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1 Campaign around emerging issues in industrial areas of Bangladesh: Disaster Risk Reduction and Response Schedule of the Trip 17 th Dec 2014 Travel to Bangladesh 18 th Dec 2014 Meeting with DCH staff on OM & Social Accountability 19 th Dec 2014 Visit to field for Social Accountability 20 th Dec 2014 Visit to Binni Garments 21 st Dec 2014 Visit to Misami Garments & meeting with health workers, doctors 22 nd Dec 2014 Travel back to India

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Campaign around emerging issues in industrial areas of Bangladesh: Disaster Risk Reduction and Response

Schedule of the Trip 17th Dec 2014 Travel to Bangladesh

18th Dec 2014 Meeting with DCH staff on OM & Social Accountability

19th Dec 2014 Visit to field for Social Accountability

20th Dec 2014 Visit to Binni Garments

21st Dec 2014 Visit to Misami Garments & meeting with health workers, doctors

22nd Dec 2014 Travel back to India

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Dhaka Community Hospital Trust (DCH Trust ) is a (trust) private, nonprofit and community financed organization providing health care for low income underprivileged people. DCH Trust implemented program with the collaboration of Asian Disaster Risk Reduction Network (ADRRN) partners like NSET, Nepal and SEED, India regarding Industrial Health and Occupational Safety in Bangladesh. DCH trust has an enormous experience in disaster risk management both in national and international level.

Meeting on Outcome mapping for the project “Campaign around emerging issues in industrial areas of Bangladesh: Disaster Risk Reduction and Response”

Participants: Ronjit Halder, Suchanda, Hashi Chakma, Armaan Hussain, Sahil, Saleem, Ratan, Biplob, Rezu and Shalini Revision of Outcome Mapping Concept and the discussion on Project “Campaign around emerging issues in industrial areas of Bangladesh: Disaster Risk Reduction and Response” took place in depth and detail. Further, how the concept of Outcome mapping would be applied to the project was discussed. Vision, Mission Boundary Partners, Progress markers and formats for Outcome Mapping were discussed and envisaged in detail.

Vision (Why) (about the future, idealistic, not about the program) Two Million workforce of countrywide industries work safely in aspect of health with reduced risk

Mission (Activities How?) (Identifies activities and relationships, about the program

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Campaign around emerging issues in industrial areas of Bangladesh: Disaster Risk Reduction and Response through strategic policy, advocacy, awareness and capacity building of multi level platforms Boundary Partners: (Those individuals, groups, & organizations with whom a program interacts directly to effect change & with whom the program can anticipate some opportunities for influence)

Boundary Partners The Boundary Partners (BP) will be

BP – 1: Industrial Workers, Industry Owners BP – 2: Health Workers and Local Community BP – 3: Govt. Officials, Construction Consultant, NGOs, Private Organization

The industrial workers are the main victim when any disaster like industrial fire and building collapsed. The industrial workers will get training on disaster risk reduction and will be aware through advocacy, seminar, workshop and awareness programme. The Government officials will be involved in training programme, workshop and seminar so that they can share their experiences and give input for national policy making and planning. The private organizations and NGO’s who are working in industrial areas, costal ballet and remote areas for disaster management, preparedness and rehabilitation can share their experiences, give their suggestions for future planning on this issue and will get benefit from the project. Outcome Challenges: (Behaviour of a single BP, sets out ideal actions, relationships, activities, and BP’s contribution to the vision)

BP – 1: Industrial Workers, Industry Owners are making use of the safety standards and propagating the knowledge amongst other industry owners and industrial workers. Progress Markers: (changed behaviour of the BP, can be monitored & observed, graduated to preliminary to profound change) Expect to See Industrial workers and Industry owners are sensitized on the practice and willing to use it in their works undertaken by them Like to See Industrial workers and Industry owners are able to demonstrate and share across other workers, local officials, communities the value of safety knowledge Love to See Become the enablers in significantly improving the quality, effectiveness and outreach of humanitarian assistance to the most vulnerable people in the region. The safety knowledge & standards becomes integral part of the industrial practice at the local level.

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BP – 2: Health Workers and Local Community are aware of the safety standards and practices and are propagating the knowledge amongst other Health workers and local communities Progress Markers: Expect to See Health Workers and Local Community are sensitized on the safety standards & practice & willing to transfer the knowledge to other health workers & local community. Like to See Health Workers and Local Community are able to demonstrate and share across health workers, communities, construction workers, local officials, the value of safety standards & practices. Love to See Become the enablers in significantly improving the quality, effectiveness and outreach of humanitarian assistance to the most vulnerable people in the region. The safety standards & practices become integral part of the industrial practice in the communities BP – 3: Govt. Officials, Construction Consultant, NGOs, Private Organization are sensitized on the safety standards & practices are willing to transfer the same to other govt officials, construction consultant, NGOs & private organization. Progress Markers: Expect to See Govt. Officials, Construction Consultant, NGOs, Private Organization are sensitized on the safety standards & practices Like to See Govt officials are further able to sensitize other officials & departments. Help in building safety standard & codes for industries in the country Construction consultant & NGOs & private organization get sensitized and are willing to generate awareness amongst the masses for adoption of these standards & practices. Love to See Become the enablers in significantly improving the quality, effectiveness and outreach of humanitarian assistance to the most vulnerable people in the region. Safety practices & standards become part of the industrial culture.

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OUTCOME MAPPING FORMAT (Emerging Issues) (Industrial workers & owners, health workers, local community and Govt. Officials, Construction Consultant, NGOs, Private Organization)

SNO PROGRESS MARKERS

BOUNDARY PARTNERS

INPUT INDICATORS OUTPUT INDICATORS PROGRESS

EXPECT TO SEE: Industrial workers and Industry owners are sensitized on the practice and willing to use it in their works undertaken by them

Activities for linking up with Industrial workers & owners on the safety practice

Industrial workers & industry owners

Workshops & training, interactive sessions are carried out at various locations

Documentation & Report Survey to find out the gaps on health & safety issues. Baseline survey in above 3 factories –reach out to 300 participants (100 from each factory) participated in the survey programme. Detailed survey form. Analysis of survey data- survey analysis report available. Provided occupational safety training in April to May 2014 to 1500 Industrial worker & staff Training programme on Fire Safety to 600 industrial worker Provided health education or nutrition and hygiene for 1500 industrial workers Psychological support and training to 250 victim of Rana Plaza Building collapse Group discussion among 600 industrial & construction workers.

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Conducted 15 meetings with various stakeholders.

Awareness generation & information dissemination

Industrial workers & industry owners

campaign initiated with participation of masons & Engineers

Grassroots action in collaboration with local government and other stakeholders for disaster risk reduction

Awareness & skill development training to 600 construction worker Three training programmes where a total number of 397 participants participated. On 31 Jan 2014, Binni garments, 105 people participated. DCHT organized two workshops on “Campaign on Increasing Awareness and Capacity Building of Factory Workers and for Disaster Management” on 31 January 2014 at Binni Garments Ltd. and 27 February 2014 at Dhaka Community Hospital. From the various organizations 215 participants were participated in the workshop. The participants were factory workers, supervisors, production managers, construction engineers and workers, NGO workers and government officials etc. Seminar on increasing awareness and capacity building of factory workers and for Disaster management reached out to 750 industrial & construction worker and managerial staff Establishment of (CEOS)- Centre for Environment and Occupational Safety

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Brochure of the centre available IEC material developed- ppts used for campaigning Training materials & awareness tools like training manual & module DVD & documentaries- video clip for fire safety Clip – how to use CO2 fire extinguisher Report / Photographs available Flyer on Industrial Safety DCH organized three awareness programme in three factories to aware the factory workers regarding factory safety like building collapse, Industrial fire and emergency health care. 2500 Leaflets, 500 Posters and 200 Fliers on industrial Safeties were distributed in these three factories.

LIKE TO SEE: Industrial workers and Industry owners are able to demonstrate and share across other workers, local officials, communities the value of safety knowledge

Activities carried out by : Industrial workers and Industry owners at various levels

Industrial workers & industry owners

Workshops & training, sessions, interactive , papers , meetings are carried out at various locations in Nepal

Influence on Construction building codes

To exchange the views and share the experience and knowledge Prof. Mahmuder Rahman of DCHT attended Research for Health in Humanitarian Crisis (R2HC) in Bangkok, Thailand on 15 May 2014. In this workshop he presented a poster presentation regarding industrial safety in

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Efforts to influence the safety codes Efforts to build safety practices

ADRRN. (Detail Report as Annex-V) Bangladesh and shared the experience and knowledge of Industrial Safety Programme that we are implementing in collaboration with

Establish partnership with other stakeholders & communities

Industrial workers & industry owners

Share & Transfer these practices at the local level

Practice made mandatory – issue of building permit based on this

Testimonies

LOVE TO SEE: Become the enablers in significantly improving the quality, effectiveness and outreach of humanitarian assistance to the most vulnerable people in the region. The safety knowledge & standards becomes integral part of the industrial practice at the local level.

Description of Change: DCH established “Center for Environment and Occupational Safety (CEOS) for providing training, awareness programme, workshop and other activities like research programme. CEOS developed disaster risk management policy framework for the construction workers, tannery workers and textile workers etc (Identify risk & management policy). The centre is developing a guideline on establishing occupational disease surveillance system for workers and risk assessment and management of occupational hazard.

Contributing factors and actors:

Sources of evidence:

Unanticipated change:

Contribution to AusAid comprehensive Aid framework:

Contribution to HFA priority:

Lessons / Required program changes/ Reactions:

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Centre for Environment and Occupational Safety

Centre for Environment and Occupational Safety which is Training and Research Centre of DCH Trust working for Industrial Health Construction Safety in Bangladesh in Collaboration with Asian Disaster Risk Reduction Network (ADRRN), Harvard School Of Public Health (HSPH)- Harvard University – USA, Seeds- India, NSET – Nepal. Centre for Environment and Occupational Safety of DCH Trust also has local specialist technical consultants for the Construction Training Program such as Ali Asgar and Associates & Pile Points.

DCH Rural Health Project, sponsored by DCH and Grant from Community

DCH developed Rural Health Centers with active participation of local community. The services rendered are mostly primary and secondary health care. The rural health centers are run by community health workers with a doctor leading the team. The family gets a health card with a small monthly fee which provides primary care (which includes preventive care service like child develop, ANC & PNC, Nutrition education basic medical care). The ultimate aim is to develop the rural centers to higher level where it will also establish tertiary care and engage in

training facility for paramedics and undergraduate students.

The site visited under this project was Sirajdikhan under Munshiganj district. Under Sirajdikhan Upazila, there are 59,873 households in 182 villages. Meeting with community members is organized where the community members and representatives from DCH participate. The role of the Health worker is to go from house to house in the community. Health worker is selected from the community and by the community themselves. One health worker is assigned 115 families. In all there are 10 health workers. The

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health worker visits one family at least once a week i.e. 4 times a month and gives education on health & hygiene and also attends the pregnant women. If any serious patients are found, then these are referred to the DCH hospital. Every household contributes 20 to 50 Takka, the community decides this amount. This amount is collected by the health worker and given to Rural Health Center. If the Health worker does not visit the household then remuneration is not paid by the families to them.

E very month the activities of the center are shared with communities. Formats those shared are Monthly Health Service Report, Monthly Health requisition by the Health worker and Monthly financial Report of health centre. In case of discrepancy questions are raised by the community members and decisions are also taken in the meeting.

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Orientation by Ms. Hashi Chakma was also given on Social Accountability. She also prepared the report of the workshop she attended in Delhi on Social Accountability. According to her, Lesson learning from the training workshop on Social Accountability can help to increase not only the efficiency of their project staff but also management staff knowledge and performance wise who, are involved in The expected outcomes of the training are as follows.

Number of Beneficiaries gets the service from pilot training programme on social accountability.

Number of workshops/training programmes on Disaster Risk Reduction (DRR) being organized by trained established training team

Number of Beneficiaries get the service from the training programme

Communities change their behavior by practicing the training and awareness experiences

A useful monitoring and evaluation is being done.

Binni Garments:

3 days training was conducted in the factory on Fire safety, health & hygiene and building collapse. Almost 100 participants participated in the training each day. Health workers were also trained. They have a doctor through DCH. They have made a committee of 10 people. The role of the committee is to motivate others and share with them the knowledge. They conduct fire safety drill twice a month. Once a month it is conducted spontaneously without information to detect the preparedness

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level. Rokeya Begum is one of the members of the community.

The safety practices after the training. Misami Garments Ltd

2 days survey was conducted here with almost 100 participants. The workshop was conducted on Feb 27th and then campaign in March for a single day. This factory has the clinic. They comply to all the safety standards. DCH team carried out the survey after being trained for 7 days. Mr. Asmin Aliya Ruma, welfare executive HR shared that after the major disasters in Bangladesh, two groups Accord (European) and Alliance (American) were formed and jointly they are taking all the initiative. He firmly believes that safety

standards need to be installed for the workers. He believes that these trainings should be repeated frequently.

Emergency Evacuation Exit in the factory.

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River Sand Filter (RSF)

River Sand Filter (RSF) is very simple but effective system for treatment of river water. RSF produces safe water, but it depends on proper operation and maintenance. A management committee is responsible for these. The core of the system is a tower, carrying on top water into which the purified water is pumped. Water from the river is collected and after passing gross filtering is allowed to fall onto a series of filter tanks in succession located below the storage tank. Each of the filter tanks is filled with gravel or sand to filter out the fine bacteria. Finally the water is pumped into the storage tank. This water is fed by gravity using PVC tubing to a number of taps throughout the village. The village appoints a custodian who looks after the system, and fills the overhead tank a few times a day as required by the usage in the village. Each RSF can in principle supply bacteria free water to 100 families with 30-60 taps fed by pipeline. Each committee decided the monthly service charges for water use may be of 2-3 levels to accommodate different socio-economic group within the water. Water is tested regularly from the laboratory.