Committed to PEOPLE'S RIGHT TO KNOW
Vol. 5 Num 974 Sun. February 25, 2007  
   
Star Health


Endeavour
Active community participation can ensure health services


The World Bank, at a recent report on millennium development goal of Bangladesh said progress on maternal mortality has been slower and much remains to be done. While it has fallen from 574 to 360 deaths per 100,000 live births in the 1990-2001 periods, the maternal mortality rate is still one of the highest in the world.

But there are some villages in Bangladesh where there is not a single case of maternal mortality in last two years. With the help of the local community some non-government organisations (NGO) have done a tremendous success in this sector.

Just a few years ago, people of 55 villages of Prohladpur and Rajbari union under Sripur upazila, Gazipur were lagging behind to get health services. But in last two years there is not a single maternal death case in those villages due to sharp monitoring and proper services.

This wonderful success at a remote pocket of Bangladesh has become possible due to community health management approaches. The ordinary people of those villages themselves are identifying their health problems and taking care of that. With a little help of some NGOs, they themselves set up community healthcare clinics both static and satellite.

Even all the school going juveniles aged 13 to 16 know about the reproductive health and sexually transmitted infections. Simply, people are conscious about their reproductive health and others constructive health issues.

Everything has become possible due to a project of Plan Bangladesh. Local partner Dustha Shasthya Kendra (DSK) has been implanting the health projects with the support of Plan and CIDA two international NGO. Plan Bangladesh is monitoring the projects.

During a recent visit in the project area, the villagers said that they have 100 percent sanitation coverage in those 55 villages. It was not even only one and half years ago.

It has been known that in the project area, Plan has engaged the juvenile and children in the activities. The young populations identify problems of different families in the village. Later the NGO workers talk with the seniors and local representative including chairman and members of the union parishad regarding the problems and the way of their solutions.

Liakat Ali, programme unit manager of Plan Bangladesh told that they have become successful by ensuring participation of children and juvenile in decision-making process.

While visiting a health post at the remote Nanaiya village of Sripur upazila one week ago, it has been seen that all the healthy and capable couple of the villages are registered there. A community health promoter goes from house to house to advice them regarding birth control and reproductive health.

"We do regular follow up the pregnant women so that we come to know if they face any complication and take necessary measures," said Taslima Begum, a community health promoter of Naniya health post.

Syed Ali a villager donated land three years ago to set up the health post. The villagers themselves collect subscription to run the health post, though the amount is very little.

Ordinary women, though they do not have educational background are the members of the executive committee of the health post. During their leisure time they visit and supervise the activities. "We also come to take health services," said Taslima Begum, a member of executive committee.

The villagers are operating six community clinics, four satellite clinics and three health posts in those villages with the help of Plan Bangladesh and DSK. To ensure the health services, 24 community health promoters, nine sub assistant community medical officers, one medical officer and two community organisers have been supervising the health management of those villages.

Besides, young populations in those villages are the member of children club to find out solutions of those problems.

"Last year we stopped a child marriage in our village. Parents of Sonia,13, were trying to settle her marriage. We all from the children club went there and stopped that," said Tamanna a member of the children club. They are also making people aware about dowry and domestic violence.

The Plan Bangladesh also trained the local school teachers about reproductive health to teach the students. Two trained teachers in every high school in the project areas teach the students regarding reproductive health and HIV/AIDS in the classroom.

Soma (not her real name), a student of VIII of Domni Mollika Khatun Adorsho Uchho Vidyalaya in Prohladpur union knows causes of HIV/AIDS and it's prevention. "We learn from here and teach our friends and sisters regarding the reproductive health and HIV," said Soma.

Picture
Students of Domni Mollika Khatun Adorsho Uchho Vidyalaya in Prohladpur union discussing about HIV/AIDS and it’s prevention