Hypothesis Objectives problem

Self-placement is basically when companies place their own products on a particular outlet or place. Consumers have differing buying habits and different reactions towards products. Self-placement has a very important effect on sales and number of consumers which it tends to attract. We are dealing in a world of perfect competition in which producers and consumers all have to fight between a lot of products and what prices to sell them and buy them on, but the most important thing is to where to provide the products so as to make sure that sales are being done in the way they are supposed to.There are definitely effects Of self-placement on battle buying products and sales. Consumers have different priorities but some things as very common which have to be bought from a particular place or a particular outlet, especially when it comes to habitual buying products then consumers have two things in their minds, number one is the price they have to pay all the time and number two which p lace they will get it from. Rational consumer will have a different buying behavior than a person who is versatile and keeps on changing his, her priorities all the time.The effects can be significant leading to a jump in the number of sales or decline in the number of sales. Therefore we have two extremes to discuss. Self-placement may trigger a rational consumer to purchase the product from a particular place or not to purchase it. First of all discussing the positive effects, consumers have a wide variety of products to choose from and can easily relate with the product at any place . A rational consumers very consistent with buying a habitual product so will prefer which ever place he or she will be getting it from.Different theories have taken this relationship in different way so we will be discussing in accordance with some buying behaviors and how they will be affecting sales. Ethical consumers are most concerned with how products are placed and how they are presented. Incre ase in the number of sales will be only be experienced when consumers will be satisfied with the item they want to purchase. Some theories assume that culture has a lot of impact on how people react to self-placement done by companies. Consumes consumption is the most important variable which will depict the number of sales every time. Components to be mentioned: Theoretical Framework Research Question Hypothesis Objectives problem Statement The two most important variables which we have to discuss here are habitual eying behavior and sales, therefore we will draw a connection between these two things with the help of a presentation. Independent variable is self- placement and their dependent variable is sales. Research Question Following is some question which we will be dealing with: What is the effect of self-placement on the sales of an habitual product ?

Impact of Television Violence on Children Essay

Watching violence on television can have many affects on all age groups. I decided to write about the affects of television violence upon child development. Violence on television is one of the most common media influences in children these days. There are many reasons how television violence affects children, such as how much television they watch, their age and personality, and also whether they watch television alone or with adults. It also matters if their parents talk with them about the violence they see on TV. In order for parents to protect their children from the harmful effects of violence on television, it is essential to know what the impact of television violence can be on children. Violence can play an important role in the development of children; it may cause some to perceive it and not get affected and some may be affected by it in a very dangerous way like the columbine incident. There has been studies done over the past and hundreds of studies have examined how violent programming on TV affects children and young people. A study from a psychological research showed three major effects of watching television â€Å"Psychological research has shown three major effects of seeing violence on television: Children may become less sensitive to the pain and suffering of others, Children may be more fearful of the world around them, Children may be more likely to behave in aggressive or harmful ways toward others† (http://www.apa.org/pubinfo/violence.html). Children can be vulnerable to violent images and messages. Children in particular can become victims of violence on T.V. than adults; which can cause them to be afraid of the world and people they are surrounded. The most common T.V. shows that affects children of all ages, which is close to real life violence is cartoons. In most of the cartoon shows violence is exposed as humorous and realistic conclusions of violence; which could cause children to show aggressive behavior towards their peers and others. Usually these types of shows do not show the consequences of violence, which doesn’t teach children that acting or enacting violence they can face jail time and other penalties for juvenile offenders in the court of law. According to a study on preschoolers at Pennsylvania State University, â€Å"Children who watched the violent shows were more likely to strike out at playmates, argue, disobey authority and were less willing to wait for things than those children who  watched nonviolent programs† (http://helping.apa.org/family/kidtvviol.html). Parents should pay close attention to what their children see on television like shows, news, movies and commercials. Studies have shown that kids are more afraid of violence in news coverage than in any other media content. As children get older and are better able to tell the difference between fantasy and reality then they would have a better understanding of real news events and the purpose of such graphic footage. Effects o n a healthy child development, television can affect learning and school performance. If watching television cuts into the time children need for activities, which is crucial to healthy mental and physical development as well. Children’s free time should be surrounded by time spent in activities such as playing sports, reading books, explore nature such as learning about plants and flowers instead of watching T.V.; which can lead to obesity which is a serious concern today. According to researchers, they concluded that viewers feel an instant sense of relaxation when viewers begin to watch TV and also said that feeling disappears as soon as the television set is turned off; which I personally feel is true. The feeling is not similar to the thrilled feeling a person gets from playing sports. For example, after watching TV, viewers may mentally feel tired and feel a sense of low energy. Parents should investigate on different studies that are conducted to understand different messages that violence on television sends to its audiences. Violence is portrayed in many ways it can be acted out by characters such as a hero or by a villain. Different types of violent scenes can be shown clearly in depth or it maybe left to the viewers imagination; for example, imagination allows a viewer to come up with his/her own conclusion to how a certain murder may have occurred, which represents a type of television violence shown by a network. In conclusion, Parents have to speak to their children about the different shows that are viewed by their children to avoid misinterpretation of violence and aggressive behavior that could lead them to become criminals. Parents should take an initiative on the issue, â€Å"While most scientists are convinced that children can learn aggressive behavior from television, they also point out that parents have tremendous power to moderate that influence† (http://www.apa.org/pubinfo/violence.html). Parents should  discuss violence in the news such as war and acts of terrorism need to be put into a more detailed and descriptive context for children. They should also explain different acts of violence and criminal activities to de-sensationalize, so the children don’t become fearful of the world. By talking to kids about violence in the media they can critically understand television, movies, music, and video games that can help them put media violence into perspective by not taking the full impact of violence mentally. They can start to judge the media violence and start to examine its use in the media that they tend to watch. The children also need to be addressed on how the actors of a show feel in real life about the part they played in a particular show. By expressing these issues out in the open the children can get a better perspective on why violence on television is potrayed and why people are attracted to it. They would understand that producers and directors create violence on television because it gives a certain network ratings; they would also understand that larger amount of audiences want their programming to be more entertaining with action and the network also creates such and atmosphere of violence through advertising to a younger audiences. Self Identity of children should not form from watching television because that can cause them to be like someone from TV rather than themselves; opinions of others form our social identity, in this case children perceive the television as social identity and become a TV character in real life as if the TV is set’s the standard of who you are. Becoming a character from watching television is subjectivity. Consciousness and the unconsciousness as well as emotions are part of our sense of who we are in this case children can come up with their own conclusion on who they are for example, a violent character such as a hero, a criminal, or a Psychopath that they might become from watching violence on television. Children need to understand, what violence is. After better understanding of violence they can then start to put media violence into perspective. http://www.apa.org/pubinfo/violence.html http://www.apa.org/monitor/may03/childhood.html http://www.mediascope.org/pubs/ntvs.htm http://helping.apa.org/family/kidtvviol.html http://www.umext.maine.edu/onlinepubs/htmpubs/4100.htm

History of London Essay Example | Topics and Well Written Essays - 2500 words

History of London - Essay Example As children attend school, they copy and even acquire the culture of classmates and even that of neighbors. Most of the parents who moved to London within the last 150 years have had difficulties in communication, and they make use of their children as translators. Children attending schools engage in socializing activities from where they learn and acquire new cultures. The young generation within the city of London has had its life molded on what the young people believe. In fact, they are not influenced by their parents who would want them to follow their footsteps. Therefore, there has been conflict between children and parents in the city of London. However, parents should know that they cannot influence the behavior of their children or even their actions (Museum of London). As a city, London has lost its culture because of immigration activities. London has become a host of many people from different countries of the universe making it have different cultures. For instance bei ng a Muslim in London can prove hectic for a Muslim faithful. This is because the city has entirely different ideas and those professing the Muslim faith may feel out of place or as outcast. This issue has caused many people to abandon their beliefs for those that are commonly practiced in the area. This has been the case among the young generation within the city. The result of loss of the culture within the city is the development of multicultural aspects. Many people from other continents and even other countries within Europe have found their way to London. Some of the reasons that have caused immigration are aspects of business and studies. Therefore, diversity has come up in terms of clothing, food and even language. Different foods have been brought to London and a new method of cooking adapted by the city dwellers (Museum of London). There has been an improvement in the business and trade sectors. For instance, new technologies have been brought by foreigners to the city. Mi grants would include the Chinese, American and even the Russians. This has transformed many lives within the city by making work easy and efficient. For instance, exchange of cultural aspects has seen exchange of technology that has made improvements in the transport and sector within the city. Immigration to London has also affected the social aspects of the city. As a result of people moving to the city to look for jobs, there were high levels of unemployment during the start of the twenty century that saw crime levels going up within the city. The young people have been perpetrators or victims that have been associated with crime in London. This was a result of young men and women lacking jobs within the city. In addition to this, there was poor sanitation related issues within the city as a result of many immigrants. The population within the city was large to an extent that the city would not handle all the people in terms of providing social amenities. In an effort to fight th at, institution were established to deal with infectious diseases within the city. The past 150 years have also seen a change in the medical field. For instance, physicians and other medical personnel sought to reach the whole community unlike earlier times where these people were concerned with those who came to the hospital. There have been increased levels of drug and alcohol use within the city. T

Enhance HR & Fin communication Thesis Example | Topics and Well Written Essays - 17500 words

Enhance HR & Fin communication - Thesis Example Details of each chapter can be described in the following manner. The section will be added after completion of the project, therefore, this section will be written in past tense. Purpose of the project will be defined and sub research objectives will also be briefed in this section. Then, brief about selected research methodology will be given. Key findings of this research paper will also discussed. At the end part, 4 to 5 keywords will be added. Mainly first and second headings will be used throughout the paper and these headings will be highlighted in the table of contents part. Reference list (Works Cited for MLA) and appendices will also be added in the table of contents. Separate list of tables and figures used in the research paper will also be added after table of contents. In this section, background of the research problem titled as â€Å"Communication between Human resource Division and Finance Division in Department of Transport for the government of Abu Dhabi† will be developed. In simple words, objectives as well as necessity of this project will be stated. Theoretical arguments of different research scholars will be used to develop context/background of the research problem. In order to connect the research problem with Department of Transportation – Abu Dhabi (DoT), brief discussion will be added. However, introduction of the company will not be added. Considering suggestion of your supervisor, mission statement or value proposition of the Department of Transportation – Abu Dhabi (DoT) will be intentionally ignored in the introduction section. Gap in the literature review regarding the research problem will be highlighted in order to establish importance of the research project. Identifying gap in the literature will help t he study to justify the selection of the research topic. For example, the gap

LOG503 MOD 3 SLP Assn - Logistic Planning Essay

LOG503 MOD 3 SLP Assn - Logistic Planning - Essay Example In this paper, the determination of maximizing logistics efficiency of Wal-Mart will be taken into concern. Logistic Operation of Wal-Mart An effective supply chain management has been viewed to be one of the core competitive advantages of Wal-Mart by which the company comply with the requirements as well as the demands of its valuable customers. The core competencies of Wal-Mart relating to its supply chain network encompass superior logistics management, purchasing power, appropriate retail decisions and effective cost control within distribution system. Contextually, Wal-Mart’s logistic system comprises assimilation of necessary information, transportation costs, excellent inventory management and efficient material handling as well as packaging among others. In order to determine the maximization of logistics efficiency of Wal-Mart through facility location planning, it has been apparently observed that majority of the outlets of the company are located in sub-urban areas, low-rent and close highway regions that helps them to transport as well as distribute its products in cost-efficient manner. One of the key features of logistics department of Wal-Mart has been identified to be ‘Cross Docking’ or direct distribution where stores obtain finished products directly from the manufacturing plant and helps to manage inventory system in an efficient manner. Maintaining effective interrelation with the suppliers along with efficient packaging and labeling of the products supported the organization to merchandize its product not only in the US but also in different regions throughout the globe. The company incessantly focuses upon partnering with its suppliers in order to increase its labeling functioning for enhancing its efficiency towards transporting goods from one distribution center to other retail outlets. It has been viewed that a majority of the distribution centers of Wal-Mart are located closely to its retail outlets that helps them to allocate its broad assortment of products in a cost-efficient manner (Surti, 2010; Wal-Mart Stores, Inc., 2012). Example, Analysis and Recommendation The effective logistic system and efficient supply chain management supports Wal-Mart to distribute its broad assortment of products from distribution centers to its different retail outlets in an effective manner. Thus, it can be affirmed that the company maximize its logistics efficiency through facilitating effectual location planning. For example, the private fleet of trucks that possess by the company provides point-to-point services according to the store requirements. In this similar concern, it has been viewed that the transportation mechanism of the company operates 24/7 in order to maintain fleet of 6,500 tractors and 55,000 trailers across the overall distribution centers within the US. Moreover, Wal-Mart emphasizes upon following leading-edge logistic systems in order to increase the satisfaction level of the customers a nd attain its predetermined business targets. The other example through which the company can maximize its logistics efficiency through facility location planning is the introduction of ‘DotCom’ center. This particular center supports the online distribution of the

DISTRIBUTED SYSTEMS Essay Example | Topics and Well Written Essays - 3000 words

DISTRIBUTED SYSTEMS - Essay Example Due to time limitation, this problem has not been resolved yet and therefore, the application still requires to be fine tuned to allow it to be run through IIS rather than involving Visual Studio’s internal ASP.NET Development Server. Currently, this application’s backend, SQL Server 2005, does not store any data locally. It simply contains two linked servers which are called whenever the application requires carrying out some data operation – viewing, inserting and updating records. Excessive communication with linked servers may result in increase of network traffic, hence, minimizing the performance of only the application itself but of the entire corporate network as well. Therefore, it is very important to maintain some part of the data locally in SQL Server 2005 in order to reduce the network load by minimizing the communication with remote servers. This can be achieved through re-designing the database involving three key aspects – data fragmentation, data replication and data allocation. Data Fragmentation refers to the process of breaking up the database into logical units called fragments which can be stored at different sites. The simplest logical units are the table themselves (Padigela, n.d.). Fragmented or Partitioned refers to partitioning of database into disjoint fragments, with each fragment assigned to one site (no replication). This is also called ‘non-redundant allocation’ (Padigela, n.d.). Complete Replication involves maintenance of a complete copy of database at each site (no fragmentation) and therefore, storage costs and communication costs for updates are main drawbacks of this strategy. To overcome this, snapshots – a copy of the data at a given time – are used to update copies of database periodically (Padigela, n.d.). It was not easy to work on this coursework as it was extremely challenging and

Reflection & Application Essay Example | Topics and Well Written Essays - 500 words - 1

Reflection & Application - Essay Example Therefore, much to my surprise, when I was talking to another friend, it slipped that the topic which was supposed to be a secret, was known to her. This only proves that my close friend committed a breach in promising secrecy to what I shared to her. From then on, although she remained a friend, the level of closeness (especially in terms of sharing controversial topics) already changed. Similar incidents of breaches of trust were presented in the text and the same outcome was noted. What touched me most was the disclosure that people actually have different reactions and perceptions in the way trust is given. The discourse presented information which relayed that people who have had some family problems (impending divorce of parents or the way parents raise their children) affect the way children perceive other people as trustworthy. For me, it was actually very easy to give trust – until some unfortunate event, caused me to learn from the experience. Thus, the learning experience enabled me to realize that we should actually be careful in divulging private and confidential information to people, even to close friends, until such time that we have confirmed that these friends are classified as friends of the heart (or intimate friends) who last regardless of time, distance, and challenging situations. Concurrently, another important aspect learned from the chapter was in the area of accepting friends, despite their flaws. I strongly believe that friends last because each and every one learned to accept the person for who that person truly is and does not try to change the person to fit selfish interests or desires. I also affirm that, as friends, one could say to each other comments, which could sometimes be hurting; yet, which is needed to be communicated to assist the friend in changing for the better (for her or his own good). For instance, when a friend asks

Problem Identification Case Study Example | Topics and Well Written Essays - 500 words

Problem Identification - Case Study Example However, in my personal opinion, the most basic problem faced by the healthcare management today is that of the provision of primary healthcare facilities, particularly in the capacity of disaster management. Disaster Management and the provision of Primary Healthcare: Disaster management encompasses a wide array of emergency situations including civil defense, civil protection, crisis management, homeland security etc. (Emergency Management, 2011). The time frame for which the services of Disaster Management teams are employed in a particular area is known as the transition period. This transition period is not only one of physical loss rather the victims are often emotionally drained by the losses they suffer as an outcome of the disaster. It is during this time that the victims need maximum healthcare facilities that guarantee their well being. The provision of primary healthcare facilities requires the building up of strategic national and international partnerships, which unfort unately does not seem to be the priority of Public Policy developers (Mortier, Bullen, & Guillouzic, 2010, Volume 3).

Reaction paper on article that I have which related to gun issue

Reaction paper on that I have which related to gun issue - Article Example ublished on April 23, 2012, says that America has now become a battleground in the literal sense where one could see many deaths and violent attacks off and on. The report throws light to the fact that majority of the American possess guns as there is provision in the American law that allows people to have guns for their self protection. The history of the past few years show that majority of these attacks were not for self protection, but an act of violence due to some psychological disorders, or a student taking revenge upon his classmates on trifles. The report opens with the stories of some recent attacks and the prevention methods adopted by some of the schools preparing for gunmen. However, the threat of the gun still continues and majority of the Americans fear that they may encounter with a violent gunman during their journeys. It said that there is about one gun for every American. The report adopts the data of the General Social Survey, conducted by the National Policy Opinion Center at the University of Chicago, when they identified that there is gradual decline in the gun ownership in the past few years. However, it is a contradiction to note that the number of the people having guns, and the power of the gun lobby are increased. There are many reasons identified for the increase of guns. It includes activities of The American Firearms, the innumerable firing ranges, private clubs, and so on. The American Firearms School is open to all and the authorized persons give training to the public. One of the main reasons of the increase of the guns can be attributed to the private sellers or classified ads that possess the lion share of the gun market. This fact clearly exposes the reason why or how an average a hundred thousand Americans are killed or wounded with guns a year. The National Rifle Association, founded in 1871 also promotes the growth of this field through training and publication of the magazines like The Armed Citizen. Another reason for

Sex and Gender Essay Example for Free

Sex and Gender Essay The concepts of sex and gender have traditionally been used interchangeably to demarcate between the identity of the male and the female. However, there are significant differences between the two concepts. Sex as a concept is based based on the perceived material or physiological difference between the male and female bodies, particularly on the anatomy and functions related to the reproductive organs. (Frayser Whitby, 1995, p. 173) Meanwhile, gender refers to the social construct of femininity and masculinity ascribed to the ascribed to the reproductive roles which is reinforced through social norms and expectations. (Ibid. ) Arguably, the notions of sex and gender play an important role in the formation of sexual behavior and gender identity particularly in Western societies. Judith Butler, a known feminist, argues that â€Å"sexual difference is often invoked as an issue of material difference,† (p. 235) which becomes the basis for the social construction of the concept of gender and gender roles in terms of the social, political, and economic functions of the male and female. The role of sex and gender constructs is evident in the child-rearing practices of most Western societies wherein children are socialized into their gender roles based on their sexual identity as being male or female. At an early age, children learn about appropriate sexual behavior through their parents and other adults, who teach them the prevailing gender norms and social expectations Children and adults who do not conform to what is expected of them in terms of their sexual and gender identity, are socially stigmatized through various labels of deviance. As adults, men and women are expected to take on different forms of employment or to engage in differing sexual behavior. Since men are thought to be physically stronger and more intellectually adept, they are often encouraged to be more involved in the social and political spheres. Meanwhile, the perception that women are weaker and more emotional, along with their child-bearing responsibilities, has relegated them into domestic affairs or employment that is related with their supposedly feminine nature such as teaching or nursing. Thus, sex and gender roles influence the way that an individual constructs his or her identity and perceives his or her function in society. By identifying in either the male or female role, the individual develops and internalizes his or her gender roles based on socially accepted norms and standards of behavior. Works Cited: Butler, Judith (1999). Bodies that Matter. In Janet Price Margrit Shildrick (Eds. ), Feminist Theory and the Body: A Reader (pp. 235-245). U. S. A: Taylor and Francis. Frayser, Suzanne G. Thomas J. Whitby (1995). Studies in Human Sexuality: A Selected Guide. U. S. A: Libraries Unlimited.

Training Needs Analysis

Training Needs Analysis Kymm’s Express Training Plan The purpose of a training needs analysis is to identify performance requirements and the knowledge, skills, and abilities needed by the company to achieve the requirements. J, a training consultant, has a meeting with D, the Human Resource Representative, E, the Customer Service Manager and L, the Customer Service Supervisor to determine training needs. In the initial meeting, J, is conducting a preliminary needs analysis. He begins to understand a little more about the department on an organizational level which consists of, what the company’s strategy and goals are, and how training (if any) has been handled in the past. In building this training plan, there will be several key parts that are a must have when building a customer service team. Begin by emphasizing the mission and purpose of the department and the training. MISSION: Stress the importance of creating a universal customer service culture by beginning with upper-level management and actualizing this goal among all staff including frontline personnel. The framework for the customer service culture at Kymm’s Express includes learning what the customers wants; implementing steps to provide for those wants; equipping frontline employees with training, information, empowerment, and motivation; and monitoring success through customer and employee feedback mechanisms. PURPOSE: To provide excellence in customer service through a positive and friendly attitude to all customers and employees through this comprehensive training plan. This plan reaffirms that Kymm’s Express will serve its customers with excellence. It outlines our responsibility to work with customers to improve the practical value of the information and services that it provides, as well as improving the delivery mechanisms used to distribute these. This plan reminds Kymm’s Express employees of the importance of interacting proactively with customers, identifying their needs, and integrating these needs into program planning and implementation. It seems as though the current customer service representatives have received an informal training. When an organization does not spend the time to fully train their employees the consequence is poor service. To make sure that your employees succeed, there needs to be a set of expectations and or goals in place. This non-training method, L could use to develop her employees. Employees want to see how their work contributes to larger corporate objectives, and setting the right targets makes this connection explicit for them, and for L, as their supervisor. Goal-setting is particularly important as a mechanism for providing ongoing and year-end feedback. By establishing and monitoring targets, you can give your employees real-time input on their performance while motivating them to achieve more which can result in monthly and or quarterly incentives. Doing a monthly recognition program for the representatives that has the highest number of sales and positive customer comments and or Aw ard quarterly bonuses for top sellers or make the bonus performance based; for example, you can give bonuses for answering the most customer calls or returning the most emails. State the goals that are going to be accomplished once this training is completed. Goal #1: Achieve Higher Levels of Customer Satisfaction: One of the many findings discovered during the Training Needs Analysis was frustration among the Customer Service Representatives. Some were concerned that there’s not a standard policy or resource to follow that describes in great detail how to pinpoint the core customer problem and either resolve or forward it to another for resolution. Concerns have been raised about their level of training and adequacy in dealing with difficult customers. Since a conclusive correlation exists between lack of skills training and knowledge, our training will target developing usable customer service skills to employees which will result in increased job performance. Goal #2: Create a Uniform Customer Service Policy: We will create a standard Customer Service policy tailored specifically to the Kymm’s Express mission statement. We will mass produce these so that each employee receives his/her personal copy during training. In addition each Customer Service Representative station will be required to have a copy to provide quick reference for customer service representatives. Goal #3: Develop Customer Service Procedural Guidance: We will provide training that equips customer service representatives with the knowledge, skills, and attitudes that will increase product knowledge, maximize problem-solving resources, and provide exceptional customer service to the Kymm’s Express base. We will develop a ready reference customer service procedural guide; make it readily available in the system of each workstation that will provide immediate direction to customer service representatives to effectively identify a customer’s concern and the process to most efficiently resolve it. Based on the needs analysis and design of training that was previously stated, there are many methods of training that can be added to the plan for Kymm’s Express. To adequately provide quality training that maximizes the customer service representatives potential for improved performance and retention, the length of this training should not exceed seven business days to complete. The training should be done in a non-call center location with access to computers, so that it will allow the customer service representatives the ability to dabble with the system in an offline function. However, if the location is not available it is also ideal to train on the floor. This way it will give the reps more real-life experience of the customer service environment. This will not only equip customer service representatives with the knowledge, skills, and attitudes that will increase product knowledge, maximize problem-solving resources, and provide exceptional customer service to the Kymm ’s Express, but all of these methods of training gives employees motivation to start the job. It is to be said that people learn more efficiently if they learn hands-on, rather than listening to an instructor. However, this method might not be for everyone, as it could be very stressful. On the Job training consists of coaching, mentoring, job rotation and job instruction technique. Coaching/mentoring gives employees a chance to receive training one-on-one from an experienced professional. Coaching will help to identify weakness and focus on areas which need improvement while mentoring focuses on attitude development. While the customer service reps are conducting on the job training with their supervisor they will be learning the Customer Service Policy, and its use on the floor as well as, how to navigate through the customer service procedural guide. Generally on the job training is more cost effective. However, it is less disruptive to the business. Customer Service Reps will be training with equipment that they will become familiar with on an everyday basis. On the Job t raining should be given to employees after completing a week of simulation and on-the-job training, and completion of a simulated comprehensive exam. All in all on the job training should be an everyday process to be done on the floor, due to everyday changes. Many avenues exist to train employees. The key here is to match the needs of the business with the different training methods. Assess each training method implemented in the organization and get feedback from trainees to see if they learned anything. As I am positive that these methods are very effective methods to build the customer service department, the results may deem otherwise. References Gallo, Amy. â€Å"Making Sure Your Employees Succeed.† HBR Blog Network (2011) October 30, 2013 http://blogs.hbr.org/2011/02/making-sure-your-employees-suc/ Iwan, Lee. â€Å"Top 10 reasons for poor customer service and theirsolutions.† Lee Iwan Accumulated Experience (2007) October 30, 2013 http://leeiwan.wordpress.com/2007/11/13/top-10-reasons-for-poor-customer-service-and-their-solutions/

THE SELLING OF ORGANS: RIGHT OR WRONG :: Ethical Issues, Human Organs

I Introduction All humans have organs. The organ is very important to the humans because without organ humans will not be able to live well. At present, there are many actions that are done by irresponsible people to sell organs. Organ sales cases occur when a person sells or transfers an organ from one body to another body for the purpose of replacing the recipient’s damaged organ. There are thousands of people dying to buy a kidney, and thousands of people dying to sell a kidney because of the lack of organs availability. Lives should not be wasted, they should be saved. Indirectly, there are many reasons why they sell the organs, where the organs mostly sold to and consequences of selling human organs. II Body A Most of the countries have organ selling issues from poor people to rich people and from less powerful people to the most powerful people. 1 The country that sell the most number of organs is India and has become one of the largest country for human organs selling and transplants in the world. a Poor people in India usually sell their organs while they are still alive (Scheper-Hughes, 1998, para. 7). b India hospitals are under investigation by the government because of the illegal organ sales (Carney, 2007, para. 4). 2 People use the body for their own benefit but they cannot change the other bodies for its own interests. a People agree to sell their organs because of their benefit. i Poor families are desperate to send their son to University (Maconachy, 2007, para. 4). ii Most parents want their daughters to marry will be collecting money for a dowry to the groom and they had to sell their organs to make the exchange. B People usually sell their organs in an underground market for human organ around the world that is called blackmarket (Maconachy, 2007, para.1). 1 Most the donors came from middle class family who’s searching clients via the internet. (Maconachy, 2007, para.3). a They find the client from specific sites where most of people posted organ selling on that websites. b The meeting can arranged if the client agree to go through the procedure. c According to Kenichiro Hokamura, he was faced two choice whether to wait for the transplant or buy organ on the internet. i He buys the organ from Japanese broker in China and get the new kidney two months later(Coonan & McNell, 2006, para. 2). 2 In China, the government is trying to strike down the black market (Coonan & McNell, 2006, para.

Leo’s Barber Shop Essay -- Observation Essays

Leo’s Barber Shop As the glass door opens, the din from Second Street fades from your ears. The clean crisp cut of scissors, the flick of combs through wet hair, the buzz of electric clipping shears, and the occasional blast of air from a blow dryer captivate your sense of sound. Joe, a large, bald man, wearing an aqua T-shirt and blue jeans tied up with an old brown leather belt, gives his customary greeting, â€Å"Howdy there,† to a man who has just entered. The sign above Joe’s mirror reads: â€Å"Hair cuts—ten dollars, Seniors—eight dollars.† It is Saturday morning, and at Leo’s Barber Shop business is brisk. Joe and two other barbers are working at a fast clip, keeping their eyes on the scalps of the customers and periodically throwing quick glances to the line that is forming in the waiting area. Hector, wearing a maroon wind-breaker and baseball cap, is putting an apron on a kid to the right of Joe. Chris is trimming a man’s sideburns, leveling h er green, contact-lens covered eye to the shears. Four chairs near the entrance are occupied by men of various sorts. Some are reading newspapers or magazines, while others sit looking out the front window. One man clad in denim is standing outside the shop with a cigarette held to his mouth. The barbers at Leo’s have their work cut out for them today. Inside, Joe puts the clipping shears to the locks of a slumbering child, whose head is being propped up by his mother’s hands. The child awakens to find his lamb-like curls falling to the checkered floor; his large chocolate brown eyes begin to swell with tears. Fortunately for Joe, the boy’s mother is able to shut off the water works with a few words of reassurance in Spanish. The youngster stoically endures the procedure. Ju... ...s asks. â€Å"That looks good,† the student replies, looking into the mirror. â€Å"Here,† she gives him the comb, â€Å"brush it the way you like to.† Finding the part, he combs it down. Afterwards he compliments her on a job well done. After paying, the student tells Chris that he will see her in another six weeks, and to take care. Before opening the glass door Joe throws the student a wave. â€Å"Hey, when you’re done with that English paper bring us a copy, I’ll put it up on my wall and make yah famous!† he says. Returning his wave, the student walks into the light of the setting sun; the sounds of the barber shop diminish. Looking through the shop window, he sees Hector sweeping up the hair of his last customer. Shouts from the nearby Cantina, interrupted by a blast from a car horn, take the place of the low, metallic murmur of the clipping shears.

Modern Feminism and Violence Against Women Essay -- Gender Studies

The 20th century has seeing many progresses for women across the world. Prehistory showed that women could not vote, educational institution excluded them, and work outside the home was limited. Women today live longer and are more educated, enjoy more job opportunities, and earn a little higher salary. However, we still live in a world were society is run by religious laws, customs, and male dominances. These traditions and customs still limit women mobility and women are still regarded as subordinate to men and violence against women still exists despite having many strives in the 20th century. In many countries around the world women still find themselves limited from education, employment, health care, political influences, wage equality, and rights solely due to their gender. Whereby, violence against women is regarded as unfair treatment towards women and it reflects the inequality which still exists in our society today between genders. However the invention of modern feminism has been the naming and exposure of the violence women endure. Modern feminism would argue that violence against women is not just related to men in power, nor that women enjoy violence and domination, and or that victim of abuse invited the violence on themselves but rather rape and any other act of violence against women is a social and societal, historic and cultural, and economical issue that is rooted in the relationship of power and dominance between men and women which is infused in a patriarchy society. The main focus of this paper is to explore how violence against women is viewed in modern feminism. First, the term modern feminism and violence against women will be defined. This paper will be using term such as gender which refers to h... ..., D. (2010). Counting woman abuse: a cautionary tale of two surveys. International Journal of Social Research Methodology, 13(3), 265-275. doi:10.1080/13645579.2010.482263 Dekeseredy, W.(2011). Feminist contributions to understanding woman abuse: Myths, controversies, and realities: Aggression and Violent Behavior. Retrieved on February 19, 2012, from, http://www.sciencedirect.com/science/article/pii/S1359178911000541 Roberts, D. E. (1994). SYMPOSIUM: GENDER ISSUES AND THE CRIMINAL LAW. FOREWORD: THE MEANING OF GENDER EQUALITY IN CRIMINAL LAW. Journal of Criminal Law & Criminology, 85(1), 1-14 Nayak, M., & Suchland, J. (2006). Gender Violence And Hegemonic Projects. International Feminist Journal Of Politics,8(4), 467-485. doi:10.1080/14616740600945024 VanNatta, M. (2005). Constructing the Battered Woman. Feminist Studies, 31(2), 416-443

Dilemma of Asian Bags Essay

Asia Paper Bag has since 1990 operated as a manufacturer of plastic carrier bags supplying them on a contract-manufacturing basis to well-known supermarket chains, fast-food outlets, pharmacies and department stores. Lately, Asia Paper Bag exports customized plastic carrier bags to Marks n Spencer and Boots Pharmacy in the United Kingdom. During the Asian financial crisis, Asia Paper Bag had difficulties in meeting its term loan repayment, and had to restructure the term loan last year. The term loan was restructured by way of a debt moratorium of 24 months on the principal and an extension of the maturity period from five years to eight years. Currently, Asia Paper Bag‘s turnover is about Rs 3million per month with an average net profit margin of 7%. Lately, with the increase in world oil prices, raw materials for plastic bag production have increased by over 5% to USD1,200 per ton. Asia Paper Bag’s capacity utilization is still low at only 40%, after it expanded rapidly pre-crisis. Asia Paper Bag Sdn Bhd ‘s production capacity increased from 200,000tonnes per annum to 350,000tonnes per annum during the pre-crisis period. This was when the company borrowed a term loan of Rs. 10 million to finance the machinery. The raw materials, PE resins, are purchased mainly from Singapore and Thailand, whilst only 15% is sourced domestically. Q.1 List the qualitative risks of Asia Paper Bag relation to bank lending . Q.2 List and explain the appropriate financial ratios to analyze the financial performance (profitability) of Asia Paper Bag Sdn Bhd (Malay equivalent of incorporated). Q.3 State the motives for using ratio analysis as a credit evaluation tool. EQUITY RESEARCH Mr. Prashant Gupta is interested in investing in equity shares of Infosys and Hamdard. Infosys Technologies Ltd. (NASDAQ: INFY) which was started in 1981 by seven people with US$ 250. Today, it is a global leader in the â€Å"next generation† of IT and consulting with revenues of over US$ 4 billion. It offers span business and technology consulting, application services, systems integration, product engineering, custom software development, maintenance, re-engineering, independent testing and validation services, IT infrastructure services and business process outsourcing. Hamdard (Wakf) Laboratories, India is a famous pharmaceutical company in India known for its Unani and Ayurvedic products. It is the world’s largest manufacturer of Unani medicinesSome of its more famous products include Safi, Sharbat Rooh Afza, Cinkara, Roghan Badam Shirin and Pachnol. It is associated with Hamdard Foundation, India. Being conservative in nature, he wants to determine the risk associated with investments. In specific terms, he wants to seek data related to both levered and unlevered beta of these companies. He approaches Nitin Shah, a financial consultant to do the needful. Nitin has collected the relevant information detailed below: Number (i) Monthly returns on equity shares of Infosys and Hamdard for a period of 2 years (w.e.f. October 2006 to September 2008) along with portfolio of S&P CNX NIFTY. (ii) Return on 364-days treasury bills issued by Government of India for the period 2007-08 is 5.15 per cent per annum and 0.419 per month. This rate is to be used as a proxy for risk-free rate of return. (iii) Debt-equity ratio (based on the average of 2004 to 2008) is 1.6 per cent for Wipro and 31.4 per cent for Dabur. (iv) Corporate tax is 35 per cent. Q. 1 Compute the Beta and interpret it for Prashant. Examine different circumstances with analysis of data. __________________________________________________________________ SUBJECT – RISK UNDERWRITING AND CLAIMS (A) Mr. Wilson has a car which is 12 years old. The Market value of which is Rs. 1.00 Lacs. However, Mr. Wilson wishes to insure this car for Rs. 5 lacs due to his sentiments attached to it. (B) Mr. Mathew purchased a ‘Money Back Policy’ from M/s. Supreme Life Insurance’ for a Sum Assured of Rs. 2.00 Lacs for 15 years. The survival  Benefit after 5 years accrues @ 25% of Sum Insured. A bonus was accumulated to the maturity. Q.1 Discuss as a Motor Insurance Underwriter, how you would react to this? Q.2 Calculate the sum payable at the maturity of the Policy.

A Christian Perspective on Nudity in Art Essay

The Association of Classical & Christian Schools John is a Christian who enjoys the arts and finds them edifying. He is particularly fond of the art of painting. Desiring to expand his art history knowledge, he visits the best, closest art museum he can find. Going from gallery to gallery, John begins to become discouraged and more than a little embarrassed because of all the nudity shown in the paintings. He finds himself wondering if he should leave the museum in a state of disillusioned protest. As a Christian, John understands the need to shun pornography; but what he is seeing is not Hollywood at its X-rated worst, it is Western Civilization. These are the paintings that make up the canon of art. What is he . what are Christians . to do with nudity as it is often shown in art? To answer the overriding question, one must first understand the difference between nudity and pornography. Nudity is nothing more than a human figure without clothing. There is no overt intention of sexual arousal. When nudity is used in art, it is often (but not always) with the goal of eliciting an admiration on the part of the viewer for the handy-work of his Creator. The Greeks believed that man was the measure of all things; as such they sought to find the perfect human form and show it in their art. The resulting nudes are not pornographic; rather, they are the outworking of the Greek ideal. As Christians, we rightly reject their philosophy, but we should not make the mistake of mislabeling their art. There has been much written on the beauty of the human body and it does not need be rehearsed here. It is clear that we are, indeed, fearfully and wonderfully made. When an artist shows nudity with this in mind, he is showing it to the praise and glory of the Creator. Pornography, on the other hand, has sexual arousal as its sole intention. It seeks to debase and lower both its subject, the person being looked at, and its object, the person doing the looking, to the level of mere animals. It is meant to feed our lusts, with the full understanding that they can never be sated. Sexual lust . like all other lusts . perates according to the Law of Diminishing Returns; the more a person feeds his lust, the harder it is to get even temporary satisfaction. This forces him to go back for increasingly more and more stimulation until it is almost impossible to derive any pleasure from his vice, no matter how much he indulges. It would be irresponsible to say that no part of Western Art leans to the pornographic side of things; for some of it does (much of Klimt, Schiele, some Courbet, etc. ); however, the difference is usually reasonably obvious with sober thought (if it. s not, then the artist has not done his job! ). There is also art that is quite charged with erotic content that doesn. t show so much as an exposed ankle. These paintings rely on context and subtlety to convey the true meaning of the work. For example, Gustave Courbet. s painting, Demoiselles on the Banks of the Seine of 1856, is widely understood to be a depiction of two lesbians in post-coital sleep . an obviously unacceptable situation for the Christian. There is no crass sexual imagery to suggest this relationship; however, when viewed in light of some of his other paintings, and when the painting is looked at carefully the relationship between the two women becomes clear. This is far from the only example of subtle erotic imagery, but it is illustrative of the issue. Like so many situations in life, context is the key to making a decision about whether or not to show or look at imagery like this. Song of Solomon (among other passages in scripture) is very explicit in its description of a sexual relationship between a man and a woman. It speaks quite openly of physical desire. We know from the context of the whole book that this is not a sinful desire and that it is proper for us to read about it and learn from it. So it is with art; when we properly understand the context of a picture we can make decisions on whether it is sinful to look at or not. We have to decide what our aim is in looking at it: are we indulging in an unlawful desire, or are we confronting an opposing worldview? If it is the former, then by no means should the image be viewed; however, if our education is to have any value we must confront opposing worldviews. To what are we objecting in pictures like this? It is obviously not the depiction of an unclothed human body. It is the representation and the implicit approval of promiscuity. This is what breaks the Law of God in Scripture . the sin does not necessarily occur when we look at such material, it happens when we approve of it. Things are rarely one dimensional; there are many reasons for showing nudity in art. We do a disservice to our students (and ourselves) when we teach them to be reactionary instead of thoughtful and discerning. There is a long tradition of depicting the nude human form in Western Art. I mentioned above that appreciation of the human form is one reason for showing nudity in art. However, it is not the only reason. Realism is another; nudity in varying degrees is a part of life, even public life at many times in the past and in different parts of the world. Many times artists were showing only what they saw as a part of everyday life. In the past there were public baths and public toilets that did not afford the same privacy that we, as 21st century Americans, have come to take for granted. There were even times when public nudity was accepted (for example, Peter worked in the nude while he fished (John 21:7). As such, people would have come to understand the concept of modesty as opposed to prudishness. Modesty reserves the exposure of the body to appropriate times and places, whereas prudishness sees the body as sinful in and of itself. As Christians, we must reject prudishness in light of the fact that God has given us many good gifts that are to be enjoyed in their proper context, our bodies being one of them. Since the Fall, nakedness in many situations has become shameful to us. Artists throughout history have recognized this fact and have used it in their art. For example, there are many depictions of the Last Judgment in art history (Rogier Van der Weyden, Hieronymous Bosch, Petrus Christus, the van Eycks, etc. ), many of which show those to be judged completely naked; the blessed are usually given a robe while the damned are sent into hell naked. This is done to emphasize their state before God; they have no covering, either physical or metaphorical to shield them from their Creator. The image of nakedness is used in the Scriptures to highlight our condition before God (Hebrews 4:13). God describes Israel as having been naked before He found her (Ezekiel 16, Hosea 2:1-5). He also uses literal nakedness when he commands Isaiah to go without clothing for three years as a sign of impending judgment (Isaiah 20:1-6). Whether in Scripture or elsewhere, a literary image of nudity is not really that much different from a literal image; both give the mind pictures of naked bodies to think about. It is the intended goal of depicting nudity (whether in words or pictures) that carries the weight of moral responsibility. If e take into account the Scriptures. use of nudity, it seems that it is proper . even edifying . at times to show nudity in art if it is done for the same reasons as the Scriptures. Many times in art the baby Jesus is shown quite openly nude. This is done for a very serious reason. His genitals were shown so that the artist might emphasize the very real human nature of the Christ. The artists wished to refute various Christological heresies (Nestorianism, Mo nophysitism, various forms of Gnosticism, etc. ) by showing that Jesus was both God and man. The attributes of Divinity are obvious and well known (the halo, lamb, and cross) but the tradition of depicting Jesus. humanity through showing His genitals is often misunderstood. At the other end of the spectrum of representing Jesus during His life on Earth is the cross. He would have been completely naked on the cross. The loincloth that we commonly see in paintings is a piece of pure fiction. Would it have been sinful for Him to be naked in public? Of course not, this was not a sexual context, nor was it meant to be. Was it sinful for Jesus. emale followers to be there and see Him in such a state? No. Again, context is the key. A common example of public exposure (albeit mild exposure) that many of us will encounter is breastfeeding. This is a context in which a woman’s breasts are not meant to be seen as sexual, but as motherly. If a man is aroused by the sight of this, does that not point to the sin in him and not in the act of breastfeeding? God ordained this method o f nourishment for children and alludes to it many times in Scripture as a good and proper thing. Again, context is the key to discerning the nature of this situation. Likewise, it is exceedingly rare for a medical doctor to be accused of being a pornography addict for giving physical exams to members of the opposite sex. The context of the examination room is not a sexual one. However, if a doctor mistreats his position and does look at a woman in a lecherous manner, does that mean that all physicals are pornographic and we should stop having them? There are other examples where images of nudity do not and should not elicit sexual arousal: childbirth, war pictures, anatomical charts and books, images from other (often indigenous) cultures, etc. The age at which it is acceptable for children to begin seeing paintings with nudity in them is a matter of debate. It seems that children should be exposed to nudity in art from an early age with the understanding that it is proper in some contexts and improper in others (many of which have been discussed above). If this is done, many aspects of the question of pornography will have been answered at an early age. Furthermore, if this approach is taken, children will gain an understanding of modesty and prudishness and know the difference between the two before it becomes an issue of practice for them (e. . skirt length, bathing suits, movies, etc. ). Of course there are many things that are perfectly good and right in and of themselves that are inappropriate for children. It is the responsibility of the parents to know their children and use their discernment in this question. The above arguments show that things are rarely as simple as nude = bad, clothed = good. This is not an exh austive treatment of the issue by any means; however, it should shed light on different perspectives on how a Christian is supposed to view nudity in art.

“a Contemporary View on Health Care System in Bangladesh.”

CHAPTER – 1 Introduction 1. 0 origin and background of the report The report ‘‘A Contemporary view on Health Care System in Bangladesh’’ is the outcome of Internship Program which is a precondition for acquiring MBA Degree. Only curriculum activities are not enough for handling the real business environment, so it is necessary to get the better knowledge about the real scenario. The report is a requirement of the internship program for my MBA Degree. Conduction of Internship/ Dissertation started on 20th December 2009 and ended on 12th February 2010.My internship supervisor at International Islamic University Chittagong, Dhaka Campus, Mr. R M Nasrullah Zaidi assigned me the topic of my report. The reason behind choosing this topic is getting a clear picture of the health sector of Bangladesh. Working on this topic gives me an opportunity to understand the Problem and prospect of health care system in Bangladesh. In today’s world of globalizatio n Thiland is seeking to encourage â€Å"health tourist† to its country under the banner of ‘Thailand: Centre of Excellent Health Care of Asia’, India is building an e-health industry and Singapore is building hospitals abroad.When scenarios are like that where the health sector of Bangladesh ? Here we try to get a idea about what is the real scenario of various related issues like access to health-relate knowledge and technology, the provision of new hospital and aliened health institution and the availability of health professionals. 1. 1 objectives of the report The objective of my study divided into two segments: 1. 1. 1 Primary Objective The primary objective of this report is to meet the requirements of the course, OCP 5900, Internship. 1. 1. 2 Secondary ObjectiveThe secondary objectives are: * To confer a clear picture of National health senario. * To know about list and capacity of existing Hospital & clinic * To know about manpower supply capacity and req uirement * To know about Morbidity and its rate * To know about Available alternative or traditional medical care system. * To know about health education of mass people * To know about government structure- health system * To know about demographic structure of population * To know about role of different institution in respect of Health Care 1. methodology I have planned to perform the task in four stages: Step 1 Planning of the work Step 2 Data collection Step 3 Analysis and interpretation of data Step 4 Drawing conclusions and recommendations The first stage is the most important stage. I have allocated enormous time for this stage. I am emphasizing on thorough and detailed planning. Planning includes detailed methodology and scheduling of the remaining three stages. I am also emphasizing on documenting detailed planning which would serve as a guideline and performance measure for the whole report.The second stage is the data collection stage. I have planned to collect data in t hree main phases. * Collect data from internet, different books and medical journals. * Conduct interviews with selected representatives from different level of health professionals. This phase actually concentrates on clarification and elaboration of data collected from the first phase. * Conduct interviews and communicate with health providers who are in the front line. This phase actually concentrates on accumulating data for the overall scenario. The third stage is the analysis and interpretation of data.In this stage I would use some statistical and graphical analysis tools to interpret the relationship among different variables and factors. The fourth stage is the stage for drawing conclusions and prescribing recommendations. In this stage the results from the previous stage would be used to draw conclusions about different aspects of concerned matters within the organization and prescribe some recommendation for future improvement. The project is base on both primary and seco ndary information. Primary Source: * Informal discussion with employees of UHL. Observation while working in different desks * Interview with health care providers. Secondary Sources: * Official Web Site of UHL * Annual Reports of Ministry of Health * Various Manuals and Brochures of DG Health * Different publications of WHO. 1. 3 scope This report solely deals with the health related information of Bangladesh. Here we try to accumulate information from various topics that have role with the health system of a country. The project is based on both primary and secondary information. Health system is a very vast area to work; thousands of issues are related here.Here we make some major segment to discuss like national health status, health care delivery system, facility based health service, leading public health problems and health education. 1. 4 limitations 1. The major limitation faced in preparing this report is the enormous number of parameters that have relationship to the heal th care system of a country. 2. Less availability of data at all tiers of service providing especially in the private sector. 3. Less accessibility to data due to shortage of time and proper arrangement and at the same time the authenticity of data not beyond questions. 4.Health sector requires few specified technical knowhow for better understanding. Being a non medical background some time face some problem to understand technical terminology and frequently needed explanation and further study. CHAPTER – 2 Bangladesh: National Health Status 2. 0Location and Geography Bangladesh was emerged as an independent and sovereign country in 1971 following a nine months war of liberation. The country is one of the largest deltas of the world with a total area of 147,570 sq km. Being a low-lying country it stretches latitudinal between 20? 34†² and 26? 38†² north and longitudinally between 88? 01†² and 92? 1†² east. It is mostly surrounded by Indian Territory (West Bengal, Tripura, Assam and Meghalaya), except for a small strip in the southeast by Myanmar. Bay of Bengal lies on the south. The standard time of the country is GMT +6 hrs. 2. 1History Bangladesh has a glorious history and rich heritage. Once it was known as ‘Sonar Bangla' or the ‘Golden Bengal'. The territory now constituting Bangladesh was under the Muslim rule for over five and a half centuries from 1201 to 1757 AD. Subsequently, it came under the British rule following the defeat of the sovereign ruler, Nawab Sirajuddaula, at the battle of Plessey on 23 June 1757.The British ruled over the Indian subcontinent including this land for nearly 190 years from 1757 to 1947. During that period, Bangladesh was a part of the British Indian provinces of Bengal and Assam. With the termination of British rule in August 1947, the sub-continent was partitioned into India and Pakistan. Bangladesh was a part of Pakistan and was called ‘East Pakistan'. 2. 2Physiography With a bout half of its surface below the 10 m contour line, Bangladesh is located at the lowermost reaches of three mighty river systems -the Ganges-Padma river system, Brahmaputra-Jamuna river system and Surma-Meghna river system.Coinciding with the division of the country based on altitude the land can be divided into three major categories of physical units: Tertiary hills, Pleistocene uplands and Recent plains (formed in recent epoch). The heavy monsoon rainfall coupled with the low altitude of major parts of the country makes floods an annual phenomenon in Bangladesh. Quaternary (began about 2 million years ago and extends to the present) sediments, deposited mainly by the Ganges, Brahmaputra (Jamuna) and Meghna rivers and their numerous distributaries, cover about three-quarters of Bangladesh.The physiography and the drainage pattern of the vast alluvial plains in the central, northern and western regions have gone under considerable alterations in recent times. In the context of ph ysiography, Bangladesh may be classified into three distinct regions: (a) floodplains, (b) terraces and (c) hills, each having distinguishing characteristics of its own. The physiography of the country has been divided into 24 sub-regions and 54 units. 2. 3Climate Bangladesh has a tropical monsoon-type climate, with a hot and rainy summer and a dry winter.January is the coolest month with temperatures averaging near 260 C (780 F) and April is the warmest with temperatures from 330 to 360 C (910 to 960 F). The climate is one of the wettest in the world. Most places receive more than 1,525 mm of rain a year, and areas near the hills receive 5,080 mm). Most rains occur during the monsoon (June-September) and little in winter (November-February). Bangladesh has warm temperatures throughout the year, with relatively little variation from month to month. January tends to be the coolest month and May the warmest.In Dhaka, the average January temperature is about 19 °C (about 66 °F), an d the average May temperature is about 29 °C (about 84 °F). 2. 4Administration From the administrative point of view, Bangladesh is divided into 6 Divisions, 64 Districts, 6 City Corporations, 308 Municipalities, 482 Upazilas and 4498 Unions. The six administrative division's are namely, Dhaka, Chittagong, Rajshahi, Khulna, Barisal and Sylhet. The country is governed by the Parliamentary Democracy and it has a unitary National Parliament, nameBangladesh Jatiya Sangsad. There are 40 Ministries and 12 Divisions.The Ministry of Health ; Family Welfare is one of largest ministries in the country. At the national level, the Ministry oHealth ; Family Welfare (MOHFW) is responsible for policy, planning and decision making atmacro level. Under MOHFW, there are four Directorates, viz. , Directorate General of HealthServices, Directorate General of Family Planning, Directorate of Nursing Services and Directorate of Drug Administration. Beside, there are a separate National Nutrition Proje (NNP)and Construction, Maintanance and Management Unit (CMMU). . 5Economy Bangladesh has an agrarian economy, although the share of agriculture to GDP has beendecreasing over the last few years. Yet it dominates the economy accommodating major rural labour force. From marketing point of view, Bangladesh has been following a mixed economy that operates on free market principles. The GDP of Bangladesh is 6. 21% and per capitincome is US$ 599. The principal industries of the country include readymade garments,textiles, chemical fertilizers, pharmaceuticals, tea processing, sugar, leather goods etc.Theprincipal mineral includes Natural gas, Coal, white clay, glass sand etc. 2. 6Communication The transport system of Bangladesh consists of roads, railways, inland waterways, two sea ports, maritime shipping and civil aviation catering for both domestic and international traffic. Presentlythere are about 21,000 km of paved roads; 2,706 route-kilometres of railways (BG-884km and MG -1,822 km ); 3,800 km of perennial waterways which increases to 6,000 km durinthe monsoon, 2 seaports (Chittagong and Chalna) and 3 international (Dhaka, Chittagong andSylhet) and 8 domestic airports. . 7Religion and Culture The majority (about 88%) of the people are Muslim. Over 98% of the people speak in Bangla. English, however is widely spoken. Bangladesh is heir to a rich cultural legacy. In two thousand or more years of its chequered history, many illustrious dynasties of kings and Sultans ruled the country and have left their mark in the shape of magnificent cities and monuments. The people of Bangladesh are very simple and friendly. A beautiful communal harmony among the different religions has ensured a very congenial atmosphere.More than 75% of the population lives in rural areas. Urbanization has, however, been rapid in the last few decades. 2. 8Population and Demography Bangladesh is now Asia's fifth and world's eighth populous country with an estimated population of about 146 mil lion. Density of population is around 979 per square kilometer, the highest in the world. Rural population comprises about 76% while urban constitutes about 24%. Adult literacy rate is 54% (2006). Census of 2001 reveals that 43 per cent of the population is below 15 years of age.This young age structure constitutes built-in population momentum. Also urban population is increasing quite fast. Though Bangladesh has made progress in reducing poverty and per capita income has been creeping up, a substantial number of population are poor. Progress made in improving Bangladesh's Human Development Index (HDI) has placed her among the medium-ranking HDI countries. Strong policy interventions led to continuous reduction in the annual growth rate of population from the level of 2. 33 % in 1981 to 1. 54 in 2001 and further to 1. 48 (2007). The TotalFartility Rate (TFR) also went down from 3. 4 in 1993-94 to 2. 2 (2007). The CPR (any method) increased from 44. 6% in 1993-94 to 58. 1% in 2004, b ut again fell down to 55. 8% in 2007. Life expectancy at birth has continuously been rising, and is now 65 years (2007) from the level of 58 (1994). Reversing past trends, women now live longer than men. The country, however, is over burdened with about two million new faces every year creating extra pressure on food, shelter, education, health, employment, etc. , and thus making the anticipated economic growth difficult. . 9Health Status Since independence Bangladesh has made significant progress in health outcomes. Infant and Child mortality rates have been markedly reduced. The underfive mortality rate in Bangladesh declined from 151 deaths per thousand live births in 1991 to 65 deaths/1000 live births in 2007 and during the same period infant mortality rate reduced from 94 deaths per 1000 live births to 52. EPI coverage extended its reach from 54% in 1991 to 87. 2% in 2006. The MMR reduced from 574/100,000 live births in 1991 to 290 in 2007.Deliveries attended by skilled birth a ttendants increased from only 5% in 1990 to 20% in 2006. The prevalence of malaria dropped from 42 cases /100,000 in 2001 to 34 in 2005. Bangladesh has also achieved significant success in halting and reversing the spread of tuberculosis (TB). Detection of TB by the Directly Observed Treatment Short-course (DOTS) has more than doubled between 2002 and 2007, from 34 to 92%. The successful treatment of tuberculosis has progressed from 84% in 2002 to 91% in 2007. Polio and leprosy are virtually eliminated. HIV prevalence is still very low.Development of countrywide network of health care infrastructure in public sector is remarkable. However, availability of drugs at the health facilities, deployment of adequate health professionals along with maintenance of the health care facilities remain as crucial issues, impacting on optimum utilization of public health facilities 2. 10Nutrition Status There has been considerable progress in reducing malnutrition and micro nutrient deficiencies i n Bangladesh. According to BDHS, percentage of U5 underweight (6-59 months) has reduced to 46. (2007) from 67 (1990) and that of U5 stunted (24-59 months) from 54. 6 (1996) to 36. 2 (2007). Percentage of children 1-5 years receiving vitamin-A supplements in last six months has increased from 73. 3 (1999-00) to 88. 3 (2007). The rate of night blindness has reduced to 0. 04 per 1000 people (IPHN, HKI 2006). However, in spite of efforts taken by the government, high rates of malnutrition and micronutrient deficiencies along with gender discrimination remain common in Bangladesh. 2. 11Urban Health ServiceThe urban areas provide a contrasting picture of availability of different facilities and services for secondary and tertiary level health care, while primary health care facilities and services for the urban population at large and the urban poor in particular are inadequate. Rapid influx of migrants and increased numbers of people living in urban slums in large cities are creating con tinuous pressure on urban health care service delivery. Since the launching of two urban primary health care projects, the services have been delivered by the city corporations and municipalities through contracted NGOs in the project's area.Rest of the urban areas and services are being covered by MOHFW's facilities. Moreover, 35 urban dispensaries under the DGHS are providing outdoor patient services including EPI and MCH to the urban population. 2. 12Organizational Setup of MOHFW The Ministry of Health & Family Welfare is one of largest ministries in the country. At the national level, the ministry of Health & Family Welfare (MOH&FW) is responsible for policy, planning and decision making at macro level. 2. 12. 1Executing Authorities of MOHFW:Under MOHFW, there are four Directorates General or Directorates, e. g. , Directorate General of Health Services, Directorate General of Family Planning, Directorate of Nursing Services and Directorate of Drug Administration. 2. 13Directorat e General of health Services (DGHS) The Directorate General of Health Services (DGHS) is entrusted for the implementation of the policy decisions of the Ministry of Health and Family Welfare (MOHFW) as regards health service delivery to all the people under the jurisdiction of the Government of the People's Republic of Bangladesh.It provides technical guidance to the ministry. DGHS carries out its activities through different directors, line directors, project directors, institution heads, district and upazila health managers and union health staffs. 2. 14Health, Nutrition ; Population Sector Program (HNPSP) The constitution Bangladesh mandates for basic health care services for its people as one of the fundamental responsibilities of the state. Towards this goal, the government has taken different endeavors to extend health facilities to the population.The broader policy document of the Government of Bangladesh that shapes direction of health care is the Poverty Reduction Strategy Paper (PRSP) although the current government has indicated that it will go for Five Year Plan. The Government of Bangladesh is running a program through which the health care services are provided to the people from the grass root to the central level. The program is entitled Health, Nutrition and Population Sector Program for the period of July 2003 through June 2010 (HNPSP 2003-2010).The Ministry of Health and Family Welfare (MOHFW) designed the Program Implementation Plan (PIP) in accordance with the PRSP to implement its sector wide program popularly known as Health, Nutrition and Population Sector Program (HNPSP). The HNPSP covers 38 Operational Plans (OP) to be implemented by 38 Line Directors and 14 Projects/Programs. The Government has recently decided to continue HNPSP until 2011. The details of the program are well documented in the form of Program Implementation Plan (PIP) duly endorsed at the highest policy level of the government, the Executive Committee for National Ec onomic Council (ECNEC).The Implementing Agency of the program is Ministry of Health and Family Welfare (MOHFW) with its attached departments. The financial involvement is estimated to be around Taka 324,503 million which includes contributions for GOB (Government of Bangladesh) and DPs (Development Partners). 2. 15Priority Objectives and Goal One of the important goals of PRSP and HNPSP is attainment of Millennium Development Goals (MDGs). The health sector is specially striving for attainment of health related MDGs.The priority objectives of HNPSP are: (i) reducing MMR; (ii) reducing TFR; (iii) reducing malnutrition; (iv)reducing infant and under-five mortality; (v) reducing the burden of TB and other diseases; and (vi) prevention and control of noncommunicable diseases including injuries. The commitment of the government targets towards reaching the goal of sustainable improvement in health, nutrition and family planning status of the people by the end of the program period. It ma y be mentioned here that HNPSP deals with health care service delivery of the public sector.Nevertheless, it strives to maintain a strong cooperation and coordination with the efforts of the Private Sector as well so as to ensure the overall well-being of every citizen of the country. Of the 38 OPs, 7 are under MOHFW, 19 under Directorate General of Health Services (DGHS), 9 under Directorate General of Family Planning (DGFP), 1 under Directorate of Nursing Services (DNS), 1 under Directorate of Drug Administration (DDA) and 1 under National Institute of Population Research and Training (NIPORT) and.Of the 14 projects/programs, 1 is under MOHFW, 9 under DGHS, 1 under DGFP, 2 under DNS and 1 under NIPORT. The Health Bulletin 2009 is an attempt of Management Information System (MIS) of DGHS to provide an overview of the current health profiles of Bangladesh. CHAPTER – 3 Health care delivery systems of Bangladesh Distribution of public health care services and facilities follows similar pattern of administrative tiers, viz. national (mostly capital-based in Dhaka), regional (in divisions), district, upazila, union and ward. The country has 7 divisions, 64 districts, 482 upazillas and 4,498 unions.As the Ministry of health and family Welfare deploys health workforce according to the older ward system, which divides each union into 3 wards. Therefore, number of MOHFW wards is 13,494. Primary health care (PHC), which includes family planning services in the urban area (city corporations and municipalities), is provided by Ministry of Local Government; and in rest of the country by Ministry of Health and Family Welfare (MOHFW) provides health care service. Provision of secondary and tertiary care, in both urban divisional directorates with necessary staff. and rural areas, is the sole responsibility of MOHFW.The MOHFW delivers its services through two separate executing authorities, viz. Directorate General of Health Services (DGHS) and Directorate General of Family Planning (DGFP). The names explain their functions. PHC services of both DGHS and DGFP begin at the ward level through a set of community health staffs, at least one in each ward (Table). To supervise these field staffs, there is one assistant health inspector (for DGHS) and one family planning inspector (for DGFP) at union level. There are several hundred non-bed community facilities to provide outpatient services (1466 for DGHS and 3500 for DGFP).Besides DGFP also operates additional 97 maternal and child welfare centers (MCWCs) (union: 23; upazila: 12; district: 62), 471 MCH-FP clinics (upazila: 407; district: 64), 177 NGO clinics (upazila: 68; district: 104; national: 05), 08 model clinics (national: 02; regional: 06) and organizes 30,000 makeshift satellite clinics per month. The public sector hospital care in Bangladesh is mainly provided by DGHS. Primary level hospital care| Secondary level hospital care| Tertiary level hospital care| Begins through Upazila Health Comp lex (31 to 50 Bed) existing in 418 upazilas. The district hospitals (50 to 375 bed), one each district, provide secondary level hospital care in several specialty areas. | The regional hospital are multidisciplinary tertiary care hospitals (250 to 1700 beds) mostly affiliated with teaching institutes. At the national level, there are postgraduate and specialized hospitals (100 to 600 beds)| 3. 0Divisional level health organization At the divisional level, there is a divisional Director for Health. S/he is the head of a Divisional Directors supervise the activities of the civil Surgeons. 3. 1District level health organizationAt the district level, Civil Surgeon is the health manager. S/he has own administrative office supported by various categories of staff. There is either a Sadar Hospital or a General Hospital in each district head quarter. The Hospital provides services under the management of Civil Surgeon with a view to render out-patient, in-patient, emergency, laboratory and imaging services to the people. The in-patient services internal medicine, general surgery, obstetrics and gynecology and other common specialist clinical services. It is the secondary level referral facility of health services of Bangladesh.Currently there are 59 Sadar district hospitals and 2 General hospitals in the country each having 100-250 bed. 3. 2Upazila level health organization Upazila Health Complex (UHC) is another fixed service delivery point next to district level hospital. It provides the first level referral services to the population. In each UHC, there are posts for 9 (nine) doctors including one Upazila Health and Family Planning Officer (UHFPO). UHFPO is the Chief Health Officer of upazila and also Head of the UHC. Other doctors of UHC are Junior Consultants-4, Resident Medical Officer-1, Assistant Surgeons (MO)-2 and Dental Surgeon-1.There are 418 Upazila Health Complexes (UHC) in the country of which 153 are 50bed and rests are 31-bed. UHC provides out-patient , in-patient and emergency services, limited diagnostic and imaging services, emergency obstetric care, contraceptive services and dental care. 3. 3Union level health organization There are four types of static health facilities in the union level. These are Rural Health Centers (RHC, 10-bed hospital), Union Sub-centers (USC), Union Health and Family Welfare Centers (UHFWC) and Community Clinics (CC). There are 22 RHCs, in each of these, there are sanctioned posts of 20 staffs.RHC provides both out-patient and inpatient services. In an USC, there is sanctioned posts for one medical officer, one medical assistant, one pharmacist and one MLSS. Number of USC is 1,362; that for UHFWC is 87. Under HPSP, Government planned for establishing one Community Clinic for every 6000 rural populations. Number of CCs so far built is 11,883. But, these were not made functional. Recently Government has decided to start the CCs again. The total number of CCs will be 18000. The existing UHCs and Union level facilities will also provide services of CCs in the respective communities.So,13,500 additional CCs will be required. The main health workforce in the union level is the domiciliary staff called health assistants. They are placed in each ward, which is the lowest and smallest administrative unit of the health sector. They visit the homes of the local people for providing primary health care services and collection of routine health data. The health assistants routinely organize satellite clinics for immunization services. Besides there are other small to large hospitals and special purpose hospitals spread across the country both in rural as well as in urban areas.Under the DGHS, there are altogether 40 teaching/training institutes and 589 small to large hospitals. In Family Planning sector, there are one national research-cum-training institute, two hospital-based training centers, and 32 other training centers (national: 12; regional: 20). Nearly six hundred health managers under DGHS and a similar number under DGFP, from national to upazila levels, play roles in administering the health and family planning services (1,17). This figure does not include the institute and clinic/hospital heads. CHAPTER – 4Facility Based Health Services Hospital service is one of the important activities of health sector, which is the most visible health service also. This chapter of the Health Bulletin 2009 will provide an overview of the hospitals and their bed capacity as well as utilization based on the information from January through December of 2008. 4. 0Hospitals by bed capacity There are 585 hospitals ranging from 10 beds to 1,700 beds under DGHS currently. All of these hospitals provide a total of 37,090 beds. The table below gives a detail profile. No. f hospitals by bed capacity and total beds under DGHS Sl. No. | Bed capacity | No. of hospitals in this type | Total beds | 1 | 1700 beds | 1 | 1700 | 2 | 1010 beds | 1 | 1010 | 3 | 900 beds | 1 | 900 | 4 | 800 beds | 1 | 800 | 5 | 600 beds | 5 | 3000 | 6 | 500 beds | 3 | 1500 | 7 | 414 beds | 1 | 414 | 8 | 375 beds | 1 | 375 | 9 | 250 beds | 19 | 4750 | 10 | 200 beds | 2 | 400 | 11 | 150 beds | 3 | 450 | 12 | 100 beds | 53 | 5300 | 13 | 80 beds | 1 | 80 | 14 | 56 beds | 1 | 56 | 15 | 50 beds | 158 | 7900 | 16 | 31 beds | 271 | 8401 | 17 | 30 beds | 1 | 30 | 8 | 25 beds | 1 | 25 | 19 | 20 beds | 43 | 860 | 20 | 10 beds | 22 | 220 | | Total = | 589 | 3817138171| Type of hospitals Following list gives an overview of the type of hospitals currently in operation under DGHS Type of hospitals | No. of hospitals | Total bed capacity | Postgraduate institute hospital | 7 | 2014 | Dental college hospital | 1 | 20 | Hospital for alternative medicine | 2 | 200 | Medical college hospital | 14 | 8685 | Mental hospital, Pabna | 1 | 500 | Shekh Abu Naser Specialized Hospital | 1 | 250 | Narayanganj 200 bed Hospital | 1 | 200 |Specialized Health center (Asthma ; Burn unit) | 2 | 150 | Sarkari karmoc hari hospital | 1 | 100 | Chest hospital | 12 | 566 | Infectious disease hospital | 5 | 180 | Leprosy hospital | 3 | 130 | District Level Hospital | 60 | 8100 | 50 bed hospital(Tongi, Saidpur) | 2 | 100 | 100 bed hospital (Narsingdi) | 1 | 100 | 25 bed hospital (Jhenidah) | 1 | 25 | Bangladesh korea moitree hospital | 1 | 20 | Upazila health complex | 421 | 15958 | Health complex (31 bed) | 3 | 93 | 20 bed hospital | 28 | 560 | 10 bed hospital | 22 | 220 | Postgraduate Institute Hospitals all are national level hospitals and are located in Dhaka) Total = 7 | No. of beds | | Total | Revenue | Develop. | Proposed | Beds will Increase | 1. National Institute of Chest Disease and Hospital (NIDCH) | 600 | 600 | 0 | 0 | 0 | 2. National Institute of Cardiovascular Disease (NICVD) | 414 | 250 | 164 | 0 | 0 | 3. National Institute of Traumatology and Rehabilitation (NITOR) | 500 | 500 | 0 | 0 | 0 | 4 National Institute of Cancer Research and Hospital (NICR;H) | 50 | 50 | 0 | 250 | 200 | 5 Na tional Institute of Ophthalmology (NIO) | 250 | 250 | 0 | 0 | | 6.National Institute of Kidney Disease and Hospital (NIKDU) | 100 | 0 | 100 | 0 | 0 | 7. National Institute of Mental Health (NIMHR) | 100 | 50 | 50 | 0 | | Total = | 2014 | 1700 | 314 | 250 | 200 | Medical College Hospitals of Teaching Hospitals of equivalent level (Regional hospitals and are used as undergraduate and postgraduate teaching hospitals). Division | District | Name of hospital (Total = 17) | No. of beds | | | | Beds | Revenue | Develop. | Proposed | Bed will increase | Barisal | Barisal | Sher-e-Bangla Medical College Hospital | 00 | 600 | 0 | 1000 | 400 | Chittagong | Chittagong | Chittagong Medical College Hospital | 1010 | 1010 | 0 | 0 | 0 | | Comilla | Comilla Medical College Hospital | 250 | 250 | 0 | 500 | 250 | Dhaka | Dhaka | Dhaka Medical College Hospital | 1700 | 1700 | 0 | 2000 | 300 | | | Sir Salimullh Medical College Hospital | 600 | 600 | 0 | 0 | 0 | | | Shahid Suhrawardy Hospital, Dhaka | 37 5 | 375 | 0 | 0 | 0 | | | Homoeopathic Degree College ; Hospital | 100 | 100 | 0 | 0 | 0 | | | Unani ; Ayurvadic College ; Hospital | 100 | 100 | 0 | 0 | 0 | | | Dental College and Hospital, Dhaka | 20 | 20 | 0 | 200 | 180 | | Faridpur | Faridpur Medical College Hospital | 250 | 250 | 0 | 0 | 0 | | Mymensingh | Mymensingh Medical College Hospital | 800 | 800 | 0 | 1000 | 200 | Khulna | | Khulna Medical College Hospital | 250 | 250 | 0 | 500 | 250 | Rajshahi | Bogra | SZR Medical College Hospital | 500 | 500 | 0 | 0 | 0 | | Dinajpur | Dinajpur Medical College Hospital | 250 | 250 | 0 | 500 | 250 | | Rajshahi | Rajshahi Medical College Hospital | 600 | 600 | 0 | 0 | 0 | | Rangpur | Rangpur Medical College Hospital | 600 | 600 | 0 | 1000 | 400 | Sylhet | Sylhet | MAG Osmani Medical College Hospital | 900 | 900 | 0 | 1000 | 100 | Total = | 8905 | 8905 | 0 | 7700 | 2330 | Specialized Centers under DGHS with bed capacity (Year 2008) Division | District | Name of hospital (Total = 2) | No. of beds | | | | Beds | Revenue | Develop. | Proposed | Bed will increase | Dhaka | Dhaka | 1. National Asthma Center at NIDCH | 100 | 0 | 100 | 0 | 0 | | | 2. Burn Unit | 50 | 0 | 50 | 200 | 150 | Total = | 150 | 0 | 150 | 200 | 150 | | | 4. 1BSMMU Bangabandhu Sheikh Mujib Medical University (BSMMU) is the premier Postgraduate Medical Institution of the country. It bears the heritage to Institute of Postgraduate Medical Research (IPGMR)which was established in December 1965.In the year 1998 the Government converted IPGMR into a Medical University for expanding the facilities for higher medical education and research in the country. It has an enviable reputation for providing high quality postgraduate education in different specialties. The university has strong link with other professional bodies at home and abroad. The university is expanding rapidly and at present, the university has many departments equipped with modern technology for service, teaching and research. Besides educ ation, the university plays the vital role of promoting research activities in various discipline of medicine. Since its inception, the university has also been delivering general and specialized clinical service as a tertiary level healthcare center.The university provides patient care services on various disciplines like Psychiatry, Physical medicine, Pediatrics, Neonatology, Pediatric neurology, Pediatric surgery, Clinical pathology, Dermatology, Colorectal surgery, Nephrology, Urology, Neurology, Neuro-Surgery, Internal Medicine, Gastroenterology, Hepatology, Ophthalmology, ENT, Obstetrics ; gynecology, Surgery, Hepatobiliary Surgery, dentistry, and blood transfusion services. It provides different treatment services like Intensive Care, Lithotripsy, Pain management and diagnostic services like radiology, endoscopy, CT scan ; MRI and a one-stop laboratory service. BSMMU runs Institute of Nuclear Medicine (INM). INM is a joint project of Bangladesh Atomic Energy Commission and BS MMU. The INM has modern diagnostic and therapeutic facilities including computerized ultrasonography, gamma camera and a well equipped radioimmunoassay (RIA) laboratory.This is considered to be the best center for noninvasive diagnoses. 4. 2Smiling  Sun  Franchise  Program   (SSFP) The Smiling Sun Franchise Program is a project funded by the United States Agency for International Development (USAID). It is intended to complement the wide network of healthcare facilities set up by the Government of Bangladesh resorting to an innovative approach to health care franchising. SSFP is committed to improve the quality of life of all Bangladeshis by providing superior, friendly and affordable health services in a sustainable manner. To achieve relevant health outcomes, SSFP is jointly working with partnering NGOs to convert the existing network into a viable social health system.SSFP objective is to strengthen partnering organization's quality of care while helping them to enhance t heir financial sustainability, thus enabling them to continue serving an important segment of the Bangladeshi society, including the poorest of the poor. Currently 29 NGOs are providing health care services to women, children and through 319 static and 8,500 satellite clinics in 61 districts of Bangladesh. 34 clinics of this network are providing Emergency Obstetric Care (EmOC) services. This network will continue to expand the volume and types of quality health care under ESD provided to the able-to-pay customers as well as underserved and poor clients. 4. 3Urban Primary Health Care Project (UPHCP-II): About 35 million people representing almost 25 percent of the population of Bangladesh live in urban areas, a large proportion of whom are slum dwellers.The health knowledge of the urban slum dwellers and their access to essential basic health services are low. Children living in urban slums are deprived of education and health care, and vulnerable to violence, abuse and exploitation . On the other hand, high rate of mortality and morbidity exists among women who remain neglected in terms of meeting their basic health needs and ensuring their rights. The Government of Bangladesh is committed to put in place strategies to address the issues of improving the health status of the urban population. This is to be done through improved access to and utilization of efficient, effective and sustainable Primary Health Care Services.The provision of public health services in urban areas is the responsibility of Local Government Bodies by dint of City Corporation Ordinance of 1983 and Pouroshova Ordinance of 1977. For primary health care services delivery, the public sector works in partnership with NGOs and the local government institutions such as the City Corporations and Pouroshovas. The health service delivery mechanism in urban areas involves diverse roles of the government (MOLGRD&C and MOHFW), NGOs and the private sector. CHAPTER – 5 Leading Public Health Pr oblems 5. 0Communicable disease The prevention and control of communicable diseases represent a significant challenge to those providing health-care services in Bangladesh.Sound knowledge on the disease epidemiology is a must for the health service providers in various levels. The Bangladesh population is namely affected by diarrheal diseases, cholera, hepatitis A & E, Malaria, Mycobacterial Disease like Tuberculosis and Leprosy, Dengue, Japanese encephalitis, Nipah virus infection, etc. Crowding, poor access to safe water, inadequate hygiene and toilet facilities, and unsafe food preparation and handling practices are associated with transmission. Cholera is endemic Bangladesh, between 800 and 1000 cases are usually being recorded daily at the hospital of the ICCDR, B in Dhaka. Hepatitis A and E levels are usually high in the country.Malaria risk exists throughout the year in Bangladesh. Thirteen out of 64 administrative districts are high malaria endemic areas. 98% of all malaria cases reported are from these districts, which are mainly located in the border areas of India and Myanmar. Tuberculosis still remains as a major public health problem, which ranks Bangladesh fifth among the high-TB burden countries in the world. The present revised National Tuberculosis Programme (NTP) was launched and field implementation of DOTS (Directly Observed Treatment short course) was started in 1993. Kala Azar or Leishmaniasis or is endemic in Bangladesh and has an incidence of 175 per 100,000 per annum.It is caused by a protozoa which is transmitted from the bite of infected sandfly and may present in cutaneous or visceral forms (particularly common in Bangladesh). Filariasis is a mosquito borne parasitic disease causality urogenital organs, breast, etc. with long arm disability. In Bangladesh, it is endemic in 23 districts, mostly the bordering ones. About 20 million people are already infected, most of whom are incapacitated. Leprosy has been a major health problem in Bangladesh for a long time. Bangladesh was considered a high endemic country and was listed among ten countries with high case load (1992). Leprosy situation has changed globally after 1981 when the Multi Drugs Treatment (MDT) were introduced.Hepatitis A virus infection is common in Bangladesh with a prevalence of about 2% to 7%. Prevalence of hepatitis C virus infection is less than 1%. Sporadic outbreak is often seen caused by hepatitis E virus infection; but presence of hepatitis D infection is not exactly known. Polio free status prevailed from 2001 until now (June 2009) except a small window period in 2006 when 18 cases of child polio were seen in boarder areas of Bangladesh. it is assumed that these cases were imported from India. Dengue fever/Dengue hemorrhagic fever (DF/ DHF) is a viral disease transmitted by the Aedes aegypty mosquito. It is on the increase in South East Asia. Bangladesh reported 100, 000 cases in 2005.However case fatality rate (CFR) remained