WHO- Strengthening health systems (UHC, MHPSS, AMR, CXB) WHO- Strengthening health systems (UHC, MHPSS, AMR, CXB) Through the project, Sweden is actively supporting ongoing efforts in improving the
Bangladesh health care system which will ultimately benefit the poor and the vulnerable.
The proposed contribution is directly aligned with the current strategy for Swedens
development cooperation with Bangladesh 2021-2025, especially the support area 4 -
Strengthen the capacity to provide good quality healthcare.

The project consists of four different health areas: Universal Health Care (UHC),
Mental Health and Psychosocial Support (MHPSS), Antimicrobial
resistance (AMR) and upholding health services quality in Coxs Bazar. The
four health interventions have been identified not only as important in Sweden's
Bangladesh strategy 2021-2025 but the interventions are aligned with WHO's Country
Cooperation Strategy (CCS), the Global and Regional Priorities of WHO, and the
United Nations Development Cooperation Framework (UNSDP) 2022-2026 for
Bangladesh.

The project specifically aims to accelerate Bangladesh progress towards achieving
UHC through strengthening the country's health financing functions where currently the
health care out-of-pocket expenditure is 71%. MHPSS will be supported by education
and awareness campaigns, to combat stigma and to ameliorate misconceptions. The
project will improve MHPSS information enabling a correct the health seeking
behavior and improve the access to MHPSS treatment. Currently in Bangladesh 18.7%
of the adult population and 12.6% of children in the country are suffering from mental
disorders and there one psychiatric nurse and psychologist for every 300,000 people in
Bangladesh and only one psychiatrist for every 650,000 citizens. From a One Health
approach the project will aim at support strengthening the Government of Bangladesh
AMR surveillance capabilities, improve access to appropriate antimicrobials, ensuring
rational use of antimicrobials through improving awareness and enforcing regulations
and legislations. As the Rohingya refugee emergency is now largely considered a
protracted crisis, there is a need to adapt an integrated multi-sectoral approach to
address key public health issues for both the refugees and the host population and to
uphold health services quality in Coxs Bazar. The project will aim at improving
equitable access to and utilization of quality lifesaving and comprehensive primary and
secondary health services for all crisis-affected populations which includes infection
prevention timely response to all communicable diseases with outbreak potential,
including COVID-19, and preparation for and response to other health emergencies
including monsoon and cyclone.

WHO has been chosen as a partner for this project since they are the leading normative
actor in the field of health. They have a long-standing relationship with the Government
of Bangladesh to whom they have been providing technical assistance to strengthen the
country's health system since 1972. WHO has been assessed to have the capacity on a
country level to support the suggested interventions. WHO role in this project will be to
develop health policies, evidence-based standard guidelines and protocols, capacity
enhancement of the health professionals and service providers, strengthening knowledge
base and research, monitoring country's health situation, and improve of service delivery
and overall strengthening of the health systems. Genom insatsen stödjer Sverige aktivt det pågående arbetet med att förbättra
Bangladesh hälsovård som i slutändan kommer att gynna de fattiga och utsatta.
Det föreslagna bidraget ligger direkt i linje med den nuvarande strategin för Sverige
utvecklingssamarbete med Bangladesh 2021-2025, särskilt stödområde 4 -
stärka sjukvård av god kvalitet.

Insatsen består av fyra olika hälsoområden: Universal Health Care (UHC),
Mental hälsa och psykosocialt stöd (MHPSS), Antimikrobiellt
resistens (AMR) och sjukvård av god kvalitetet i Coxs Bazar. De
fyra hälsoområderna har identifierats inte bara som viktiga i Sveriges
Bangladeshs strategi 2021-2025 men interventionerna är anpassade till WHO:s land
Samarbetsstrategi (CCS), WHO:s globala och regionala prioriteringar och
FN:s ram för utvecklingssamarbete (UNSDP) 2022-2026 för
Bangladesh.

Insatsen syftar specifikt till att påskynda Bangladesh framsteg mot att uppnå
UHC genom att stärka landets hälsofinansieringsfunktioner där för närvarande
sjukvårdens egenutgifter är 71 %. MHPSS kommer att stödjas av utbildning
och upplysningskampanjer, för att bekämpa stigma och öka kunskapen om mental hälsa. 
Insatsen kommer att förbättra MHPSS-informationen som möjliggör en underlätta remittering av patienter och förbättra tillgången till MHPSS-behandling. För närvarande i Bangladesh lider 18,7 %
av den vuxna befolkningen och 12,6 % av barnen i landet av psykiska 
sjukdomar. Det finns endast en psykiatrisk sjuksköterska och psykolog för varje 300 000 invånare i Bangladesh och bara en psykiater för varje 650 000 medborgare. 
Genom en sk  One Health tillvägagångssätt kommer projektet att stödja och stärkan Bangladeshs regering AMR-övervakningskapacitet, förbättra tillgången till lämpliga antimikrobiella medel, säkerställa rationell användning av antimikrobiella medel genom att öka medvetenheten och genomdriva råd och lagstiftningar. 
Eftersom Rohingyas flyktingkris nu till stor del anses vara en långvarig kris finns det ett behov av att anpassa en integrerad multisektoriell strategi till ta itu med viktiga folkhälsofrågor för både flyktingarna och värdbefolkningen och för att upprätthålla en god sjukvårdskvalitet i Coxs Bazar. Projektet kommer att syfta till att förbättra rättvis tillgång till och utnyttjande av kvalitative primär- och sekundärvård för all krisdrabbad befolkning, inklusive infektion,
förebyggande insatser för smittsamma sjukdomar inklusive covid-19, och förberedelser för och svar på andra hälsonödsituationer inklusive monsun och cyklon. 
WHO har valts ut som partner för detta projekt eftersom de är den ledande normativa aktören inom hälsoområdet. De har en långvarig relation med regeringen i Bangladesh sedan 1972. WHO har bedömts ha kapacitet på en landsnivå för att stödja de föreslagna insatserna. WHO roll i detta projekt kommer att vara utveckla hälsopolicyer, evidensbaserade standardriktlinjer och protokoll, stärka kapacitet av vårdpersonal och tjänsteleverantörer, stärka kunskapen av genom forskning, övervakning av landets hälsosituation och förbättrad serviceleverans och stärka  hälsosystemen. Through the project, Sweden is actively supporting ongoing efforts in improving the
Bangladesh health care system which will ultimately benefit the poor and the vulnerable.
The proposed contribution is directly aligned with the current strategy for Swedens
development cooperation with Bangladesh 2021-2025, especially the support area 4 -
Strengthen the capacity to provide good quality healthcare.

The project consists of four different health areas: Universal Health Care (UHC),
Mental Health and Psychosocial Support (MHPSS), Antimicrobial
resistance (AMR) and upholding health services quality in Coxs Bazar. The
four health interventions have been identified not only as important in Sweden's
Bangladesh strategy 2021-2025 but the interventions are aligned with WHO's Country
Cooperation Strategy (CCS), the Global and Regional Priorities of WHO, and the
United Nations Development Cooperation Framework (UNSDP) 2022-2026 for
Bangladesh.

The project specifically aims to accelerate Bangladesh progress towards achieving
UHC through strengthening the country's health financing functions where currently the
health care out-of-pocket expenditure is 71%. MHPSS will be supported by education
and awareness campaigns, to combat stigma and to ameliorate misconceptions. The
project will improve MHPSS information enabling a correct the health seeking
behavior and improve the access to MHPSS treatment. Currently in Bangladesh 18.7%
of the adult population and 12.6% of children in the country are suffering from mental
disorders and there one psychiatric nurse and psychologist for every 300,000 people in
Bangladesh and only one psychiatrist for every 650,000 citizens. From a One Health
approach the project will aim at support strengthening the Government of Bangladesh
AMR surveillance capabilities, improve access to appropriate antimicrobials, ensuring
rational use of antimicrobials through improving awareness and enforcing regulations
and legislations. As the Rohingya refugee emergency is now largely considered a
protracted crisis, there is a need to adapt an integrated multi-sectoral approach to
address key public health issues for both the refugees and the host population and to
uphold health services quality in Coxs Bazar. The project will aim at improving
equitable access to and utilization of quality lifesaving and comprehensive primary and
secondary health services for all crisis-affected populations which includes infection
prevention timely response to all communicable diseases with outbreak potential,
including COVID-19, and preparation for and response to other health emergencies
including monsoon and cyclone.

WHO has been chosen as a partner for this project since they are the leading normative
actor in the field of health. They have a long-standing relationship with the Government
of Bangladesh to whom they have been providing technical assistance to strengthen the
country's health system since 1972. WHO has been assessed to have the capacity on a
country level to support the suggested interventions. WHO role in this project will be to
develop health policies, evidence-based standard guidelines and protocols, capacity
enhancement of the health professionals and service providers, strengthening knowledge
base and research, monitoring country's health situation, and improve of service delivery
and overall strengthening of the health systems.