Updated HRIS.md

Reviewed-on: #10

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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/)

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).

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.

Telemedicine.md

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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.

openmrs.md

@@ -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**
@@ -101,6 +101,83 @@ 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. |
+
+
+***
+**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/
+
 **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.