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Perinatal Care Project

Project overview :

perinatal-care-projectPerinatal Care Project (PCP) is a collaborative project of Diabetic Association of Bangladesh (BADAS), Women & Children First (UK) and University College London Institute for Global Health, UK, which aims to improve maternal and newborn health in rural areas in Bangladesh. The project is being implemented in 18 unions of 6 upazilas under 3 districts (Bogra, Faridpur and Moulvibazar) since 2002 and covering around 534,000 population including 100,160 women of reproductive age. Women and under-5 children’s health was incorporated to the intervention during scaling up of the project in 2008. After June 2013, PCP has been working in 6 unions of 4 upazilas under 2 districts (Faridpur and Bogra).

PCP has both research and development objectives. The research objective incorporates a randomized controlled trial to evaluate the effectiveness of community mobilization through women’s groups on maternal and neonatal health. Under the development objective several activities are being implemented to strengthen health system for timely use of quality health care services within the project areas. Alongside, a low cost surveillance system was used to record all deaths during pregnancy up to 6 weeks post-partum and all births and their outcomes (live birth, stillbirth, neonatal death) and process evaluation activities were executed to monitor and document different elements including contextual factors of the intervention.

Major Activities :

  • 180 women’s groups conducted 720 meetings on maternal & neonatal health in 3 unions (Charbishnupur, Krishnapur and Aliabad) of Faridpur district under the CLEAN Project funded by Implementation Research Platform, WHO. 22,632 participants attended the meetings and of them 1997 participants were pregnant women.

  • We organized a 5 day ToT (Training for Trainers) on Community Mobilization from 25th January to 29th January, 2014 at Dhaka. Women’s Group Supervisors, Women’s Group Coordinator and District Manager participated in the ToT. Participants from BRAC, TAHN Foundation and Juba Education Foundation (JEF) also received the ToT. Tasmin Nahar, Women’s Group Manager facilitated the training. Dr Masooma Jalil, Registrar, Dept of Obstetrics and Gynaecology and Dr Jebun Nahar, Dept of Pediatrics & Neonatology, BIRDEM were present as resource persons for the ToT. Dr Barendra Nath Mandal, Additional Project Director, Community Clinic Project, MOH&FW, Dr Rabeya Khatoon, WHO Bangladesh Country Office, Dr Kaosar Afsan, Director, Health, Nutrition and Population and Nutrition Programme, BRAC and Dr Rukhsana Haider, Chairperson, Training Assessment Health and Nutrition (TAHN) Foundation were present as special guests in the inaugural session of the ToT. The session was chaired by Prof Kiswar Azad, Project Director of PCP. Prof Nazmun Nahar, Director General, BIRDEM was present as Chief Guest in closing session

  • We organized a 4 day training from 4th to 16th March, 2014, on Community Mobilization for Volunteer Facilitators in 3 unions, individually. Training was held in Charbishnupur, Aliabad and Krishnapur union from 4th – 7th March, 8th -11th and 12th – 16th March, 2014, respectively. Total 45 volunteer facilitators were attended the training i.e. 15 volunteer facilitators from each union.

  • We organized refresher training sessions on community mobilization for 45 Volunteer Facilitators in June 2014. We organized refresher trainings three months before the schedule date. Because during field visit we observed that the Volunteer facilitators were not following the facilitation techniques correctly.

  • To create awareness about the community mobilization through women’s group, we organized community orientation meetings in three unions –of Faridpur district. Topics discussed in the meetings were: 1) Briefing about the intervention; 2) Community involvement; 3) Coordination mechanism between PCP, Govt. health facilities, NGOs and local elected representatives. Meetings were facilitated by Women’s Group Manger and District Manager. Union Parishad Chairmen from respective unions were present to inaugurate the orientation sessions and Civil Surgeon & UFP&HO were present as chief guest. Union Parished Members, Upazila Family Planning Officer (UFPO) and other govt. health staffs, representatives from NGOs, teachers, farmers, Imams and field staffs of PCP were also present in the meetings.

  • Surveillance Manager and Asst. Data Manager of PCP received training from James Beard, Statistician, UCL, IGH from 3rd to 10th November, 2013 to develop soft copy of questionnaire for ODK use. Dr Edward Fottrell, Lecturer, UCL, IGH also provided technical assistance to support ODK use.

  • To measure trends in mortality rates (done for the project IRP-WHO, Geneva), Monitors record all deaths during pregnancy up to 6 weeks post-partum and all births and their outcomes (live birth, stillbirth, neonatal death) in the three study unions (Charbishnupur, Krishnopur and Aliabad) of Faridpur district.

  • Sanjit Kumer Shaha, Surveillance Manager, trained District Manager, Monitoring Coordinator and three monitors on data collection by using mobile phone. The training was held from 13th December to 16th December, 2013 at Faridpur field office.

  • To assess the progress of CLEAN project activities, we organized a performance review meeting at PCP head office. All PCP head office staffs and District Manager attended the meeting. In the meeting we discussed about the status of the planned activities for this period, obstacles faced by the field staff, process evaluation and surveillance data collection and management.

  • Trained staff interviewed mothers and took anthropometric measures and buccal smear collected from the children aged between 2 to 4 years among the study population in 3 districts - Faridpur, Moulvibazar and Bogra. The mothers of those children were measured for height and weight only. Buccal samples collected for the purpose of epigenetic analysis were transported to Prof Graham Hitman of Barts and the London School of Medicine, UK in September 2013. Anthropometric data were entered and analyzed. These activities were done for GIFTS project which is funded by European Commission.

Material development:

  • Flip chart, manual and picture cards were developed to conduct meetings of women’s’ groups. The experts from DGHS and DGFP, MOH&FW, IPHN, BSMMU, UNICEF, Save the Children and BIRDEM worked on the development of the flipchart.

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