Inside Thought

Awami League has one Sheikh Hasina


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Like everyone else, I am also drawn to chatter. Sometimes I just want a storm in a cup of tea. Whether it is politics or literature. I was talking to a senior leader of Awami League. We were talking about the current political and economic situation. Another colleague of mine was also at the table. We discussed about whether or not BNP will participate in the next election. The current state of Sri Lanka, the war in Ukraine, the global reality and the challenges facing the government were not left out from the storm in a cup of tea. We questioned what will be the role of America and India regarding Bangladesh in the upcoming elections and why diplomats are so active about Bangladesh now. The leader was giving his opinion. Again he was throwing questions to us. The leader said, 'Neither BNP nor foreigners are a factor for us. The politics of Bangladesh is not dependent on foreign countries. Nothing will happen in this country at the behest of any other country's ambassador or high commissioner. BNP's attempt to fish in troubled water will be of no use. Sushil and doctors' multifaceted activities in the country and abroad will be ruined if we are good.' I was listening to the words attentively. I asked, what do you mean by saying we are good? Please elaborate. In response, the leader said, 'We mean the Awami League. Talking about the activities of our leaders and workers. Common people see the activities of the government party. But some people do whatever they want without understanding. They engage in fights among themselves. Creates unnecessary controversy. Manifests unrestrained behavior. Does not want to understand reality. People are disappointed by this. The workers of the government party are angry and saddened. Our problem is with our inner troubles. Outside conspiracies were there before; they are still there. Only by dealing with them Awami League is in today's position.

 

I liked the words. Awami League is an old, traditional and experienced political party. Over the ages, this party has fought various movements. This party has led the liberation war. Sheikh Hasina fought with Bangabandhu's Awami League all her life. Established human rights. Today's Awami League is enjoying the benefits of her sacrifice. She has created a record of consecutive powers. Bangabandhu and Sheikh Hasina's Awami League knows how to agitate and how to disrupt a movement. The party has equal experience of being in and out of power for a long time. BNP does not have the strength to do anything with a strong stand against this party. Tiredness has developed within the BNP for being out of power for a long time. After Begum Khaleda Zia went to jail, there was despair. BNP is no longer in its previous position. They could not create any movement for the release of the party chairperson. Couldn't stand by the leader. There is still no end to the problems inside and outside the party. Begum Khaleda Zia is now physically ill. She is surrounded by doctors, lawsuits and jails. General leaders and workers are worried about her physical condition. Another top leader of the party is in London. Bangladeshi politics cannot be led at the top level while sitting on foreign soil. Mirza Fakhrul is fighting to manage the team in this difficult environment. It is still not the time to tell how much he can do. However, as a gentleman, Mirza Fakhrul has established a position in the country and abroad. And surviving.

 

The political reality of ruling party and opposition parties are completely different. There is account of demand in government party. Assault case and jail on opposition party. Awami League was in the opposition for a long time. They are in today's position after facing difficult situations including assault case and lawsuits. No one faced more adversity than Awami League. After August 15, 1975, this party was out of power for 21 years. 1975 to 1980 was a miserable time for the party. Then the leaders decided to bring Bangabandhu Daughter to support the party due to the difficult reality. Millions of Awami League workers welcomed the news of the leader's arrival. Enthusiasm was created in the team. These workers were Bangabandhu's trust. Sheikh Hasina also survives in their love. 1977 paved the way for Sheikh Hasina to take charge of Awami League. The conference was held on April 3 and 4 that year at the Eden Hotel in Dhaka. Sheikh Hasina was brought to a silent discussion among the party workers of that conference. In the conference, Mizanur Rahman Chowdhury was one of the claimants of the party president. Syeda Zohra Tajuddin inaugurated the conference under the chairmanship of Molla Jalaluddin. Many leaders including Fanibhushan Majumder, Zahirul Qayoum directly opposed Mizan Chowdhury in that conference. Young leaders agreed to it. In that council Syeda Zohra Tajuddin was temporarily made the convener. Later, Abdul Malek Ukil took over as president. Abdur Razzak became the general secretary and Tofail Ahmed became the Organizing Secretary.

 

In that conference, Mizanur Rahman Chowdhury paid tribute to Bangabandhu and said, 'The leader is gone but the workers are left behind. If a civilian government is established in the country, then it is possible for Awami League to form that government.' Mizan Chowdhury's speech encouraged the leaders and workers of Awami League. The idea was created around Sheikh Hasina. The next conference of Awami League was held on February 13-15, 1981. A year before that conference, the leaders started coming and going to Delhi. They requested Bangabandhu Daughter to take charge of the party. Dr. SA Malek, Zillur Rahman, IV Rahman, Abdus Samad Azad, Korban Ali, Amir Hossain Amu, Syeda Sajeda Chowdhury and other senior leaders repeatedly went with the request. In the 1981 conference, Sheikh Hasina's name was announced as the president. There was no other alternative to keep the Awami League together and to energize the workers. After the conference many leaders including Abdul Malek Ukil, Dr. Kamal Hossain, Zillur Rahman, IV Rahman, Abdul Mannan of Tangail, Abdus Samad Azad, Korban Ali, Zohra Tajuddin, Sajeda Chowdhury, Golam Akbar Chowdhury, Amir Hossain Amu, Abdur Razzak, Tofail Ahmed and many others went to Delhi again. Separately, SA Malek was the first to go. They met with the leader about the date of return to the country. Awami League leaders and workers all over the country were waiting for her return. Finally, the wait ended on May 17 of the same year.

 

Before Sheikh Hasina took the lead, there was apprehension about the future of Awami League. There were fears about survival. Sheikh Hasina took the helm of Awami League in a difficult environment. She was only 34 then. It was a challenge to lead such a big team at that age. Bangabandhu's daughter faced the challenge and brought the Awami League closer to power in 1986. Became the leader of the opposition party in the National Parliament. As in 1986, Awami League could not come to power in 1991 due to conspiracy. With infinite patience she tackled everything single-handedly. Awami League came to power in 1996 due to her single activism. After five years, in 2001, the conspiracy started again around Awami League. Awami League's preferred CEC was in the net of that plot. No support was received from the Awami League nominated president. After BNP-Jamaat came to power, riots started all over the country. Khaleda Zia's government had to send in the army to stop the violence. Operation Cleanheart was conducted across the country. The army went back after dealing with the situation. But the conspiracy against Sheikh Hasina was not over. This time, a grenade attack was carried out to kill Bangabandhu's daughter. The head of various agencies of the state has been accused in this incident and is now in jail. Allah saved her from death in a grenade attack on 21 August. Allah has kept her alive for people because she wants to do great work for the country.

 

Not only on August 21, Sheikh Hasina was repeatedly attacked after coming to the country in 1981, before 1996 and after 2001. She faced death. She was imprisoned. But she dealt the situation with extreme patience. Handled everything inside and outside the party. Many people may have forgotten many realities. Awami League would have come to power in 1986 and 1991 if Bakshal was not formed under the leadership of Abdur Razzak. We didn't have to wait until 1996. She handled the challenges of Dr. Kamal Hossain, Mostafa Mohsin Montu. Brought Abdur Razzaq back home. Abolished Razzak’s Bakshal. During and after the 1991 elections, we toured the country with Sheikh Hasina and saw people's love for her. She is responding to the love of the people of Bangladesh by coming to power with the surprise of development. Her philosophy, strong leadership of thought gave new height to Awami League and brought to a new level. Expectations have increased about Bangladesh in the country and abroad. Countries like Pakistan sees Bangladesh as a role model of development. Appreciates the Padma Bridge. This is the success of Sheikh Hasina; the success is of Bangabandhu's ideological style. People's expectations have increased for the healthy development of Bangladesh in the future. A new dream has been created. This achievement cannot be hindered by the childish behavior of some fools. I don't think Sheikh Hasina herself will let anyone do that.

 

The over-enthusiasts destroy Awami League all the time. Damaged reputation at home and abroad. Why would the party take responsibility of some ministers, MPs, leaders and bureaucrats? It is not the responsibility of an MP to beat. Committee Trade is not the responsibility of responsible affiliate leader. Many leaders and activists at the field level regretted the committee trade. Expressed disappointment about not holding the conference. For two and a half years, the Central Jubo League could not protect the request of Comilla South District Awami League President, General Secretary to make a committee. This organization is now of no good. One of Omar Farooq Chowdhury's critics said that he used to take decisions in haste. At the end of the day, he would organize and return home. Now it's the opposite. That day, an MP lamented about the Chhatra League. He said, they are taking money from both sides with the committee. Such committee trade is not the political culture of Awami League. If dynamic leadership is not created, if competent leaders do not come, the influence of government bureaucrats in politics will naturally increase. I have seen many bureaucrats become Awami Leaguers in the last 12 years. I have also seen it changed. Many people make new calculations after retirement. Forget about becoming a super Awami League during service. Some become civils. They speak on talk-shows and criticize the Awami League government. They express their displeasure if they do not get a contract appointment or a new five-year appointment to a commission. Forget what get got during their tenure. Awami League cannot depend on bureaucracy. Awami League is a political party based on labor. There are twelve types of people gathering in this group. But field workers are different. They have no demand. They worked for Bangabandhu. And working for Bangabandhu Daughter. They don't compare what they got and what they didn't. Because of that Awami League surviving. And will be surviving. As long as Sheikh Hasina is there, I don't see anything to worry about this party. She is handling everything single-handedly. She is the center of trust.


Awami League   Sheikh Hasina   Bangladesh   Politics  


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Inside Thought

AI enabled Precision Treatment for Chronic Metabolic Diseases

Publish: 02:01 PM, 16 Apr, 2024


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Chronic metabolic diseases, such as type 2 diabetes, prediabetes, obesity, fatty liver, and dyslipidemia, often originate as an individual's metabolism gradually breaks down. Medical research reveals the unique functioning of each person's metabolism, posing challenges for healthcare providers in understanding and customizing personalized treatments. Addressing this complexity, a digital healthcare entity utilizes cutting-edge technology and advanced medical science to deliver personalized, precise, and timely insights with easy-to-follow recommendations to address the root cause.

Through an intuitive app, the AI-enabled Precision Treatment Technology provides members and the clinical care team individualized, precise, and timely guidance across medicine, nutrition, sleep, activity, and stress.

The Precision Treatment Platform serves as a dynamic model of each individual's unique metabolism, powered by artificial intelligence (AI) built from thousands of data points collected daily via wearable sensors, clinical lab parameters, and self-reported preferences. This platform offers thousands of parameters in a single dashboard to assist health coaches and doctors in deciding quickly. Clinical trials showed that the AI-enabled Platform assist not only to reverse type 2 diabetes but also improves the condition of dyslipidemia, hypertension, obesity, fatty liver, pancreas B cell dysfunction, inflammation and mental health of the patient.  

In Bangladesh, approximately 13 million individuals are affected by Type 2 diabetes, with a prevalence rate of 12.5%, and an additional estimated 6 million patients remain undiagnosed. Chronic metabolic disease is a growing concern globally, with the worldwide prevalence of Metabolic Syndrome estimated at 20-25%. According to the Center of Disease Control and Prevention (CDC), 415 million people globally are living with type 2 diabetes, a number projected to surpass 500 million by 2040.

The AI-enabled treatment platform has impacted over 4 million lives. Noteworthy achievements include completing the world's first randomized controlled trial (RCT) for reversing chronic metabolic disease using digital twin technology. Recently published in the American Association of Clinical Endocrinology, the one-year results showed a significant reduction in HbA1c in the intervention group (2.9% reduction from 9.0 to 6.1) and a significantly higher elimination of diabetes medications (94% elimination of type 2 diabetes medications in the intervention group). The study demonstrated an average weight loss of 7.4 kg, and 64% of members witnessed a normalization of their baseline non-alcoholic fatty liver disease (NAFLD). The RCT continues into its 3rd year with sustained health outcomes.

Today, a large and growing number of people around the world are suffering from chronic metabolic diseases, including type-2 diabetes, pre-diabetes, and obesity. The Precision Treatment Platform’s innovative approach combines advanced technology, machine learning, and compassionate care to change the lives of these individuals. It empowers people to take control of their health and reverse metabolic diseases, including type-2 diabetes. The AI-enabled digital platform is delivering on its promise of happier and healthier people, offering significant cost savings to households and employer healthcare plans.

Author: Dr. Shahjada Selim, MBBS, MD (Endocrinology), MACE (USA). Currently serving as an Associate Professor in Endocrinology at Bangabandhu Sheikh Mujib Medical University Hospital, Dr. Selim specializes in Diabetes, Thyroid Disorders, Obesity, Metabolic Disorders, and Sexual Dysfunctions.  


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Inside Thought

Bangladesh’s election: Widely boycotted or widely accepted?

Publish: 08:56 PM, 09 Apr, 2024


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Bangladesh Prime Minister Sheikh Hasina is reveling in her golden era. Having already held four terms with thumping mandates, she retains the laurel of the globe’s longest-serving female head of government. Her win in January, which secured her fifth term in office, has elicited a barrage of plaudits from almost all quarters in the region. Hasina presents the rare case where both rival Asian powers China and India agree on the benefits of her place at the helm. Regional powers, irrespective of ideological and political leanings, rushed to congratulate her incoming administration. However, most eyes after the January election were fixed on the United States, given its vocal democracy promotion efforts in Bangladesh as of late. While the US State Department did say that the elections were not free or fair, US officials recognized the new government and pledged to collaborate with it going forward. With the US weight lifted, Hasina’s ship now looks to be sailing in smooth seas.

Yet, some argue, that election was widely boycotted. The two principal arguments underlying this claim are that the opposition parties boycotted the election and that Bangladeshis resoundingly rejected the poll in solidarity with the opposition’s call to boycott.

Participation or boycott?
While the major opposition Bangladesh Nationalist Party (BNP) and its allies did sit out the election, not all opposition parties followed suit. Out of forty-four registered parties, twenty-seven fielded candidates. Additionally, nearly 1,900 independent candidates threw their hats in the ring for three hundred parliamentary seats. So, while the BNP’s absence resounded, reasonable multiparty competition and voter choice still transpired across multiple constituencies.

The official voter turnout reached 41.8 percent—a lower figure than in Bangladesh’s last contested election, albeit not an unprecedented low. Some see this low turnout as one indication that the opposition’s boycott reflected popular sentiment. The opposition boycott undoubtedly dampened some voter turnout. However, low participation does not necessarily indicate a blanket public rejection of the polls owing to opposition exhortations. In the run-up to the vote, the BNP’s anti-election protests degenerated into a violent crusade. BNP loyalists were found to be complicit in torching hundreds of vehicles. The BNP called for forty-eight hours of nationwide strikes and blockades on the eve of voting day. Arsonists set fire to polling booths and a train, killing four. This prevailing climate of trepidation likely caused some voters to stay at home on election day. Expanding absentee balloting could be a solution, but barring some exceptions, average citizens cannot vote by mail. Crucially, expats, who account for 10 percent of all voters, were effectively disenfranchised.

More tellingly, in constituencies where robust, competing candidates vied for seats, voter turnout topped 60 percent, suggesting genuine electoral contests did mobilize voters. Conversely, anemic turnout in some constituencies seems to have stemmed from lack of competition, not voters boycotting the election outright in solidarity with the BNP.

Confusion persists, however, over the Election Commission’s reported voter turnout statistics. The Commission initially announced a 27 percent turnout rate at its afternoon press briefing, later announcing a 41.8 percent final turnout. The Election Commission said that the lower afternoon figure was not in real time; it did not yet reflect delayed updates from all polling centers. Since Bangladesh uses a manual paper ballot system, where votes are hand counted and tallied, there were a few hours of lag in transmitting results from rural areas. This lag could explain the gap between the afternoon number and the final announced turnout. In that case, it is not true that 14 percent of the total votes would have had to have been cast in the final hour for the final given turnout to be accurate, as some commentators have stated.

And perhaps the Election Commission is right. But with the seeds of doubt sown, the Election Commission could help resolve any lingering doubts by publishing a detailed breakdown of hourly vote counts from all polling stations. Such transparency would provide definitive clarity on the turnout question that confused some observers.

Is Bangladesh a one-party state?
As Bangladesh charts its course following another landslide election victory for the ruling Awami League (AL), some critics warn that the country is sliding toward effective one-party rule. With AL sweeping 223 seats and its loyalist independents winning 62 more—making 95 percent of elected members broadly aligned with the ruling party—they argue that no meaningful opposition exists in parliament.

But there are a couple of problems here. First, dismissing independent members of parliament simply as AL lapdogs overlooks intricacies within Bangladesh’s political landscape. All independents prevailed after intense electoral combat with AL candidates. They will enjoy unchecked freedom to wield their votes and voices in the parliament. Article 70 of Bangladesh’s constitution prohibits members of parliament from voting against their party. But as independent candidates lacking formal party affiliation, they are immune from this restriction. In this context, the AL merits praise for taking affirmative steps to foster electoral competition and pluralism, despite lacking a formidable challenger. The AL, by allowing senior party figures to compete as independents, certainly risked potential intraparty discord. Yet, it prioritized providing voters with genuine electoral alternatives and widening the diversity of voices in parliament.

Additionally, a party achieving an overwhelming parliamentary majority through an electoral process does not equate to a one-party state. In the past, the AL and the BNP have held similar supermajorities without making Bangladesh a one-party state. Similarly, India and Japan have experienced one-party dominance without losing multiparty democracy. The key question is whether the AL orchestrated this supermajority parliament or if it was an inevitable outcome given the BNP’s election boycott.

The BNP would argue the former—that there was never a level playing field and that the crackdown and mass arrest of BNP leaders after the October 28 rally precluded any chance of a fair election, deterring their participation. However, even by October 28, the BNP had already rendered itself irrelevant to the polls by refusing participation. The October 28 protest sought to obstruct an election to called by the Election Commission in mid-November. Thus, law enforcement—at that point under the Commission’s authority—used force to halt the turmoil and ensure the election proceeded. Therefore, the state’s response to the rally should not be construed as barring the BNP’s electoral participation. The disproportionate use of force merits separate evaluation, but it is better viewed through a law-and-order lens rather than an electoral one.

Accountability starts with showing up
Rather than making alarmist claims of creeping authoritarianism, observers should have asked why the primary opposition, the BNP, forfeited the field. Just as the government warrants scrutiny for proportionality of force, the BNP should be held accountable for executing its democratic duties.

As a major political party representing 170 million people, the BNP had a duty to give voice to voters in parliament. By boycotting the election over hypothetical unfairness, they severely undermined democratic processes and disregarded people’s right to meaningful electoral choice. Even if the BNP’s claims are taken at face value that elections under the AL have no precedent of being free and fair, the demand to reinstate a caretaker government still lacks foundation. Bangladesh’s supreme court ruled it unconstitutional in May 2011. Moreover, the previous caretaker system overstayed its mandate, invoked a national emergency, and imprisoned leaders across party lines.

The boycott only assisted the incumbent AL. This squandered the chance for punitive international actions and domestic resistance had the BNP participated and electoral fraud still demonstrably occurred. As such, one could conclude that the BNP pinned higher hopes on spurring a constitutional crisis amid caretaker rule than pursuing a public mandate through elections. Through this self-defeating gambit, the BNP catapulted the AL into power, even as questions linger over the ruling party’s commitment to democratic fairness.

Gautam Lahiri is the president of Press Club of India. He served as Bangladesh as an independent foreign observer of the 2024 general elections in Bangladesh.


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Inside Thought

Under the leadership of Sheikh Hasina, BMRC is at the forefront of research


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The Father of the nation Bangabandhu Sheikh Mujibur Rahman emphasized that healthcare and its improvement were crucial for the development of the country. He believed that without advancements in healthcare and its infrastructure, and without people having the right to good health, building the nation would not be possible. Therefore, Bangabandhu formulated a beautiful policy framework at that time, which was both modern and scientifically sound. Most importantly, her daughter the visionary statesperson Sheikh Hasina has been implementing those policies in the same manner as Bangabandhu initiated, based on his foundational principles.

Bangabandhu's healthcare system was not only centralized in the capital, but it also extended to districts, police stations, unions, and even village levels. What we now call community clinics was Bangabandhu's dream. At that time, Bangabandhu could not implement the community clinic. However, today, his daughter, the Honorable Prime Minister Sheikh Hasina, has successfully completed this initiative, setting a global example. Recognized by the United Nations as 'The Sheikh Hasina Initiative,' it stands unparalleled in the annals of world history, with no other individual having such a resolution named after them. 

After independence, the healthcare system was completely disorganized and inadequate. At that time, Bangabandhu elevated the status of doctors to first class. There was no higher education or research opportunity for doctors after MBBS. Bangabandhu then established the IPGMR. Today, under the leadership of Sheikh Hasina it is Bangabandhu Sheikh Mujib Medical University, holding a prominent position as an academic institution and its reputation has spread globally as well.

After the assassination of Bangabandhu in 1975, BMRC was a toothless, spineless, dormant institution. When Sheikh Hasina took charge of the state, she handed over the responsibility of BMRC to Professor Dr. Syed Modasser Ali. BMRC is today a pioneer in research under the guidance of the Philosophical Statesperson Sheikh Hasina. But we have no chance of complacency. A few days ago, Prime Minister Sheikh Hasina instructed doctors to focus on research work. She is very interested in herself. In all fields of research only doctors seem to be a little weak in this regard. Hon'ble Prime Minister is ready to do whatever is necessary for this. All we have to do is take initiatives.


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Inside Thought

Developing health systems without evidence-based information is a challenging task


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After independence, Father of the Nation Bangabandhu Sheikh Mujibur Rahman gave us this instruction that for a state to prosper economically and stand firmly on its feet, the health of its people must be safeguarded. In line with this vision, he initiated the development of Bangladesh's healthcare system, laying down a blueprint for its advancement. This vision is enshrined in the constitution of Bangladesh, emphasizing the centrality of healthcare to the well-being of its citizens. Drawing inspiration from Bangabandhu's philosophy, our esteemed leader, Sheikh Hasina, continues to steer our nation, providing constant guidance and implementing effective measures to further enhance the country's healthcare system. 

Developing the healthcare system in Bangladesh is challenging without evidence-based research. Without understanding our challenges and opportunities, progress in healthcare is hindered. Research is essential for identifying areas for improvement. We categorize this research into three parts: basic research, gathering evidence-based information for healthcare system development, and public health research. Each of these studies plays a crucial role in advancing our healthcare system.

Community Clinics became a gambling den because the BNP government never realized how much necessary it was for the country. We are delighted that today, under the leadership of visionary statesperson Sheikh Hasina, our country has revitalized these Community Clinics, reviving their programs. Now we need research. Therefore, the benchmark of Bangladesh's healthcare system will be these Community Clinics. In this case, BMRC has a vital role to play. If we can't collect research data, then we can't develop. We need to change our current health system but we need to do a thorough research on where the change is needed, why it is needed, and how it is needed. I believe that the current government under the guidance of the Philosophical Statesperson Sheikh Hasina will increase such research work. As a result, the activities of Bangladesh Medical Research Council will increase and become stronger.



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Inside Thought

Like the economy, we will also advance in research under the guidance of the Prime Minister


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The Honourable Prime Minister has provided a strategic framework for medical research. Henceforth, we can develop a five-year action plan under the guidance of the Bangladesh Medical Research Council (BMRC). It is imperative for doctors to show interest in medical research. Integration of research methodology into medical education curriculum is underway but requires reinforcement. Adequate evaluation mechanisms should be established for physicians committed to medical research. Offering research incentives to those dedicated to medical research instead of private practice is likely to attract numerous young doctors to the field. Incorporating research findings into national-level policy-making will not only incentivize researchers but also enhance systems for the utilization of research outcomes. An initiative should be launched to facilitate collaboration among researchers at all levels, both domestically and internationally. This will afford local researchers the opportunity to work alongside their international counterparts, while also allowing international researchers to recognize Bangladesh's potential in medical research.

Doctors should not only be stuck in pursuing higher degrees or promotions through research. In this regard, health policy makers should also take precedence. It is essential to ensure the participation of doctors in national and international seminars, both domestically and abroad. The more doctors participate in international seminars, the more they will be exposed to various aspects and methodologies of global research, which will stimulate their interest in research. Moreover, such seminars hold immense potential for bilateral research collaborations with researchers from different countries.

Sheikh Fazilatunnesa Mujib Eye Hospital and Training Institute, established in the name of Bangamata in Gopalganj, is the only regional research center of the Bangladesh Medical Research Council till now. I will again call to open a cell of "Bangamata National Cellular and Molecular Research Center" at our regional research center. Then, inspiration in research among the doctors of the southern-western region will be observed, and a new gateway of research will be opened in this region. Bangladesh is now globally recognized for its emerging economic power in the world economy. Under the guidance of the visionary statesperson, the Honorable Prime Minister, we will also advance in medical research. With the assistance of BMRC, we will conduct three internationally acclaimed researches from our regional research center and publish the results of the research in international standard journals. This is my commitment to the Honorable Prime Minister.


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