USAID-DFID NGO HEALTH SERVICE DELIVERY PROJECT MONTHLY STATISTICAL REPORT

The project aims to improve health service delivery in Bangladesh through a network of non-governmental organizations (NGOs). In June 2015, the project implemented several key activities to achieve its objectives. The assessment tool for 'women & girl-centered services' at Surjer Hashi Clinics (SHCs) was finalized and sent to NGOs for implementation. The Gender Working Group (GWG) meeting discussed the topic of 'Male participation in promoting SRHR'. Orientation sessions on 'Social Analysis and Action (SAA)' were conducted for two NGOs, with a total of 54 NGO staff participating. The project also focused on newborn and child health, with 20 Medical Officers from 15 NGOs trained on the 'Comprehensive Newborn Care Package (CNCP)'. The training included hands-on training on Essential Newborn Care (ENC), newborn resuscitation, and use of Chlorhexidine for umbilical cord care. Interactive question and answer guidelines on Essential Newborn Care, Acute Respiratory Infection, and Immunization were developed for community outreach workers, Service Promoters, and Community Service Providers. In addition, the project implemented HIV and TB-related activities, including a one-day orientation for Clinic Managers on 'Basics of Tuberculosis Control and Care'. Two batches of training were organized in Barisal and Khulna Districts, with a total of 42 clinic managers attending. The project also assisted in training a doctor from CWFD on 'Management Training on TB for Medical Doctors' organized by the National Tuberculosis Control Program (NTP), Bangladesh. The project's Institutional Strengthening team worked with Julia Monaghan, the Technical Advisor - Capacity Building, HQ-PI, to review the project's activities, including benchmarks in terms of contract modification. The existing benchmarks were shared with PDs of three NGOs (Bamaneh, CWFD, and JTS) with a view to review the draft benchmark validation tool for data collection. The project also coordinated with the Government of Bangladesh (GoB) to incorporate NHSDP-MIS with Govt. H-MIS in an operative way. A bilateral discussion was held with Dr. Mohammed Sharif, Director-MCH & Line Director-MCRAH of DGFP, on reciprocal referral for normal delivery or caesarian section among SH clinics & Union Health & Family Welfare Centre. The project's monthly statistical report contains indicators from Intermediate Result one (IR-1), which focuses on expanding the client base, especially for the poor, for quality ESP. The report shows that the total number of Couple Years of Protection (CYP) has decreased by 2% in June 2015 from that of May 2015. However, the total number of service contacts has increased by 2% in June 2015 than that of May 2015. The report also highlights the percentage of service contacts who qualify as poor, which was 41.7% of all service contacts in June 2015. The proportion of poor service contacts was 40.9% in rural areas and 42.8% in urban areas. The report also presents a table showing the poor/non-poor service contact status by urban and rural residence in June 2015. The project's overall goal is to improve health service delivery in Bangladesh, particularly for the poor. The project's activities and indicators suggest that it is making progress towards achieving this goal, although there are still challenges to be addressed.