BASIC DEVELOPMENT NEEDS PROGRAMME, KASUR, PUNJAB-PAKISTAN by 6895iTx

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									        Basic Development Needs (BDN) Programme
                        Pakistan




      Consolidated Annual Progress report
                     2011




1)   District Kasur, Punjab
2)   District Multan, Punjab
3)   District Dadu/Jamshoro, Sindh
4)   District Nowhera, KPK
5)   District Muzaffarabad/Neelim, AJK
6)   District FR Peshawar
7)   District Mastung, Balochistan




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Kasur, Punjab

           Basic Development Needs (BDN) Programme District Kasur, Punjab
                                      Pakistan.
                                         Progress Report-2011

      The BDN initiative is aimed at empowering communities in distant or deprived areas to identify
      their own development needs and work together towards their realization. It is a multi-sectoral
      concept designed to capture the broad-based support for health and social welfare systems by
      catalyzing integrated community focused development with an inbuilt partnership between
      grass-root communities, civil society organizations, district authorities and public sector line
      departments.
      Since many of the determinants of health fall outside the ambit of the health system, the
      approach addresses all the social determinants of health such as illiteracy, population growth,
      malnutrition, food insecurity, lack of clean water and poor sanitation, collectively through
      community participation and empowerment in order to transform social lifestyles and enhance
      human development. People are the key element in the BDN change process, they decide upon
      the change, design it, manage it, and carry it out, increasing each individual’s perception about
      ‘self’ and of the community’s own identity. The ultimate objective is to materialize the goal of
      Health For All (HFA) and a better quality of life.
      The BDN programme was introduced in village Balloki of district Kasur, Pakistan in 1996. Since
      then the program has been expanded in the district covering 1.467 million. Some of the salient
      BDN characteristic processes and operational methodologies are summarized below:
      1). Community Organization and Social Preparation
      Community organization and capacity building lays the cornerstone of the BDN initiative.
      Community organization is achieved by broadening the consultation and participation base of
      existing councils at village, sub-district and district levels with true involvement of women and
      youth, religious and other community opinion leaders. This creates a setting where the people
      are able to voice their common concerns and aims collectively.

      The community is organized in Clusters of 40-50 households, based on the population and
      geographic situations. At the village level all the Cluster Representatives (CRs) elect a Village
      Development Committee (VDC). The VDCs are units of organized community structures,
      having hierarchical decision making mechanisms and plans, implements and monitors projects at
      the village level.
      Social preparation is a process aiming to mobilize communities to achieve common goals. The
      process promotes both attitudinal and behavioral changes and transforms people from passive
      recipients to self-confident and self-reliant executors. This transformation generates the
      necessary leadership, and skills for social communication, decision making and community
      action for health and poverty reduction.
      The priority program areas most often recognized by these community leaders include PHC
      services especially maternal and child care, nutrition and reproductive health, besides the
      availability of safe drinking water and promoting environmental sanitation, enhancing primary



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education and literacy activities with an emphasis on female literacy, Women development and
gender mainstreaming processes.

2). Integrated development through Intersectoral Collaboration:
Inter sectoral collaboration is an integral part of the BDN strategy that makes the representatives
of the key government departments – like Health, Education, water supply, sanitation,
Agriculture, live stock, social welfare and women development work together as a BDN inter-
sectoral team, coordinated by the district and Provincial development authorities. This team is
trained on the concepts of integrated socio-economic development and on community
mobilization and empowering techniques, to subsequently guide the community in the
implementation of social and income generating micro-development schemes and build their
capacities in project management and involve them in the developmental process at the grass
root level.
Identifying local needs through Baseline surveys: At the very outset, initial benchmarks are set
regarding the demographic and socio economic indicators of the local population on the basis of
a base line survey. The VDCs, CRs and the community based Lady Health Workers are trained
on data collection by the BDN Inter sectoral team. The data collected is analyzed to identify and
prioritize needs. Following this the community holds consensus building and priority setting
workshops where community representatives engage in planning specific projects, on a
community cost sharing basis, reflecting specific community needs, taking in account the fact
that an equitable distribution of these resources and projects is ensured over the entire target
population.
i). Community Organization and Mobilization:
A total of 45 VDCs, have been organized with 765 Cluster representatives in the district. In
addition, 31 Citizen Community Boards (CCBs) and civil society organizations, 4 health
committees, 3 NGOs, 12 women’s’ organizations and 6 youth groups have also been organized,
trained and actively engaged in health and social development.




ii). Health and Nutrition:

 All the BDN VDCs, Youth and women organizations and Civil Society organizations (CSOs)
are engaged in health action. Besides, a total of 165 LHWs were trained and involved in EPI,
MNCH, Malaria and Tuberculosis Control efforts. In addition, 532 Women Health Volunteers
were selected by the community and trained on Home health care and growth monitoring.
Through BDN GAVI-CSO Project 03 RHCs have been strengthened for MNCH services, while
02 Community-based MCH centers, completely managed and sustained by local VDCs, have
been established in areas where no such facility existed.
The community based Lady Health Workers (LHWs) and women health volunteers (WHVs)
work in close partnership with the community representatives and continue to implement various
health care programs. Through their routine house to house visits in their assigned areas, they
oriented more than 50,000 mothers and CBAs on Home health care (HHC), which includes
health promotion and education, nutrition counseling and growth monitoring, antenatal care, safe

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and clean delivery, postnatal care including family planning and self-breast-examination,
childhood immunization, TB -DOTS, Roll Back Malaria, Disease Early Warning System
(DEWS), timely and correct management of diarrheal diseases and acute respiratory infections.
Prevention of home-based accidents and correcting attitudes towards the mentally ill. The LHWs
act as the actual implementers in this program, supported by their supervisors, vaccinators and
Women Health Volunteers of the respective area. The trained LHWs are being assisted by the
vaccinators and cluster representatives, in immunizing all target children and women against EPI
diseases. WHV and community representatives help in identifying and motivating target groups.
This has resulted in virtually 95% EPI coverage in areas covered by LHWs, no case of polio and
neonatal tetanus, no outbreak of measles, improved ante-natal care and contraceptive prevalence,
lowering in infant mortality, reduction in malnourished children, and generally improved health
service delivery. Awareness campaigns concerning key public health issues were also carried out
regularly in all the sites.
The BDN - GFATM Round III grant and GAVI –CSO alliance support funding enabled expansion of
community organization/mobilization to most parts of the BDN districts, to involve the communities in
the cure and prevention of Malaria and Tuberculosis employing the BDN strategies, including early case
detection, treatment completion and default prevention through trained community volunteers. Diagnostic
facilities for Malaria and TB were strengthened in 16 diagnostic centers through provision of
microscopes, reagents and supplies, while 22 laboratory technicians were trained in Malaria and TB
microscopy.
The active involvement of communities led to efficient management of mosquito breeding sites, indoor
residual spray of more than 10,000 houses, and social marketing of 6,000 long lasting Insecticide Treated
Bed Nets (LLINS) among pregnant women and young children, creating a revolving fund from the
subsidized sale. Substantial gains were made in Malaria control, by 85 % patients receiving correct
diagnosis and treatment of uncomplicated (Vivax) Malaria and 96% of patients with Falciparum Malaria
receiving correct diagnosis and treatment. Poor TB patients were also supported through microcredit, to
pull them out of the perpetual cycle of poverty and ill health.
Healthy School Initiative was undertaken in 10 schools of the district, mostly girl schools. This included
medical screening of students, Health education for promotion of healthy lifestyle, including personal
hygiene and provision of clean water and sanitation facilities.

iii). Gender Mainstreaming and Women Development:
The BDN program has contributed significantly towards gender mainstreaming and
empowerment of women through education, capacity building, and income generating skills,
participation in decision-making and developmental initiatives. A total number of 16 women
vocational training centers (WVTCs) were established, through community co-financing, where
skills in sewing, knitting, handicraft, embroidery and other vocations were imparted along with
basic literacy to 8,500 women.
These women volunteers were also been trained on nutrition and growth monitoring skills and
provided with weighing scales and growth monitoring charts to make them partners in nutrition
promotion and health education.
Training and Outreach Programme for Ending Gender Based Violence Project conducted 09
capacity building trainings on WHO GBV and Medico-legal Guidelines Manual in which male
and female participants 205 and 67 in numbers. During the year 28 sensitization/awareness
session were organized, 1079 female and 821 male participated. One research study on Rapid
Assessment on GBV parameters in Kasur district.


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Sensitization/awareness sessions in district Kasur during-2011

12 Women VDCs have been formed to enable women to actively participate in the decision
making process and hence contributes to their strategic empowerment. 1,300 small scale loans
have been provided to needy women enabling them to start their own businesses. The local
women have now formed women organizations, Civil society organizations (CSOs) and NGOs,
got them registered and getting donor funding to expand and sustain their activities.

iv). Provision of Clean drinking Water and Sanitation:
The BDN communities accorded the highest priority to provision of clean drinking water and
sanitation. The inter-sectoral team technically supported the communities to plan feasible
solutions and designing / implementation of projects like construction of water tanks/reservoirs,
installation of tube wells, hand pumps and provision of water pipes to expand the water supply
schemes. These projects planned, implemented and sustained by the communities are providing
clean drinking water to more than 200,000 individuals. Similarly, more than 47,724 households
benefited from sanitary latrines through cost sharing basis. Campaigns are regularly organized by
the local communities on Garbage collection, safe disposal of waste and cleaning overflowing
drainage channels. Accordingly, a series of awareness campaigns were undertaken to sensitize
the local population about the health hazards caused due to use of unsafe drinking water and bad
sanitation practices. Water availability has not only resulted in reduction of diarrhea and other
water borne diseases but has also helped reduce the anguish of rural women to fetch clean water
from long distances, besides the economic benefits to the people by crops cultivation or growing
of seasonal vegetables for household consumption.
Partnership building and resource mobilization– a cornerstone of BDN Implementation:
Developing effective partnerships has remained the haul mark of the BDN program. The BDN
organizations have worked effectively with the partners and the district and provincial
governments to tap financial and technical resources for program sustainability and expansion.
Registration of VDCs as Community Citizens’ Boards (CCBs) and collaboration with local
NGOs will guarantee the program’s sustainability in future. Certain VDCs have established
linkages with national and donor agencies. Registration of BDN Program as an NGO, in 2005
provided the opportunity to secure funding from GFATM (round III), GAVI - CSO, UNDP,
government and a number of donors for program expansion. District government and federal
funding has also been available to the Program.

Improved Governance by community participation and co- financing:
The BDN communities have established management Committees to enhance community
participation and improve governance of the basic health and educational services. A system of
co- financing for sustainability of 03 community based MCH centers has been established. Such
measures have resulted in dramatic turnaround in the delivery of quality services to the local,
population. During Jan - Dec 2011 the total numbers of patients 25,572 seeking treatment in
these centers Immunization services delivered to 1109, antenatal check up visits in numbers 3224
Total number of deliveries conducted at these centers is 306 and family planning services have
registered 1315. All these centers increasingly enjoy the confidence of the local community.



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Ownership by the District Governments:

The district government owned the program at all level and nominates the EDO Health as focal
person for BDN Programme activities. Training and Outreach Project for Ending Gender Based
Violence Project that is being implemented by the Basic Development Needs Programme (BDN)
Kasur in Partnership /collaboration with the Health Department of District Government, Kasur.
The project has technical backing from the World Health Organization (WHO) with financial
assistance from the UNDP-Gender Justice and Protection (GJP) and DFID

The Health department support and oversee implementation and monitor performance of BDN
activities. District Government has provided funds and human resources for community projects.




                                                                                 Page 6 of 33
Multan, Punjab


        Basic Development Needs (BDN) Programme District Multan, Punjab
                                   Pakistan.
                                     Progress Report-2011

   BRIEF HISTORY OF ORGANIZATION

          BDN Program Multan was launched at Chak 6MR Multan in December 1999 in one
   Union Council Khanpur Marral having population 23,500. Now this program has been extended
   in 08 Union Councils of Multan having population 170,646. Total 46 Village Development
   Committees (VDCs) have been formed in catchment area. All these VDCs have got orientation
   about BDN Program, its methodology and implementation. Under this program during the year
   2011 a project of GAVI alliance (GAVI-CSO) support have been launched for maternal and
   neonatal health. The project aims to reduced IMR and MMR in the target population and also
   worked for increase in EPI coverage in the target population.

   ACTIVITIES

   Following activities have been completed during the period January 2011 to December 2011.
   (i) Training of CRS & Executive Members of 46 VDCs
          46 VDCs having 138 executive
   members and 460 (Cluster Representatives)
   CRs are to be trained regarding health
   awareness to insure vaccination of the
   children. Further more these VDC members
   are doing the job of Treatment Supporter to
   eliminate TB from the target area. They also          Training of CRs at Chak 12MR
   helpful during polio eradication campaign.




                                                         Training of CRs at Chak 1MR




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(ii) Training of 200 LHWs on EPI and growth monitoring
        03 days training of 200 LHWs was
conducted at respective BHUs and RHCs on
EPI to increase EPI coverage in the target
area. These LHWs are working in their
catchment area and very helpful to increase
EPI coverage upto 98% and TT vaccination
100%. Furthermore these LHWs are to be
trained on maternal and neonatal child health          Training of LHWs at BHU 18MR

which ultimately helpful to reduce MMR and
IMR.

(iii) Training of Women Health Volunteers (WHVs) on Health Awareness regarding EPI
03 days training of 200 Women Health Volunteers
(WHVs), was conducted. These WHVs are trained on
health awareness regarding EPI expanded program of
immunization and MNCH services provided by
BHUs and RHCs in the target area and also
03 community based MCH center established
under BDN Program. The WHVs are very
helpful during polio eradication campaign
specially in areas where LHWs are not
available.

                                                     Training of WHVs at Chah Yousif Wala
 (iv) Training of Doctors & Paramedics on Integrated Management of Neonatal and Child Illness
(IMNCI), Methodology
        A training was conducted at Children
Complex Hospital, Multan in which 15
doctors and 14 paramedics were the
participants, on IMNCI for 11 days. These
participants were asked to adopt this
methodology of IMNCI at their respective
health facilities. Now the BDN program
monitor these health facilities providing
treatment under IMNCI methodology.

                                                     IMNCI Training of Doctors and Paramedics

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(v) Training of 50 TBAs on safe delivery
A one day training of 50 TBAs was
conducted at BHU 18MR on safe delivery.
These TBAs were provided delivery kits to
ensure   safe   deliveries   in   the   target
population.




                                                      Training of TBAs at BHU 18MR


(vi) Establishment of 03 Community Based MCH Centers in the target area
03 community based MCH Centers are to be established in the target area. These centers are:
(a) MCH Center, Chak 14MR, situated at
Chak 14MR, Union Council Khanpur Marral.




(b) MCH Center, Chak 18MR, situated at
Chak 18MR, Union Council 18MR.




(c) MCH Center, Jalalabad Shumali, situated
at Jalalabad Shumali Union council Kothaywala




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(vii) Strengthening of 03 Rural Health Centers (RHCs) in public sector.

      03 RHCs in public sector are to be strengthened by provision of necessary medical
equipments and necessary medicines to provide 24/7 MNCH services. These 03 RHCs are
namely.

       (a)     RHC Qadirpur Rawan
       (b)     RHC Makhdoom Rasheed
       (c)     BHU 18MR
(viii) Provision of Social Safety Nets
To ensure safe deliveries in the target area, poor pregnant women were provided Social Safety
Net, Rs. 5,000 to each pregnant woman on the recommendation of LHV of community based
health centers.

These are the major activities which are completed in the period January 2011 to December
2011.




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Dadu, Sindh


               BASIC DEVELOPMENT NEEDS PROGRAME DADU SINDH
                           PROGRESS REPORT 2011

 The Project objectives are
       1. Bringing about general socio-economic development through an improvement in the
           health

        2. status of the people of district Dadu and Jamshoro.

        3. Reducing poverty through an increase in the consumption power of the poor,
            generation of employment, participation of communities in development.

        4. Somewhat reducing the financial burden of the public exchequer.

        5. Effecting an improvement in the quality of life of the people through an improvement
            in the health indicators through integrated socioeconomic development and health
            promotion through increased literacy and environmental health measures.

 It may be mentioned that Poverty reduction is the main policy theme of Government of Pakistan.
 The proposed project ultimately aims at reduction of poverty through improvement of social as
 well as economic indicators with maximum inputs in the health sector.

 The Basic Development Needs (BDN) Programme was launched in year 1996 in union council
 Bubak taluka Sehwan aims at achieving a better quality of life, with an ultimate goal of attaining
 good health. It is an integrated socio-economic development approach based on full community
 involvement, community organization and self-reliance through self-management and self-
 financing by the people. It is a self sustained development strategy based on bottom-up planning
 which offers vital support to inter-sectoral collaboration for correcting urban rural imbalance,
 transformation of social lifestyle and overall human development.

 It has been widely acknowledged that certain major determinants of ill health fall outside the
 scope of the health sector and are mainly related with socio-economic and cultural aspects such
 as poverty, illiteracy, and over-population. These inhibiting factors adversely affect the
 development, quality of life and heath status of communities. The World Health Organization is
 therefore involved in assisting consolidated global efforts to reduce poverty. After successfully
 launching the BDN programme in some other regional countries, the program was introduced in
 Pakistan during 1995. The Ministry of Health, provincial Departments of Health and the World
 Health Organization jointly undertake the initiative, and the program is now functional in 7 areas
 in the country including Dadu and Jamshoro districts in Sindh.

 Since the start of the BDN program in Sindh, thousands of families have been directly benefited
 through micro–credit enterprises in livestock (milking animals and poultry farming), agriculture,
 skilled and unskilled trades and women development. Communities have been responsible for
 25-30% cost sharing of small scale enterprise at implement phase and forthcoming up to the cost
 of the project, at initial/implementation phase and total cost of project operation. They are also

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responsible for the entire management of these income-generating projects.
The fundamental purpose of development is to improve the overall quality of life of the people
with a major emphasis on improving their health status. The economically marginalized sections
of the people with low income often suffer from ill health coupled with illiteracy and have
usually few opportunities for education, training or employment. These inadequacies further
intensify the vulnerability of these groups to diseases and ill health, which is why the capacity to
develop itself is dependent on health. As a result, the health sector is a legitimate pathway for
social transformation and any investment in this sector can form the basis of all economic and
human development.

In the Basic Development Needs (BDN) concept, health implicitly constitutes an entry point and
an integral element of the indivisible package of basic needs necessary for poverty reduction and
sustained human development. Furthermore, BDN is an effective strategy for inter-sectoral
collaboration and a tool to enhance the ability of the people to contribute actively in an effort to
bring about sustained improvement in quality of life. This dynamic relationship between ill
health and poverty and the impoverishing nature of illness illustrates the valuable role that has to
be played by the healthcare systems.

BDN interventions on primary health care and poverty reduction are based on a conceptual
framework, whereby the implementation of health and nutrition activities are closely coordinated
with ongoing health and other related interventions such as education, water, sanitation and
means of increasing income. The gains in the latter are partly invested on health and education,
which together form the basis of social development. Through social mobilization of the
programme, the value of seeking and investing on essential health interventions is enhanced,
creating a climate that allows the growth of the requisite capabilities for bringing about poverty
reduction on a sustainable basis. BDN could thus pave the way for the development of
prepayment schemes that finance essential health interventions through public sector and
community co-financing.

During the pilot phase carried out through a WHO grant, the major objectives of the BDN were
to improve health and literacy, alleviate poverty by generation of employment and enhancing the
capacity of communities. By doing so the financial burden of the public sector was somewhat
lessened. The objectives were achieved through investment in the following sectors:

Major social projects carried out in partnership with the local communities include:

    Extension of a comprehensive health care program with an emphasis on immunization,
     maternal and child health care, thereby ensuring the full coverage for all households.
    Nutrition education and promotion through growth monitoring and counseling.
    Promotion of family planning among married couples.
    Promotion of primary education performance, with emphasis on girls’ enrollment.
    Establishing literacy centers for girls who missed to join formal education.
    Promotion of adult literacy programmes
    Building community primary schools
    Promotion of youth recreation and sport activities with anti drug and anti smoking
     campaigns.

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     Mobilization of community efforts on sanitation and garbage disposal.
     Elimination of stray dogs in BDN catchment areas.
     Dissemination of positive social and cultural practices: Formation of peacemaking, youth
      cultural /religious community groups.
     Environmental sanitation and establishment or rehabilitation of drainage systems for
      waste water.
     Irrigation projects involving development of deep tube wells or installation of diesel
      water pumps in shallow dug wells.
     Agricultural projects including provision of loans for procuring better quality seeds
      fertilizers and fruit plantations.
     Dairy and livestock projects
     Poultry farming.
     Fishing boats and nets
     Honey bee farming
     Support to traditional means of public and goods transport
     Cottage industries including shoe making, ironwork, gas welding plants, wood work/
      carpentry, tailoring, and retail grocery shop
     Female skill development centers including handicraft.
     Forestry development.
     Small scale business activities undertaken by local entrepreneurs.


BDN MEETING ON 20TH MAY 2011 AT THQ SEWHAN

To days meeting was called in the follow up of BDN General meeting held on 24th April 2011
in which high level BDN machine comprising of Dr. Samia, Dr. G.N. Kazi from WHO
Islamabad and Dr. Nisar Solangi from sub office WHO Karachi were present and chaired the
meeting.

AGENDA
1  Finalize list of WVTC Centers, literacy centers and computer centre in all BDN Talukas
   along with nominations of focal persons for each center for sustainability.
2  To review last year performance and decision for abolishing unwilling clusters and
   selection of new willing clusters.
3  To finalize complete damages in Talukas and coordination with other NGOs for
   construction of damage houses.

DECISIONS OF THE MEETING:-

1    As per agenda all participants finalized list of WVTCs, literacy and computer list of all is
     enclosed here with.
2    Each Taluka VDC chairman was nominated for focal person of all centre


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         Working in his Taluka and he will be responsible for sustainability of all those centers even
         in future if funding is not coming from any source. These focal persons/Taluka bdn
         chairman will sensitized concern community for proper monitoring supervision also in their
         catchment areas.

3      Last year BDN area was in super flood and in Taluka K.N.shah and sewhan Along with
       manjhand were in great loss, even than no any funding and Help was received from BDN
       except 10 thousand bed nets from UNICEF and very small quantity of medicines from who
       sub office Karachi for medical free camps . All participants request who Sindh and Pakistan
       to start support of all damages in BDN area on priority and special in re con construction of
       all damaged houses.

    Meeting on Implementation of BDN in Jamshoro and Ghotki Date 21/11/2011
    Venue EDO Health Office Jamshoro

    Objectives of Meeting
      1. Follow up of Updates of progress of BDN Program implantation in District Jamshoro and
          Ghotki
      2. Discuss nominations and schedule of Orientation workshop at District Level and for
          implementation of BDN District Jamshoro and Ghotki
      3. Discuss nominations and schedule of Technical Inter-Sectoral teams at UC Levels for
          implementation of BDN District Jamshoro and Ghotki

        Participants of Meeting
       1. EDO Health Dr Syed Munawar Ali Shah
       2. Dr Khadim Lakhiar, Program Manager BDN
       3. Dr Shahida Memon,FP MNCH District Jamshoro
       4. Dr Mushtaque Memon, Provincial MNCH Officer-WHO Sindh
       5. Dr Ahmed Khan Laghari, District MNCH Officer-WHO

        Action Points
       1. Khadim Lakhiar Programme Manager BDN updated the Participants on the Progress as
          Under.
        Basic Work for Taluka VDC Kotri , Female VDC and UC VDCs of UC Kotri city and
          UC Nagoline has been completed.
        Basic work for formation of VDCs in Taluka Ghotki is also under Progress.
        List of Complete Organization will be communicated by Programme Manager on e-mail.
       2. Orientation and Planning workshop of District Jamshoro will be conducted on November
          29, 2011 at PHDC Jamshoro.
       3. List of Participants for Jamshoro and Ghotki Finalized in the meeting with consensus.
       4. Dr Khadim Lakhiar Programme Manager will Contact EDO Health Ghotki (He is on 15
          Days Leave) in this week to finalize the date of Orientation Planning workshop at Ghotki
          and he will communicate to the partners.
       5. Soon after completion of two Orientation Planning Workshops, four day Training of
          Technical Intersectoral teams will be organized in both districts.


                                                                                       Page 14 of 33
Plan of Implementation of BDN orientation and planning workshop at District Level in
District Ghotki

Achievements Upto 2011
    The program started in 1 UC only and now it is in 7 talukas of two districts Jamshoro and dadu
    All 83 VDC’s are trained in DEWS, HMIS, Malaria control, EPI,TB dots and MCH 2155 CRs
     are trained in DEWS, HMIS, Malaria, EPI, TB dots.
    79 Women Health activists and volunteers are trained
    22 WVTC established ,13 functional.4420 women trained
    67 literacy established ,46 functional
    off-road ambulances of 3 RHC repaired by BDN Program and made functional.22 bicycles
     provided to vaccinators
    Narcotics rehabilitation ward strengthened in Taluka hospital sehwan and manjhand
    Equipment provided to all health facilities of Taluka sehwan
    Distribution of insecticides treated nets
    1 WMO,2 LHVs,1 dispenser and 2 TB technicians provided in health facilities
    vaccinators provided for hard area
    1 display center at Sehwan
    291 hand pumps,189 latrines,10 water supply lines ,constructions of sewerage lines in four
     villages
    899 families benefited in income generation projects
    Constructions of latrines and provision of water and 11 schools through Kuwait government
     funds.

   Conclusion
    Although the program has benefitted the community but still there is lack of ownership.
    The community is dependent upon the funding of program especially after the last years floods
     and current monsoon rains.
    Sustainability of program is questionable when there is no support from government and WHO.

FUTURE ACTIONS

Through the funding from NPPI , the program will be strengthened in Jamshoro and will be
implemented in Ghotki District.

It is also proposed that the program will be started in UC Darsano Chano. This UC is in the
outskirts of Karachi district in Gadap town.




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 Nowshera, KPK


         Basic Development Needs (BDN) Programme District Nowshra
                                  PROGRESS REPORT 2011


Profile of Nowshera
Nowshera is a Gate Way to Pakhtunkhw (also locally known as "Now" "khaar") and is one of the
most historical and important district, situated in Khyber Pakhtunkhwa province of the Islamic
Republic of Pakistan. It is bordered to the west by Peshawar, to the Northwest by Charsadda and
Mardan, to the east by Swabi and to the Southeast by Attock districts most of the area is hilly.
Population of the Distt is 1.2 Million. Annual growth rate is 2.9%

BDN Program Nowshera

The BDN Program was started in the Nizampur area of Distt Nowshera in 1995. The main
village Nizampur is situated in Illaqa (Area) Khwara, falling in Illaqa Khwara comprises about
35 main villages and some newly extended small settlements. This area is located on the right
bank of river Indus and bordered to Khairabad town, Bahadur Baba shrine, Saidukhel village,
Cherat cantonment and Darra Adamkhel area. There is one police station, one Rural health center
and a small bazaar in Nizampur.

EDUCATION AND LITRERACY

Promotion of Female Education In BDN Area By Reducing Dropout Ratio And Increasing
literacy Rate In Female;

Female education was big challenge in the BDN area; most of the Govt. Schools were non
functional due lake of staff. In the girls Primary and middle Schools in BDN area the drop out
ratio was increasing day by day. This serious problems was the main hurdles for female students
enrolment in girls School education.

BDN accepted this challenge by upgrading the existing Govt. Primary Schools to Middle and
Middle Schools to High Schools by construction of additional rooms in the premises of Schools
and by provision of teachers to ensure the enrolment of female student from Primary to Middle
and Middle to High Schools.

By adopting these fruitful strategies the drop out ratio of females has been reduced substantially.
Now the Literacy rate in the females is increasing day by day and now they are receiving High
School Education in their home towns. Currently more then 500 female students are studying in
these schools. These schools are also providing Health Education to the students to improve the
Health status of their families.

Following these pioneer steps taken by BDN now the Government has started the up gradation of
these schools properly and ensuring the availability of staff. It is expected that by the year 2012
Government will take the charge most of these schools and BDN will be able to withdraw these
resources and will be able to utilize in some other Projects.

                                                                                    Page 16 of 33
Women Empowerment through skill development, Income Generation and Adult Literacy
It was observed with great concern that in BDN area there is Male Domination mainly because
they are the only source of income generation. Females were unable to go out of their homes for
earnings due to lack of education and skills.

In order to cope up with this imbalance Social difference, BDN has started to establish Women
Vocational Centers by providing teachers and equipment with the help of Village Development
Committees. These centers are providing health education, adult literacy and skills of tailoring,
embroidery, knitting, carpet making and handicraft to generate their own sources of income for
betterment of their living standard. All the activity in these centers are monitored frequently by
the WVTC Supervisor and Program Manager for smooth running of the centers. Due to
concerted efforts of BDN more than Three Hundred female has been trained from these
Vocational Centre in different skills in the year 2010. Now these females are working in their
homes for various garments outlets and retail shops and giving financial support to their families.

11 days Modular training on IMNCI for Doctors/paramedics in BDN area Nowshera with
collaboration of WHO, GAVI and MNCH Program

11day’s complete Modular training on Community Integrated Management of Childhood and
neonatal illness ( IMNCI) was conducted by BDN with the collaboration WHO, GAVI, and
MNCH Program KPK at DHQ Hospital Nowshera, for the capacity building of District Health
staff, Doctors/ paramedics of the BDN area, for the betterment of mother and child health in safe
hands to improve the services of IMNCI to reduce maternal mortality rate and infant mortality
rate. the under -5 children and to improve early case detection and referral of complicated cases
to the appropriate referral level.
Strengthening of local health facilities by establishing labor rooms for safe motherhood .These
measures will eliminate the delays usually encountered during deliveries and improves access to
institutional deliveries which has strong impact on averting maternal mortality and infant
mortality. For the implementation of this component along with the training of 25 health
professionals / health care provider 100 LHWs, 25 TBAs, and 200 community volunteers are
also trained on community IMNCI to educate the community and mothers on Home Health Care
,antenatal care ,safe and clean delivery postnatal care including family planning ,timely and
correct identification of risk pregnancies management of diarrheal diseases and acute respiratory
infections. The WHVs with sufficient educational background are identified by the community
from each village in the areas not covered by the LHWs and are assigned specific areas where
they working on voluntary basis. These WHVs will be merged in the LHWs cadre later, as the
National PHC / FP program is expended

Health And Nutrition
Establishment of Two New Community Base MCH Center
Location of Project: Village Khankohi / Siavee U/C Inzar Village Barabanda U/C Barabanda
No of Beneficiaries: More Then 150 Thousand Population

This Project of MCH Center BDN completed with the collaboration of GAVI, WHO, MoH .
Through this project two community Based MCH are established at village khan kohi and at
village Bara Banda, these Centers are providing round the Clock seven days a week (24/7) MCH
/ services to the poor rural population. In this Project Safe deliveries are ensured through skilled
and trained staff in well equipped labor room to reduce the IMR and MMR in rural communities

                                                                                     Page 17 of 33
.These centers are also playing a key role in improving the family planning / reproductive health
through health education. These centers are also providing the facility of Ultra Sound, routine
Lab Tests and TT vaccination. A community based Health Management committee is monitoring
the performance of these centers and providing support for the functioning of centers through
enhanced community participation and cost sharing.

11 days IMNCI training was also conducted for Doctors and Paramedics of the BDN area to
enhance the capacity building of health care provider and 3 days training was conducted for
LHWs, Women Health and VDCs to improve the knowledge and create awareness in the
community.
Targets of the Project
    Establishment of New MCH Centers in BDN area.
    Provide Safe Delivery facilities to Pregnant Ladies.
    Provide Family Planning / Reproductive Health Services.
    Increase EPI Coverage
    To Reduce MMR
    To Reduce IMR




    Lady Health Visitor examining the patient at   Malak Taj Chairman VDC Inaugurating the
        MCH center Khan Kohi Nizampur                MCH Center at Khan Kohi Nizampur

Polio Campaigns in District Nowshera

Regarding Health activities in the District. BDN is playing very active and positive role to
Eradicate Polio from the District by joining hands with Distt Health. BDN is participating in
each and every Polio Campaign by arraigning walks, trainings of the Polio Teams, Social
Mobilization and Monitoring. BDN is also providing financial support for Polio campaign by the
provision of vehicle. All the BDN VDCs are playing very active role in creating awareness on
the importance Polio Vaccination, identifying the missing cases in EPI, activating Health
Management committees in health facilities. Most of the VDCs and CRs are also by themselves
working in Polio Teams, doing mosque announcements, Social Mobilization in the area and
fallow up of the missed children during the Polio campaign . The VDCs are also playing active
role by convincing the refusal cases of Polio and Routine Immunization of children and in
motivating the pregnant ladies for TT vaccination.




                                                                                    Page 18 of 33
Mother And Child Week
BDN Nowshera is regularly Participating in Mother and
Child Week twice in the year in the month of April and
October to promote the Routine EPI and TT for Mother
and child Health, By arranging meeting with local
community to create awareness regarding Mother and
Child Week. All the VDCs actively Participates in Mother
and Child Week.
                                                           Meeting with Female VDC at Nizampur
                                                            regarding Mother and Child Week




                                                                               Page 19 of 33
Muzaffarabad


    Basic Development Needs (BDN) Programme District Muzaffarabad/Neelim
                                     Progress report-2011

   Introduction.
   Basic Development Needs (BDN) Muzaffarabad working on three projects. The detail
   of this project is as under.

      1 WHO PHC BDN interventions.
      2 BDN -GFATM Round 6.
      3 BDN GAVI CSO support.

   The working area is also comprised on three districts, Muzaffarabad , HattianBala and Neelum .I
   am working as BDN program Manager Muzaffarabad from last 10 year.
   In 2011 year BDN Program Manager Muzaffarabad carried out following assignments.

   1. Health Education through BDN Voluntary support network.

   BDN Muzaffarabad has voluntary community support network in all catchment areas
   of district Muzaffarabad and Neelum. There are 300 Cluster Representatives (CRs) and
   100 Women Health Volunteers (WHVs). These volunteers conduct health sessions and
   consultative meetings in their respective communities.
   In health sessions following important health topics are discussed.
        Importance of vaccination and identification of missed children.
        TT vaccination in pregnant ladies and CBAs.
        Special care of women during pregnancy and delivery.
        Management of ARI, diarrhea and anemia.
        Causes and preventive measures of malnutrition.

      The Village Development Committees (VDCs) meetings are key feature of BDN
      program. The consultation processes for sustainable development start from these
      meetings. In said




                                                                                    Page 20 of 33
2-    Women Development & Empowerment.

A.    Gender based violence control.

Through WHO gender program trainings were organized regarding gender based
violence and health sector response. In this connection different activities were carried
out.

1-A assessment was facilitated in BDN communities and health managers regarding
available health prevalence of gender based violence incidents and available health
services in existing health setup.

2-45 health managers and health care providers were trained in two sessions different
possible incidents of gender based violence and response at health facilities. In this
regards strategies were also discussed to create awareness in the masses for supportive
environment .These health care providers contributed valuable services in their
catchment areas.

3-30 decision makers of health department were orientated on different dimensions of
gender based violence. It was also discussed that what kind of facilities and technical
expertise are required at health facilities and to cater such kind of incidents.

4- Behavioral Change Communication (BCC) and awareness creation material on
gender based violence was distributed in BDN communities and particularly at health
facilities. This activity helped in awareness creation in far flung communities.
5- BDN Program is member of Gender Reconstruction and Rehabilitation Net work
(GRRN). This forum is working for coordination and streamlining of efforts made in
women development sector .Through this forum BDN is asserting for partnership
building and resource mobilization.

B.    Women skill development.

Skill development is ongoing in three women vocational centers. In last year 57
women completed their training on different handicrafts and 75 further are currently
under training. Initially these centers were established through WHO support. Now
BDN program is running all these centers on self help basis through community
participation .The women who completed their training are successfully engaged in
some income generating activities. This skill development contributed in improvement
of their income level as well as living standard.




                                                                           Page 21 of 33
3-       Mother Child health care.

BDN Program Muzaffarabad launched several interventions for mother child health care in all
target areas. The detail of this intervention is as under

A-Ensuring 24/7 MCH services in remote and far flung areas.
In 2010 BDN established 05 community MCH centers in some remote areas of Districts of
Muzaffarabad and Neelum. The detail of centers is mentioned below,

District Muzaffarabad,
   1- KarkaNooraseri 2-Meerakulsi Punjkot, 3- Machiara.
District Neelum
(1-Kuttan Jaagran 2- Lawat Balla)

These centers provided valuable services for MCH.
The detail of services provided through is as under:

All community based MCH centers not only provide mother child health care clinical
services but those are also contributing in health education and other preventive health
care measures.
These centers were established in far off places where such services are not available in
4 to 5 km. Negotiations were made the concerned communities to provide the places on
free of cost Proposed places were also discussed with district health management also.
According to prescribed list of Public sector MCH centers the items were procured.
Sustainability Mechanism
Utilization charges introduced on different services to generate income for
sustainability of these centers. Community health management committees were
constituted for effective services utilization and ensuring sustainability through
community participation.
Outcomes
        Mother Child health care services including antenatal services are available in
         very remote areas.
        Safe delivery services are ensured in far flung areas.
         Awareness increased in masses on preventive health care measure particularly
         for mother child health care.
        No MMR case reported and IMR considerably reduced.
B-       Income Support to deserving persons.
Progress:
55 deserving families were facilitated through this income support initiative.



                                                                                 Page 22 of 33
Methodology:
This support is purely for those poor and deserving pregnant ladies and their families
who have not sufficient resources to avail services of skilled birth attendants’ during
delivery. These cases are identified by concerned CRs/VDCs. BDN community
Mobilizer scrutinized the cases as per following criteria.
            o Poverty
            o Case complications
            o Remote areas
TT vaccinated women are also preferred so that this support would be used as a
incentive to promote TT vaccination.
Outcomes:
                Number of deliveries increased conducted by skilled birth attendants
                No mother death case was reported in BDN area.
                Improved TT vaccination coverage.
C- Strengthening of Public Sector MCH center.
Progress:
Four public sector MCH centers were strengthened in districts Muzaffarabad through
provision required medicines and other supplies. These interventions laid positive
effect on the health service particularly for mother and children.
D-      Training of Lady Health Workers (LHWs) on vaccination skills.
BDN Program Muzaffarabad organized a training for LHWs of BDN areas were
trained on vaccination skills in consultation with district health department so that they
could contribute for enhancing EPI and TT coverage. There was desk training on
manuals as well as practical on EPI centers. Communication skills were also the part of
that training .After this training the LHWs contributed in vaccination and their services
are more valuable and they have coordination with their catchment communities.




ACSM Interventions for TB control.
BDN GFATM Round 6 is going on in district Muzaffarabad and Hattian Bala from last
three years. This project is focusing on moving towards comprehensive DOTS through
advocacy, communication and social mobilization (ACSM). There are six components
in this ACSM programs
     Organizing community events,


                                                                                  Page 23 of 33
      Training of journalist,
      Community Coalitions,
      Orientation of decision makers in public/ private sector,
      Training of service providers,
      Quality assurance trainings for doctors.

In the reporting period 14 different events were conducted in both districts
Muzaffarabad and Hattian Bala. These programs proved helpful for increasing TB case
detection rate in remote areas. BDN community coalitions actively contributed in
referral of TB suspects and there is a established community referral system from grass
root level to TB diagnostics centers. This community based set up also helped in TB
DOTS implementation.




                                                                          Page 24 of 33
FR Peshawar


     BASIC DEVELOPMENT NEEDS (BDN) PROGRAMME, FRONTIER REGION
                          (FR)-PESHAWAR

                                    Progress report-2011

 BRIEF HISTORY OF THE BDN SITE/PROGRAM


 The Tehsil level Frontier Region (FR) Peshawar is Federally Administered Tribal Area is
 inhabited by the Afridi tribesmen. The total population of FR Peshawar is about 120,000 with an
 Annual Growth Rate of 2.2% with a density of population of 206/sq. km. The population of
 BDN area is 32,710 which is 27.25% of the total population. The average house hold size is 8.8
 while the total area is 261 sq.km. The Regional Director, WHO inaugurated the launching of
 BDN Program in FR Peshawar in 2001.Besides others, the inaugural ceremony had also been
 attended by the Federal Minister, Health. Since then a number of projects mainly of provision of
 safe drinking water, income generation, computer literacy, strengthening of health facilities,
 women development, school health services etc. have successfully been implemented. On
 finding the BDN site feasible and Program in FR- Peshawar as quite successful the GLOBAL
 FUND also commenced/ concluded its activities           (2006-08) against the menaces of AIDs,
 Malaria and Tuberculosis through initiating different interventions ranging from preventive,
 curative measures to the provision of micro credits to the needy ones as supportive drive. These
 additional initiatives of GF in close collaboration of the BDN Program further cemented
 confidence of the masses on pioneer program. 30% and 80% of the total population of FR-
 Peshawar have been covered under the BDN and GFATM Program respectively. The community
 of this lagged behind area is hopping more developmental interventions from the WHO/ GOP for
 speedy mitigation of their sufferings.


 ACTIVITIES IN 2011
 During 2011, on regular basis, the meetings of the BDN Village Development Committees
 (VDCs) Chairmen, Cluster Representatives (CRs) Coordinating Chairman and Program Manager
 were held on 1st Sunday of each month.

                                     First Sunday Meeting.




                                                                                  Page 25 of 33
These meetings aimed to deliberate upon the BDN Program related issues to amicably solve
them in order to provide conducive atmosphere for the program different stake holders so that
the ultimate beneficiaries of the projects implemented are given a fair chance to reap their
advantages. During 2011 the sustainability of the projects implemented was analysed through
physical visits to almost all the projects completed. Heat was kept on campaign for recovery of
micro credit extended under BDN and GFATM programs. Different queries of the BDN
community were timely responded so that the confidence of the community is not shaken for the
sole purpose of keeping the community ready for cooperation.




                                     2nd Sunday Meeting.


During 2011, look after of the assets available from GFATM was ensured under strict vigilance.
The month of September 2011 remained quite busy for the reason that the BDN program
authorities and community were optimistic that a call would be given in the meetings / workshop
under the chairmanship of Dr. Muhammad Assai, Regional Advisor, Community- Based
Initiative on September 13-14, 2011. During the first quarter of September 2011, series of
meetings of the Cluster Representatives, Village Development Committees (VDCs) Chairmen,
Coordinating Chairman, the Representatives of the line Departments and Projects Authorities
took place in which draft project proposals were prepared after detail consultations which were
later on handed over to the Program Manager for analyzing and presenting before the next JPRM
meeting. The CRs also proposed new replacements in the BDN (community part) team which
were agreed upon.
During this period besides rendering routine office work, liaison with District Administration
offices, concerned line Departments, The Bank of Khyber/National Bank of Pakistan in
Peshawar (for Account of the BDN/GFATM Program) and BDN Program office, Nowshera was


                                                                                 Page 26 of 33
ensured through visits and telephonic contacts.
During the month of December in series of meetings a modus operandi was chalked out to utilize
the finances accumulated (to the tune of Rs. 0.5 million plus) from recovery of the loans / credits
extended by Global Fund Program on projects of public interest.
In the last meeting of 18th December, 2011 the community representatives thanked all concerned
specially the WHO and Ministry of Health for their endeavors already undertaken for
overcoming the miseries of the poor masses of the backward area of FR- Peshawar. They further
assured all out support for taking forward the Basic Development Needs (BDN) program on the
path of success.




COMMUNITY NEEDS AND PLANS FOR THE FUTURE
The BDN community direly needs construction of washrooms for improvement of sanitation
status, provision of more drinking water facilities, strengthening of existing health facilities and
reorganization of village development committees through refresher courses specially on health
for CRs and VDCs. The intensity of sanitation problem can be mitigated if Rs.0.5 million funds
available from Global Fund program is allowed for construction of washrooms. A community
gathering is reflected below;
The community will finalize its Draft Project Proposals (Bulk of the projects for sanitation
improvement) in February 2012 for implementation.




                                                               Meeting on Project Proposal
                                                                                     Page 27 of 33
Mastung, Balochistan


                  BASIC DEVELOPMENT NEEDS (BDN) PROGRAMME,
                            District , Mastung, Balochistan
                                 Progress report-2011

 Brief history of Organization

 The BDN Basic development needs programme was first launched in 1996 in district Mastung
 on the initial phase it was started in 12 villages of the union council Sorgaz , after successful
 implementation and impact it was replicated in the other 10 union council of the district .
 The programe is based on the philosophy that Health cannot be achieved without improving the
 over all quality of life by adopting a holistic approach.

 Coordination With District Health Management
 The district health management is fully involved in the BDN GAVI project and its guide lines
 and recommendations are always given priority during the implementation of the project.
 During the planning of each activity the District health management is also invited and after
 implementation the progress reports are shared with it.

 Since than programme is working with the same philosophy at Mastung district in 10 Union
 Councils of having total Population 1, 66,059

 The GAVI–CSO Funded Project
 Global alliance for vaccination and immunization (GAVI) is funding a project on mother and
 child health at Mastun district and BDN is one of its CSO in Mastung District.

 GAVI is a unique programme which is addressing the issue of mother and child and
 implementing its activities through local partners and stakeholders , therefore, currently
 the issue of mother and child has been giving priority by the other health based
 organization and district health management on one and on other hand local health provider
 and public is sensitized on the issue of mother and child health through provision of
 information and knowledge .

 The Overall Goal Of The GAVI Project is:-
     To achieve the MDGs 4 and 5 through participation of grass roots level.
 The Overall Objectives Of GAVI CSO:-
     Community based awareness and advocacy on issues of maternal, neonatal and child
       health to enhance demand and facilities access.

        To enhance service delivery of comprehensive MCH interventions through involvement
         of communities especially women and seeking their active participation in relevant
         health action and creation of social safety nets for most vulnerable for seeking
         delivery through as skilled birth attendant .


                                                                                   Page 28 of 33
       Improving access to quality EmONC and child health care delivery services through
        improving health workers skills in the Public and the community based MCH centers.

Progress Against Activities:-

Training Of Lady Health Workers (LHWs):-

Three days trainings for LHWs conducts in 2 sessions and these trainings were planed in those
areas where GAVI community based MCH centers will be established. On other hand it was
also decided that those LHWs should be involved in these trainings whose expertise would be
utilize in further interventions for achieving the best targets and support the
community.

The role of the LHWs would be to support in provision of primary health care facilities to the
community on there door steps.

The three days LHWs trainings agenda was as follows for both sessions.

       Pre-pregnancy

       Pregnancy

       Birth

       Neonatal period

       Infancy

       Post Natal Care

       Family Planning

       Breast Feeding

       TT vaccination

       Aims and Objective Of EPI
        Programe

       Target Disease Of EPI

       What is Vaccine?

       Cold chain




                                                                                Page 29 of 33
Training Of VDCs & CRs:-

Village development committees (VDCs & CRs) are the main agent of change of BDN for the
development and sensitization of the people on all health and social issues. 57 Male and female
VDCs & CRs were trained from 10 union council of the district in one day training session.

The purpose of this training was to sensitize the front line soldiers of the BDN and also traine
them about the management of the office record.

The main role of the VDCs & CRS members will be to conduct community meetings
dissemination of information.

Trainings For Women Health Volunteers (WHVs):-

In three days trainings 20 WHVs were in One sessions .
Women Health Volunters are the main supporter in this project and will be fully involved in the
interventions for mother and child health.
Most of the WHVs were from those areas where mother and child are not in good condition
and peoples are not educated and having limited or no knowledge of mother and child health.
Trained Human Resourse will conduct awareness session’s in their villages and institutes for
disseminating information about EPI and mother Child Health




Improving Routine EPI Coverage:-

Improving of routine EPI coverage was also mentioned in the annual and quarterly work plan.
Therefore during this activity planning and budgeting with the BDN team and District
management .this budget should be utilized on the repair of mobile EPI vehicles because EPI
vehicles are off road due to non availability of funds and needs major repair. EPI vaccination
especially TT vaccination in women will be increased in the targeted areas.




                                                                                  Page 30 of 33
WOMEN Development :-

Women Vocational Training Center’s:-

The five women vocational training centers completed thier duration of one year. The name and
union council of the these ceners are as under

       Women vocational training center   PringAbad     U/C Sorgaz
       Women vocational training center   Kardgap       U/C Kardgap
       Women vocational training center   QasimAbad     U/C Mastung 2
       Women vocational training center   Pirkanoo      U/C Mastung 1
       Women vocational training center   Dringer       U/C Shiekh Wasil

85 women completed their vocational training and are skilled in Tailoring, cutting and Balochi
Craft’s and also got training on Home Health Care .

Adult Female literacy Center’s:-

4 women literacy centers completed their duration of one year the name and union council of the
center is as under.

   1.   Women Literacy Center   Kardgap               U/C kardgap
   2.   Women Literacy Center   Villege Terri         U/C shiekh Wasil
   3.   Women Literacy Center   Villege Dringer       U/C Shiekh Wasil
   4.   Women Literacy Center   Villege Karez Kamal   U/C Sorgaz

55 adult female are took training in basic statistics, reading, writing and also training on Home
Health Care.

Computer Literacy :-

 2 computer literacy center’s completed thier duration of One Year. The center names and union
council are as under.

    1. Computer literacy center AzizAbad               U/C Mastung 1
    2. Computer literacy center Villege Kardgap U/C Kardgap
48 student’s completed their training and are skilled in Computer Basic’s And Microsoft Office .

Community Based Mother And Child health Centers(MCH):-




                                                                                  Page 31 of 33
Establishment of community based mother and child health center is a also a good intervention
to save the mother and child and provide them the health facilities on there door steps
during 24 hours in the remote areas of the district, where government is unable to reach or
is not functioning properly due to lacking of resources, staff especially female staff .the two
community based mother and child health centers                 are successfully functioning
24hours in two remote areas of different union councils of the district.

 1. Community based MCH center Village Terri Union council shiekh wasil

 2. Community based MCH center Village Pasand Khan Union council Khad kocha.

Before the establishment of these 2 community based MCH centers several mothers in the
remote areas of the District die because of non availability of well equipped labor rooms
facilities and trained workers. Women of remote areas die because of emergency care is not
available at UC level.

Due to provision of antenatel, safe delivery and postnatel services with in the targeted villeges
home deliveries are discoraged by the local population . In futhure IMR and MMR will be
decreased in the facilated areas.

Distribution Of Save Delivery Kits’s:-
Distributed delivery kit’s are being used for save delivery by mid wives in remote area’s of the
District.




Social Safety Net’s For Poor Mother’s :-
Social safety net’s are being provided to the poor and needy women with in BDN GAVI CSO
community based MCH center’

Awareness Sessions :-
Awareness sessions conducted by Social Mobilizer (S M) in health houses of lady health workers
and houses of women health volunteers, where she delivered her session on MCH and EPI.
VDCs and CRs are also involved in the process of dissemination of information in their
catchment areas on MCH & EPI and other Health related issues.
Sessions on mother and child health and EPI and other health issues are held on daily basis in
BDN 6 women vocational training centers , 4 women literacy centers and 3 computer centers at
Mastung District.


                                                                                    Page 32 of 33
BDN Tobacco Free Youth Center;.

Tobacco Youth Center Village Aziz Abad Union Council Mastung 2 Is Running successfully
And Provide Healthy environment to the youth of union council Mastung 1,U/C 11 U/C 111 ,
and no doudt that this move to involve youth in the self rewarding to the youth by giving their
confidence in themselves and in their ability to impact on their communities in a positive
manner. This impact will also be felt by the poor and needy members of community. This
strategy will also prepare youth to plan, manage & own their Future. This project addressed the
importance of youth as vital members of the community, to enhance their active involment &
Leader ship in local development issues, making their partners in health & development
planning, & interested partners at community level.

Benefits :-

The whole female population of UC Shiekh Wasil and UC khad Kucha, as well as the




adjacent areas is now receives maternal and children health services and accessibility on
safe delivery. The village development committees will encourage skilled care for all women
during pregnancy and childbirth.

Out Comes:-
   Rate of MMR and IMR will be reduced in the project area.
   Project will be model for District Government; hopefully, mother and child health
      services will be given top priority in future planning.
   The project will have a good impact on poverty reduction, mediate postnatal care.
   230 deliveries, 1309 antenatal care services, 221 postnatal care services till 30 September
      2011.
   Training of all 80 TBAs and Women Health Volunteers on use of safe delivery kits.
   45 deliveries conducted with the use of safe delivery kits

Best Practices:-
    community based (MCH) centers are successfully functioning and provide 24/7 EMOC
       services at 2 community based (MCH) centers in remote areas of the District
    Promoting women right to health and life.
    Improved access to high quality mother and child health and EPI services




                                                                                 Page 33 of 33

								
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