People can get there so many services like: antenatal care and postnatal care (ANC & PNC services), regular immunization (through EPI), breast feeding counseling, management of diarrhea and malnutrition, management of acute respiratory infection (ARI), distribution of Vitamin A capsule, identification and treatment of anemia of women and adolescent, prevention of iodine deficiency, providing Tuberculosis (TB) & Leprosy drugs, management of malaria and management of common injury. The community clinics provide counseling and distribution of family planning materials and contraceptive injection by trained providers. These clinics provide counseling of hygiene and sanitation and make behaviourial change communication (BCC) for overall healthy life style of people.
The community clinics register eligible couples, pregnant women and newborns. It keeps birth and death registrations.
The present government has taken a five year (July 2009 to June 2014) project namely Revitalization of Community Health Care Initiatives in Bangladesh. Estimated cost of the project is Taka 2,677 crore and 49 lac, where government of Bangladesh (GoB) will contribute Taka 2,177 crore and 49 lac.
The purposes of the project are manifold. Through the community clinics people will get aware of health, nutrition, population and family welfare issues. Health seeking behavior in the rural people will be uplifted. The project will also develop sense of ownership among the people on public facilities. People will get the service at their door step, free or at an affordable cost. Performance based incentives will be introduced for the providers. Alternate financing for health care will be established through cost recovery scheme.
Some of the major activities of project are: to revitalize and strengthen 10,624 existing community clinics; to introduce community clinic functions in 4,500 existing union and upazila health facilities; to re-build 99 demolished community clinics and establish 2,777 new community clinics where community clinics were not constructed before; to recruit and train 13,500 CHCP (Community Health Care Provider), one for each community clinic; to institutionalize all the 18,000 community clinics under an integrated upazila and district health system, and establishing an effective referral linkage.
Community clinics are managed by Community Groups. 9 to 11 member community groups are formed with members from local elites including land donor, teachers, women group, land-less, etc. Local member of union parisad will be the Chairperson. Either of Chairperson or Vice-Chairperson should be female. Health Assistant (HA) and Family Welfare Assistant (FWA) will be member without right to vote. CHCP will act as member-secretary once they are appointed. The community groups will accumulate resource and mobilize health care in the community level.
Newly created 13,500 CHCP will be full time health providers of community clinics. Their recruitments are planned to make at a time in the financial year 2009-2010. They will be minimum HSC or equivalent, with computer literacy. They will be permanent resident of respective ward or nearby ward, preferably female. They will be given in-service training before posting.
After restarting of community clinics the people of village area have become very enthusiastic. They are happy getting services with these facilities. Medicine and contraceptives are available there. So far, about ten thousand community clinics have been restarted. Except Friday, these clinics remain open for six days a week. HA and FWA of the catchment area are working there on three alternate days. National Nutrition Project (NNP) will also work there.
The workers of the community clinics are very familiar and closely connected with the respective community people. So it will be easy and more effective for them to provide services to the recipients.
In near future community clinics will be the nucleolus of integrated information system besides unified health service center. The government has planned to establish e-health service in all community clinics by providing laptops to CHCPs. Reporting and communications will be done through internet. Mobile phone health service will be established there. Thus through community clinics people of Bangladesh will be able to see for the country and nation a new era.
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Autor(en)/Author(s): Munshi Jalal Uddin
Quelle/Source: The New Nation, 21.03.2010
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