.Mohadevpur Upazila Health Complex,Naogaon,Rajshahi
+119.Mohalchari Upazila Health Complex,Khagrachari,Chittagong
+120.Mohammadpur Upazila Health Complex,Magura,Khulna
+121.Mohanganj Upazila Health Complex,Netrokona,Mymensingh
+122.Moheshkhali Upazila Health Complex,Cox's Bazar,Chittagong
+123.Mongla Upazila Health Complex,Bagerhat,Khulna
+124.Morrelganj Upazila Health Complex,Bagerhat,Khulna
+125.Mujibnagar upazila health complex,Meherpur,Khulna
+126.Mukshedpur Upazila Health Complex,Gopalganj,Dhaka
+127.Muktagacha Upazila Health Complex,Mymensingh,Mymensingh
+128.Muradnagar Upazila Health Complex,Cumilla,Chittagong
+129.Nabinagar Upazila Health Complex,B. Baria,Chittagong
+130.Nachol Upazila Health Complex,Chapai Nawabganj,Rajshahi
+131.Naikhongchari Upazila Health Complex,Bandarban,Chittagong
+132.Nakla Upazila Health Complex,Sherpur,Mymensingh
+133.Nalchity Upazila Health Complex,Jhalokathi,Barishal
+134.Nalitabari Upazila health Complex,Sherpur,Mymensingh
+135.Nasirnagar Upazila Health Complex,Brahmanbaria,Chittagong
+136.Nazirpur Upazila Health Complex,Pirojpur,Barishal
+137.Niamatpur Upazila Health Complex,Naogaon,Rajshahi
+138.Paikgacha Upazila Health Complex,Khulna,Khulna
+139.Pakundia Upazila Health Complex,Kishoreganj,Dhaka
+140.Panchari Upazila Health Complex,Khagrachari,Chittagong
+141.Panchbibi Upazila Health Complex,Joypurhat,Rajshahi
+142.Pangsha Upazila Health Complex,Rajbari,Dhaka
+143.Parbatipur Upazila Health Complex,Dinajpur,Rangpur
+144.Patharghata Upazila Health Complex,Barishal,Barishal
+145.Patnitala Upazila Health complex,Naogaon,Rajshahi
+146.Patgram Upazila Health Complex,Lalmonirhat,Rangpur
+147.Parsuram Upazila Health Complex,Feni,Chittagong
+148.Pirgacha Upazila Health Complex,Rangpur,Rangpur
+149.Pirganj Upazila Health Complex,Rangpur,Rangpur
+150.Pirganj Upazila Health Complex,Thakurgaon,Rangpur
+151.Purbadhala Upazila Health Complex,Netrokona,Mymensingh
+152.Raiganj Upazila Health Complex,Sirajgonj,Rajshahi
+153.Raipura Upazila Health Complex,Narsingdi,Dhaka
+154.Rajapur Upazila Health Complex,Jhalokathi,Barishal
+155.Rajarhat Upazila Health Complex,Kurigram,Rangpur
+156.Rajoir Upazila Health Complex,Madaripur,Dhaka
+157.Ramgarh Upazila Health Complex,Khagrachari,Chittagong
+158.Rampal Upazila Health Complex,Bagerhat,Khulna
+159.Sadullapur Upazila Health Complex,Gaibandha,Rangpur
+160.Sadarpur Upazila Health Complex,Faridpur,Dhaka
+161.Saidpur Upazila Health Complex,Nilphamari,Rangpur
+162.Saint Martin 20 Bed Hospital,Cox's Bazar,Chittagong
+163.Santhia Upazila Health Complex,Pabna,Rajshahi
+164.Sarail Upazila Health Complex,B. Baria,Chittagong
+165.Sarankhola Upazila Health Complex,Bagerhat,Khulna
+166.Shahzadpur Upazila Health Complex,Sirajganj,Rajshahi
+167.Shajahanpur Upazila Health Complex,Bogura,Rajshahi
+168.Sarsa Upazila Health Complex,Jessore,Khulna
+169.Saturia Upazila Health Complex,Manikganj,Dhaka
+170.Sherpur Upazila Health Complex,Bogura,Rajshahi
+171.Shibalaya Upazila Health complex,Manikgonj,Dhaka
+172.Shibchar Upazila Health Complex,Madaripur,Dhaka
+173.Shibganj Upazila Health Complex,Chapai Nawabganj,Rajshahi
+174.Sreemangal Upazila Health Complex,Moulavibazar,Sylhet
+175.Shantiganj Upazila Health Complex,Sylhet,Sylhet
+176.Shyamnagar Upazila Health Complex,Satkhira,Khulna
+177.Singair Upazila Health Complex,Manikganj,Dhaka
+178.Singra Upazila Health Complex,Natore,Rajshahi
+179.Sonagazi Upazila Health Complex,Feni,Chittagong
+180.Subarnachar Upazila Health Complex,Noakhali,Chittagong
+181.Sundarganj Upazila Health Complex,Gaibandha,Rangpur
+182.Tajumuddin Upazila Health Complex,Bhola,Barishal
+183.Tala Upazila Health Complex,Sathkhira,Khulna
+184.Tanore Upazila Health Complex,Rajshahi,Rajshahi
+185.Tarail Upazila Health Complex,kishoreganj,Dhaka
+186.Taraganj Upazila Health Complex,Rangpur,Rangpur
+187.Tarash Upazila Health Complex,Sirajgonj,Rajshahi
+188.Teknaf Upazila Health Complex,Cox's Bazar,Chittagong
+189.Tetulia Upazila Health Complex,Panchagarh,Rangpur
+190.Trishal Upazila Health Complex,Mymensingh,Mymensingh
+191.Tungipara Upazila Health Complex,Gopalganj,Dhaka
+192.Ukhia Upazila Health Complex,Cox's Bazar,Chittagong
+193.Ulipur Upazila Health Complex,Kurigram,Rangpur
+194.Zokiganj Upazila Health Complex,Sylhet,Sylhet
+
+**3\. 40 Centers Exclusively as Providers**:
+
+1. Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Dhaka
+2. National Institute of Diseases of the Chest & Hospital (NIDCH), Dhaka, Dhaka
+3. National Institute Of Cancer Research And Hospital (NICRH), Dhaka, Dhaka
+4. National Institute Of Cardiovascular Disease (NICVD), Dhaka, Dhaka
+5. National Institute of Kidney Disease and Urology (NIKDU), Dhaka, Dhaka
+6. National Institute Of Neuro Science (NINS), Dhaka, Dhaka
+7. National Institute Of Ophthalmology (NIO), Dhaka, Dhaka
+8. National Institute of Traumatology and Rehabilitation (NITOR), Dhaka, Dhaka
+9. National Institute Of Mental Health (NIMH), Dhaka, Dhaka
+10. National Institute of Burn and Plastic Surgery, Dhaka, Dhaka
+11. National Gastroliver Institute & Hospital, Dhaka, Dhaka
+12. Gopalganj Eye Hospital And Training Institute, Gopalganj, Dhaka
+13. National Institute of ENT, Dhaka, Dhaka
+14. Dhaka Medical College hospital, Dhaka, Dhaka, Dhaka
+15. Sir Solimullah Medical College Hospital, Dhaka, Dhaka
+16. Shaheed Suhrawardy Medical College and Hospital, Dhaka, Dhaka
+17. Mugda Medical College Hospital, Dhaka, Dhaka
+18. Mymensingh Medical College Hospital, Mymensingh, Mymensingh
+19. Khulna Medical College Hospital, Khulna, Khulna
+20. Rajshahi Medical College Hospital, Rajshahi, Rajshahi
+21. Sher-E-Bangla Medical College Hospital, Barishal, Barishal
+22. Rangpur Medical College Hospital, Rangpur, Rangpur
+23. MAG Osmani Medical College Hospital, Sylhet, Sylhet
+24. Chittagong Medical College Hospital, Chittagong, Chittagong
+25. Cumilla Medical College Hospital, Cumilla, Chittagong
+26. Colonel Malek Medical College Hospital, Manikgong, Dhaka
+27. Bandarban District Hospital, Bandarban, Chittagong
+28. Gaibandha District Hospital, Gaibandha, Rangpur
+29. Gopalganj 250 bed General Hospital, Gopalganj, Dhaka
+30. Lakshmipur District Hospital, Lakshmipur, Chittagong
+31. Moulvibazar District Hospital, Moulvibazar, Sylhet
+32. Naogaon District Hoispital, Naogaon, Rajshahi
+33. Nilphamari District Hospital, Nilphamari, Rangpur
+34. Patuakhali District Hospital, Patuakhali, Barishal
+35. Satkhira District Hospital, Satkhira, Khulna
+36. Tangail 250 Bed District Hospital, Tangail, Dhaka
+37. Thakurgaon District Hospital, Thakurgaon, Rangpur
+38. Sirajganj District Hospital, Sirajganj, Rajshahi
+39. Chaddagram Upazila Health Complex, Cumilla, Chittagong
+40. Management Information System (MIS), Dhaka, Dhaka
+
+- **Service Providers & Receivers**:
+    1. **40** service providers.
+    2. **194** service receivers.
+- **Equipment**: Centers are furnished with telestethoscopes, teleECG, telemicroscopes, teleglucometers, advanced cameras, large screens, desktop computers, UPS, etc. (provided by MIS, DGHS).
+- **Cost & Access**: Consultations with specialist doctors at any hospital are provided free of charge for patients at upazila health complexes or for referral cases.
+
+**Most Common Diseases Treated via Telemedicine**
+
+1. B86 Scabies
+2. B354 Tinea corporis
+3. B000 Eczema herpeticum
+4. L70 Acne
+5. L23 Allergic contact dermatitis
+6. L089 Local infection of skin and subcutaneous tissue, unspecified
+7. L20 Atopic dermatitis
+8. H10 Conjunctivitis
+9. L40 Psoriasis
+10. M545 Low back pain
+11. L01 Impetigo
+12. L80 Vitiligo
+13. L21 Seborrhoeic dermatitis
+14. R51 Headache
+15. B68 Taeniasis
+
+**Offered Services**
+
+1. **Teleconsultation**
+2. **Mental Health Support**
+3. **Health Information & Awareness**
+
+**Advantages**
+
+1. **Accessibility**:
+    - Connects rural patients with urban specialists.
+    - Reduces travel time and associated costs.
+2. **Affordability**:
+    - Minimizes financial burden of in-person visits.
+    - Some services subsidized by government or NGOs.
+3. **Efficiency**:
+    - Cuts down patient wait times.
+    - Streamlines follow-ups and chronic disease management.
+4. **Crisis Response**:
+    - Instrumental during COVID-19 to lessen load on physical facilities.
+
+**Limitations & Challenges**
+
+1. **Awareness & Trust**:
+    - Low awareness among rural residents.
+    - Cultural skepticism toward online consultations.
+2. **Healthcare Professional Training**:
+    - Insufficient training for telemedicine tools.
+    - Resistance from some providers to adopt digital methods.
+3. **Regulatory & Policy Gaps**:
+    - Lack of clear telemedicine regulations and guidelines.
+    - Concerns about data privacy and security.
+4. **Equipment Costs**:
+    - High initial setup expense for telemedicine platforms and diagnostics.
+
+**Future Prospects**
+
+1. **Government Vision**:
+    - Increased funding and partnerships for telemedicine infrastructure.
+2. **Technology Integration**:
+    - AI-driven diagnostic support.
+    - Mobile apps for personalized healthcare management.
+3. **Public-Private Partnerships**:
+    - Collaboration between government and private sector to scale services.
+4. **Focused Training & Awareness**:
+    - Training programs for healthcare professionals.
+    - Awareness campaigns for local communities.
+5. **International Collaborations**:
+    - Partnerships with global telemedicine providers for advanced solutions.
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