Harm reduction intervention for PWID started in Bangladesh in 1998 as a form of Needle and Syringes Program (NSP) but one essential component of comprehensive approach such as Opioid Substitution Treatment (OST) started in late. As a result of collective effort, OST was approved by Department of Narcotics Control (DNC) in 2008, although first OST centre was started two years later (July 2010) by icddr,b under a UNODC project H13. Before 2012, there were only two OST centres but afterwards global fund started supporting and as a result coverage has been increased steadily. In addition to global Fund support, government has provided fund from 2012-2016 for two clinics with 300 PWID. However, major changes in the coverage of OST came in 2017 when the Global Fund grant ‘funding request’ started. Currently, under the Global Fund there are 1200 PWID included in the OST of Save the Children (SC) and 500 PWID are under icddr,b, and which services are being offered from nine centres (six SC and three icddr,b). In addition, 4th health sector program of government has plan to cover another 1,500 PWID since January 2017 from six OST centres, although it is taking time to start. Nationwide OST coverage is now 5.1% considering 33,067 PWID and it will be around 10% after adding the coverage of health sector program but whatever it is, Bangladesh is still far away from suggested coverage of WHO (20 - 40% PWID). The purpose of this consultancy is to develop a National Framework for implementing OST among PWID under Government Health Systems beyond 2022.
- Desk review of OST service in order to assess current situation of OST implementation
- Brainstorming session with selected stakeholders as preparation to organize a well- designed framework development workshop
- Arrange a national framework development workshop
About the Organization
We employ approximately 25,000 people across the globe and work on the ground in over 100 countries to help children affected by crises, or those that need better healthcare, education and child protection. We also campaign and advocate at the highest levels to realise the right of children and to ensure their voices are heard.
We are working towards three breakthroughs in how the world treats children by 2030:
- No child dies from preventable causes before their 5th birthday
- All children learn from a quality basic education and that,
- Violence against children is no longer tolerated
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