Health Program (BHDC-UNDP)
Health program was started by UNDP-CHTDF initially at Rowangchori upazila in 2006 as a pilot phase and then lama in 2008. On partnership approach with Bandarban Hill District Council in 2010, it gradually expanded to 3 more upazilas. Now it is covering 5 out of 7 upazilas. This program is not parallel health program but rather a supportive health service model to address the challenging geo barriers and socioeconomic barriers of the underserved. The service follows the field service direction, trainings and coordination method of DGHS.
The BHDC and CHTDF-UNDP are jointly implementing the project to achieve the government declaration of achieving the target of Millennium Development Goal (MDG). This program mainly focuses on improving maternal and reproductive health, reducing child mortality, reducing malaria, HIV/AIDS, tuberculosis and communicable diseases. Thestrategy is to operate through:
- Community based health service:
A. Two month trained married woman, permanent resident of medically underserved village who also covers surrounding villages. She provides following services to the community:
- Maintain Register-
- House hold(HH)
- Eligible Couple
- 15-49 years women
- Pregnant women
- Perform Rapid diagnostic test(RDT) for malaria
- Follow up
- Antenatal care (ANC)
- TB patient
- Long lasting insecticide treated net(LLIN) usage
- Courtyard Health sessions
- PDC Meeting
- HH visit
- Facilitate EPI & NID
- Facilitate Family Planning
B. Community Skilled Birth Attendants (CSBAs):Some of the CHSWs were further
trained following MOHFW’s curriculum in MOHFW’s accredited institutions. In addition to
CHSWs activities, they performs
- Ante natal and postnatal Check Up
- Safe Delivery at Community Level/ Community Clinic
- 2. Satellite-Clinic service through PNGO Mobile Team: Mobile Team visits strategically located satellite clinic once a week and some once in two weeks. Team members of mobile team are a graduate Doctor, a Nurse, a pharmacist, a lab technologist and a support staff.
- To meet emergency medical need in underserved areas
- To support (On Job Training) CHSW.
- To improve health seeking behavior, make people used to modern medicine.
- Listed essential drugs are used.
- Provided basic laboratory Facilities
- Conducted Health session
- Referred emergency patients needing Hospital Care
- CHSWs treated 103820 patient cases, among which 2025 were uncomplicated malaria.
- 47 Community Skilled Birth Attendant (CSBA) conducted 104 safe deliveries at Community level.
- MMT Treated 43147 patient cases (uncomplicated malaria 9,200). Among them 27007 were female, 16140 male, 1728 children under one and 11218 children under five.
- A total of 221 emergency cases have been referred for treatment in government hospitals at Upazilla and District levels, besides for tertiary treatment at the Chittagong and Cox’sbazzar Medical College Hospital, among which 63 were pregnancy related cases, 8 Gynae cases, 36 malarial cases, 23 Diarrhoea cases, 17 pneumonia cases, 9, RTA cases and some cases of other diseases like Cut Injury, Fracture, Opc Poisoning, Febrile convulsion, PUO, Broncheolitis, Very severe disease, Dog Bite etc.