USAID-DFID NGO HEALTH SERVICE DELIVERY PROJECT MONTHLY STATISTICAL REPORT SEPTEMBER 2014

The project aims to improve health service delivery in Bangladesh, particularly in the areas of family planning, maternal and child health, and reproductive health. In September 2014, the project implemented several key activities, including a Clinical Quality Council meeting, which brought together NGOs Monitoring Officers/Medical Officers in Dhaka to discuss clinical quality service delivery and ensure quality in all health services provided from clinics across the network. The meeting also included an orientation of new monitoring officers on the monitoring protocol and the development of a quarterly plan on Continuous Quality Improvement (CQI). Additionally, training of trainers (ToT) was conducted on essential newborn care from September 22-25, 2014, for NGO Monitoring Officers/Medical Officers to build a trainers pool at the NGO level and to train staff on the newly developed training module by the Government of Bangladesh and new interventions of newborn care. To date, all Project Directors (26) and 72 selected Clinic Managers were oriented on the 'Strategy and Operational Guidelines for Increasing Use of Newborn Care Services' and 'Strategy and Operational Guidelines for Increasing Uptake of ARI Services among Children under Five Years of Age.' The project also participated in several stakeholder meetings, including the USAID Family Planning Review Meeting on September 29, 2014, and the FP2020 Bangladesh Country Engagement Work Group meeting held on September 23, 2014, hosted by the Director General of Family Planning. The Chief of Party, NHSDP, participated in the 6th meeting of the International Conference on Urban Health (ICUH) organizing committee held on September 28, 2014. In terms of health service delivery, the project reported a total of 3,194,195 service contacts in September 2014, with 62% of these contacts occurring in rural areas and 38% in urban areas. The number of poor contacts (excluding NID and Rubella contacts) was 1,378,253, which constitutes 43% of all service contacts. The proportion of poor contacts was 42% of total rural service contacts and 45% in urban areas. The project also reported a total of 2,591 deliveries in September 2014, with 37% of these deliveries occurring at home and 63% in facilities. The number of ANC visits was 116,368, with 45% of these visits occurring in rural areas and 55% in urban areas. Essential Newborn Care (ENC) was provided to 9,510 newborns in September 2014, with 45% of these newborns from rural areas and 55% from urban areas. Overall, the project reported an increase in health service delivery indicators in September 2014 compared to the previous month, including an increase in total service contacts, ANC visits, and deliveries. The project also reported an increase in the number of poor contacts, which constitutes 43% of all service contacts. The project's data also shows that the number of home deliveries and facility deliveries increased significantly in September 2014 compared to August 2014. The number of ANC1 and ANC4 visits also increased in September 2014 compared to August 2014. The project's indicators and data suggest that the project is making progress in improving health service delivery in Bangladesh, particularly in the areas of family planning, maternal and child health, and reproductive health. However, further analysis and evaluation are needed to determine the effectiveness of the project's interventions and to identify areas for improvement.