Hospital Social Service Programs in Bangladesh (Fieldwork: Part-05)

After India Pakistan division in 1947 East Pakistan (present Bangladesh) experienced multifarious refugee problems. To solve these problems the then East Pakistan government asked support from United Nations. UN sent a specialist team to Dhaka to help the government of East Pakistan. The specialist team suggested for introducing social work to combat these problems. According to their recommendation a short course of three months on social work was introduced in 1953 to produce skilled social worker.
In connection to the introduction of Social work the Hospital Social Services Program was introduced in Dhaka Medical College Hospital in 1958, under the National Social Welfare Council. At present, this program has been expanded up to 88 hospitals in 64 districts under the direct supervision of the Department of Social Services (DSS), Ministry of Social Welfare 

Existing Hospital Service Departments of Bangladesh
In Bangladesh, hospital social work is not considered as a profession and known as hospital social service program. Those who work as hospital social workers are known as hospital social service officers. A list of hospital social service departments in hospitals of Bangladesh is given below:
Name and address of the office/Institute
01 Dhaka medical college Hospital (D.M.C.H), Shahbagh, Dhaka-1000
02 Sir Salimullah Medical college Hospital(Mitford)), Dhaka
03 Bangobondhu Sheikh Mujib Medical University, Shahbagh, Dhaka-1000.
04 National Institute of Traumatology Rehabilitation Institute, Sher-e- Bangla Nagar Dhaka
05 Begum Khaleda Zia Medical college and Shaheed Sohrawardi
Hospital. Sher-e-Bangla Nagar. Dhaka
06 National Institute of Diseases of the cheast and Hospital. Mohakhali, Dhaka
07 National T. B. control Project, Shamoly, Dhaka-1212
08 T.B.control and Training Institute, Chankhar Poll, Dhaka -1000.
09 Islamia Eye Hospital and M. A. Ispahani Institute of Ophthalmology, Farmgate, Dhaka-1215.
10 Maternity and Child health Training Center. Azimpur, Dhaka-1205
11 Bangladesh Institute of Research and Rehabilitation in Diabetic and Andocren of Metabolic Disorder, Shahbagh, Dhaka-1000
12 Dhaka Shishu Hospital, Sher-e-Bangla Nagar. Dhaka.
13 National Institute of Cancer Research and Hospital. Mohakhali, Dhaka.
14 Central Drug Addiction Treatment Centre, 441 Tejgoan, Dhaka-1204
15 Mohanagar General Hospital, Naya Bazer, Dhaka.
16 Institute of Child health and Shisu Hospital, Borobagh, Mirpur, Dhaka
17 National Mental Health Institute, Shere bangla Nagar. Dhaka.
18 General Hospital, Gazipur, Dhaka
19 Narayangang Victoria Hospital, Narayangang
20 200 Bedded General Hospital, Narayangang
21 Sader Hospital, Narshingdi
22 General Hospital, Munshegonj
23 Sader Hospital, Manikgonj
24 Medical college Hospital, Maymanshing
25 General Hospital, Netrokona
26 General Hospital, Keshorjong
27 General Hospital, Jamalpur
28 General Hospital, Sherpur
29 General Hospital, Tangail
30 General Hospital, Faridpur
31 Sadar Hospital, Shariotpur
32 Sadar Hospital, Madaripur
33 Sadar Hospital, Gopalgang
34 Sadar Hospital, Rajbari
35 M.A.G.Osmani Medical College Hospital, Sylhet
36 Sadar Hospital, Sunamjong
37 Sadar Hospital, Hobigang
38 Sadar Hospital, Mowlovibazar
39 Chittagang. Medical College Hospital, Chittagang
40 Eye Hospital and Training Institue. Paharloli, Chittagang
41 Adunic Sadar Hospital, Rangamati
42 Adunic Sadar Hospital, Khagrachori
43 Adunic Sadar Hospital, Bandorban
44 Adunic Sadar Hospital, Cox’s Bazar
45 General Hospital, Kummilah
46 Sadar Hospital, B. Baria
47 Sadar Hospital, Chandpur
48 General Hospital, Noakhaly.
49 Sadar Hospital, Laxmipur
50 Sadar Hospital, Feni
51 Rajshahi. Medical College Hospital, Rajshahi
52 Sadar Hospital, Nator
53 Sadar Hospital, Nowgaha.
54 General Hospital, Chapaynababgong
55 Rangpur Medical College Hospital, Rangpur
56 Sadar Hospital, Lalmonirhat
57 Sadar Hospital, Nilfamary
58 Sadar Hospital, Kurigram
59 Sadar Hospital, Gaybanda
60 Dinajpur Medical College Hospital, Dinajpur
61 Adunic Sadar Hospital, Panchogar
62 Adunic Sadar Hospital, Thakurghao
63 Mahammed Ali Hospital, Bagurah
64 Adunic Sadar Hospital, Joypurhat
65 General Hospital, Pabna
66 Mental Hospital, Pabna
67 General Hospital, Shirajgang
68 Sadar Hospital, Khulna
69 Khulna.Medical College Hospital, Khulna
70 T.B. Hospital, Khulna
71 General Hospital, Bagherhat
72 Sadar Hospital, Satkhera
73 Sadar Hospital, Jessore
74 Sadar Hospital, Jhenidah
75 Sadar Hospital, Magura
76 General Hospital, Narail
77 Sadar Hospital, Kushtia
78 Sadar Hospital, Chuadangha
79 Sadar Hospital, Meherpur
80 General Hospital, Barishal
81 Sher-e-Bangla Medical College Hospital, Barishal
82 General Hospital, Patuakhaly
83 General Hospital, Pirojpur
84 General Hospital, Bhola
85 General Hospital, Barguna
86 Sadar Hospital, Jhalokathi
87 Faridpur Medical College Hospital, Faridpur
88 Dhaka Community Hospital, Moghbazar, Dhaka

On Going Projects of Hospital Social Services:
  • Establishment of 6 Vocational Training Centers in 6 Divisions for the Orphan & Disabled Boys and Girls
  • Strengthening and Development of Existing 50 Units of Urban community
  • Rehabilitation and Vocational Training Centre (RVTC) for Diabetic Patient, Jurain, Dhaka
  • National Heart Foundation Hospital, Sylhet, first Phase
  • Expansion and Development of Faridpur Diabetic Association Hospital 
  • TN Mother Child and General Hospital Child Hospital
  • Expansion of Bangladesh Jatiya Andha Kalyan Samity, Comilla
  • Extension of OPD Investigation and Rehabilitation Centre of National Heart Foundation Hospital and Research Institute
  • Protection of Children at Risk (PCAR)
  • Strengthening institute of community and family Health through expansion and Modernization of Dhaka community Hospital
  • Integrated Health Services Project, Faridpur
  • Establishment of Kurigram Diabetic Samity Hospital (The Project is going to be revised)
  • Ahsania Mission Cancer & General Hospital Proposed Name: Institute of Autistic Children & Blinds, Old Home & TN Mother 
  • Modernization of Existing 20 Sarkari Shishu Paribar by Upgrading facilities and services, Phase-1 
  • Establishment of Chandpur Diabetic Hospital 
  • Services for Children at Risk (SCAR)
  • Support Service Program for the Vulnerable Group (SSPVG)
According to Department of Social Service (DSS) the main activities of the Hospital Social Services are as follows:
  1. Paying the cost of medicine, all types of medical tests, diet, conveyance, etc.;
  2. Financial assistance to the family of the patients during their treatment;
  3. Curing the patients, giving more importance to their psychological affairs;
  4. Helping the doctors for medical treatment of the patient after collecting socio economic information;
  5. Identifying the poor and distressed patients for inclusion in medical social work program from among the outdoor patients;
  6. Referring the identified patients to different departments and to respective doctors according to illness;
  7. Counseling with respect to inability to follow the suggested treatment, instructions of the doctor so that the illiterate patients can be benefited out of those treatment/instructions;
  8. Helping the patient with clothes, crouch, artificial limbs, spectacles, blood, etc.;
  9. Helping mentally and emotionally disturbed patients for their mental cure; 
  10. Helping the patient to remain free from anxiety by making communication with their family members in the long term medical treatment;
  11. Provide counseling and guidance on family planning, child health care and also to make them conscious about all kinds of contagious diseases;
  12. Follow-up of the patients regarding their soundness of health and rehabilitation; 
  13. Arrangement are made for the unclaimed babies to get them admitted in the Baby Homes;
  14. If necessary, the helpless and poor patients are provided with micro-credit to reduce their poverty and include in the poverty alleviation program.
Patient Welfare Association
Patient Welfare Association has been established to encourage the voluntary participation with the Government efforts in the field of hospital social service. There is a voluntary organization named Patient Welfare Association in each hospital. This organization is registered with the DSS under Voluntary Social Welfare Agencies (Registration and Control) Ordinance, 1961. There are 88 Patient Welfare Association in Bangladesh. These Associations consist of the members from the Government and non-Government sectors. The main objective of this Association is to raise fund and to create facilities for rendering financial help to the poor patients. The Hospital Social Services Officer who is the ex-officio Member Secretary of the said Association implements the decisions of the Association. The Director of the Hospital or the Civil Surgeon is the Chairman of the Association. The Association receives yearly grants in aid from the National Council of Social Welfare. The Association raises funds from welfare associations and NGOs with the help of the Deputy Commissioner, the Civil Surgeon, the Superintendent of Police and other district level officers of the Government. A total number of about 200 million patients have been benefited through this program up to the 2006.

Citizen Charter of Department of Hospital Social Service
Citizen charter of hospital social service department states the following services to be given to the patients.

  1. Helping patient to get admission in the hospital, and to get treatment, and providing guidance.
  2. Helping the physicians to diagnose disease.
  3. Providing poor and helpless patients with medicine, blood, diet, cloth, glasses, crutch, artificial limbs and other commodities
  4. Providing nutritious food to the poor and helpless patient
  5. Rehabilitating deserted children.
  6. Helping patients to lead a normal life who has become unexpected in the family due to illness.
  7. Helping patient to be transferred from one hospital to another for treatment.
  8. Educating patients about health awareness and primary treatment.
  9. Providing psychological support to the patients and their family suffering from serious diseases or who need operation.
  10. Providing transport facility for transporting the dead body of unanimous and poor patient.
  11. Helping poor and helpless patients to bear expense of pathology and treatment.
  12. Providing economic support or transportation fare to the poor and helpless patient for reintegrating in the family.
  13. Giving priority to the poor and helpless, old or disable in getting treatment and providing them opportunities to get admission in the institutions run by Department of Social Services.

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