Young Power in Social Action (YPSA)

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Community Managed Local Health Services

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Project title: Community Managed Local Health Services (CMLHS) Project in South-East Bangladesh

Donor: Cord aid

Technical support: Concern Universal- Bangladesh (CUB)

Goal

To improve the quality of people’s life with special emphasis on reproductive health and Water & Sanitation of hard to reach areas so that maternal, neonatal and infant mortality could substantially be reduced and to develop a model of sustainable health care system through the active participation of community people.

Specific Objective

Objective 1      Health: To ensure the local health services as well as to raise awareness, skill and knowledge on modern treatment for reducing mortality and morbidity rates.
Objective 2      Water and Sanitation: To improve the overall water and sanitation status through:

  • Ensuring Safe water supply providing feasible water options as per the topography of CHT
  • Ensuring the use of sanitary latrines promoting low-cost latrines managed by the community.
  • Enhancing behavioral changes on hygiene practices in term of households and personal.

Duration: Three years (January 2009-December 2011)

Location & Target Coverage

Area Coverage

Beneficiary/TG coverage

Name of District Name of Upazila/Thana No. of  union/Ward No. of  Village/Mahalla/Para Categories Direct Indirect Total
Coxs Bazar and Bandarban Coxs Bazar sadar, Ramu, Alikadam 7 Union 42 Male 4609 9865 14474
Female 4476 8743 13219
Child 3734 1574 5308
Total 12819 20182 33001

Major Activities

Health Care Services:

Community Health Worker and Health and Hygiene promoter will conduct monthly courtyard meetings throughout the Project implementation period. Through these meetings, Project staff will aware community people for the importance of Antenatal Checkup (ANC), Postnatal Checkup (PNC) and mass awareness on five danger signs of risk pregnancy. To reduce maternal mortality Community Health Worker and Health and Hygiene Promoters ensuring at least 1 postnatal check-up within 42 days of deliveries.

The project facilitated Emergency Obstetric Care for ultra poor women and taking care during delivery, Skill Birth Attendant (SBA) plays vital role in the region and the emergency case they refer to the Govt. health centre for taking better service. Through EPI centers in the project catchments area implemented the vaccination campaigns for women and children and disseminated the knowledge on the importance of EPI vaccination and TT.

Treatment & Diagnosis using Laboratory:

The project updated the patient management guideline and provided training for community health worker. Community people take primary treatment, diagnosis facilities including malaria in the Kollayani clinics. The community health worker ensuring the treatment and diagnosis.

Water & Sanitation Facilities:

In CHT and Cox’s Bazar one of the major factors for the water borne diseases creating a huge lives. The project ensuring safe water options to the catchments’ communities. The project for ensuring the use of sanitary latrines promote and low-cost latrines to be managed by the community but no financial supports will be provided regarding this. Health and Hygiene Promoters creating community mobilization on washing hand with soap/ash before & after meal, washing hands with soap/ash after defecation, taking proper menstrual care and using safe water for drinking and cooking purposes.
Target & Achievement:

Activities

Target (July’09 to June’10)

Achievement  (July’09 to June’10)

Remarks

Awareness Raising Activities
Courtyard Meeting with Females

210

210

Meeting in cluster basis.
Community Meeting with Males

210

208

Meeting in cluster basis.
Children Activities

100

100

In cluster basis.
School Programs

100

100

In cluster basis.
Adolescent Program

210

205

In cluster basis.
Cultural/Folk show

24

24

Kollayani clinic wise.
Tea-stall Session

72

75

Capacity Building/Training Orientation
Orientation for Project Staff/Foundation Training /Refresher

1

-1

Concern Universal –Bangladesh conducted.
Training for the Community Health Worker

1

1

Three months basic training.
Training on Financial Management for Project Staff & clinic executive committee

1

1

Concern Universal –Bangladesh conducted.
Training on Clinic Operation & Financial Management for Clinic Executive Committee

1

1

Concern Universal –Bangladesh conducted.
Training on Community Mobilization to Community Health & Hygine Promoters

1

1

YPSA training division conducted the training.
Training/Refresher on  ESP Delivery for Health & Hygiene Promotors

1

1

Concern Universal –Bangladesh conducted.
Training/Refresher on Safe Water, Hygiene & Sanitation /project staff

1

1

YPSA training division conducted the training.
Training on Monitoring

1

1

Concern Universal –Bangladesh conducted.
Training on Leadership Development & Community Participation

1

1

Training on Gender & Reproductive Rights

1

1

Concern Universal –Bangladesh conducted.
Training on Community Empowerment

1

1

YPSA training division conducted the training.
Training for TBA

1

1

Concern Universal –Bangladesh conducted.
IGA: Skill Training / Income generation

1

1

YPSA training division conducted the training.
Meeting, Workshop, Seminars
Monthly Clinic Executive Committee Committee-CEC Meeting

72

75

Meeting with Ward WatSan Committee-bi monthly

30

29

Meeting with Union WatSan/Health Committee-bi monthly

30

30

Quarterly Coordination Meeting with GoB Stakeholders

4

4

Monthly staff Meeting

12

14

Future Plan

To enhance the community participation and contribution for towards to sustainability development.

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