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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 monthly twelve meetings including community meetings on different maternal and neonatal health issues in 3 unions (Charbishnupur, Krishnapur and Aliabad) of Faridpur district under the CLEAN Project funded by Implementation Research Platform (IRP)-WHO.

  • 196 women’s groups conducted monthly meetings including community meetings on different maternal and neonatal health issues in 3 Unions (Balua, Jorgacha and Vatgram) of Bogra District under the DFID funded Project

  • To assess the progress of the ongoing activities of WHO-IRP funded CLEAN project, a performance review meeting was held at the PCP head office in May 2014, which was attended by relevant head office staff and the District Manager. Activities scheduled for the next reporting period, obstacles faced by the field staff, process evaluation and any other issues, came up for discussion.

  • We have completed a 6 day Training of Trainers (ToT) on Community Mobilization for the Women’s Group Coordinator, Women’s Group Supervisors and District Manager that was held from September 09 to 14 September 2014 at Bogra office. Women’s Group Manager conducted the training. Dr Monogna Chitralekha Kundu, Consultant of Obstetrics and Gynaecology , Dr Nazrul Islam, Consultant, Dept of Pediatrics of Mohammad Ali Hospital were present as resource persons for this training.

  • PCP organized four days refresher training on Community Facilitation Manual for women’s group coordinator, women’s group supervisors and Volunteer Facilitators at Upazila level in Bogra. The first batch training was held from March 15th to March 18th at Upazila Health Complex (Bijrul), Nandigram for the facilitators of Bhatgram Union. 19 Volunteer facilitators were participants in this training. Women’s Group Manager conducted the training. Dr ATM Nuruzzaman, Upazilla Health and Family Planning Officer (UH&FPO) and Dr MD Mahamudullah, Residential Medical Officer (RMO) were present as resource persons for this training course. Second batch training was held on March 19th to March 22nd 2015 at Upazila Health Complex, Sonatola for the facilitators of Balua & Zorgacha Unions. Dr Negar Sultana Upazilla Health and Family Planning Officer (UH&FPO), Dr Md Ismail Gazi, Residential Medical Officer(RMO) and Nadia Islam, Medical Officer(MO) were present as resource persons for this training course.

  • To strengthen the primary health care facility at the community level and build ownership, PCP established links with staff of 10 Community Clinics (CCs) of Faridpur District. In Bogra, under DFID funded project, PCP established links with the functional 12 community clinics.Women’s group leaders now attend all 12 functional community clinic committee meetings on a monthly basis. Women’s group members and BADAS-PCP staff also regularly pay visits to these community clinics. These opportunities have been used to share the needs of communities, lobby for improvements in service quality and accessibility and gather information to take back for sharing in communities.

  • PCP organized training on financial management for PCP staff on March 31, 2015. 6 staff from Bogra field office and 9 staff for PCP head office participated in the training. The training was conducted by Bishwajit Mazumder, Director (Accounts & Finance), BADAS, Imrul Ahmed, Deputy Director Finance, BIRDEM and Md Al Amin, Asst. Director (Accounts & Finance), BADAS.

  • District Managers of Faridpur and Bogra Districts attended GO-NGO coordination meeting regularly. The coordination meetings held every month. All NGOs working in those Districts attend the meeting and present their activities to apprise the government authorities.

  • Process Evaluation Officer conducted five focus group discussions and five in-depth interviews with the women group members, volunteer facilitators, government Health Worker and NGO Health Worker for CLEAN Project in December 2015.

  • Surveillance Manager conducted training on mobile phone data collection for 3 monitors and 1 M&E Coordinator of Bogra Project. District Managers participated in the training. It was a 8 day training that held in Bogra field office .The training included 3 days practical training in the field.

  • Surveillance Manager (SM) provided 3 day refresher training on using mobile phones for data collection for Monitors. Monitoring Coordinator and District Manager attended the refresher training.

  • Monitors recorded all deaths during pregnancy up to 6 weeks post-partum and all births and their outcomes (live birth, stillbirth, neonatal death) in the study unions of Faridpur district. Surveillance Manager also observed some data collection during field visit and provided feedback. M&E team compiled the data at PCP head office.

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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