BAMANEH

Bangladesh Association for Maternal and Neonatal Health (BAMANEH)

Project Profile of BAMANEH MCH Project

Project Title : Community Based Maternal and Child Health Care Project

Project Location and Project Beneficiaries

Goal of the Project

The goal /mission of the project is to improve the quality of life with special emphasis on reproductive health of rural women & children so that maternal , neonatal and infant mortality could be substantially reduced. Ultimate aim is to develop a sustainable health care program through the active participation of community people.

Specific Objectives

• To ensure safe delivery of the mothers with the help of Trained Traditional Birth Attendants(TTBAs)

• To increase the frequencies of antenatal check ups of the pregnant mothers & postnatal visits

• Ensuring maximum coverage of children by immunization. against six killer diseases

• Delivery of quality Essential Service Package(ESP) services for the beneficiaries

• Promotion, Protection and support to exclusive breast feeding up to 6 months and then up to 2 years with complementary feeds

• To educate beneficiaries about appropriate food with nutritional needs for pregnant and lactating mothers as well as children

• To develop an effective health education and advocacy for behaviour change and development

• To motivate women to mobilize local resources and organise Mother’s club (cooperative group of mother’s) in their villages

• To ensure community participation through Mother’s club and formation of health committees on para/village wise

• To promote participation of community at all stages of project development

Project implementation strategy

• Delivery of Essential Services Package(ESP) by trained Paramedic through the Static clinic and Satellite clinics

• Identification and check up of maximum number of pregnant mothers , Tetanus .Toxoide (T,T). immunization, conduction of normal home deliveries, PNC, referral of high risk mothers to improved facilities. with the help of TBAa

• Mobilization of children for immunization and awareness building for other preventive diseases with the help of TBAa

• Formation of Mothers clubs with women having no land and marginal land holdings for their social and economic development. Their economic & social empowerment will obviously bring changes in their economic condition including health

• Formation of Village/Para health committees and mobilizing the existing local self-help organizations in order to utilize their services and involve them in the project development activities and behaviour changes

• Liaison with Govt. health personnel ,other NGOs & local health providers for effective implementation of the programme

Project Components

The project has Clinic & outreach services.

The Clinical services include :

• Antenatal and Postnatal Care, T.T. immunization to pregnant mothers as well to non pregnant women from 15-49 years, Immunization to children (0-1 year age)

• General treatment of women & children and Health education to Mothers(15-49 years of age)

The outreach services include :

Health and nutrition education to School children , Antenatal & Postnatal Care, Conduction of normal deliveries at home by TTBAs,, Referral of high risk mothers to nearby hospitals/clinics equipped with better facilities, Formation & strengthening of Mother’s club with landless and marginal land holding families of the community to act as focal point of outreach activities. Formation & strengthening of para/village based health committees to identify and solve local health problems by the people themselves and ensure maximum community participation for the betterment of health.

Linkages & Networking at local, national & international level

Local level

• Mothers Club, Para/Village Health committees

• Union Chairman and members

• Self–help organisations like Mosque, Maqtab, Youth club, Farmers & other professional bodies/forums

• Primary /Secondary schools

• Medical Practitioners

• Upazila Health Complex , Union Family Welfare Centre & Community clinics

• Maternal & Child Welfare Centre, District sadar hospital/Medical college hospital

• Observation of National Immunization Days (NIDs) and other different national / International days jointly with Upazila administration

National Level

• Voluntary Health Services Society (VHSS)

• Observation of National Immunization Days (NIDs) and other different national / International days jointly with Govt.

• Joint study & Seminar/meeting with Govt.

• Liaison & sharing of views with country office of UNICEF,UNFPA & WHO for mutual benefit

International Level

International Association for Maternal & Neonatal Health (IAMANEH)

Staffing Pattern of the project is as following : Field Manager -1, Medical Officer (part time)-1, Paramedic-1, Sr.Organisor-1 , Organisor-1 and Support staff (Aya –1 and Guard- 1).

Present Project Performance at a glance

• ANC Coverage : 61%

• PNC Coverage : 42%

• Delivery attended by BAMANEH trained TBAs : 64%

• Immunization coverage : T.T. (Pregnant Mothers) : 88%

  • DPT : 94%

  • Polio : 94%

  • BCG : 92%

  • Measles : 78%

• Health Education Coverage : 58%

• Children under Growth Monitoring(0-3 Years) : 16%

• Total No. Mother’s Club(MC) : 72

• Total No. Mother’s Club Members : 1028

• Total Amount of Savings (Up to Dec.2003) of MCs : Tk. 8,39,949.00

• Total Amount of Fund of MCs after IG activities (Up to Dec.2003): Tk. 12,57,468.00

• Total No. of Health Committees : 22

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Edited by Aldo Campana,