The BRAC Manoshi Urban Maternal by E7G8pPd

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									The BRAC Manoshi Urban Maternal,
Neonatal and Child Health Project in
       Dhaka, Bangladesh

             Henry Perry
          7 November 2009
                   Outline
• Introduction to BRAC, to Bangladesh, and to
  one of Dhaka’s urban slums

• Description of the field operations of the
  Manoshi Project

• Implications for the urban poor in developing
  countries
                      BRAC
• World’s best example of implementation of the
  ideals of Alma Ata and Health for All at scale
• Winner of Gates Award for Global
  Health in 2004
• Multi-sectoral approach to development, health
  improvement, and empowerment
• Programs self-sustaining with local income
  through economies of scale, vertical integration,
  and formation of profit-making related
  businesses
• See their website: http://www.brac.net
       BRAC Worldwide Operations
                                                  Number of Program Staff
                                                        Part-
              Total Number                              time/non-
              of             Year program               salaried
Country       Beneficiaries established     Full-time staff             Total
Bangladesh       110,000,000     1982            56,740     126,607     183,347
Afghanistan         335,838     2002             3,808            0      3,808
Sri Lanka            40,701     2004              550             0        550
Tanzania             64,444     2006              355             0        355
Uganda               48,405     2006              399             0        399
Southern
Sudan                 4,772     2006                44            0         44
Pakistan              4,772     2007              198             0        198
Indonesia                na     2008                na          na          na
Total           110,498,932                     66,083     126,607     192,690
Urban Population Growth in
  Bangladesh, 1870-2100
Satellite Image of Korail Slum
Typical Scene in the Korail Slum
Shasthya Shebika (on the left) with Senior
Program Specialist in the Home of a Client
Form Hanging on Client’s Wall which CHW
     Completes during Home Visit
  Piggy Bank Kept by Pregnant Mother and
Prenatal Form Completed by CHW Supervisor
             Project Features
• Builds on a census-based approach of mapping
  and number all households, visitation of all
  homes, registration and monitoring births and
  deaths
• Computerized health information system guides
  daily work
• Strong community participation
• CHWs not salaried (their income locally
  generated), well-trained, and well-supervised,
  and provide many types of health services
• Strong link to referral services
           Project Features (cont.)


• Supported by a $25 million grant from the
  Gates Foundation
• Is being scaled up to reach all 8 million slum
  inhabitants in urban areas of Bangladesh
               Implications
• One of the few examples of implementation
  of “state of the art” MNCH interventions at
  scale in urban slums
• Approach is sustainable with minimal external
  resources
• If project shown to be effective, could become
  a global model
• Evidence for effectiveness of community-
  based integrated approaches to improve child
  health for the urban poor one of the great
  needs in global health today

								
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