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Fistula Care Plus Project at a Glance (January, 2016 –June, 2016)

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Fistula Care Plus Project at a Glance (January, 2016 –June, 2016) Fistula Care Plus Project At A Glance (January, 2016 –June, 2016) DEMOGRAPHY ( FARIDPUR DISTRICT) District 1 Upazila 9 Union 81 Village 153 Population 1858332 Household 416859 STAFFING PATTERN District Manager 1 Upazila Manager 9 Programme Organizer 33 Shasthya Kormi 62 Project Area: Fistula Care Plus project Shasthya Shebika 1470 Community Skilled birth 94 attendant The Fistula Care plus project focuses on reinforcing fistula care services in the PROJECT EVENT catchment areas of Bangladesh. The Community Based partnership between BRAC and Engender Fistula Diagnostic Event 05 Health Bangladesh increase the capacity of (CFDE) BRAC community health workers to identify, refer and support treatment facilitation and Total Suspected Cases 194 prevention of the cases of female genital fistula. Total Referral Cases 87 In addition BRAC will integrate FGF focused Referred Fistula Cases 54 information and education into its Health and Social Development Programme. Treated Fistula Cases 20 Referred Complete Goal 33 Perineal Tear Cases To disseminate the massage that female Treated Complete 18 genital fistula is treatable and support the Perineal Tear Cases clients in receiving the much needed health Total Genital Prolapse 38 care. Cases Objectives CHECKLIST AND POSTER 1. Enhance capacity of BRAC community health workers (CHWs) in the intervention area to identify, refer, and support on treatment facilitation and prevention of cases of female genital fistula (FGF). 2. Integrate female genital fistula (FGF) focused information and education with BRAC Health and Social Development Programme. BangladeshMIYCN HomeFortification Programme At a glance January-June 2016 MIYCN DEMOGRAPHY District 26 Upazila + Slum 164 + 6 Population 46.1 million NUTRITIONAL STATUS IN PROJECT AREA Children 59 Months Old 4 million Underweight Children 59 1.3 million Months Old (33%) 1.7million MIYCN Home fortification Anemic Children of 6-59 months (51%) Programe: 120 Sub-District STAFFING To prevent and control anemia and other micronutrient deficiency, Bangladesh Sprinkles Program was launched in ShasthyaShebika 35,772 2010 by BRAC in collaboration with Global Alliance for Improved Nutrition (GAIN) and Renata Ltd. Later, from July ShasthyaKormi 3,600 2013, phase-II has started as Bangladesh MIYCN-Home Fortification Program. BRAC promotes Pushtikona5and Program Organizer(MIYCN) 290 make it available through its network of community health MNP DOSE AND SCHEDULE workers for children 6-59 months of age. Mothers are given demonstration onhow to follow correct procedures for Not more than one Sachets per day home-basedfood fortification with Pushtikona5. Pushtikona5 dosagewas given according to WHO protocols Average 10 Sachets per month but currently flexible regime is being followed. Compliance is monitored by BRAC health workers. Families buy Minimum 60 Sachets by 6 months Pushtikona5sachets but BRAC provides free sachets to the very poor familiesthrough BRAC’s Ultra Poor Programme. Minimum 120 Sachets by 1 year Pushtikona5is integrated into BRAC’s many different health SACHET DISTRIBUTION interventions for improving anemia situation: Rural platforms Distribution on Jan-June 2016 17.7 million . Essential Health Care (EHC) (MIYCN Program) Distribution since launch (61 . Maternal, Neonatal, and Child Health (MNCH) 101.5 million Districts) . Nutrition intervention program . Challenging the Frontiers of Poverty Reduction: Targeting the Ultra poor (CFPR-TUP) Urban platforms . Manoshi (MNCH-Urban) Vision Bangladesh Project Pilot phase at a Glance (Jan’16– June’16) VISION BANGLADESH PROJECT PROFILE District 12 Population 46,904,000 PERFORMANCE FOR THE PERIOD OF January, 2016 – June, 2016 No of PSP Held 148 No of persons examined 5,149 Refraction error identified 540 Presbyopic glass sold at PSP 2319 Cataract Identified (PSP) 1,440 Cataract Operated (PSP) 473 Cataract Operated (District Coverage) 3049 Vision Bangladesh Project Pilot phase is a joint venture of National Eye Care-DGHS under Ministry of Health & Primary Eye Care Services through IT Enabled Vision Centre Family Welfare (MoH&FW) of Bangladesh and BRAC to eliminate the cataract backlog from the 12 selected The project has also initiated the ‘IT Enabled Vision districts of Bangladesh by 2020. The project was Centre’ initiative as a sustainable model of eye care initiated in 2011 at Sylhet division as Vision Bangladesh project. The project have been planning to establish a Sylhet Division Project and performed 109,771 cataract total of 20 vision centres in the country by 2020. In surgeries. In 2013, the second phase of the project 2016, the project planned to establish 03 centres at initiatied in urban cities and performed another 106,926 Nandail, Mymensingh; Dumuria, Khulna and surgeries by 2015. Khanshama, Dinajpur. The objectives of the initiative will be to provide comprehensive eye care services to Project Goal: the rural poor at affordable price. The update of the The project is aligned with Bangladesh Government’s initiative is: national goal of eliminating avoidable blindness. This project aims to improve the access to eye health A comprehensive business plan developed service delivery for the population living in the project area by 2020. Rental of 03 houses completed Project Objectives: Eye equipment and instruments set-up 1. To ensure the accessibility of the people to the Ophthalmic Assistants (06) have been quality eye care services. recruited 2. To ensure quality eye care services to the community people Training of OAs on Vision Centre management 3. To establish a sustainable and replicable model of at BNSB Mymensingh completed primary eye care centre 01 month training at LAICO for the OAs is Core Interventions: under process Prepare plan for patient screening programme (PSP) with hospital partners. 3 Medical Officer from 3 base hospital will be Orientation of staffs on primary eye care including sent to LAICO for orientation on vision centre the primary identification of eye patients, referral and follow-up. management. Follow-up of operated patients and refer Partnership has been developed with Orbis on complicated cases to partner hospitals for appropriate management. the 04 vision centres (including these 03) Maintain liaison with government and other The centres will be functioning by October stakeholders National Institute of Ophthalmology plays key role 2016 (August’ 2016 – Nandail, September’ in managing postoperative complicated cases. 2016 – Khanshama and October’ 2016 – Recruit and train Ophthalmic Assistant for vision centre management Dumuria) Establish vision centres with appropriate equipment. BRAC HEALTH SECURITY PROGRAMME (bHSP) At a glance (Jan’16- June’16) Gazipur Working areas (present): Upazila 1 Branch 5 Target group: All households’ members in Manoshi catchment area of Gazipur Sadar (focus on under privileged). Human Resourse Field coordinator officer 1 Programme organizer 1 ENROLMENT & SERVICE DELIVERY (Jan’16- June’16) No. of Policy 958 No of member 4,805 Background: Total premium collected (BDT) 1,041,800 BRAC has started a new initiative led by Total claim cost (BDT) 451,721 HNPP, a Health security programme in No. Of outpatient Service 1556 Gazipur as an integral part of national health financing strategy to achieve universal health No. Of Hospitalization service 98 coverage in Bangladesh. This is a pre-paid health scheme where same household members are covered to receive health care COMMUNITY MOBILISATION: service for one year. Initially the programme (Jan’16- June’16) is implemented in Bhogra, Noljani, Salna of Popular theatre organised GazipurUpazila of Manoshi programme under BRAC HNPP. Community mobilization through using different programme platform – VO meeting, Palli Somaj, Objectives: Teacher-parents meeting, IMNCS local community meetings. Design a national model for Healthcare Financing to jump-start the journey towards Universal health Coverage in Sensitizing household through shasthya shebikas & shasthya kormi Bangladesh Conducted health camp Encourage a practice of pre-payment and co-payment by the community Door-to-door follow-up with operated patients by Improve access to healthcare Programme Organizer Reduce financial constraints for seeking health care for the low-income households Key Challenges: Premium Structure: Premium is set according to household’s 1. Acceptance of the new concept in the community about the income status and can range between BDT prepaid healthcare service 900-BDT 2100 for upto 5 members of a 2. Lack of awareness regarding the annual health check-up. family. To include an additional member BDT 3. Lack of relevant evidence on the utilization of the inpatient 100 needs to be given. There is no exclusion services among the people when they are sick criteria and adverse selection and no age 4. Managing multiple implementing partners such as private limit. and public healthcare providers Integrated Early Childhood Development and Care Project At a glance, Jan 2016 to Jun 2016 Target Population 1) Primary Target . Children (0-8 years) 13,093 . Parents 13,093 2) Secondary Target . Adolescent and Youth 364 . Grandparents/ Senior Citizen 52,374 . Community People 484,025 Project Coverage District 1 Sub-district 6 Population 518,554 House hold 116,187 Health Human Resources ECD Promoters 363 Early periods of human life, especially from conception to eight years of life is very crucial. Children develop best in this period Community Health Worker 111 with access to integrated ECD interventions - education, nutrition,
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