Name of the project: “Model Urban Primary Health Care (PHC) Clinics”

Programme Area: PHC services in selected 6 clinics in 4 city corporations in Dhaka North, Dhaka South, Gazipur and Narayangonj as per the standard Essential Service Package (ESP) guideline

Duration: 11 July 2021 to 30 September 2023

Funded by: UNICEF

Consortium Lead: Partners in Health and Development (PHD)

Consortium Partners: Nari Maitree (NM) and CMED Health

Implementation area:

  1. Aalo Clinic, Karail DNCC (Ward # 19, DNCC)
  2. Aalo Clinic, Duaripara, Rupnagar, Mirpur DNCC (Ward # 06)
  3. Aalo Clinic, Shyampur, DSCC (Ward # 48)
  4. Aalo Clinic, Dhalpur, Jatrabari DSCC (Ward # 49)
  5. Aalo Clinic, Ershadnagar, Tongi, GCC (Ward # 49)
  6. Aalo Clinic Narayanganj City Corporation, (Ward # 15)

   

Target audience:

  1. Pregnant women
  2. Mother
  3. Infant
  4. Under five children
  5. Adolescent
  6. Women of reproductive age
  7. Old age population for NCDs.

 

Approximately 100,000 population in each 6 Urban  Clinics‘ catchment areas.

Purpose: To develop a model PHC service delivery system for future scaleup in 4 city corporation following Essential Service Package (ESP) guideline as and standards.

The expected results from the project: The project will achieve the below results in coordination with Mayor's office, City Corporation and Ward Health and Education Committees, and with Ministry of Health and Family Welfare (DGHS/DGFP/DGNM):

  1. Financial and Administrative management of 6 urban PHC clinics are established.

The project will assist the GOB in establishing and managing a functioning clinic, as well as establishing an effective relationship with primary healthcare in the private sector. Urban PHC clinics should be set up according to UNICEF and Bangladeshi government norms and guidelines, which include appointing general physicians and consultants, as well as hiring personnel and health workers. Patient registration, administration, account management, and telemedicine will all be put up as part of the project. The Pay-for-performance (P4P) idea will be used to build cost-effective fiscal management. The project will implement an ICT-based claim management system for claim preparation and verification.

  1. Quality Primary Healthcare services are provided.

The project will ensure effective delivery of Primary Healthcare as per standards in the 6 urban PHC clinics including community outreach services. The project will facilitate capacity building of service providers through training courses provided by UNICEF and GOB. Quality Primary Healthcare including essential nutrition specific services should be ensured as per the Essential Service Package for promotive, preventive and curative care for the population in the catchment area. The project will establish effective supply chain management system for Essential medicines and logistics, through the Ministry of Health and Family Welfare, i.e., the project will receive the required commodities from the MoHFW. Referral system for complicated cases and ICT based Integrated Health Management Information System (IHMIS) will be established with support from UNICEF and GOB.

  1. Service utilization rates will be increased through demand generation.

The project will ensure community participation in all steps of the project. It will introduce activities related to demand generation and promotion.

The services to be provided from the clinics are:

  1. Maternal, neonatal, child and adolescent health care pre-conception, antenatal, delivery, postnatal
  • Maternal and Newborn Care (ANC, PNC and Delivery Referral, Newborn care etc.)
  • Child Health and Immunization (IMCI, ARI, Diarrhea, GMP, EPI etc.)
  • Adolescent Health (SRH, RTI/STI, Dysmenorrhea, TT vaccine, Nutrition, counselling on mental health)

2.    Nutrition

  • Child Nutrition: assessment of nutrition status, prevention of malnutrition, management of malnutrition
  • Promote exclusive breast feeding, complementary feeding, WASH for children, GMP
  • Support to MAM children and Refer SAM children
  • Maternal Nutrition (BMI screening of malnourished pregnant, MUAC, counselling for food)

3. Non-Communicable Diseases (NCD)

  • NCD (Hypertension, Diabetes Mellitus, Arsenicosis, Chronic Obstructive Pulmonary Disease etc.) Consultation & Referral
  • Mental Health Consultation
  • Sexual and Gender- Based Violence (SGBV)

4. Management of other common conditions

  • Eye Care & Referral
  • Skin care & Referral
  • Geriatric (Elderly) care & Referral
  • Minor Infection & Disease
  • Health Education & Counselling

5. Family Planning (FP method selection counselling, provide OCP, condom, injectables and IUD)

6. Communicable Diseases (Consultation on Communicable Diseases, referral, consultation on STI/STD)

7. Laboratory Urinalysis, Hb estimation, Blood grouping and Rh typing, Blood sugar, CBC, ECG