#1CITYNET SEOUL Congress 2013 Halle Be সিটি BARISAL CITY C EST MILGATE CORPORATION MGD Cluster Business Meeting Barisal City Combating for MDGs Bangladesh Barisal City. MILLENNIUM DEVELOPMENT GOALS CLUSTER Presented by: Dr. Md.Matiur Rahman Chief Health Officer Barisal City Corporation Barisal, Bangladesh#2Barisal City - Combating for MDGs 1. City Profile. • Name of city · • • • Area (Sq. Km) • Total population • Urban population growth rate Population density Population living in slums : Barisal : 58 Sq. Km : 0.4 Million : 6% : 1015/Sq km (average) : 80,000 : 194 • MMR • Under 5 mortality rate • Life expectancy : 44 : 70 yrs 2. Introduction of Topic. The deadline for achieving MDGs is 2015 only 2 years ahead. . • Barisal city corporation is contributing to national progress of MDGs. . FARSTO Barisal City Corporation, Ba NI sbab agu remon am, Co obo Bari se ger, Care C Polio campaign inauguration Barisal city corporation is implementing Urban Primary Health Care Project, Urban Partnership for Poverty Reduction Project Urban Public and Environmental Health Sector Development Project for achieving MDGs. In addition Barisal city corporation implementing many activities with the Central Government for MDGs. . • Urban Primary Health Care Project is absolutely working for health MDGs MILLENNIUM DEVELOPMENT GOALS CLUSTER#33. Urban Primary Health Care Project: Project period: 2006-2011 1st phage and 2012-2016 2nd phage. Funded by: ADB, DFID, SIDA, UNFPA and ORBIS. Objective of the project: To improve health status of the urban poor,especially women and children. Component of the project : 1.Provision of primary health care and behavior change communication and marketing. 2. Urban primary health care infrastructure and environmental health. 3. Building capacity and policy support for urban primary health care. 4 .Project implementation and operational research. Service of the project: Immunization, Vitamin supplementation, Family panning, Antenatal, obstetrical and postnatal care, Symptomatic case management of pneumonia and diarrhoea in children, Case identification and management for tuberculosis, Reproductive tract infection, HIV/AIDS counseling and testing, These services are directly contributing to achieving health MDGs. Implementation of project: Implemented by public private partnership (PPP) approach. রি মাতৃসদন কে City Health Center MILLENNIUM DEVELOPMENT GOALS CLUSTER City Maternity Hospital जिल#44. Successful outcomes and progress of the project. Outcomes: · • Established Primary Health Care facilities in urban area. Established quality primary health care services for urban population. with a particular focus on women and children. Enhanced of Urban Local Body's capacity to ensure the delivery of PHC services according to their mandate. Ensured free health care services for urban poor. Progress: Major service provided •Antenatal care Normal delivery •Caesarian section • Postnatal care • Menstrual regulation •Other services • Total services (2006-2012) দ্বিতীয় আরবান প্রাইমারী হেলথ কেয়ার প্রকল্প বরিশাল সিটি কর্পোরেশন মেরী স্টোপস ক্লিনিক সোসাইটি ঘূর্ণিঝড় কবলিতদের জন্য মেডিকেল টিম ০৭ শারদান : বরিশাল সিটি কর্পোরেশন ও মেরী স্টোপস ক্লিনিক সোসাইটি Especial health camp after cyclone Sidor MDGs achievement: : 64186 : 3636 : 3518 : 14707 : 6121 : 90350 MDG Base year : 997862 1990 Current status MDG target 2015 2011 MDG 4 144 44 48.0 MDG 5 574 194 143 MDG 6 100 100 MILLENNIUM DEVELOPMENT GOALS CLUSTER#55. Lessons Learnt From 1st phase of the project. a. Governance: Institutional arrangement s Management capacity Health care financing Established institutional arrangements for PHC services, but it is not enough to cope with the growing needs and future challenges in urban health. City corporation effectively managing project activities, but some times partnership conflict slower the team speed. Bureaucracy some times delayed fund release. b. Access and delivery of services. Pro-poor targeting Performance based contracting Health infrastructure Community participation Health promotion Monitoring & evaluation. সিডর-এ ক্ষতিগ্রস্থদের স্বাস্থ্য সেবা প্রকল্প, ঘূর্ণি- ক্ষতিগ্রস্থদের সাস্থ্য সেবায়। দ্বিতীয় আরবান প্রাইমারী লেন কেয়ার প্রকল্প, বরিশাল মায়ান বরিশাল সিটি কর্পোরেশন মেরী স্টোপস ক্লিনিক সোসাইটি যোগী উপজেলা নওমা Red card is a good tool for pro- poor identification Satellite health camp PBC has been shown effective in delivering PHC services to the urban poor. Health care facilities need upgrading and strengthening Community participation is good and encouraging Project branding drawn the attention of population to their services. Web-based data entry and reporting is successful for monitoring. MILLENNIUM DEVELOPMENT GOALS CLUSTER#66.Challenges of the Project. • Increasing the utilization of PHC services by the poor, especially women and children. Improve family planning service, adolescent health care, violence against women, nutritional activity. • Strengthening institutional arrangements of city corporation for sustainable services delivery. · . • Ensue effective coordination with other stakeholders for providing better services to the urban poor (slums and floating people). • Availability of resource to meet the future demand. The Second Urban Primary Health Care Project Barisal City Corporation Marie Stopes Clinic Society Inauguration of Detoxification Camp for the Injectable Drug Users (IDUS) Chief Guest: MEHDI HASAN, Chief Executive Officer, City Corporation, Perio Venue :HATKHOLA, BARISAL, Date: 28-06-2007 echnical Support by: SAS, Barisal. Detoxification camp inauguration TT campaign for industrial labour MILLENNIUM DEVELOPMENT GOALS CLUSTER#77. Final Thought of the Project. In Bangladesh, rapid unplanned urbanization making slums. About 30% of urban population is very poor,living mostly in slums and squatters areas. Urban poor are most vulnerable to communicable diseases. Childhood illness like fever,diarrhoea, acute respiratory infection are more prevalent among urban poor. The main objective of Urban Primary Health Care Project is to improve health status of the urban poor, especially women and children and this is directly related with health MDGs. This objective and Urban Local Body's mandate is going to fulfill through the urban primary health care project. urban primary health care project provides 30% of all services free to the poor and rest are with low cost. It is operated by PPP approach and easily reached to urban poor for health service providing. Vitamin campaign in hard to reach area Patient in city maternity hospital MILLENNIUM DEVELOPMENT GOALS CLUSTER#88. Conclusion • • Urban primary health care project is a successful project of Local Government of Bangladesh. It is a new dimension for local government in health service providing. It strengthened city health department and makes significant changes in the health seeking behavior of urban poor. Out reach workers are the main players to awareness raising for health care in the community through household visits. Red card holders receive 100% free services and red card is a unique initiative to reach the poor. Non red card holders receive treatment and medicines at least cost. Urban primary health care project is contributing to achieve health MDGs in Bangladesh . UPHCP Second Urban Primary Health Care Project Barisal City Corporation, Barisal Workshop on proving Reproductive Health Care Services in Urban Area Supported by: UNFPA, Bangladesh Joly Organized by Ried City Corporation a Narie Stopes Clinic Society, PA, BCC Venue:BCC Meeting Room Otel 29 December 2006 8 Workshop to improving health care service BARISAL Cmputer *য় ভিটামিন 'এ' প্লাস ক্যাম্পেইন ২০০ নভেম্বর ২০০৬ শনিবার / ১১ অগ্রহায়ন ১৪১৩ বছর বয়সের সকল শিশুকে কমিনাশক ট্যাবলেট খাওয়ানো হবে। বছরের সকল শিক্ষক একটি করে ভিটামিন এ ক্যাপসুল খাওয়ানো হবে শিশুকে বুকের দুধ ও সম্পূরক সুথম খাবার খাওয়াতে হবে TOTEER: ce face লবণে সঠিক পরি করি শারিরীক ও মানসিক বিকাশ শিশুকে ২৫ নভেম্বর ২০০৬ নিকটস্থ স্বাস্থ্য কেন্দ্রে নিয়ে আস মধ্য ও পরিবার কল্যাণ ঢাকা, পরিচালনায় জনস্বাস্থ্য পুষ্টি প্রতিষ্ঠান, • বাংলাদেশ Advocacy for vitamin campaign MILLENNIUM DEVELOPMENT GOALS CLUSTER LOR