Hanang district village health (CODEL)

PROJECT WILL BE IMPLEMENTED IN 3 STAGES -- PLANNING, PILOT AND LONG-TERM PROJECT. IN STAGE 1, THE FIRST 6 MONTHS, CONTACTS WILL BE SOLIDIFIED, CLEARANCES OBTAINED, 3 OR 4 TEST VILLAGES AND TEACHING SITES SELECTED, COURSE INSTRUCTORS LINED UP, CURRICULUM DEVELOPED AND HOUSING IN BABATI ARRANGED FOR PROJECT DIRECTOR. IN ADDITION, THE DATA COLLECTION SYSTEM WILL BE REFINED. IN PHASE 2, THE PROJECT TEAM WILL WORK WITH 3 OR 4 VILLAGES, ONE IN EACH DIVISION OF THE DISTRICT AND WILL BEGIN TRAINING 8 HEALTH WORKERS, SEVERAL OF WHOM WILL WORK IN THESE VILLAGES. AT THE END OF THIS PILOT PHASE, AN EVALUATION OF THE PROJECT DESIGN AND OF PROBLEMS ENCOUNTERED WILL BE MADE. A REPORT OF THIS EVALUATION WILL BE CIRCULATED FOR REVIEW TO CODEL AND TANZANIAN OFFICIALS. PHASE 3 WILL BE A 2-YR PROJ FEATURING BOTH CURATIVE AND PREVENTIVE HEALTH CARE WITH AN INTENSIVE EDUCATION PROGRAM. PROJ COMPONENTS INCLUDE A HEALTH DELIVERY SYSTEM; A BASELINE DATA COLLECTION AND AN ANALYSIS SYSTEM; IMPROVED TRAINING AND INSTRUCTION METHODOLOGY FOR HEALTH WORKERS. PROJ HEADQUARTERS WILL BE IN THE DISTRICT CAPITAL OF BABATI. TRAINEES, INSTRUCTED BY LOCAL HEALTH PERSONNEL, BOTH EXPATRIATE AND TANZANIAN, WILL WORK IN SELECTED VILLAGES WITH VILLAGE HEALTH LEADERS WHO IN TURN WILL WORK DIRECTLY WITH OTHER VILLAGE LEADERS DOWN TO THE 10 HOUSE CHAIRMAN THUS INVOLVING ALL VILLAGERS. THIS HEALTH CHAIN WILL BE LINKED WITH DAREGA HOSPITAL, AS WELL AS THE NEAREST HEALTH CENTER AND RESIDENT PARA-MEDICAL PERSONNEL. TRAINEES WILL RECEIVE A SMALL STIPEND BUT THE VILLAGE HEALTH LEADERS WILL BE VOLUNTEERS. PROGRAM WILL INCLUDE 10 HOUSE UNIT INVOLVEMENT WITH EDUC, CLINICS, BIRTH/DEATH REGISTRATION, INFECTIOUS DISEASE SURVEILLANCE, HEALTH RECORDS, CHARTS, SURVEYS. RAW DATA WILL BE TRANSFERRED TO MAGNETIC TAPE AND PUT IN TO THE COMPUTER. A US CONTRACTOR WILL COORDINATE THE ENTIRE DATA PROCESSING EFFORT. BENEFICIARIES WILL BE THE RURAL POOR.