1. Community Based Health Care ( CBHC )
Implementation period
January 2017 to June 2022

2. General Objective
To ensure healthy lives & promote well-being for all at all ages by increasing accessibility affordability & utilization of quality primary health care services within the stipulated time.

3. Specific Objective
Community clinic (CC) to assume full responsibility of health (population and nutrition)
Adequately staffing CC with proper supervision mechanism to effectively deliver the services entrusted by the ESP.
Facilitating community group (CG) & community support group (CSG) for active participation in creating a health movement in the catchment area for improved health outcomes of the population through multipurpose health volunteers

4. CONT.....
4. Sustaining institutionalization of the community based health care efforts.
5. Streamlining and strengthening upazila health system.
6. Establishing functional referral within and beyond upazila health system .
7. Ensuring supplies for proper functioning of upazila health system.

5. CONT......
8. Institutional development at different level of upazila health systems for improved performance. 9. Improved urban health through enhance utilization of facilities including floating population. 10. Improving excess & utilization of services to the tribal population.

6. Human resource Organogram LD
PM upazilaa health system & medical waste management
PM Adm & Finance
PM procurement
PM Infrastucture & MIS
PM CM & HRD
PM tribal heath & urban health
DPM logistics
DPM ADM
Dpm procurement
DPM Infrastucture
DPM Finance
DPM CM
DPM HRD
DPM tribal
DPM MIS
DPM Urban
DPM UHS
DPM WM

7. Background Signatory Alma-ata Declaration in 1978 Vision
Heath for all by 2000 through Primary Health Care (PHC)
In 1996
Bangladesh was far behind the destination
Reason
PHC couldn’t be made accessible to the vast rural community
In 1998
GOB planned to establish Community Clinic to extend PHC at the door step of rural people (1 CC for approx population)
CC were constructed & about 8000 started functioning
In 2001 due to policy shifting CCs were closed & remained as such till 2008
2009
GOB started revitalization of CC through RCHCIB i.e. to make both old (Constructed during ) & new ones functional
2013
361 CC for Hill & hard to reach areas has been added to the target. Total community clinic will be establish.
January 2017
ESD has been merged with CBHC.

8. Component of CBHC Measuring Health outcomes.
Staffing & Supervision of CCs.
Human Resource development & community mobilization.
Referal System .
Sustaining Institutionalization.
Upazila Health System.
Medical waste Management.
Tribal Health.
Urban Health.

9. OP Level Indicator SL. Indicator
Unit of Measurement(Means of Verification
Baseline (With Year and Data Source )
Middle of The Program(by June 2020)
End of the Program(by June 2022) 1.
Number of CC Functioning at Upazila Health Complex.
Number of CCS At upazila health complex.
0 (CBHC
2016)
200
400 2.
Number of CC Having population based data
Number of CCs (HIS/CC Monitoring report)
0 (CBHC)
1000
5000

10. Cont........... 3 Functional referral system
Referral system functioning in UHC(facilities records)
No functional referral system exist
Initiatives undertaken for establishment of referral
Referral system functioning in 200 UHCS 4.
Medical Waste Management operating at all levels of upazila health system.
Different levels of facilities practicing medical waste management ( observance)
Very limited medical waste management at upazila health complex
Medical waste management initiated at all levels of facilities.
Medical waste management operating at 100 UHCs 5.
Institutional Mechanisms developed in 3 CHT District & respective plain land upazilas for delivering tribal health services,
No. of CHT Districts & plain land upazilas ( monitoring report / admin report)
3 CHT district & 10 plain land upazilas
All 3 CHT districts & all required plain land upazilas.

11. Estimated Cost of PIP & OP
Total
GOB
PA(RPA)
Source of PA
Estimated total cost of the PIP
( )
Non development cost of PIP
0.00
(0.00)
Development cost of PIP
( )
Cost of OP
( )
Pool fund JICA,WHO,UNICEF.USAID,GAC and others
OP cost as % of PIP development cost
11.65%
14.53%
7.88%
(12.55%)

12. BCC activities Activies 2017-June 2018 June18-June19 June20-June21
1.Branding
TVSpot,Documentary, Folk song Message with Calendar, Poster
Mass Campain Banner News Letter, Broucheare
Mass Campaign
2.Awareness Raising activities
Leaflet,Banner
Docu mentary Bill Board TV spot on Triva health in different language
Tv Serial
TV Serial
3.Advertising and Publicity
TV Spot
Documentary

13. THANK YOU