The project concluded in September 2009. The final report was submitted to USAID.
1) HMIS system was extended to all 60 remaining wards. 483 'HMIS catalysts' were trained.
2) 72 Ward Health Committees developed an annual plan, and many commemorated health theme days. 125 WHC leaders were trained, and 47 WHCs received refresher trainings, reaching 740 members. Intra-municipality exchange visits were conducted among 35 WHCs.
4) 27 staff were trained on supportive supervision, and 76 staff were trained in C-IMCI (Community Management of Childhood Illness).
5) 558 CHVs (community health volunteers) were trained in health messages; total number of CHVs is currently 3,734.
6) Seven medical personnel received clinical IMCI trainings; six personnel were trained as PP (private practitioner) facilitators.
7) Imams were trained to recognize danger signs and referrals. Refresher training for 351 Imams were delivered.
8) 85% of the 257 CBAs (community birth assistants) were attending monthly sessions at the MCWCs (Municipal Health Partnership Program).
1) Recruitment, orientation and refresher trainings for 705 YVs. 320 new YVs trained.
2) 70 distribution points for low-cost health products such as condoms, ORS packs and water purification bleach have been maintained.
3) Quality of care has been improved with project trainings and guidance in Community Management of Childhood Illness, Integrated Management of Childhood Diseases, drug management, and Behavior Change Communication at district level health facilities.
4) 224 youth volunteers were trained in Mid-Upper Arm Circumference measurement screenings. YVs screened over 3,000 children between 6-59 months that were referred to health facilities as necessary.
5) Concern and GRET conducted a health facility assessment for the SNELAK health center in Descayette and engaged in rehabilitation activities in St. Martin.
6) 17,206 ORS packets were distributed and 188,065 condoms were distributed.
- Documented stories about the contributions of the 3,238 community health volunteers and 99 neighborhood health committee members in saving lives. In 2008, the volunteers made 1,693 referrals and accompanied 1,158 women and children to the hospital, providing both moral and financial support during sick children and maternal newborn emergenices.
- Demonstrated improvements in participatory planning, leadership, resource mobilization and collaboration among 99 neighborhood health committees, following capacity building efforts from 2007-08 and documented in formal capacity assessments.
- Completion of a 3,000 household surveys in March 2009 that demonstrated significant gains since the program started in 2006 in healthy practices such as better feeding and rehydration of sick children, attendance at antenatal care, delivery at a health facility, awareness of danger signs requiring immediate medical attention, particularly for newborns, as well as nearly universal coverage of the population with complete vaccinations and Vitamin A supplementation.
- Formally presented the municipal health model and lessons learned to the Asia Development Bank Technical Assistance Team for the next Urban Primary Health Care (UPHC) strategy coming up in 2011.
- 438 youth volunteers trained to actively promote healthy practices and refer pregnant women and children for health care
- Established 70 points for low cost health products of oral rehydration solution, water purification bleach, condoms, and mosquito nets at locally popular distribution sites.
- Community health faciltators reached over 12,900 men and women with interactive health dialogues promoting healthy practices.
- 28 handwashing stations established at communal latrines.
- Identified and treated more than 150 children with severe acute malnutrition and used this experience to develop national protocols and policy specifically for urban contexts.
- The assessment of the community health capacity and the midterm household health survey has been completed in give disadvantaged neighborhoods in Port-au-Prince.
- The start-up delivery for the community management of acute malnutrition intervention at five outpatient clinics has been executed.
- An article was submitted to the Journal of Health Policy and Planning on the sustainability assessment of the municipal health model from Saidpur and Parbatipur Municipalities in Bangladesh.
- Assisted city officials in nine Bangladesh municipalities to develop skills that would enable them to facilitate their own neighborhood health committee capacity assessments and action planning.
- 92 Youth volunteers are now actively promoting health in Cite Okay, St. Martin and Descayettes.
- The national ministry of local government is beginning to recognize the credibility of Concern's urban health mobilization strategy.
- The Secretary of the Ministry committed to organizing a formal sharing meeting with key urban health donors in Dhaka in the coming months.
- Ten neighborhood committees completed assessments and developed action plans to strengthen weaker capacity areas.
- Planning to convene 1st urban health platform meeting with the West Department Ministry of Health and key urban health actors in Port-au-Prince.
- Seeking commitment from MOLGRD in Bangladesh to participate in midterm evaluation of Concern's program for August 2007 and post-intervention sustainability review for old program areas in November 2007.
- Plans to launch Post-Intervention Sustainability Assessment in Bangladesh (June 2007) as means to further advocate community-health services/local government model for urban health promotion in Bangladesh. Main reason for this assessment is to examine the extent to which health outcomes, quality of care, community organization, and local government capacity have maintained or further improved their health situation.
- Implement skilled deliveries, prenatal and postpartum care for 5,000 women per year; proper rehydration for 250,000 sick children per year; full vaccination coverage for 21,300 children before their first birthday each year; and prompt care for 190,000 children with pneumonia per year.
- Foster appropriate policy environment including awareness and visibility of effective policy recommendations among political leaders in Bangladesh & Haiti of the problem of urban health for the poor; and existence of platforms for constructive engagement between NGOs and policy makers in Dhaka and Port-au-Prince.
Milestones and Key Actions
- 13,200 children under the age of five receive Vitamin A supplements
- Behavioral change: 1,730 more women gave birth in health facilities verses their own home
- 3,010 children with symptoms of pneumonia received treatment from a trained volunteer
- 293 children's lives have been saved in the past 12 months alone
- 3,052 new local volunteers joined the Child Survival Program
- 293 children's lives have been saved in the past 12 months alone - that's about six kids every day.