Name of the project: Name of the project: Urban Primary Health Care Services Delivery Project (UPHCSDP)

Partnership Area (PA) 04 under Dhaka South City Corporation

BY GROUP OF MPH STUDENTAMERICAN INTERNATIONAL UNIVERSITY, DHAKA, BANGLADESH 2015-2016

Total Budget (in BDT/USD): Total Budget (in BDT/USD):

• Total Budget (5 years): Tk. 154,628,801• Income Generation : Tk. 73,875,537• Donor : Tk. 80,753,264

• GFATM (Round-10 Phase-2) : Tk. 5,678,352

Funded by: Funded by:

• Asian Development Bank (ADB)• Swedish International Development Cooperation

Agency (SIDA)• United Nations Population Fund (UNFPA)• Global Fund for AIDS, Tuberculosis, Malaria (GFATM)

Duration: Duration:

Started on : January 2013

Ends on : December 2017

Major objective/s:Major objective/s:

Objectives of the project is to improve :–Access to and use of urban PHC services in the project area, with a particular focus on services provision for free to the poor; –The quality of urban PHC services in the project area; and –The cost-effectiveness, efficiency, and institutional and financial sustainability for the urban primary health care delivery system to meet the needs of the urban poor.

Major activities:

Health Center Based: Health Center Based: • 06 Primary Health Care Centers • 01 Comprehensive Reproductive

Health Care Centre (CRHCC)

Outreach based: Outreach based: • 72 satellite session per week

for 2,000 households

Services: Services: Provides following ESD+ service package to attain the targeted outcomes:•Reproductive Health•Child Health•Communicable Disease Control•Limited Curative Care•Diagnosis service •Emergency transportation, •Drugs at low cost

Community based: Community based: • Extensive BCC interventions:

Film shows, group discussions, community meetings etc.

Location/s:

• PHCC-1 Ahmadbagh Ward No. 05 • PHCC-2 Mugda Ward No. 06 • PHCC-3 Kamalapur Ward No. 08 • PHCC-4 Arambagh Ward No. 09• PHCC-5 AGB Colony Ward No. 10• PHCC-6 Shahjahanpur Ward No. 11

CRHCC, North MugdaWard No. 5, 6, 8, 9, 10 & 11

Beneficiaries with numbers:Sl. # Component Data

1 Catchment population 321,4002 # of Male Population 163,9143 # of Female Population 157,4864 # of Female(15-49) years 81,8935 # of Total Eligible Couple 59,7166 # of Pregnant MWRA 4,7497 # of Modern FP users 31,4708 # of Adolescent (10-19) 76,8159 # of Infant(<1 years) 9,224

10 # of Children (<5 years) 34,39011 # of Children (<15 years) 86,23212 Total Population for free service 96,420

Total numbers of staff/s: Total numbers of staff/s: Project Management

Office (8) Project Manager - 1Manager (A&F) - 1FP Coordinator - 1MIS & QA Officer - 1Office Attendant - 1Driver- 1

GFATMAccounts Officer – 1M&E Officer- 1

CRHCC (32)Clinic Manager - 1Specialist Physician (Gyn/Obs) - 1 Specialist Physician (Pediatrics) - 1Medical Officer - 4 Counselor - 1 Nurse - 4 Lab Technician - 1 Paramedic - 3 FWV - 1 Administration Assistant - 1 Receptionist - 1 Ambulance Driver - 1 Clinic Aide - 4 Aya cum Cleaner - 4Messenger cum Security Guard - 4

PHCC (16x6=96+12=108)Static ClinicPhysician - 1Paramedic - 1 FWV - 1 Counselor - 1 Lab Technician - 1 Field Supervisor - 1 Administration Assistant

- 1Receptionist - 1 Aya/Cleaner - 1Messenger cum Security Guard - 1 Satellite ClinicParamedic - 2Service Promoter - 2 FWA - 2Volunteer-6 (GFATM)

Current implementation status: Current implementation status: Indicators Target 2014 Achievement 2014Antenatal Care 34,100 26,253Postnatal Care 13,200 10,010Normal Delivery(NVD) 1,100 1,029Caesarian Section (CS) 792 809Family Planning 27,620 29,426Adolescent Reproductive Health 5,376 13,770EPI 22,600 24,514Control of Diarrheal Disease (CDD) 8,250 9,939Acute Respiratory Infection (ARI) 13,200 11,015Maternal Nutrition 264 762Maternal Nutrition Food Supplementation 1,320 9,144Child Nutrition 2,640 2,733Child Nutrition Food Supplementation 2,640 16,398TB case detection (New) 325 287

Major challenges : Major challenges : • Budget constrain. (Low budget in every line item)• High income generation target

Any steps taken to overcome these challenges: Any steps taken to overcome these challenges: • Budget-We are doing continuous coordination & liaison with PMU & PIU for budget revision, but we did

not get any result. • High Income Target-Though the income generation target is not realistic according to budget but we are

trying to increase this , already PA-4 achieved 94% income generation target for last 2 yrs

Any steps taken to overcome these challenges: Any steps taken to overcome these challenges: • PSTC should take strong leadership to minimize the low budget

issues(Budget revision) through effective communications with PMU/PIU as well as donors

Thank youThank you