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.vscode/launch.json vendored
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{
// Use IntelliSense to learn about possible attributes.
// Hover to view descriptions of existing attributes.
// For more information, visit: https://go.microsoft.com/fwlink/?linkid=830387
"version": "0.2.0",
"configurations": [
{
"type": "chrome",
"request": "launch",
"name": "Launch Chrome against localhost",
"url": "http://localhost:8080",
"webRoot": "${workspaceFolder}"
}
]
}

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Biometric.md
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# Biometric Attendance System in Health Sector of Bangladesh
## Background
In remote areas of Bangladesh, absenteeism among health service providers at hospitals and health centers was a significant issue. This challenge is common not only in Bangladesh but also in many other countries. To address this, the Management Information System (MIS) under the Directorate General of Health Services (DGHS) introduced biometric time-attendance systems to track office attendance of government health staff at workplaces.
## Implementation of Biometric Attendance System
### Phase 1: Fingerprint Biometric Machines
- **Installation Timeline:**
- Introduced in 2012 and gradually expanded.
- Covered all Upazila Health Complexes (UHCs) and District Hospitals (DHs) in phases.
- **Technical Details:**
- Low-cost fingerprint biometric devices.
- Each device can store up to 30,000 touch encounters.
- **Operational Mechanism:**
- Staff fingerprints are registered during installation.
- Daily attendance is recorded through touch-based fingerprint scanning.
- Attendance data is captured by a central server at MIS-DGHS whenever local computers are connected to the Internet.
- Web-based attendance reports can be accessed remotely.
### Performance Metrics
- **Statistics:**
- In 2015: 423 active devices with 38.21% attendance.
- In 2016: 457 active devices with 51.05% attendance.
- In 2017: 476 active devices with 74.59% attendance.
- **Impact:**
- Attendance rates increased by 36.38% from 2013 to 2017.
- **Pre-COVID-19 Period (Till August-September 2023):**
- Attendance rate reached 92% with data from 600 active devices.
### Impact of COVID-19
- **Pandemic Disruption:**
- Biometric attendance machines were shut down from 2019 to 2021.
### Phase 2: Face Recognition System
- **Introduction:**
- Implemented from September 2023.
- **Upgrades:**
- Face recognition technology replaced fingerprint systems.
- Devices are now required to remain online, connecting directly to the central MIS-DGHS server.
- Attendance confirmation is based on face recognition linked to the HRM ID of employees.
- Face ID registration occurs once per organization, and updates (e.g., transfers) are synchronized automatically.
- **Features:**
- Supports outsourced employees and simplifies processes for reporting, leave management, scheduling, and activation/inactivation.
- Centralized server manages real-time data and reporting.
## Coverage
As of the latest update, the attendance system connects:
- **Institutions:**
- Divisional Health Offices: 8
- Sadar Upazila Health Offices: 60
- District Health Offices: 63
- Chest Hospitals: 11
- Chest Clinics: 41
- Former UHCs, Sadar/District Hospitals, Specialized Hospitals, Medical Colleges, and Medical College Hospitals.
- **Total Coverage:** 787 institutions.
## Current Status
The upgraded system has enhanced operational efficiency and attendance monitoring in government health facilities across the country. Regular attendance data is now being received from all connected institutions, ensuring better accountability and service delivery.
---
This article provides an overview of the biometric attendance system implemented by MIS-DGHS to improve attendance tracking in the health sector of Bangladesh. For further queries, please contact the MIS-DGHS support team.

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HID.md
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3. **Online Portal:**
* An **online portal** (https://eappointment.dghs.gov.bd) allows citizens to obtain a health ID by providing their NID or birth registration number. In selected pilot areas, from this portal, anyone can book appointments for outdoor services. However, getting an online appointment for outdoor services is limited to only piloting areas. This convenient feature enables access to health services even before visiting a healthcare facility and allows patients to obtain their own Health ID from home. Even if a person is out-of-country or abroad, they can also obtain a Health ID from this online portal.
* In selected pilot areas, an **online portal** (https://eappointment.dghs.gov.bd) allows citizens to book appointments for outdoor services. From this portal, anyone can get a health ID by providing their NID or birth registration number. However, getting an online appointment for outdoor services is limited to only piloting areas. This convenient feature enables access to health services even before visiting a healthcare facility and allows patients to obtain their own Health ID from home. Even if a person is out-of-country or abroad, they can also obtain a Health ID from this online portal.
---
@ -72,4 +72,8 @@ The progress of Health ID distribution is monitored through a **real-time dashbo
---
**Conclusion**
The Health ID system marks a significant step in Bangladesh's journey toward a **digitally empowered healthcare system**. By ensuring universal health coverage, preventing duplication, and enabling seamless data exchange, the Health ID enhances the efficiency and effectiveness of health services. With multiple registration pathways and real-time monitoring, the initiative is poised to transform healthcare delivery for millions of citizens.
The Health ID system marks a significant step in Bangladesh's journey toward a **digitally empowered healthcare system**. By ensuring universal health coverage, preventing duplication, and enabling seamless data exchange, the Health ID enhances the efficiency and effectiveness of health services. With multiple registration pathways and real-time monitoring, the initiative is poised to transform healthcare delivery for millions of citizens.
---
Would you like any further modifications or additional details?

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HRIS.md
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## HRIS
**Introduction to Central HRIS**
Central HRIS is the single software platform where organizations can manage their staff information systematically with
uniformity and consistency so that the present scenario of the workforce is visible to administration with maximum
details, enabling stakeholders and policymakers to take effective and timely measures based on most recent, up-to-date
facts.
For first time in history such transparency in human resource management has been introduced. A major step towards going
paperless and increase productivity. Designed to meet the need of Government processes. (including ad hoc processes)
Accountability and awareness through media monitoring. Established interoperability with all existing major health
systems. Open data philosophy - Share maximum data through thousands of APIs reducing thousands of hours of data entry
and human effort for other systems.
---
**Core Objectives**
Central HRIS is unique because.
1. Fast and effective data driven decision, policy & crisis management.
2. Maximum interoperability to eliminate data duplication and redundancy.
3. Increase productivity of staffs by introducing transparency and accountability.
4. Improve quality of health service for citizen.
---
**One Click Solution To Data Problem**
Central HRIS has instant, one click answers to thousands of questions such as following -
1. How many Jr. Consultants are posts are vacant in under Dhaka division?
2. How many staffs are currently in Leave, Lien and Deputation and when they will be back to service?
3. How many Female Medical Officers are posted in all 31-Bed Hospitals under Barisal division?
4. Where to find all the relevant HR documents i.e. staff’s scanned documents, ACR records, PDS.
5. Where to see a provider’s career changes in a timeline (here, career change refers to Transfer, Promotion, Training,
Publications.. etc).
6. How to get a list of work forces who are retiring next month, or next week, or next year.
7. Based on what information planning and future projection should be done? How many staffs and of which disciplines are
required nationally. And many more ...
Prior to HRIS, it took weeks or months to collect, compile, combine, formulate, cross-check, verify and publish such
report. Now, these answers are one click away.
---
**Resolved Consistency And Authenticity Issues**
Without a central system consistency and quality issues like the following would continuously arise -
1. If similar reports from different sources are obtained, they will not have uniform terminology, code or standard.
2. Aggregated values (for example - vacant and filled up counts) do not match in reports from different sources.
3. Report is not free of human errors that might have occurred during large excel manipulation, emailing, versioning,
manual computation and during merger of data from multiple files.
4. One would realize that one can only make most sense of reports that are generated by his/her own organization.
Reports that you receive from other organizations takes significant time to process and understand.
On the other hand, Central HRIS delivers accurate and consistent report in real time with 100% uniformity.
---
**Increase productivity & utilization of workforce**
Central HRIS significantly reduces human involvement in the process of managing HR data. A minimal input or change
automatically propagates itself meaningfully across the whole hierarchy. For example - If a person is in leave, this
would automatically reflect in manpower calculation, attendance count and all other reports. An intelligent system like
HRIS reduces the chances of human error by automatically suggesting the correct operation and necessary validation. Once
HRIS takes care of the all the above, resources can be engaged in more productive activities where human involvement is
imperative and adds significant value.
---
## Primary registries (Data repositories)
HRIS stands on top of four main* databases also known as Registries
1. **Geolocation Registry**
* Geolocation registry stores the complete administrative area hierarchy of Bangladesh, from Division down to ward level.
All software in the health ecosystem use this single repository as a source for geolocation data.
* Geolocation registry stores the complete administrative area hierarchy of Bangladesh, from Division up to ward level .
* Facilities are placed somewhere in an administrative area. i.e.Union level Hospital.
* This registry is managed centrally and changes occur only due to new Govt orders. Like - creation of new division, merge of two unions etc.
* All other software will use this registry provided by geolocation registry to have identical structure. This will help get rid of all sort of report inconsistency.
2. **Facility Registry**
* Facility registry stores a comprehensive data about health facilities. Information includes -
* Facility type, function, ownership type.
* Administrative information
* Infrastructure details
* Major services
* Posts
* Logistics & Equipments
* Capacity & Manpower
* etc.
Other information about facility
* Level - District level, Upazila level
* Type - Administrative, Service
* Function- Academic, Training.. etc
* Ownership - Fully Government-owned, Government-Semi-autonomous
* Healthcare level - Primary, Secondary, Tertiary
* And many other attributes and information.
3. **Post Registry**
* There is a finite number of posts under the Ministry of Health. In sanctioned post registry these posts are managed.
* A post always belongs to a facility and has additional information attached to it like - designation name, group, payscale, discipline, Bangladesh professional group, WHO professional group etc.
* A post can be empty or a provider can occupy a post by Transfer, promotion or other changes.
4. **Provider Registry**
* All staffs who are employed by MoHFW belong to this registry.
* This database stores identity information, service details and expertise, academic qualifications, awards, achievement and publications of all staffs.
* Staff’s whole life history starting from joining till retirement is visible to manager.
* Staff’s leave, lien and deputation related information are all available along with scanned copy of orders.
* Staffs personal information
* Family information
* Training
* Salary and Benefits
* Educational Qualification
* Achievements
* Publications
* Presentations
* Affiliation
* Awards
* Related Files/Uploads
* Online Applications
* Transfer/Posting
* Leave
* Lien
* Additional role
* Attachment
* Noc
* Deputation
* Retirement
* Promotion
* Disciplinary action
* Death
Many more...
---
**Access HRIS**
Use your username and password to enter HRIS.
at [https://hrm.dghs.gov.bd/](https://hrm.dghs.gov.bd/)

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HealthCarefinancing.md
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**Health Financing and Programs in Bangladesh**
**1\. Health Financing Overview**
- **Household Out-of-Pocket (OOP) Expenditure**: Largest financing area, accounting for 68.5% of Total Health Expenditure (THE) in 2020.
- Majority spent at pharmacies/retail drug outlets (64.6%), followed by medical and diagnostic labs (11.7%).
- **Total Health Expenditure (THE)**:
- BDT 777 billion in 2020 (2.8% of GDP).
- Per-capita THE: BDT 4,578 ($54).
- Current Health Expenditure (CHE): BDT 719 billion (2.6% of GDP), Per-capita CHE: BDT 4,239 ($50).
- Pharmaceutical Expenditure: BDT 389 billion (50% of THE).
- **Bangladesh’s Health Budget**:
- FY 2023-2024: BDT 38,052 crore (5% of the national budget).
- Increment: 3.23% higher than the previous fiscal year.
- **Trends in THE**:
- Per-capita THE increased from $10 to $54 over 20 years.
- Steady share of GDP: 2.8%-3% in the last decade.
**2\. Disease-Specific Expenditures (2020)**
- Total recurrent expenditure: BDT 69,000 crore.
- **Top Disease Categories** (ICD-10 classification):
1. Diseases of musculoskeletal system: BDT 9,461 crore.
2. Digestive system: BDT 8,872 crore.
3. Circulatory system: BDT 8,865 crore.
4. Symptoms/signs not elsewhere classified: BDT 8,010 crore.
5. Respiratory system: BDT 5,395 crore.
- These categories represent 65% of the total disease burden.
**3\. Pharmaceutical Expenditure (2020)**
- Household financing: 93.89% of total pharmaceutical expenditure.
- Major contributors to expenditure:
1. Musculoskeletal diseases.
2. Circulatory diseases.
3. Digestive diseases.
- Gender-based share:
1. Male: 39%
2. Female: 61%
**4\. Bangladesh Essential Service Package (ESP)**
- Total expenditure in 2020: BDT 380 billion (48.8% of THE).
- Core services:
1. Maternal, neonatal, child, and adolescent health: 42% of ESP.
2. Non-communicable diseases: 25%.
3. Communicable diseases: 6%.
4. Family planning: 4%.
5. Nutrition: 3%.
- Public vs Private Spending:
1. Public: 27%.
2. Private: 73%.
- **Per-Capita ESP Spending (2020)**:
1. Public: BDT 593.
2. Private: BDT 1,642.
**5\. Shasthyo Surokhsha Karmasuchi (SSK)**
- Social health protection scheme for households below the poverty line (BPL).
- Services provided via:
- Upazila health complexes.
- Urban hospitals (e.g., Mugda Medical College Hospital).
- Innovations:
- Biometric SSK cards.
- IT integration for Electronic Health Records (EHR) and cashless transactions.
- **Progress (till March 2024)**:
- Registered households: 307,593.
- IPD patients served: 54,056.
**6\. Social Security Programs**
- Share of government expenditure: 17.81% (2.65% of GDP).
- Coverage:
- 50% of households benefited in 2022, up from 28.7% in 2016.
- Programs include:
- Maternal and child health.
- Communicable and non-communicable disease control.
- Nutrition services.
**7\. Historical Trends in Health Programs**
- **4th Health, Population, and Nutrition Sector Program (HPNSP)** (2017-2022):
- Total allocation: BDT 2,633,893.5 lakh.
- Total expenditure: BDT 2,050,238.7 lakh.
- Yearly progress (2023-2024): 42.57% of allocation utilized.
- Shift in financing:
- Increased demand-side financing for efficiency and equity.
**8\. Key Challenges and Insights**
- High reliance on OOP expenditure poses financial risks.
- Significant gender disparities in disease-specific spending.
- Slow increase in public health expenditure as a share of GDP.
- Rising focus on IT-based solutions for healthcare delivery (e.g., SSK program).

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ICD11.md
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# Bangladesh's Transition from ICD-10 to ICD-11: A Journey Towards Modernized Health Coding
## Introduction
In late 2023, Bangladesh started the journey of transitioning from ICD-10 to ICD-11, aiming to modernize its health information system and improve disease classification and reporting. As part of this transition, a pilot phase was initiated in six hospitals, employing two different approaches for ICD-11 integration based on the existing digital infrastructure.
## The Pilot Phase: Implementing ICD-11 in Six Hospitals
To assess the feasibility and effectiveness of ICD-11, six hospitals were selected for piloting, categorized based on their health information systems:
### 1. OpenMRS-Based Hospitals (WHO ICD-11 API Integration)
Three district hospitals leveraged OpenMRS, integrated with the WHO ICD-11 API to facilitate morbidity (OPD, emergency) and mortality (MCCoD) coding. The hospitals included:
- **Cumilla District Hospital**
- **Nilphamari District Hospital**
- **Barguna District Hospital**
This integration enabled structured coding of patient diagnoses and causes of death.
### 2. DHIS2-Based Hospitals (ICD-11 Codes in Dropdowns)
Three other hospitals incorporated ICD-11 into the existing DHIS2 platform by manually adding ICD-11 codes into dropdown menus. These hospitals were:
- **Cox’s Bazar District Hospital**
- **Khulna Medical College Hospital**
- **Rajshahi Medical College Hospital**
Bangladesh initially planned for an integrated morbidity and mortality tracker within DHIS2. While WHO had already developed a customized ICD-11 application for MCCOD (Medical Certification of Cause of Death), there was no equivalent app available for morbidity coding at the time of piloting. As a result, ICD-11 morbidity and mortality coding had to be manually incorporated using dropdown menus. Bangladesh continued using this approach to maintain consistency while simultaneously requesting WHO to develop a customized morbidity app to enable full ICD-11 integration within DHIS2.
## Challenges Encountered During the Pilot Phase
### 1. Challenges in OpenMRS Implementation
- **Limited Scope of ICD-11 Usage:** The inpatient module of OpenMRS is still under development. Consequently, ICD-11 could only be utilized in outpatient departments (OPD), emergency departments, and for MCCOD.
- **Data Remains Locally Stored:** The lack of centralized synchronization meant that hospitals using OpenMRS continued entering routine health information into DHIS2, leading to a double workload.
- **Limited Use of Postcoordination:** Findings from the pilot phase indicated very little usage of postcoordination in OpenMRS-based piloting areas, suggesting the need for further training and system improvements.
- **Initial Absence of Foundation URI Storage:** Initially, only ICD-11 codes were stored, without keeping the `foundationUri`. Later, it was realized that storing `foundationUri` is essential for usability and data analysis. As a result, this functionality was added to the backend.
### 2. Challenges in DHIS2 Implementation
- **Dropdown Limitations:** Since DHIS2 lacked a built-in API connection for ICD-11, the dropdown approach was used. However, ICD-11 is not designed to function as a dropdown-based classification, making data entry cumbersome and inefficient.
- **Dual Data Entry Burden:** As Bangladesh’s national health statistics are still produced using ICD-10, hospitals using ICD-11 in DHIS2 were also required to enter the same data in ICD-10. This double data entry requirement led to frustration among healthcare workers, resulting in low motivation to input ICD-11 data.
- **Future System Constraints:** Given that ICD-11 was not intended to be used as dropdown selections, it became evident that long-term implementation should focus on full-fledged hospital automation rather than manual input into DHIS2.
### 3. Inconsistent MCCOD Data Entry
In Bangladesh, routine health information system (HIS) data is formulated by a statistician, while MCCOD data entry is performed by a nurse from the inpatient department. Regardless of the HIS platform (OpenMRS or DHIS2), nurses had to enter the same data twice. This redundancy led to minimal data entry for MCCOD. However, OPD and emergency departments performed well because physicians use the automation system in real time, eliminating redundant data entry and additional workload for them.
## Lessons Learned and Next Steps
The pilot phase provided crucial insights into the strengths and limitations of ICD-11 integration in Bangladesh’s healthcare system. The key takeaways shaped the country’s next phase of implementation.
### 1. Establishing a Central Terminology Registry
Bangladesh is in the process of formulating a **Central Terminology Registry**, which will adopt ICD-11 for coding symptoms, signs, diagnoses, and medications. This initiative paves the way for nationwide expansion of ICD-11 implementation in hospitals equipped with automation systems.
#### Why ICD-11 for the Terminology Registry?
- **Free of Cost** – No licensing fees are required, making it a cost-effective solution.
- **Global Community Support** – ICD-11 is backed by a robust global community, ensuring continuous updates and improvements.
- **Ready Technology** – WHO has provided APIs and tools that facilitate seamless integration with existing health information systems.
### 2. Switching to Localized ICD-11 Deployment
Initially, ICD-11 was deployed using the WHO ICD-11 API. However, Bangladesh is now transitioning to a **localized Docker container deployment**. This shift significantly reduces dependency on internet connectivity, ensuring a more stable and efficient system for hospitals, especially in remote areas.
### 3. Scaling Up ICD-11 to 150 Hospitals
Building on the lessons from the pilot phase, Bangladesh plans to **expand ICD-11 implementation to 150 hospitals** that have hospital automation systems. This expansion will facilitate the integration of ICD-11 data directly into a central shareable health record repository, eliminating the need for duplicate data entry into DHIS2.
### 4. Future of DHIS2 and ICD-11 Integration
- **MCCOD Application Adoption:** In DHIS2, the WHO MCCOD app with ICD-11 API will be adopted for mortality coding.
- **Exploring Custom Morbidity Apps:** If a customized app for morbidity coding with ICD-11 API becomes available, Bangladesh will integrate it into DHIS2. Otherwise, ICD-10 will continue to be used for morbidity coding, but a **mapping system** will be developed to transition ICD-10 data into ICD-11 over time.
### 5. Capacity Building for ICD-11 Data Analysis
Bangladesh recognizes the need for **capacity building** in analyzing data coded with ICD-11. Training healthcare professionals and statisticians in **interpreting and utilizing ICD-11-coded data** effectively will be essential for decision-making and policy development.
### 6. Gradual Phase-Out of DHIS2 for Hospital-Based Coding
Over time, as hospital automation systems expand, **ICD-11 data will be directly recorded in these systems**. DHIS2 will gradually be phased out for individual patient coding but will continue to serve **program-specific purposes and aggregate data collection** at the national level.
## Conclusion
Bangladesh’s transition from ICD-10 to ICD-11 represents a **significant leap** in modernizing the country’s health information system. While the pilot phase revealed implementation challenges, it also provided a roadmap for future scaling. By addressing **data synchronization issues, reducing dependency on internet-based APIs, eliminating redundant data entry, and strengthening capacity building** for ICD-11 data analysis, Bangladesh aims to **enhance healthcare coding efficiency, improve statistical accuracy, and align with global health standards** for morbidity and mortality reporting.

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PrivacyPolicySHR.md
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## Privacy Policy for Shareable Health Record (SHR) Bangladesh ##
**Effective Date:** December 18, 2024
**1\. Introduction**
The Shareable Health Record (SHR) system is a centralized digital platform developed by the Ministry of Health and Family Welfare of Bangladesh.Its purpose is to securely collect, store, and share citizens' health information to enhance healthcare services nationwide.
**2\. Information We Collect**
We collect the following types of information:
- **Personal Identification Information:** Name, date of birth, gender, contact details, National ID (NID), Birth Registration Number (BRN), and Unique Health ID.
- **Health Information:** Medical history, diagnoses, medications, laboratory results, imaging reports, and other health-related data.
- **Demographic Information:** Address, occupation, and other relevant socio-economic data.
**3\. How We Use Your Information**
The information collected is used to:
- **Create Personal Health Profiles (PHP):** Consolidate all medical encounters into a single, unified health record accessible with your consent.
- **Facilitate Health Information Exchange (HIE):** Enable secure sharing of health data among authorized healthcare providers to improve patient care.
- **Enhance Healthcare Services:** Support data-driven decision-making to improve public health outcomes and policy formulation.
**4\. Information Sharing and Disclosure**
We may share your information with:
- **Authorized Healthcare Providers:** To ensure continuity of care and informed medical decision-making.
- **Government Health Agencies:** For public health monitoring and policy development.
- **Research Institutions:** For health research purposes, with all personal identifiers removed to ensure anonymity.
**5\. Data Security and Privacy**
We are committed to protecting your personal health information through:
- **Encryption:** All data is encrypted during transmission and storage to prevent unauthorized access.
- **Access Controls:** Only authorized personnel have access to your information, based on their role and necessity.
- **Regular Audits:** We conduct regular security assessments to identify and mitigate potential risks.
**6\. Your Rights**
You have the right to:
- **Access Your Information:** View your personal health profile through the SHR platform.
- **Request Corrections:** Seek amendments to any inaccuracies in your health records.
- **Withdraw Consent:** Limit or revoke consent for sharing your health information, subject to legal and operational constraints.
**7\. Changes to This Privacy Policy**
We may update this privacy policy periodically to reflect changes in our practices or legal requirements. Any significant changes will be communicated through our website.
**8\. Contact Us**
If you have any questions or concerns about this privacy policy or your personal health information, please contact us at:
- **Email:** [info@shr.dghs.gov.bd](mailto:info@shr.dghs.gov.bd)
- **Address:** Directorate General of Health Services, Mohakhali, Dhaka-1212, Bangladesh.
By using the SHR system, you acknowledge that you have read and understood this privacy policy and agree to the collection and use of your information as described herein.

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PrivateHospitalRegistration.md
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## **Private Hospital Registration**
**Introduction**
The Directorate General of Health Services (DGHS) under the Ministry of Health and Family Welfare of the Government of the People's Republic of Bangladesh is working to ensure health services to all levels of the public in Bangladesh. The Hospitals and Clinics Branch of the DGHS is the regulatory branch of all government hospitals at secondary and tertiary levels and all private hospitals, clinics, diagnostic centers and blood banks in Bangladesh. This branch is working to ensure the quality of health services of the mentioned health service providers by keeping in mind the Sustainable Development Goals (SDGs) and by coordinating with other branches of the DGHS and the departments of the Ministry of Health and Family Welfare. To this end, the Hospitals and Clinics Branch ensures all types of needs of government hospitals with 100 and above beds at the district and divisional levels located within Bangladesh and issues and renews licenses of all private hospitals, clinics, diagnostic centers and blood banks. This branch is working diligently to implement the operational plan called 'Hospital Service Management' in collaboration with the Line Director, Program Manager and Deputy Managers to make the 4th Health, Population and Nutrition Sector Program a success.
**Warning**
Any fraudulent use of this site will be considered a punishable offense under the Information and Communication Technology Act, 2006 or other applicable laws.
**General Instructions**
First, create an account in the name of your organization. Once the account is created, an SMS containing the registration number will be automatically sent to your mobile number. Activate your account using this registration number.
Save the email and password used for later work.
Fill in the fields marked with an asterisk (*) correctly and click on the 'Save' button. Once all the information is filled correctly, click on the 'Complete' tab and click on the 'Final Submit' button. Once you click on the 'Final Submit' button, there will be no opportunity to change any information.
After submitting the application, print the application and save it in your organization.
**Special Instructions for Private Hospital/Clinic**
1. For using the BMDC number of all doctors, use only mathematical numbers in English (Example: 12345).
2. In Payment Info, pay the revised license/renewal fee as per the latest circular issued by the Ministry of Health and Family Welfare and 15% VAT on the said fee as per the government instructions in a separate invoice form.
3. On the Upload page, upload the scanned copy of the owners' National Identity Card, Updated Trade License, TIN (New Organization)/Income Tax Certificate (Old Organization), VAT Registration Number, Environmental Clearance Certificate, Narcotic Permit (where applicable), Waste Management (Harmful and Non-Harmful) Agreement and Invoice.
4. Prepare a book by adding the following documents (certified) and store it in your organization. Which will be audited during the inspection:-
* List of currently running service activities
* In the case of special services, the number of beds for each, list of specialist doctors, nurses, helpers providing the service, list of equipment
* List of all surgeries currently performed
* List of all the equipment in the operating room with the signature of the head of the organization.
* Name, address, photo of specialist doctor, registration by BMDC, specialist certificate, appointment and joining/consent letter
* Name, address, photo of doctor on duty, registration, appointment and joining letter by BMDC
* Name, address, photo of nurses on duty, registration, appointment and joining letter by Nursing Council
* Name, address, photo of cleaning staff, educational qualification, appointment and joining letter and experience certificate
* Name, address, photo of other officers and employees, educational qualification, appointment and joining letter and experience certificate
**Special Instructions for Diagnostic Center**
1. For all doctors, use only mathematical numbers in English (Example: 12345) when using BMDC numbers.
2. In Payment Info, pay the revised license/renewal fee as per the latest circular issued by the Ministry of Health and Family Welfare and 15% VAT on the said fee as per the government instructions in a separate invoice form.
3. On the Upload page, upload the scanned copy of the owners' National Identity Card, Updated Trade License, TIN (New Organization)/Income Tax Certificate (Old Organization), VAT Registration Number, Environmental Clearance Certificate, Narcotic Permit (where applicable), Waste Management (Harmful and Innocent) Agreement and Invoice.
4. Prepare a book by adding the following documents (certified) and store it in your organization. Which will be inspected during the inspection:-
* List of currently running tests
* Name, address, photo of specialist doctor, registration by BMDC, specialist certificate, appointment and joining/consent letter
* Name, address, photo of report giver, registration by BMDC, specialist certificate, appointment and joining/consent letter
* Name, address, photo, registration certificate, appointment and joining letter of medical technologists
* Name, address, photo, educational qualification, appointment and joining letter and experience certificate of cleaning staff
* Name, address, photo, educational qualification, appointment and joining letter and experience certificate
* Name, address, photo, educational qualification, appointment and joining letter and experience certificate of other officers and employees
**Special Instructions for Blood Bank**
1. For all doctors, use only mathematical numbers in English (Example: 12345) when using BMDC numbers.
2. In Payment Info, pay the inspection fee, license/renewal fee as per Safe Blood Transfusion Rules‍, 2008 and 15% VAT on the said fee as per government instructions in a separate invoice form and provide the information.
3. On the Upload page, upload the owners' National Identity Card, Updated Trade License, TIN (New Organization)/Income Tax Certificate (Old Organization), VAT Registration Number, Environmental Clearance Certificate, Waste Management (Harmful and Non-Harmful) Agreement, Postgraduate Certificate of Blood Transfusion Specialist, Appointment/Joining/Consent Letter of Blood Transfusion Specialist and scanned copy of the invoice.
4. Prepare a book by adding the following documents (attested) and store it in your organization. Which will be inspected during the inspection:-
* Name, address, photo of the specialist doctor, registration by BMDC, specialist certificate, appointment and joining/consent letter
* Name, address, photo of the doctor on duty, registration, appointment and joining letter by BMDC
* Name, address, photo, registration certificate, educational certificate, appointment and joining letter of blood transfusion technologists
* Name, address, photo, registration certificate, educational certificate, appointment and joining letter of nurses on duty
* Name, address, photo, educational qualification, appointment and joining letter and experience certificate of lab attendants
* Name, address, photo, educational qualification, appointment and joining letter and experience certificate of other officers and employees

350
Telemedicine.md
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@ -1,350 +0,0 @@
**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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@ -3,7 +3,7 @@
**Introduction to OpenMRS**
OpenMRS is an open-source electronic medical record (EMR) system tailored for resource-constrained environments, first established in 2004. It offers a modular architecture that allows for extensive customization, enabling it to meet the specific needs of different healthcare systems.
In Bangladesh, OpenMRS has evolved into a customized version known as **OpenMRS+**, which integrates OpenELIS (a laboratory information system) and an inventory module with the Bahmni version. This comprehensive system is significantly transforming hospital management and service delivery in public hospitals.
In Bangladesh, OpenMRS has evolved into a customized version known as **OpenMRS+**, which integrates OpenELIS (a laboratory information system) and an inventory module with the Bahmni version. This comprehensive system is significantly transforming hospital management and service delivery in public hospitals.
* * *
**Overview of OpenMRS+ in Bangladesh**
@ -101,83 +101,6 @@ A common question is whether deploying a dedicated server in each hospital is a
However, the online centralized solution is being tested in three hospitals to assess its efficiency, feasibility, and scalability for managing multiple facilities. This dual-modality approach ensures that Bangladesh can leverage digital technology effectively while addressing current infrastructure limitations.
***
**FAQs: Which hospitals have been automated by OpenMRS Plus?**
There are several hospitals have been automated by OpenMRS Plus.
**Automated hospital list:**
# Automated by OpenMRS+ hospital list and Automation Start Dates
| S/I | Hospital and Other Information | Automation Start Date | Vendor Information |
|-----|-----------------------------------------------------------------------------|------------------------|----------------------------------|
| 1 | Gopalganj 250 Bed General Hospital | 07/06/17 | Crystal Technology Bangladesh Ltd. |
| 2 | Muksudpur Upazila Health Complex | 15/08/20 | Crystal Technology Bangladesh Ltd. |
| 3 | Kashiani Upazila Health Complex | 22/10/20 | Crystal Technology Bangladesh Ltd. |
| 4 | Kotalipara Upazila Health Complex | 09/12/20 | Crystal Technology Bangladesh Ltd. |
| 5 | Tungipara Upazila Health Complex | 04/01/20 | Crystal Technology Bangladesh Ltd. |
| 6 | Singair Upazila Health Complex | 02/01/21 | Crystal Technology Bangladesh Ltd. |
| 7 | Harirampur Upazila Health Complex | 15/08/20 | Crystal Technology Bangladesh Ltd. |
| 8 | Shibalaya Upazila Health Complex | 01/01/21 | Crystal Technology Bangladesh Ltd. |
| 9 | Saturia Upazila Health Complex | 20/10/20 | Crystal Technology Bangladesh Ltd. |
| 10 | 250 Bed General Hospital, Kishoreganj | 01/01/21 | Crystal Technology Bangladesh Ltd. |
| 11 | Bhairab Upazila Health Complex | 03/03/21 | Crystal Technology Bangladesh Ltd. |
| 12 | Tarail Upazila Health Complex | 09/01/20 | Crystal Technology Bangladesh Ltd. |
| 13 | Mithamoin Upazila Health Complex | 27/05/20 | Crystal Technology Bangladesh Ltd. |
| 14 | Katiadi Upazila Health Complex | 16/12/20 | Crystal Technology Bangladesh Ltd. |
| 15 | Pakundia Upazila Health Complex | 04/02/21 | Crystal Technology Bangladesh Ltd. |
| 16 | Khulna 250 Bed General Hospital, Khulna | 21/07/20 | Crystal Technology Bangladesh Ltd. |
| 17 | Paikgacha Upazila Health Complex | 20/02/20 | Crystal Technology Bangladesh Ltd. |
| 18 | General Hospital Cumilla | 12/01/21 | Crystal Technology Bangladesh Ltd. |
| 19 | Muradnagar Upazila Health Complex | 04/04/21 | Crystal Technology Bangladesh Ltd. |
| 20 | Burichong Upazila Health Complex | 14/03/22 | Crystal Technology Bangladesh Ltd. |
| 21 | Chaddagram Upazila Health Complex | 01/08/23 | Crystal Technology Bangladesh Ltd. |
| 22 | Barguna District Hospital | 01/12/20 | Crystal Technology Bangladesh Ltd. |
| 23 | Amtali Upazila Health Complex | 02/02/22 | Crystal Technology Bangladesh Ltd. |
| 24 | Betagi Upazila Health Complex | 20/02/22 | Crystal Technology Bangladesh Ltd. |
| 25 | Patharghata Upazila Health Complex | 20/06/22 | Crystal Technology Bangladesh Ltd. |
| 26 | Netrokona Sadar Hospital | 23/01/22 | Crystal Technology Bangladesh Ltd. |
| 27 | Shibchar Upazila Health Complex | 03/01/21 | Crystal Technology Bangladesh Ltd. |
| 28 | Rajoir Upazila Health Complex | 17/04/21 | Crystal Technology Bangladesh Ltd. |
| 29 | Dacope Upazila Health Complex | 03/06/21 | Crystal Technology Bangladesh Ltd. |
| 30 | Dumuria Upazila Health Complex | 01/08/21 | Crystal Technology Bangladesh Ltd. |
| 31 | Jhenaidah District Hospital | 28/10/20 | Crystal Technology Bangladesh Ltd. |
| 32 | Mohanganj Upazila Health Complex | 13/10/21 | Crystal Technology Bangladesh Ltd. |
| 33 | Kotchandpur Upazila Health Complex | 02/01/20 | Crystal Technology Bangladesh Ltd. |
| 34 | Harinakunda Upazila Health Complex | 15/08/20 | Crystal Technology Bangladesh Ltd. |
| 35 | Barhatta Upazila Health Complex | 31/03/22 | Crystal Technology Bangladesh Ltd. |
| 36 | Gofargaon Upazila Health Complex | 21/01/21 | Crystal Technology Bangladesh Ltd. |
| 37 | Muktagacha Upazila Health Complex | 01/12/20 | Crystal Technology Bangladesh Ltd. |
| 38 | Fenchuganj Upazila Health Complex | 21/01/21 | Crystal Technology Bangladesh Ltd. |
| 39 | Biswanath Upazila Health Complex | 03/07/21 | Crystal Technology Bangladesh Ltd. |
| 40 | Sylhet Shahid Shamsuddin Ahmed District Hospital | 01/11/20 | Crystal Technology Bangladesh Ltd. |
| 41 | Beanibazar Upazila Health Complex | 25/02/21 | Crystal Technology Bangladesh Ltd. |
| 42 | South Surma Upazila Health Complex | 10/07/24 | Crystal Technology Bangladesh Ltd. |
| 43 | Domar Upazila Health Complex | 21/03/21 | Crystal Technology Bangladesh Ltd. |
| 44 | Dimla Upazila Health Complex | 25/03/21 | Crystal Technology Bangladesh Ltd. |
| 45 | Kishoreganj Upazila Health Complex | 11/01/20 | Crystal Technology Bangladesh Ltd. |
| 46 | Nilphamari District Hospital | 07/03/21 | Crystal Technology Bangladesh Ltd. |
| 47 | Jaldhaka Upazila Health Complex | 10/01/21 | Crystal Technology Bangladesh Ltd. |
| 48 | Pirganj Upazila Health Complex | 04/01/21 | Crystal Technology Bangladesh Ltd. |
| 49 | Gurudashpur Upazila Health Complex | 08/09/20 | Crystal Technology Bangladesh Ltd. |
| 50 | Natore District Hospital | 01/12/20 | Crystal Technology Bangladesh Ltd. |
| 51 | Singra Upazila Health Complex | 09/02/21 | Crystal Technology Bangladesh Ltd. |
| 52 | Sheikh Fazilatunnessa Mujib Eye Hospital & Training Institute | 01/02/24 | Crystal Technology Bangladesh Ltd. |
| 53 | Kaliganj Upazila Health Complex | 01/07/20 | Crystal Technology Bangladesh Ltd. |
| 54 | Kaliakair Upazila Health Complex | 2024 | Crystal Technology Bangladesh Ltd. |
| 55 | Kapasia Upazila Health Complex | 2024 | Crystal Technology Bangladesh Ltd. |
| 56 | Araihazar Upazila Health Complex | 21/03/24 | Crystal Technology Bangladesh Ltd. |
| 57 | Manikganj 250 Bed District Hospital | 27/05/24 | Crystal Technology Bangladesh Ltd. |
| 58 | National Institute of Cardiovascular Diseases, Bangladesh (NICVD) | 13/06/13 | Crystal Technology Bangladesh Ltd. |
| 59 | National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR) | 01/01/13 | Crystal Technology Bangladesh Ltd. |
| 60 | National Center for Control of Rheumatic Fever & Heart Disease | 2024 | Crystal Technology Bangladesh Ltd. |
| 61 | Gopalganj Eye Hospital And Training Institute | 01/02/24 | Crystal Technology Bangladesh Ltd. |
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**FAQs: Can we see the hospital/facility wise patient data?**
We can view hospital-wise total patient information and billing information through the SHR dashboard. It's contain hospital-wise patient OPD registration, Emergency registration, provider-wise consultant patient data, male-female ratio, area-wise diagnosis information, laboratory test-wise billing information, department-wise collection information, Bed occupancy rate, facility-wise bed status, etc. But it's not public. Because it contains sensitive information, only an authorized user can view hospital-wise patient data.
SHR dashboard url: http://shrdashboard.dghs.gov.bd:5985/
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**Conclusion**
The implementation of OpenMRS+ across 100 public hospitals in Bangladesh demonstrates how tailored technological solutions can address infrastructure challenges and improve healthcare outcomes. The initiative showcases a pragmatic approach to overcoming connectivity limitations through the dual deployment modalities—on-premise servers and centralized online solutions—positioning Bangladesh as a leader in leveraging digital technology for enhanced public healthcare.