U P H C S D P

Urban Primary Health Care Service Delivery Project
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U P H C S D P

Urban Primary Health Care Service Delivery Project

About

Urban Primary Health Care Services Delivery Project, a Public-Private Partnership. It is an innovative initiative with the goal to improve the health status of the urban population, especially for the poor, women and children. Through this model NariMaitree has been working with this project from 10th November 2001 for 1st phase & from 2006, Nari Maitree (NM) awarded for 2nd phase and was continued up-to December 2012. The Project is functioning with the financial support from ADB, SIDA, UNFPA and executed by Local Government Division, Ministry of Local Government Rural Development & Cooperatives (LGRD&C) and implemented by City Corporations and Municipalities.

NariMaitree signed the contract for 3rd phase on 31st December, 2012 for three partnership areas. After signing the contract NariMaitree started these project activities from 1st January 2013. Three areas are Dhaka North City Corporation Partnership Area-1 & Partnership Area-2 and Kishoregonj Municipality, Partnership area-1. Under these three PA areas NM has 3 Maternity, 14 PHCCs, 17 lab and 28 satellite team. For this NM has 35 Doctors and 80 paramedics and other 246 programs and support staffs.

The components of this project include comprehensive reproductive health care services, Family Planning services, Adolescent Reproductive health care, Child health care, Limited curative care, Communicable disease control, STI/RTI prevention program, Violence against women, Primary eye care services, Medicine distribution, Education on health awareness, Counseling, Provision of clinical and pathological services, Disease identification through pathological test, Provide treatment or refer for better services. NM also has behavior change communication activities through field and clinic level.

The project consists of a total number of 16 wards. Ward numbers are 20, 21, 28, 31, 32, 33, 34, 35 and 36 of Dhaka North City Corporation and 7 wards under Kishoregonj Municipality. The areas that all under these wards are Madhubagh, Maghbazar, Noyatola, Badda, Mohakhali, Agargaon, Salimullah road, Noorjahan Road, Humaun Road, Pulpar, Sultangonj and Bashbari. The project area of Kishoregonj is the whole Municipality area.

Since inception of this project, the performance has beenincreasing every year. Some important performances are shown in this report by year wise graphical? presentation. In 2017. A total of 76,989 patients received 13,56,350 services through our clinics. Moreover, 4,49,147 no of services are provided to through red card holders. PA-1 fulfill the 100% and PA-2 fulfill 100% and KsM PA-1 100% target of service charge, even 30% services are given by free of cost. In case of Target of Service charge PA-1 fulfil its 100%, PA-2 its 100% &KsM PA-1 its 100% target, when 30% of the total services were given as free of cost. The Maternal & Child health are tremendously/ immensely improved in all of our project area. In the year 2017, Antenatal services were given to 90,889 pregnant women; Post-natal care given to 33,349 lactating mothers; 4,810 deliveries were done in our Maternity centers; Family planning services were given to 101,354 eligible couples; Child health care services were given to 28,262 children for diarrhea, 60,754 for ARI and 1,85,465 for EPI (Routine, & measles campaign); 20,684 patients were treated for sexually transmitted diseases; 36,020 adolescents reproductive health care were given; Primary Eye care was given to 856 patients; Psychological counseling & treatment were given to 1,139 victimized women; Nutrition food supplementation were given to 13,356 malnourished pregnant mothers and children under 5 years. Besides this, other necessary primary health care and limited curative care were provided to 1,21,346 patients.

To enhance and ensure these clinical quality services NM conducted various staff training and orientation includingmonthly staff meetings & QA meetings. To build maternal and child health awareness NM staffconducted door to door visit, uthanbaitak, community meeting, meeting with pregnant mothers, meeting with community gate keepers, meeting with adolescents. A large no of orientation program were conducted in the community for new area people. Lots of health related days were observed with Government program.

NM hopes that in future, its program will be enhanced;expand as well as quality and quantity will be increased.

About 36.7 million people are representing almost 26 percent of the total population of Bangladesh; reside in the urban areas, a large proportion of which 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 slum dwelling women who remain neglected in terms of meeting their basic health needs and ensuring their rights.

The Government of Bangladesh is committed to put various strategies in place to address the issues of improving the health status of the urban population. These strategistswill be implemented through improved access 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 as mandated by the Local Government (City Corporation) Ordinance 2008 and the Local Gov’t (Pouroshova) Ordinance 2008.

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 MOH&FW), NGOs and the private sector.

Urban Primary Health Care Services Delivery Project, a Public-Private Partnership is an innovative initiative with the goal to improve the health status of the urban population, especially the poor, particularly focusing on women and children. Those segments ofpopulation are usually underserved by the health care facilities due to many reasons. UPHCSDP is committed to provide all essential health and reproductive health services to them to improve their livelihood. With the aim at contributing to achieve the national goals and targets of the Millennium Development Goals (MDGs), the First Urban Primary Health Care Project (UPHCP) and Second Urban Primary Health Care Project (UPHCP-II) were initiated in 1998 and 2005 respectively which are milestones in urban health care services.

UPHCP-II commenced on 1st July 2005 following the closer of first phase. The current project covers all the 6 City Corporations of Bangladesh and 5 Municipalities (Gopalgonj, Serajgonj, Kustia, and Kishoregonj). At least 30% of service provided under the project are targeted the poor to provide the services to them. UPHCSDP is a pioneering new health service delivery model, whereby the services provided are contracted to deliver an agreed “Essential Services Package +” (ESP+) through partnership agreements (PA) with a focus on providing access to the poor. UPHCSDP is executed through the Ministry of Local Government and Rural Development and Cooperatives (MoLGRD&C), managed by a Project Management Unit (PMU) in the Local Govt. Division of MoLGRD&C. Project Implementation Units (PIU) are established in the six City Corporations and the five selected Municipalities. The services are through Comprehensive Reproductive Health Care Centers (CRHCCs), Primary Health Care Centers (PHCCs) and PHC Outreach Centers (Satellite clinics) in 25 Partnership Areas. The Centers are managed and run by 12 partner NGOs. However, in two partnership areas in Chittagong, the centers are managed by the Health Department of Chattogram City Corporation.

Contact For Internship:

+88-02-222224573

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U P H C S D P

Urban Primary Health Care Service Delivery Project

Goal & Objeetive

Project Goal

To improve the health status of the urban population, especially the poor, through improved access to and utilization of efficient, effective and sustainable Primary Health Care (PHC) Services.

Objectives

To improve access, equity, quality, utilization and institutional sustainability of urban Primary Health Care (PHC) services in the project area particularly for the poor and women and children.

 

Target Group: All the population in the project area, especially the poor and ultra-poor. And particularly for the poor, women and children.

Working Area

  1. DNCC PA-1 consists of a total no of 4 wards in Dhaka North City Corporation. Ward numbers are 20, 21, 35, 36, area name of these wards are Madhubagh, Maghbazar, Noyatola, Badda and Mohakhali.
  2. DNCC PA-2 consists of a total no of 5 wards in Dhaka North City Corporation. Ward numbers are 28, 31, 32, 33 and 34. Area name of these wards are Agargaon, Salimullah road, Noorjahan Road, Humaun Road, Pulpar, Sultangonj and Bashbari.
  3. KsM PA-1 consists of total 9 wards in Kishoregonj Municipality.
  4. RCC PA-2 consists in Rajshahi City Corporation.

Funded by:

GOB, ADB, SIDA and UNFPA

Activities

patient received clinical services, services provided from clinics, clinical services received by red card holder free of cost, services received free clinical services, and Patient received clinical services as partial free, No of paid services, Total Expenditure (ESP), Cost recovery % from total expenditure, per patient expenditure, per service expenditure, Total service charge (income), Per patient income, Per service income, No of Antenatal care, No of post natal care, No of Hospital delivery including C/S No of complicated case managed, No of neonatal care, MR & post abortion care, Family planning services, Nutrition food supplementation (Maternal and child), Psychological and medical services for victims (VAW), RTI/STI services, EPI services (Routine and Me seals campaign), Diarrhea treatment, ARI treatment, Tuberculosis control services, General treatment (Basic first aid, emergency car, Minor infection and disease control), Adolescent reproductive health care, Adolescent development program, Primary eye care services, Diagnostic services, Other services

Achievements

Total of 76,989 patients received 13,56,350 services through our clinics. Moreover 4,49,147 services had beenprovided through red card holders. PA-1 fulfill the 100% and PA-2 fulfill 100% and KsM PA-1 100% target of service charge, even 30% services were given by free of cost. In case of Target of Service charge PA-1 fulfilled its 100%, PA-2 its 100%&KsM PA-1 its 100% target, when 30% of the total services given as free of cost. Maternal & Child health are tremendously/immensely improved in all of our project area. In the year 2017, Antenatal services were given to 90,889 pregnant women; Post-natal care given to 33,349 lactating mothers; 4,810 deliveries were done in our Maternity centers; Family planning services were given to 101,354 eligible couples; Child health care services were given to 28,262 children for diarrhea, 60,754 for ARI and 1,85,465 for EPI (Routine, & measles campaign); 20,684 patients were treated for sexually transmitted diseases; 36,020 no of adolescent reproductive health care were given; Primary Eye care was given to 856 patients; Psychological counseling & treatment were given to 1,139 victimized women; Nutrition food supplementation were given to 13,356 malnourished pregnant mothers and children under 5 years. Besides this, other necessary primary health care and limited curative care were provided to 1,21,346 patients.

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Please Contact:

 

Nari Maitree

33, Malibagh Chowdhurypara (1st Floor), Hatirjheel, Dhaka-1219.