PANAY UNIFIED SERVICES FOR HEALTH (PUSH)

THE PROJ WILL FOCUS ON TRNG & EQUIPPING HEALTH WORKERS SELECTED FROM THE PARTICIPATING COMMUNITIES. NEDA WILL ESTABLISH A TRNG PROG FOR BARANGAY HLTH WORKERS (BHW"S) CONSISTING OF A SIX-WK BASIC TRNG COURSE & A TWO-WK REFRESHER COURSE EVERY SIX MOS. BHW TRNG CANDIDATES MUST BE 18 TO 45 YRS OF AGE WITH AT LEAST SIX YRS OF FORMAL EDUCATION. ONCE TRND, THE BHW"S WILL BE EMPLOYEES OF THE ISLAND"S FOUR PROVINCIAL GOVTS. THEY WILL PROVIDE SIMPLE CURATIVE TREATMENTS & WILL REFER MORE DIFFICULT CASES TO THE NEAREST MEDICAL FACILITY. OTHER RESPONSIBILITIES WILL INCLUDE NUTRITION EDUCATION AND ASSISTING IN FOOD PRODUCTION CAMPAIGNS. THE BHW"S WILL INITIATE FEEDING PROGS FOR CHILDREN SUFFERING FROM LST & 2ND DEGREE MALNUTRITION, AND WILL REFER FOR REHABILITATION CHILDREN WITH 3RD DEGREE MALNUTRITION. USAID WILL SUPPLY PL480 FOOD COMMODITIES. THE BHW"S WILL ALSO ORGANIZE VILLAGE DRUGSTORES AND SPEARHEAD EFFORTS TO OBTAIN TECHNICIANS & SUPPLIES FOR IMMUNIZATION CAMPAIGNS. IN ADDITION, THEY WILL OFFER FAMILY PLANNING INFORMATION, REFERRALS, AND CONTRACEPTIVE SUPPLIES. USAID WILL FINANCE $100 WORTH OF DRUG SUPPLIES FOR EACH VILLAGE DRUG STORE, AND WILL SUPPLY 100 OF THE ISLAND"S RURAL HLTH UNITS WITH VACCINES & ANTI-TB DRUGS. A 2ND COMPONENT OF THE BHW"S TRNG & SERVICES WILL CONCERN SANITATION & SAFE WATER SUPPLIES. THE ISLAND"S 4 PROVINCIAL HEALTH LABORATORIES WILL BE EQUIPPED TO PERFORM WATER ANALYSIS INCLUDING BACTERIOLOGICAL EXAMS & SPUTUM EXAMS FOR THE EARLY DETECTION OF TB. FOR THEIR PART,BHW"S WILL MONITOR WATER QUALITY,ADMINISTER SIMPLE TREATMENT PROCEDURES,AND ORGANIZE COMMUNITY WASTE DISPOSAL EFFORTS. USAID WILL FINANCE 280 DRILLED DEEP WELLS,AND 40,000 WATER SEALED TOILETS. 5400 EXISTING,OPEN DUG WELLS WILL BE IMPROVED. THE MAJOR PORTION OF THE USAID LOAN WILL BE USED TO REIMBURSE THE GOP FOR LOCAL CURRENCY COSTS. HOST-COUNTRY WILL PROVIDE TRNG,PERSONNEL,AND INSTITUTIONAL SUPPORT.