MaMoni-HSS Clossing Report-14
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Transcript of MaMoni-HSS Clossing Report-14
MaMoni-Health Systems Strengthen Project Pirojpur District.
Closing Report
October 2013 to December 2014
Implemented by- ESDOII Light House II save the Children International
Background
Eco Social Development Organization (ESDO) continuous mended for its holistic development
of rural and urban populations in the areas of mother and child health care services, family
planning , water and sanitation , nutrition growth monitoring rights and governs, gender
development and women empowerment , human rights and promotion of extreme minority
rights, education, livelihood, skills of Bangladesh. The organization is registered with the
Department of Social Service in 1988, Registration No. DSS/440/88, Registered with the NGO
Affairs Bureau in 1993, Registration No. 694/93 (Renewed-2012), Registered with the Micro-credit
Regulatory Authority, No: MRA-0000204, Registered with the Department of Family Planning
in 2000, Registration No.A-149/2000, Licensed with Directorate of Health Services (for
Hospital), License No. 1983.
Considering the health implications and requirement of good nutritional status, ESDO set forth its health,
nutrition and environmental development programme. ESDO provided various types of MNH,
reproductive, child and general health services by operating community clinic and static clinics through
Developing Community Support System (ComSS) funded by joint GoB- UN MNHI, Health Pilot
Programme (HPO) funded by SDF, Community Managed Health Care (CMHC), Human Resources
Development for Health(HRH), Women and Their Children’s Health(WATCH) funded by Plan
International Bangladesh, ESDO SISHU Hospital funded by Japan Embassy Bangladesh. Through
these projects ESDO is contributing towards improving the maternal and neonatal health and nutrition
status of the people within the intervention areas.
ESDO provided various types of clinical and non-clinical services to its beneficiaries. ESDO has covered
widen services for ensuring safe water, sanitation and hygiene education under the projects
Strengthening LGI to Eradicate Wash Poverty(SLEWP), Sustainable Micro Sanitation
Programme(SMSP), Sanitation, Hygiene Education and Water Supply ( SHEWA-B) Project,
Advancing Sustainable Environmental Health (ASEH), Arsenic Mitigation Programme, Hygiene,
Sanitation and Water Supply Project( HYSAWA) with the funding support of Water Aid, Max
Foundation Netherland, DPHE- UNICEF, NGO Forum, DPHE- BAMWSP and HYSAWA fund .
Through these projects, ESDO is contributing towards improving the safe water, sanitation and hygiene
education of the people within the intervention areas.
ESDO has been conducting Improving Maternal and Child Nutrition (IMCN), Community Nutrition
Initiative (CNI) and SHOUHARDO with the support of World Food Programme (WFP) and CARE/
USAID. The activities are running towards achieving objective of the projects and significant positive
changes have been improving. A good number of children were covered by the growth monitoring &
promotion activity through regular follow-up, supervision & monitoring. A huge number of underweight
newborn infants have substantially improved from the status of severe malnutrition. To perform above
mentioned interventions a group of experienced and committed medical doctor, paramedic/ medical
assistant, Community Health Mobilizer, Health Volunteer, TBAs are working with the community
people. ESDO has been implementing these programs in close collaboration with health department and
local government institution and community to achieve Millennium Development Goal (MDG) 4 and 5.
ESDO has well equipped office, numbers of managerial and field staff along with sufficient vehicle
facilities at the proposed area. More over ESDO is very much familiar with the community, local
administration and local government that will contribute to smooth operation of the proposed project.
Based on the above mentioned strength and experience ESDO is interested to implement the
MAMONI Health Systems Strengthening Activity with the technical support of SCI, that will be
helpful to achieve the Mamoni HSS objective to increase availability and quality of high –impact
interventions through strengthening district –level local management and health systems directly
contributes to the goal of increased utilization of services.
2. Goal
To improve utilization of integrated Maternal, Newborn, Child Health, Family Planning and
Nutrition (MNCH/FP/N) services.
3. Objectives
To increase availability and quality of high impact interventions through strengthening district
level local management and health system.
To reach in goal and achieve objectives MaMoni-HSS stands four intermediate results (IRs).
IR-4
IR.1- Improve service readiness through critical gap management.
IR.2- Strengthen health systems at district level and below.
IR.3- Promote enabling environment to strengthen district level health system.
IR.4- Identify and reduce barriers to accessing health services.
7. District Profile
At a glance of Pirojpur :
District Profile: o Population data :
Total Population : 11, 35,097 Male : 5, 78,899 Female : 5, 56,198
o Number of Upazilla : 07 ( Sadar, Nazirpur, Kawkhali, Neserabad, Zianagor, Bhandaria, Mathbaria)
o Number of union : 51 ( Additional 1 union has been formed from Daulbari Dobra Union namely Kalardoania under Nazirpur Upazila)
o Staff strength
Civil Surgeon : 01
Deputy Director Family Planning : 01
UH&FPO : 07
UFPO : 00
MO(MCH-FP) : 03
RMO : 03
Nurse : 104
HI : 17
AHI : 54
HA : 278
FPI : 52/47
SACMO : 88 (Health- 41 Family Planning-47)
FWV : 59 / 48
FWA : 269/258
CSBA : 16 ( HA-5, FWA-11)
CHCP : 153/145
Number of FWC with location : ( Details Sheet Attached)
Total # Union Facility : o # of FWC = 43
o # of RD = 06
o # of Union Clinic = 01
Selected FWC for NVD service up gradation : 21 in Number
SL Name of Upazila Union Name of UH&FWC
Village in which UH&FWC is situated
Type of building
One Storied
Two Storied
Three Storied
1 Pirojpur sadar Shariktala Shariktala UH&FWC Shariktala
2 Pirojpur sadar Kadamtala Kadamtala UH&FWC Kadamtala
3 Pirojpur sadar Shongkorpasha Shongkorpasha UH&FWC
Shongkorpasha
4 Pirojpur sadar Durgapur Durgapur UH&FWC Durgapur
5 Nesarabad Shutiakathi Shutiakathi UH&FWC Shutiakathi
6 Nesarabad Jalabari Jalabari UH&FWC Purba Jalabari
7 Nesarabad Guarekha Guarekha UH&FWC Rudropur
8 Nesarabad Sharengkathi Sharengkathi UH&FWC
Modde Korfa
9 Nazirpur Sheakmatiya Sheakmatiya UH&FWC
Babur Hat Bari
10 Nazirpur Malikhali Malikhali UH&FWC Sachia
11 Nazirpur Deulbari Deulbari UH&FWC Gawkhali
12 Bhandaria Gowripur Gowripur UH & FWC Gowripur
13 Bhandaria Bhitabaria Bhitabaria UH&FWC Madirabad
14 Bhandaria Talikhali Talikhali UH&FWC Talikhali
15 Kawkhali Chirapara ChiraparaUH&FWC Nilti-Chirapara
16 Kawkhali Sayna Raghunathpur
Sayna Raghunathpur UH&FWC
Faloibuniya √
17 Kawkhali Amrajuri Amrajuri UH&FWC Gandharbo - Amrajuri
√
18 Mathbaria Betmore Rajpara
Betmore Rajpara UH&FWC
Betmore √
19 Mathbaria Dhanisafa Dhanisafa UH&FWC Tetulbaria √
20 Mathbaria Amragacchia Amragacchia UH&FWC
Amragacchia √
21 Mathbaria Sapleza Sapleza UH&FWC Sapleza √
Category Wise Number of Human Resource Civil Surgeon : 01
DDFP : 01
UH&FPO : 07
UFPO : 00
MO (MCH-FP) : 08/03
RMO : 03
Nurse : 105/104
HI : 17
AHI : 56/54
HA : 287/278
FPI : 52/47
SACMO : 88 (Health- 46/41 Family Planning-59/47
FWV : 59 / 48
FWA : 269/258
CSBA : 16 ( HA-5, FWA-11)
CHCP : 153/145
At a glance of Sadar Upazila :
At a glance of Pirojpur Sadar Upazila
Name of the Union Total
Sikdermollik
Kodamtola
Durgapur
Kolakhali
Tona Sariktola
Sankarpasa
(pirojpur sadar)Pourosova
UHC
Area in Sq Km 25.2 23.43 17.04 16.42 14.6 19.97 23.33 29.5 0 169.49
Number of municipality
1 0 1
Number of Union 1 1 1 1 1 1 1 09 Ward 0 7
Number of Village
13 12 9 9 10 14 13 25 0 105
Number of House Hold
4165 3847 3107 2329 3416 3909 6150 7311 0 34234
Number of FWA Unit
6 6 4 3 5 5 6 9 0 44
Demography 0
Total Population 19832 17839 15186 11745 16557 17515 20559 43523 0 162756
Male 10017 9522 7873 6399 8779 9017 10499 22714 0 84820
Female 9815 8317 7313 5346 8178 8498 10060 20809 0 78336
0-11 m children 366 330 294 200 360 350 628 0 0 2528
CBA women (15-49 age)
4087 4096 2787 1750 2437 6251 0 0 21408
ELCO 3006 3302 2363 1865 2763 2924 3654 7433 0 27310
Facility information
0 0
Upazila Health Complex
0 0 0 0 0 0 0 0 0 0
UH&FWC 1 1 2 1 1 1 1 0 0 8
RD/USC 0 0 0 0 0 0 0 0 0 0
Total number of Community Clinic
2 2 1 2 2 2 4 0 0 15
EPI outreach center
24 24 24 24 24 24 24 24 0 192
Number of Merged SC with EPI
7 8 8 8 8 8 7 0 0 54
Total number of Satellite center. (as per plan)
8 8 8 8 8 8 8 0 0 56
NGO clinic (Number and Name
0 0 0 0 0 0 0 Mare stop
0 0
CMPM Center 0 0 0 0 0 0 0 0 0 0
CMPM held in Community Clinic
0 0 0 0 0 0 0 0 0 0
Total number of Satellite center planned in the Community Clinic/monthly
0 3 1 1 2 2 4 0 0 13
Number of cMPM merged with SC
0 0 0 0 0 0 0 0 0 0
Human Resource
0
UH&FPO 0 1 1
Jr. consultant (Gynae)
0 0 0
RMO 0 1 1
UFPO 0 0 0
MOMCH-FP 0 0 0
AUFPO 0 1 1
AFWO 0 1 1
UFPA (sanctioned post/Existing number)
0 3 3
0 3 3
HI (sanctioned post/Existing number)
1 1 1 0 0 0 0 0 0 3
1 1 1 0 0 0 0 0 0 3
AHI (sanctioned post/Existing number)
1 1 1 1 1 1 1 2 0 9
2 1 1 1 2 2 2 2 0 13
Sanitary Inspector 0 1 1
MT (EPI) 1 1 1 2 1 1 1 0 1 9
SACMO-FP (sanctioned post/Existing number)
1 1 1 2 1 1 1 0 0 8
0 0 0
SACMO-Health (sanctioned post/Existing number)
1 1 1 1 1 1 1 0 0 7
1 1 1 1 1 1 7 0 0 13
FWV (sanctioned post/Existing number)
1 1 1 1 1 1 1 0 0 7
1 1 1 1 1 1 1 0 0 7
FPI (sanctioned post/Existing number)
1 1 1 1 1 1 1 0 0 7
0 1 1 1 1 1 0 0 0 5
HA (sanctioned post/Existing number)
6 5 5 3 5 5 6 9 0 44
6 5 5 3 5 4 6 8 0 42
FWA (sanctioned post/Existing number)
6 6 4 3 5 5 6 8 0 43
6 6 4 3 5 5 6 7 0 42
CHCP (sanctioned post/Existing number)
2 2 2 2 2 2 4 0 0 16
2 3 1 2 2 2 4 0 0 16
cSBA (FP) 0 1 0 0 0 1 0 0 2
cSBA (Health) 0 1 0 0 0 1 0 0 2
cSBA (Brac) 0 1 1 1 1 0 1 0 0 5
Statistician (sanctioned post/Existing number)
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 1 1
Pharmacist (sanctioned post/Existing number)
1 1 1 1 1 1 1 0 0 7
0 0 0 0 0 0 0 0 0 0
Communication 0
Total # Hard to reach area (EPI source)/ Media Dark Area
2 0 1 1 0 1 2 0 0 7
Community mobilization
0
Total number of CVSS) (BRAC)
32 24 26 18 21 20 38 0 0 179
SK (BRAC) 3 3 3 2 2 2 4 0 0 19
PO (BRAC) 1 1 0 1 0 1 1 0 0 5
Total Number of CAG
71 66 62 46 63 64 84 0 0 456
Number of referral Hub
4 4 3 3 3 2 5 0 0 24
Total Population (Collection by FSO)
18935 17642 15382 11800 15770 16112 21686 0 0 117327
Total House Hold (Collection by FSO)
4281 3958 3368 2448 3538 3476 5152 0 0 26221
Total ELCO (Collection by FSO)
3860 3283 2955 2236 3024 3329 4011 0 0 22698
Total CAG (Collection by FSO)
71 66 62 46 63 64 84 0 0 456
Field level data- Septermber-2014
Nazirpur Upazila
Name of Upazila: Nazirpur
Name of Union Total
Matibhanga
Nazirpur
Malikhali
Deulbari Dirgha Shekmatia
Shakharikhati
Shreeramkhati
Area in Sq Km 24.65 21.01 29.94 45.62 29.98 12.08 9.97 25.67 198.92
Number of municipality
0 0 0 0 0 0 0 0 0
Number of Union 1 1 1 1 1 1 1 1 8
Number of Village 18 22 20 9 22 13 15 23 142
Number of House Hold
4714 4830 4570 4056 3921 5675 4966 4498 37230
Number of FWA Unit
5 6 6 7 6 5 5 5 45
Demography 0
Total Population 24286 17975 25257 35553 17528 16853 22030 20295 179777
Male 12364 9110 13222 17889 8853 7328 10678 10401 89845
Female 11922 8865 12035 17664 8675 9511 11352 9894 89918
0-11 m children 491 437 402 1027 333 465 484 376 4015
CBA women (15-49 age)
4958 4989 4754 4056 4325 5895 5326 4898 39201
ELCO 4770 3348 3923 6432 2957 3659 3175 3166 31430
Facility information
0
Upazila Health Complex
0 0 0 0 0 0 0 0 0
UH&FWC 0 0 1 1 1 1 0 1 5
RD/USC 1 0 0 0 0 0 0 0 1
Total number of Community Clinic
3 2 3 5 3 3 2 3 24
EPI outreach center 24 24 24 48 24 24 24 24 216
Number of Merged SC with EPI
4 8 8 8 4 8 4 8 52
Total number of Satellite center. (as per plan)
4 8 8 8 4 8 4 8 52
NGO clinic (Number and Name
0 0 0 0 0 0 0 0 0
CMPM Center 12 12 12 12 12 12 12 12 96
CMPM held in Community Clinic
3 2 3 5 3 3 2 3 24
Total number of Satellite center planned in the Community Clinic/monthly
0 1 1 1 0 1 1 0 5
Number of cMPM merged with SC
4 8 8 8 4 8 4 8 52
Human Resource 0
UH&FPO 0 0 0 0 0 0 0 0 0
Jr. consultant (Gynae)
0 0 0 0 0 0 0 0 0
RMO 0 0 0 0 0 0 0 0 0
UFPO 0 0 0 0 0 0 0 0 0
MOMCH-FP 0 0 0 0 0 0 0 0 0
AUFPO 0 0 0 0 0 0 0 0 0
AFWO 0 0 0 0 0 0 0 0 0
UFPA (sanctioned post/Existing number)
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
HI (sanctioned post/Existing number)
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
AHI (sanctioned post/Existing number)
1 1 2 2 1 1 1 1 10
1 1 1 2 1 1 0 1 8
Sanitary Inspector 0 0 0 0 0 0 0 0 0
MT (EPI) 0 0 0 0 0 0 0 0 0
SACMO-FP (sanctioned post/Existing number)
0 0 1 1 1 1 0 1 5
0 0 1 1 1 1 0 1 5
SACMO-Health (sanctioned post/Existing number)
1 3 1 1 1 1 1 1 10
1 3 1 0 1 1 0 1 8
FWV (sanctioned post/Existing number)
1 2 1 1 1 2 1 1 10
1 2 1 1 0 1 1 1 8
FPI (sanctioned post/Existing number)
1 1 1 1 1 1 1 1 8
1 1 1 0 1 1 1 1 7
HA (sanctioned post/Existing number)
6 6 6 8 6 6 6 6 50
5 6 6 7 6 5 6 6 47
FWA (sanctioned post/Existing number)
5 6 6 7 6 5 5 5 45
5 6 5 7 6 4 5 5 43
CHCP (sanctioned post/Existing number)
3 2 3 5 3 3 2 3 24
3 2 3 5 3 2 2 3 23
cSBA (FP) 0 1 0 1 1 0 0 0 3
cSBA (Health) 0 0 1 0 0 0 0 0 1
cSBA (Brac) 1 0 1 2 0 1 0 0 5
Statistician (sanctioned post/Existing number)
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Pharmacist (sanctioned post/Existing number)
1 0 1 1 1 1 1 1 7
1 0 1 0 0 0 0 0 2
Communication
Total # Hard to reach area (EPI source)/ Media Dark Area
2 0 4 20 0 2 0 0 28
Community mobilization
0
Total number of CVSS) (BRAC)
35 36 36 71 31 40 37 37 323
SK (BRAC) 3 4 4 8 3 4 4 4 34
PO (BRAC) 1 1 1 2 1 1 1 1 9
Total Number of CAG 95 97 97 164 76 100 82 91 802
Number of referral Hub 4 3 5 8 4 4 1 3 32
Total Population (Collection by FSO)
23377 22258 22901 36745 17774 25596 22653 20402
191706
Total House Hold (Collection by FSO)
4714 4830 4570 8179 3921 5675 4966 4498 41353
Total ELCO (Collection by FSO)
4477 4334 4974 8114 3423 4701 3731 4166 37920
Total CAG (Collection by FSO)
96 93 94 160 76 104 93 87 803
Nesarabad Upazila
Name of Upazila: Nesarabad
Name of the Union Total
Boldia Shohagadal
Shwruap kati
Atghor kuriana
Jolabari
Doihari Guarekha
Shamudoy
kati
Sutia kati
Sareng kati
Municipali
ty
UHC
Area in Sq Km 5.12 5 7 7.3 6.5 5.99 14.7 10.4 11 3.29 1.43 77.73
Number of municipality
0 0 0 0 0 0 0 0 0 0 1 1
Number of Union 1 1 1 1 1 1 1 1 1 1 10
Number of Village 16 1 14 20 13 20 22 18 6 8 138
Number of House Hold
7349 6910 7698 4190 4771 2798 3473 3196 6681 2723 0 49789
Number of FWA Unit
7 7 5 6 5 3 6 6 6 3 54
Demography 0
Total Population 32432 29019 13499 17322 19576 10041 13820 13376 29379 12205 19983 21065
2
Male 15654 14117 6422 8639 9556 4908 6624 6532 14447 5888 10845 10363
2
Female 16778 14902 7077 8683 10020 5133 7196 6844 14932 6317 9138 10702
0
0-11 m children 0
CBA women (15-49 age)
0
ELCO 5310 4986 5075 3081 3183 1601 2704 2588 5324 2204 36056
Facility information
0
Upazila Health Complex
0 0 0 0 0 0 0 0 0 0 1 1
UH&FWC 0 1 1 0 1 1 1 1 1 1 8
RD/USC 0 0 1 1 0 0 0 0 0 0 2
Total number of Community Clinic
4 4 1 3 3 2 2 2 4 2 27
EPI outreach center 24 24 24 24 24 24 24 24 24 24 240
Number of Merged SC with EPI
0 4 7 5 5 0 6 0 4 6 37
Total number of Satellite center. (as per plan)
0 8 8 8 8 0 8 0 8 8 56
NGO clinic (Number and Name
0 0 0 0 0 0 0 0 0 0 0
CMPM Center 0 0 0 0 0 0 0 0 0 0 0
CMPM held in Community Clinic
0 0 0 0 0 0 0 0 0 0 0
Total number of Satellite center planned in the Community Clinic/monthly
0 4 1 3 3 0 2 0 4 2 19
Number of cMPM merged with SC
0 0 0 0 0 0 0 0 0 0 0
Human Resource 0
UH&FPO 0 0 0 0 0 0 0 0 0 0 1 1
Jr. consultant (Gynae)
0 0 0 0 0 0 0 0 0 0 0
RMO 0 0 0 0 0 0 0 0 0 0 0
UFPO 0 0 0 0 0 0 0 0 0 0 1 1
MOMCH-FP 0 0 0 0 0 0 0 0 0 0 1 1
AUFPO 0 0 0 0 0 0 0 0 0 0 1 1
AFWO 0 0 0 0 0 0 0 0 0 0 0
UFPA (sanctioned post/Existing number)
0 0 0 0 0 0 0 0 0 0 3 3
0 0 0 0 0 0 0 0 0 0 3 3
HI (sanctioned post/Existing number)
0 0 0 0 0 0 0 0 0 0 4 4
0 0 0 0 0 0 0 0 0 0 4 4
AHI (sanctioned post/Existing number)
1 1 1 1 1 1 1 1 1 1 10
1 1 1 1 1 1 1 1 1 1 10
Sanitary Inspector 0 0 0 0 0 0 0 0 0 0 1 1
MT (EPI) 0 0 0 0 0 0 0 0 0 0 1 1
SACMO-FP (sanctioned post/Existing number)
0 1 1 1 0 1 1 1 1 0 7
0 1 1 1 1 1 1 1 1 1 9
SACMO-Health (sanctioned post/Existing number)
1 1 1 1 1 1 1 1 1 1 10
1 1 1 1 1 1 1 1 1 1 10
FWV (sanctioned post/Existing number)
0 1 1 1 1 1 1 1 1 1 9
0 1 1 1 0 0 1 0 1 1 6
FPI (sanctioned post/Existing number)
1 1 1 1 1 1 1 1 1 1 10
1 1 1 1 1 1 1 1 1 1 10
HA (sanctioned post/Existing number)
8 7 5 4 6 5 3 4 7 3 52
8 7 5 4 6 5 3 4 7 3 52
FWA (sanctioned post/Existing number)
7 6 4 6 5 5 5 6 5 5 54
7 6 4 6 5 3 5 6 4 4 50
CHCP (sanctioned post/Existing number)
4 4 3 3 3 2 2 2 4 2 29
4 4 1 3 3 2 2 2 4 2 27
cSBA (FP) 0 1 0 0 0 0 1 0 0 0 2
cSBA (Health) 0 0 0 1 0 0 0 0 0 0 1
cSBA (Brac) 0 0 0 0 0 0 0 0 0 0 0
Statistician (sanctioned post/Existing number)
0 0 0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 0 0 1 1
Pharmacist (sanctioned post/Existing number)
0 0 0 1 0 0 1 0 1 1 4
0 0 0 1 0 0 0 0 0 1 2
Communication 0
Total # Hard to reach area (EPI source)/ Media Dark Area
0 0 0 0 0 0 0 0 0 0 0
Community mobilization
0
Total number of CVSS) (BRAC)
0 0 0 0 0 0 0 0 0 0 345 345
SK (BRAC) 0 0 0 0 0 0 0 0 0 0 43 43
PO (BRAC) 1 1 1 1 1 1 1 1 1 1 4 14
Total Number of CAG
0 0 0 0 0 0 0 0 0 0 0
Number of referral Hub
0 0 0 0 0 0 0 0 0 0 45 45
Total Population (Collection by FSO)
34165 30620 35695 18715 20451 13338 15730 14177 31263 11923 22607
7
Total House Hold (Collection by FSO)
7349 6910 7698 4190 4771 2798 3473 3196 6681 2723 49789
Total ELCO (Collection by FSO)
6587 6766 7060 3986 3240 2653 3646 2890 6238 2160 45226
Total CAG (Collection by FSO)
143 122 141 82 86 57 61 58 122 49 921
MaMoni-HSS, ESDO-Pirojpur Staff Status-
Sl Position Sanctioned In Place Vacant Note
1 District Coordinator 1 1 0
2 FC-QA 1 1 0
3 FC-CBS 1 1 0
4 Referral Coordinator 1 1 0
5 ME&DO 1 1 0
6 BCC Presenter 1 1 0
7 BCC Helper 1 1 0
8 F&AO 1 1 0
9 UC 3 3 0
10 TO 5 5 0
11 AF&AO 3 3 0
12 FSO 26 26 0
13 SS 4 4 0
- Staff Posting
i) District Office
Sl Position Number Note
1 District Coordinator 01
2 FC- QA 01
3 FC-CBS 01
4 RC 01
5 ME&DO 01
6 F&AO 01
7 BCC-Presenter 01
8 BCC- Helper 01
9 Support Staff 01
Pirojpur Sadar Upazila Staff-
1 Upazila Coordinator (UC)
01
2 Technical Officer (TO) 01
3 AF&AO 01
4 Field Support Officer (FSO)
07
5 Support Staff 01
6 Night Guard 01
7 Cleaner Cum Aya 01
Nazirpur Upazila Staff-
1 Upazila Coordinator (UC)
01
2 Technical Officer (TO) 02
3 AF&AO 01
4 Field Support Officer (FSO)
09
5 Support Staff 01
6 Night Guard 01
7 Cleaner Cum Aya 01
iv) Nasarabad Upazila Staff-
Sl Position Number Note
1 Upazila Coordinator (UC)
01
2 Technical Officer (TO) 02
3 AF&AO 01
4 Field Support Officer (FSO)
10
5 Support Staff 01
6 Night Guard 01
7 Cleaner Cum Aya 01
Intermediate Result wise Activity Report
IR-01- Improve service readiness through critical gap management.
IR-1.a- Work Force Need assessment and facility assessment with Infrastructure Photography
A joint intervention was conducted with SCI and Implementing partner ESDO staff of Pirojpur
for its three upazilas. The main purpose of workforce
need assessment is to identify gaps in set systems of
government health and family planning department
service providing in upazila, union and community
level. We used a prescribed format provided by SCI.
Completing WNA we developed District profile of
Pirojpur. And we got photography of all UH & FWC to
assesses infrastructures condition and for future
evolution. Few Photographies are below
Jalabri UH & FWC, Nasarabad, Pirojpur Residence of Jalabari UH & fWC, Nasarabad, Piorjpur.
In front of Tona UH & FWC of Sadar Upazila, Pirojpur Shakharikathi Union Clinic of Nazirpur upazila, Pirojpur
In front of Durgapur UH & FWC, Sadar Upazila, Pirojpur Labor room of Durgapur UH & FWC of Sadar Upazila,
Pirojpur
Sutiakathi UH & FWC roof, Nasarabad, Pirojpur Sutiakathi UH & FWC Labor Room with delivery bed,
Nesarabad, Piorjpur
Chungapasa UH & FWC, Durgapur, Sadar, Pirojpur In front of Sohagdal UH & FWC, Nasarabd, Pirojpur
After complete facility assessment we found a major number of UH & FWCs situation is not positive to
conduct round O’clock delivery. Most of them are very poor with their infrastructure. The buildings,
windows, doors, roofs, toilets, water pump or tub-well (running water capacity), electricity, labor bed,
labor room logistics, medicines, tools etc. are low standard. Even few facility buildings have no suitable
environment where service providers would provide their service with proper attention. Insufficiency of
basic needs in residence of the UH & FWCs, the service providers do not show their wish to reside there
for functioning 24/7 deliveries.
Tools of Workforce need assessment, Facility Profile and situation analyze :
We used SCI stander Workforce need assessment, Facility Profile and situation analyze format and
collect inventory data from every facilities.
Guide line and orientation:
As per guide line of Senior Manager of MaMoni-HSS, Pirojpur district and Manager – Quality Assurance
we conducted the intervention. For this, an orientation was received on the prescribed format.
Who did :
Upazila Coordinators and Technical Officers conducted the task with the assistance of Quality Assurance
team.
* What did-
Filled up the entire format and took Photography of the facilities.
* Out Comes-
After getting all facilities assessment and profile we found HR gaps, Poor condition of facility structures,
logistics inevitability, etc.
Action Plan:
1. We proposed the below facilities for minor renovation to make them 24/7 delivery functional.
SL No: Proposed Facility Name of Upazila
1 Sikdarmollik UH&FWC Sadar
2 Durgapur UH&FWC Sadar
3 Tona UH&FWC Sadar
4 Shariktola UH&FWC Sadar
5 Sarenkhati UH&FWC Nesarabad
6 Ghuyarekha UH&FWC Nesarabad
7 Sohagdol UH&FWC Nesarabad
8 Deulbari UH&FWC Nazirpur
9 Dirgha UH&FWC Nazirpur
10 Mativanga UH&FWC Nazirpur
Table 4: Summary of plan for upgrading upazila and union level facilities Pirojpur Sadar List of facilities (UH&FWC) and
UHC
What services will be
upgraded
Physical renovation needs
Additional staffing needs
Supply/ equipment
needs
Other requirements
(e.g. staff training,
attachment etc)
Durgapur
UH&FWC 24/7
Wall repairing, floor covering, water
motor, water pipeline repair
2 Paramedics
Auto clave machine,
recovery bed, spot light
FWV need EoC training
Chungapasha
UH&FWC NVD NO No No No
Kadamtala
UH&FWC 24/7 No 2 Paramedics No FWV need EoC training
Kalakhali
UH&FWC NVD No No No No
Shariktala
UH&FWC 24/7
New Electric line wiring, wall and floor repairing covering & painting water pipeline, toilet fitting
No Instrument
trolley & tray, O2 cylinder
FWV need EoC training
Shongkorpasha
UH&FWC 24/7 No No
BP machine, Recovery bed, baby Wight machine, autoclave machine
FWV need EoC training
Shikdermollik
UH&FWC NVD Reparing windows, doors, floor, roof
No
Recovery bed, baby Wight machine, autoclave machine
No
Tona UH&FWC NVD NO No No
FWV EoC training
Nazirpur : List of facilities (UH&FWC) and
UHC
What services will be
upgraded
Physical renovation needs
Additional staffing needs
Supply/ equipment
needs
Other requirements
(e.g. staff training,
attachment etc)
Dirgha
UH&FWC NVD Repair windows, doors, water line, electricity
3 Paramedics Recovery bed, O2 cylinder
Need attachment
Malikhali
UH&FWC NVD NO
2 Paramedics
BP machine, Recovery bed, baby Wight machine, autoclave machine
FWV need EoC training
Matibhanga
RD. NVD
Covering floor, roof, Repair windows, doors, water line, electricity
No
Delivery table,
autoclave machine
No
Deulbari
UH&FWC NVD
Floor & roof Covering, Repair windows, doors, water line, electricity
No No No
Sheakmatiya
UH&FWC 24/7 No No Delivery table
repair FWV need EoC training
Shakharikathi
Union Clinic NVD
No No No No
Sreeramkhathi
UH&FWC NVD No No No
FWV need EoC training
Nesarabad:
List of facilities (UH&FWC) and
UHC
What services will be
upgraded
Physical renovation needs
Additional staffing needs
Supply/ equipment
needs
Other requirements
(e.g. staff training,
attachment etc)
Shutiakathi
UH&FWC
24/7 No No No FWV need EoC training
Swarupkathi
UH&FWC
NVD No No No No
Somudoykathi
UH&FWC
NVD No 3 Paramedics No No
Daihari
UH&FWC
NVD No 3 Paramedics No No
Guarekha
UH&FWC NVD
Labor Room repair, wall painting, Floor & roof Covering, Repair windows, doors, water line, electricity
No No FWV need EoC training
Jalabari
UH&FWC 24/7 No No
No Need attachment
Sharengkathi
UH&FWC 24/7 Repair windows, doors, water line, electricity
No
No FWV need EoC training
Shohagdol
UH&FWC NVD
Wall repair, celling,
toilet repair No No No
Atghor kuriana
RD NVD No No No No
Sharsshena_RD NVD No No No No
3. Current status of availability of MNCHFPN services at union level facilities-
Sl.No Upazila List of Union
facilities
Current status of MNCHFPN services at union level (UH&FWC, RD or USC). Write Yes or No (Y/N)
Satellites Remarks
AN
C
NV
D
AM
TSL
PN
C
HB
B
IMC
I
Referral fo
r co
mp
licated
MN
H
Sick new
bo
rn
mgt
Co
nd
om
s IUD
Inject ab
le
# plan
ned
# regular
/Pills
1. Pirojpur Sadar Upazila
Durgapur Y Y Y Y Y Y Y Y Y Y Y
2. Chungapasa Y 0 0 Y Y Y Y Y Y Y Y
3. Pirojpur Sadar Upazila
Kadamtala Y Y Y Y Y Y Y Y Y Y Y
4. Pirojpur Sadar Upazila
Kalakhali Y 0 0 Y Y Y Y Y Y Y Y
5. Pirojpur Sadar Upazila
Shankarpasha Y Y Y Y Y Y Y Y Y Y Y
6. Pirojpur Sadar Upazila
Sariktala Y Y Y Y Y Y Y Y Y Y Y
7. Pirojpur Sadar Upazila
Sikder Mallik Y 0 0 Y Y Y Y Y Y Y Y
8. Pirojpur Sadar Upazila
Tona Y 0 0 Y Y Y Y Y Y Y Y
9. Nesarabad Upazila Atghar Kuriana
Y 0 0 Y Y Y Y Y Y Y Y
10. Nesarabad Upazila Baldia Y 0 0 Y Y Y Y Y Y Y Y
11. Nesarabad Upazila Daihari Y Y Y Y Y Y Y Y Y Y Y
12. Nesarabad Upazila Guarekha Y Y Y Y Y Y Y Y Y Y Y
13. Nesarabad Upazila Jalabari Y Y Y Y Y Y Y Y Y Y Y
14. Nesarabad Upazila Samudaykati Y 0 0 Y Y Y Y Y Y Y Y
15. Nesarabad Upazila Sarengati Y Y Y Y Y Y Y Y Y Y Y
16. Nesarabad Upazila Sohagdal Y 0 0 Y Y Y Y Y Y Y Y
17. Nesarabad Upazila Sutiakati Y Y Y Y Y Y Y Y Y Y Y
18. Nesarabad Upazila Nesarabad
(Swarupkati) Y 0 0 Y Y Y Y Y Y Y Y
19. Nazirpur Upazila Dirgha Y Y Y Y Y Y Y Y Y Y Y
20. Nazirpur Upazila Purba
Deulbari Dobra
Y Y Y Y Y Y Y Y Y Y Y
21. Nazirpur Upazila Malikhali Y Y Y Y Y Y Y Y Y Y Y
22. Nazirpur Upazila Matibhanga Y 0 0 Y Y Y Y Y Y Y Y
23. Nazirpur Upazila Nazirpur Y 0 0 Y Y Y Y Y Y Y Y
24. Nazirpur Upazila Sekhmatia Y Y Y Y Y Y Y Y Y Y Y
25. Nazirpur Upazila Shankharikati Y 0 0 Y Y Y Y Y Y Y Y
26. Nazirpur Upazila Sreeramkathi Y 0 0 Y Y Y Y Y Y Y Y
4. HR Data- (Annex-1)
IR1.b- Paramedic Deployment:
One Paramedic deployed at Jalabari UH & FWC of Nasarabad Upazila, Pirojpur.
Jalabari is remote area of Nasarabad upazila of Pirojpur. Geographically it is a low land area of southern part
of Bangladesh. Most of the areas are under water mostly in rainy season. Only Union Health and Family
Welfare center is the service center for the people of Jalabari. But, people of this rural place are not getting
proper service from the facility mostly the maternal and newborn care though the facility has two SACMOs.
Of them one is Health Department and another is Family Planning department; no Family Welfare Visitor
(FWV). Thus the economically poor family pregnant women of this locality did not got Ante-natal Care and
Post-natal Care. Facility delivery was far cry. Because, the facility infrastructure is poor conditioned and its
service provider residence is such like a ghost house where there is no living facility. Moreover, Satellite and
EPI sessions were poor number. As a result it is easy to assume that health and family planning condition of
Jalabari Union is under stemate. GoB monthly MIS data shows such a below rate performance. Under IR-1to
critical gap management, MaMoni-HSS Pirojpur made a proposal to DDFP to deploy a paramedic in vacant
place of FWV in Jalabari Union Health and Family Welfare Center (UH & FWC). Honoroable DDFP sir
issued an official memo on August 04, 2014.
Implementing partner ESDO recruited one paramedic and fills the vacant with. Ms. Shahinur Begum received
the office note and conducted with UH & FPO to work in Jalabari UH & FWC. She worked in the facility
form August 22, 2014. After joining her she is conducting Satellites, EPIs. She works in the position of FWV
and gives services as the position holds. Now the facilities are functioning well. She confirms in the facility
ANC, PNC services and common illness and sessional infection of child. After providing paramedic in
Jalabari UH & FWC the rate of ANC, PNC and other outreach service is being achieved. Performance of the
facility is incorporated in GoB MIS report. The below table shows a glance of achievement of paramedic-
MaMoni-HSS provided paramedic is giving ANC in a Satellite Clinic
Sl August September October November
ANC-1 4 6 21 33
ANC-2 6 4 10 12
ANC-3 0 2 7 5
Delivery 0 0 0 08 (home)
PNC-1 3 3 24 20
PNC-2 4 2 11 16
Satellite- Plan Vs Achievement
Satellite Plan Achieve Plan Achieve Plan Achieve Plan Achieve
8 3 8 5 8 5 8 7
Graph- ANC
PNC-
Satellite-
0
10
20
30
40
50
60
ANC-1 ANC-2 ANC-3
4 6
0
6 4 2
21
10 7
37
16
59
August
September
October
November
3 4 3 2
24
11
24
18
0
5
10
15
20
25
30
PNC-1 PNC-2
August
September
October
November
0
1
2
3
4
5
6
7
8
August September October November
8 8 8 8
3
5 5
7
Plan
Achievement
Facilitator of PHD facilities in the training
Significance:
The above charts show the performance comprising the working month of the provided Paramedic in Jalabari
UH & FWC. We found, in August- November/2014 ANC, PNC and satellite service uprising gradually.
Rather than she provided different service to common illness and sessional infection of child. These
performances were incorporated in GoB MIS-3 as regular reporting.
IR-02: Strengthen health systems at district level and below.
IR-2.a- Leadership Management Training
District and Upazila level health and family planning managers received leadership Management training.
Civil Surgeon, District Director of Family Planning, Upazila Health and Family Planning Officers, Upazila
Family Planning Officers from August 24, 2014 to August 28, 2014. We enlisted the mangers name and send.
As a result helath and family planning department both district and upazila are more efficient and productive
to MaMoni-HSS.
IR-2.b- DHIS-2 for Statisticians
Management report shows performance. This is the way rating and showing status of the situation.
Statisticians are the key holders whom need to be skilled in MIS. To strengthen this MIS, need training.
MaMoni- HSS, Pirojpur send the list of district and upazila level statisticians.
IR-2.c- cMPM video based training
Under IR-4 to promote enabling environment to
strengthen health system district level and below
cMPM is one the important component in MaMoni-
HSS project. Community Micro Planning is the root
level action to strengthen system. The community
micro planning would act as minor but its result a
huge. To meet up some problems need a frame, not a
volume action. Micro plan does such things. To start
the cMPM meeting the main actors need the idea
about the meeting that how would it be conducted and
what will be its discussion points. They need to know
the cMPM structure.
A pilot activity on Community Mobilization was rolling out in Nazirpur Upazila with brac. For this a
Memorandum of Understanding (MoU) was
developed between MaMoni-HSS and brac. Thus
brac is a technical partner of MaMoni-HSS. As the
log frame of MoU, brac confirmed CAG and cMPM
by their SS. In cMPM, GoB field level H/FP staff has
a vital role. So, HA, AHI, FWA CHCHP and
MaMoni-HSS FSO were received the training. The
training was video based titled “cMPM Video based
Training”. It was started on August 20, 2014 and end
on September 04, 2014. The training was provided by
PHD, a national organization. cMPM video based
training was visited by DDFP, UFPO and UNO of
Nazirpur.
The below participants status-
Participant Number Note
AHI 8
HI 3
HA 40
FPI 6
FWA 45
FSO 9
MT(FPI) 1
SI 1
CHCP 24
TFPA 1
Statistician 1
Total- 139
Significance-
As a popular media of training, MaMoni-HSS provided multimedia based training to the trine to draw clear
attention and shape a good idea. Getting cMPM video based training; Health and Family Planning Department
field staff became understand the impotency of Community Micro Planning Meeting. After that, a plan
developed of selected cMPM by MaMoni-HSS Upazila team and the plan was shared with Field staff of H/FP
at beginning every month. According to the schedule cMPM was conducted in presence of them and it was
most functional in community level. HI Mr. Chittaranjan Ray shared his view that it is really good activity to
solve minor problems in community level. They are committed to continue this kind of activity regularly to
reduce maternal and neonatal mortality.
JSV : Plan Vs Achievement
Every Month 3 JSV must be conducted by GoB district and Upazila levels H/FP managers. The below table
shows the status-
Month Targe
t
Achiev
e Deviation
Achieve
%
August-2014 3 1 2 33
September-2o14 3 1 2 67
Total 6 3 3 50
The below table shows date and legend of JSV-
Date Name of the
Legend
Designation Visited place Note
24-8-2014 Ram Krishna Das DDFP, Pirojpur Nazirpur UCH, cMPM
video based training,
Sekhmatia UH & FWC
01-09-2014 H.P. Shikder UFO, Nazirpur cMPM video based
training
DDFP visited Shakhmatia UH & FWC
First Joint Supervisory Visit-
Implementing Partner of MaMoni-HSS project,
ESDO- Nazirpur organized cMPM video based
training for Halth and Family Planning
department’s field staff. The key positions are
FWA, CHCP, HI, AHI, HA, FPI from MaMoni-
HSS staff FSO. Mr. Ramkrishan Das, DDFP,
Pirojpur visited the Video Based Training with
Senior Manager of SCI, MaMoni- HSS program
and District Coordinator of implementing partner
ESDO jointly. A video was played to show how the training was conducting for the participants.
With a congratulation seepeach Sr. Manger of SCI, Pirojpur introduced each other. He brifed a short
about MaMoni-HSS to the participants. Following him DDFP facilated about cMPM stratigy to the
participants thus they could easily make them understand. He announced with a official voice that
nobody will left behind to provide service as we are commited and it is our intigrity. There are a
many under grade acheievment those could not be published for all with a cradible or honorable
manner. Not a single moment is said us to go slothy patent. We should move with our respectable
hand and to grow a gental domain in Pirojpur district in family planing sector. We would over come.
DDFP assumed that MaMoni-HSS staffs our frined. They will help us to be strenghten and we have
also some responsibility to help them for our betterness. Giving thanks agin DDFP moved froward to
visit Sekhmatia UH & FWC. During his visiting prieod he check the privious documants and records
while SACMO and FWV were in their office. Sharing some findings with the facility staffs, he
noticed that the facility should founction round O’Clock in week. He introduced MaMoni-HSS as a
assistance hand will support providing some nessisties and you should help them.
2nd
JSV
September 01, 2014 At 12.00 PM H.P. Shikdar, UFPO, Nazirpur entered into the training room
while ongoing a session about the
MaMoni-HSS goal, objectives and IR-4
and the acting roll of the
HA/FWA/CHCP/FWV/SACMO/FPI and
MaMoni-HSS field staff. He addressed to
the trainee about MaMoni-HSS as it is a
good intervention to reduce Maternal,
Neo-natal and child health to achieve MDG-4 and 5. He offered & highly instructed to the audience
to help to each other. He declared that MaMoni-HSS is not our anti party but a helpful path as best
friend; we should take help from them and we the government employee is the responsible to achieve
the result in the field of MNCHFP/N only they are the path way. He strongly noticed that nobody
would not behind to ensure quality service delivery to the rural general people. He more added that
after calculating the rate of Mortality Rate of Maternal and Newborn, MaMoni-HSS has come, it is
the sham of us we the field worker does not provide service accordingly. So, don’t let behind; come
forward to achieve more together. In the visiting period of H.P. Shikdar, UFPPO, Nazirpur Md.
Nashir Uddin Faruq, Assistant Director, PHD, Md. Ferdous, District Coordinator, MNHI-PHD-
Bagherhat, Susanta Sarkar Subho, ME&DO, MaMoni-HSS, ESDO-Pirojpur & Hannan Khan, UC,
MaMoni-HSS, ESDO-Nazirpur were present.
UNO of Nazirpur Visited cMPM video based
training
Special Visit by UNO of Nazirpur.
A Joint Supervisory Visit (JSV) was with Mr. Mrinal Kanti Dey, UNO, Nazirpur, Pirojpur. At 1.00
PM on September 03, 2014. He entered the training room while ongoing a session about the Unite of
cMPM in a union based on health and family planning design. It was last batch of the batch plan to
train to the HA/FWA/CHCP and MaMoni-HSS Field Support Supervisor (FSO). He delivered a
welcome speech to the trainee. He emphasized that every NGO’s work is social work for our people.
They come in field with a program in a view to solve a problem which they got through a survey or
field work. MaMoni-HSS has also come in our locality with a view to reduce Maternal, Neo-natal
and child death to achieve MDG-4 and 5. We all whom are the service provider for the people should
have some respective responsibility for people
as well as people also seek service from us. It is
our integrity to serve and it would be our pride.
The arrangement of cMPM video based training
is an ideal and supplementary production. It
helps us to solve any problem with a micro plan,
it’s wonderful. It will march our huge load, so
take it by heart. During his visit Md. Habibur
Rahman, Sr. Logistics Assistant, SCI, Susanta
Sarkar Subho, ME&DO, Md. Mahabbat Hossian Faruk, FC-CBS, ESDO-Pirojpur, MaMoni-HSS,
ESDO-Pirojpur & Hannan Khan, UC, MaMoni-HSS, ESDO-Nazirpur were present.
IR-3: Promote enabling environment to strengthen district level health system
IR-3.a- Inception Meeting
District Inception Meeting
Promote enabling environment MaMoni-HSS, Pirojur completed Distrcit Inception Meeting with Distrcit
Health and Family Planning department.
Upazila Inception Meeting
As per 1st year activity plan to create enable environment
district level and below, MaManoi-HSS, ESDO has
completed upazila advocacy meeting successfully. Local
Government, Health and Family Planning Department
officers and stockholders were the participant of the
meeting. The meeting was organized by Upazilla Family
Planning Department and assisted by MaMoni-HSS
where Upazila Nirbahi Officer (UNO) was the chief
gust. All union chairmen or their respective
representative were also present in the meeting. A power
point presentation was presented on MaMoni-HSS. In the presentation, there were goal, objectives and IRs.
To make the participants understand the scenario in health and family planning department in Pirojpur district,
national status and our targets were presented in there. As per agenda an open discussion was for the
participants. Different reclamations and questions were arisen in there. Upazial Health & Family Planning
managers were given their answers. With showing a positive view Helath and Family Planning department
asked every department help to reduce maternal and neonatal mortality rate from Pirojpur district. Upazila
Nirbahi Officers were very pleased to know that MaMoni-HSS will work for strengthen government health
systems. It is a helpful and positive activity in this district. All union chairmen are asked to help the program
for their people.
Sl Upazila Venue Date
1 Pirojpur Sadar Upazila Parisad Auditorium 22/09/2014
2 Nazirpur Upazila Parisad Auditorium 22/09/2014
3 Nasarabad Upazila Parishad Auditorium 24/ 09/ 2014
Significance
This is an important event in favor of MoMoni-HSS team to make a
successful intervention in Pirojpur. It will create an enable environment
to access in needed component. As they are the local leader and elite,
they will lead us also. The success of MaMoni-HSS is the success of
Pirojpur or of their people. So, they would own MaMoni-HSS and we
will be more efficient and productive.
Union Inception Meeting-
MaMoni-HSS, ESDO-Pirojpur completed union advocacy meeting in there upazila Pirojpur Sadar, Nazirpur
and Nasarabad. As per 1st year activity plan ESDO completed 26 uinons advocacy meeting. The meeting was
organized by Union Health & Family Planning Department assisted by MaMoni-HSS. This varies a valuable
importance that it will create a positive environment to implement MaMoni-HSS in community level. Union
Parishad Chairman, Member, local elite, Health and Family Planning field staffs were the participant f the
advocacy meeting. MaMoni-HSS union level staff
(FSO), upazila level staff and district level
representative was participated there. The
representative of Upazila or district addressed Fogal,
Objects and IRs of MaMoni-HSS. Knowing goal and
objectives of MaMoni-HSS different questions were
arisen there in the open discussion session. Union
Parshid Chairman and Members asked to the Health and
Family Planning staff about the present scenario of
field. They stated detail and asked to continue EPI and other services as per plan. UH & FWC staffs were
committed to make the UH & FWC functional 24/7 service delivery and conduct normal delivery.
Upazila and union wise schedule is below-
Sl Upazila Union Venue Date
1
Sadar
Kadamtoal Kadamtola Union Parishad Hall Room 18/9/14
2 Tona Tona Union Parishad Hall Room 18/9/2014
3 Sariktola Sariktola Union Parishad Hall Room 18/9/2015
4 Kolakhali Kalakhali Union Parishad Hall Room 16/9/2014
5 Sankarpasa Sankarpasa Union Parishad Hall Room 22/9/2014
6 Durgapur Durgapur Unio Parishad Hall Room 20/09/14
7 Sikdarmollik
Sikdarmollik Union Parishad Hall
Room 23/9/2014
Sl Upazila Union Venue Date
1
Nazi
rpu
r
Matibhanga Matibhanga Union Parishad Hall Room 17/9/2014
2 Shakarikathi
Shakarikathi Union Parishad Hall
Room 17/9/2014
3 Dirgha Dirgha Union Parishad Hall Room 17/9/2014
4 Shekhmatia Shekhmatia Union Parishad Hall Room 18/9/2014
5 Kolardoania
Kolardoania Union Parishad Hall
Room 18/9/2014
6 Nazirpur Nazirpur Union Parishad Hall Room 23/9/2014
7 Sreeramkathi
Sreeramkathi Union Parishad Hall
Room 20/9/2014
8 Malikhali Malikhali Union Parishad Hall Room 24/9/2014
9 Daulbari Daulbari Union Parishad Hall Room 28-9-2014
Sl Upazila Union Venue Date
1
Nasa
rab
ad
Sawmudaykathi Sawmudaykathi Union Parishad Hall
Room 18/9/14
2 Jalabari Jalabari 18/9/2014
3 Sarngkathi Sarngkathi Union Parishad Hall Room 18/9/2015
4 Daihari Daihari Union Parishad Hall Room 16/9/2014
5 Guarakha Guarakha Union Parishad Hall Room 22/9/2014
6 Sutiakati Sutiakati Union Parishad Hall Room 20/09/14
7 Boldia Boldia Union Parishad Hall Room 23/9/2014
8 Swarupkathi Swarupkathi Union Parishad Hall Room 18/9/2014
9 Atgharkuriana
Atgharkuriana Union Parishad Hall
Room 27/9/14
10 Sohagdol Sohagdol Union Parishad Hall Room 23/9/2014
Media Coverage-
IR-3.b- Day observations
July 11 World Population Day-
“Investing in Young People” was the massage of World Population Day of 2014. MaMoni-HSS project
offices observed the day jointly DDFP. District Family Planning Department organized to observation the
day. Different activities were in there. The day was also observed by there working upozila Pirojpur Sadar,
Nazirpur and Nasarabad of MaMoni-HSS, ESDO.
World Breast Feeding Week (August 01 to 07, 2o14)
“Breastfeeding: A Winning Goal-For Life”- was thee Massage of World Breast Feeding Week 2014.
MaMoni-HSS Project, ESDO observed the week jointly with Health department. Different Activities
were taken to observe the week.
A rally on World Population Day
Hand washing Day- 2014 observation-
“Clean hands save lives”, the driving theme was for Global Handwashing Day-2014 and was
celebrated on October 15, 2014 globally as well as in Bangladesh. The Day was observed as a
campaign to motivate and mobilize millions around the world to wash their hands with soap. It was
dedicated to raising awareness of handwashing with soap as a key approach to disease prevention. It
might initiated to reduce childhood mortality rates related respiratory and diarrheal diseases by
introducing simple behavioural changes - hand washing with soap.
MaMoni-HSS ESDO-Nesarabad, Pirojpur celebrated
the day with different awareness raising program and
mick announcing throughout the locality. Health
department of GoB and MaMoni-HSS of Nesarbad
Upazila observed the day jointly leaded by health
department. An awareness program was took place at
Kamarkathi village of Jalabari Union under the
Upazila. In the campaign about 30 to 35 different ages
people were attend there mostly them were women as
because women are the main skipper of clean family;
clean living. There were govt. H/FP department workers.
A demonstration of Hadwashing with soap was conducted
by Field Support Officer Ms Chamali Akhter. The aim of
the demonstration is to show how we would confirm hand
washing at our household level and in another place.
Following that, Health Assistant (HA) Md. Abdul Halim
addressed about the importance of Hadnwashing. He
pointed to make it as a culture in our society to save lives.
He assumed that Behaviour Change Communication
(BCC) is an active and performing program. We should take responsibility from own accords or
positions independently.
Participants gatherd in BCC show
IR-4: . Identify and reduce barriers to accessing health services
IR-4.a- BCC activities
BCC- Presentation Background –
As per guide line of the MaMoni-HSS activity IR-4,
BCC-Presentation is one of the key activities in
social mobilization. It is very challengeable activity
to make people aware. The rural general people
believe their old customs and they are very happy to
have it though it may be a superstation. We see
different initiatives are applying to make change
behavior; video show is an extra ordinary thinking.
On 13 August, 2014 an orientation was held in SCI,
Dhaka Office of the BCC-Presenter.
How to organize-
To select venue and date to hold the BCC event, BCC- Presenter contacted with the UP member.
With concern UP member and villagers & help of Upazila team of Nazirpur selects the venues to
hold the event. Then he prepared a schedule. Our field staff Field Support Officers (FSO) delivered
the massage to the common people about the event. And they also made contact with Health and
Family Planning UH&FWC personnel to attend in the event.
Using Materials- a) 42’’ television, DVD player
b) Microleb M-108 Speaker.
Using Tool- One video Clip of 27 minutes on MNCHFP/N.
Venue and Schedule-
Sl Upazila Union Village Venue Time Date
1 Nazirpur Sekmatia Roghunatpur RoghunatpurAbasan 10AM 26/08/2014
2 Nazirpur Mativanga Tara Bunia Tarabunia P.M School 04pm 27/08/2014
3 Nazirpur Nazirpur Nazirpur Nazirupur Union Parisad 10 AM 10/09/2014
4 Nazirpur Mativanga Baliari Baliari Suniler Bari 3 PM 11/09/2014
5 Nazirpur Shakharikathi Shekhbari Baijora Bazar 10 AM 13/09/2014
6 Nazirpur Shakharikathi Uttar
Shakharikathi Gouri Rani’s House 10 AM 14/09/2014
7 Nazirpur Nazirpur Choto
Baithakathi Choto Baithakathi 10 AM 15/98/2014
1. Detail of the Activity-
In the first year implementation period, we were able to organize 07 (Seven) BCC shows at
community level. The venue and schedule shows the above table. At the schedule time, there was a
gathering of different ages around the venue. Ward UP Member was nominated as chairman of the
event. Getting permission from Chairman, BCC-
Presenter addressed an introduction massage to the
spectators on MaMoni-HSS project. Then the Video
show was screened. With a great attention the
Spectators were indulge in the television screen on
MNCHFP/N till 27 minutes. Gradually, people joined
in the crowed. After the end of the video clip, a quiz
competition was conducted. The quiz was on the video
show. Different quiz was taken about MNCHFP/N. For
each correct answer, the first one was prized. Only six
prizes were for six quizzes. H/FP personnel of
UH&FWC like FWV/SACMO/FWA/HA/EPI/CHCP any one was the judge of the quiz session. And
the prize handed also by them. After quiz session, H/FP personnel introduced MaMoni-HSS to the
people.
Participants Status-
Sl Profession Number Remarks
UP Chairman 0
UP Member 9
FWA 12
FWV 2
SACMO 1
HI 7
AHI 0
HA 7
FPI 7
CHCP 5
CSBA 0
Teacher 6
Mowlovi 0
Other Profession 774
Total- 830
Gender basis participant status
Female Male Total
647 183 830
Community is an integrated and complex platform where different believes, thinks, minds, customs,
cultures, practices, attitude, behavior, colors, emotions, owning etc. are mixed. It has log flow and
continuous appellation. It is like a hard substance. These are barriers. To enter in the substance to
touch its Soule, different strategy has developed by the social researchers. The main phenomenon is
FWV Lipi Biswas prized the quiz winner at RoghunatpurAbasan
to develop a way of communication thus a log practice of the community would be change gradually.
Researchers believe that these kinds of customs are mostly unawareness. Sometimes it happen
unwanted things. Such a motivational tool which will work potentially is better of Behavior Change.
So, the first think is common people’s interest. As video graph has an ample of the community to
make them aware so, a video clip is better communication. BCC presentation is such a
communication to make people understand on MNCHFP/N.
In every arrangement of BCC presentation different classes, professions, age’s people were gathered.
BCC presentation created evidence reaching with the massages of MNCHFP awareness about their
responsibilities as well as some leading person of this community whom would take a role to solve
the problems. It created a better opportunity to develop a social linkage with health and family
planning department with local government. If we see the participants table, the professional of
different professions were in there and they assumed their role. Even we can assume to see the below
quote-
Mativanga UP member of Nazirpur Upazila, Pirojpur Mossaref Hossain said, “It is good; good for
the people. Need more show and more crowds to raise more awareness about health and family
planning”.
IR-4.b- ToT on CV orientation
To roll out CV activity within a short time at Nazirpur, MaMoni-HSS organized ToT on CV at
Distrcit office, Pirojpur on July 02 to July 03, 2014 provided by SCI. The participants were both
district and Upazila team. The below table shows the participants status-
Position of
Participant
Working
Location
# of
Participan
t
Dist.
Coordinator Pirojpur 1
FC-QA Pirojpur 1
FC-CBS Pirojpur 1
ME & DO Pirojpur 1
UC Nazirpur 1
TO Nazirpur 2
FSO Nazirpur 9
Total- 16
FP of ESDO visited CV orientation at
Nazirpur Mativanga Union.
IR-4.c- Basic training for CVs
MaMoni-HSS has a pilot activity on Community
Mobilization at Nazirpur. This piloting activity is
implementing by BRAC. BRAC also works on
MNCHFP/N in Pirojpur Distrcit. There was a sharing with
BRAC to organize the CV orientation. First BRAC
provided its CV target. A sharing meeting was conducted
by SCI, Partner organization ESDO, Pirojpur and BARC,
Pirojpur that how to roll out basic training/ orientation of
CV. Batch & date plan, Venue plan, logistics plan, convince strategy was developed by the sharing
meeting. BRAC would provide convince food cost and Venus. MaMoni-HSS will provide trainee
and logistics. From July 06, 2014 to July 24, 2014 at different venues of BRAC community level
offices CV orientation was conducted. Focal Person of MaMoni-HSS, ESDO inaugurated the
program. The status of orientation of CV (SS) shows below-
SL Upazila Total
Union
Target
of CV
Orientated
of CV
Batch Venue Note
1 Nazirpur 9 323 323 18 BRAC field
Offices
Facilitator-
Nazirpur Upazila MaMoni-HSS team of Nazirpur Upazilla and District team of MaMoni-HSS,
ESDO were the facilitators. A ToT on CV (SS) orientation was received the facilitator providing
SCI, Pirojpur. The below table show the status of the facilitators –
Sl Position Number Note
1 UC 1
2 TO 2
3 FSO 9
Observers-
This orientation was roll out through regular observation by different key personnel of MaMoni-HSS
and BRAC. The below personnel were the observers-
Position Program Organization Working
Area
Number
Focal Person MaMoni-HSS ESDO Dhaka 1
District Coordinator MaMoni-HSS ESDO Pirojpur 1
DM-ME&DO MaMoni-HSS SCI Pirojpur 1
DM-CBS MaMoni-HSS SCI Pirojpur 1
FC-QA MaMoni-HSS ESDO Pirojpur 1
RC MaMoni-HSS ESDO Pirojpur 1
ME&DO MaMoni-HSS ESDO Pirojpur 1
IR-4.d- CAG meeting performance
A piloting program with BRAC on CM activities is
roll out at Nazirpur Upazila. It will evaluate the result.
On the assessment of BRAC CM activities, it will take
decision whether BRAC will continue CM activities or
not. CAG is one of the first steps of CM. The
community Volunteer will conduct a CAG in every
month with 250 people. For 750 people BRAC has one
CV and she conducts three CAG each month. The
community Volunteer is recruited by BRAC. The CAG
areas are marked by BRAC. To examine CAG started
at Nairpur earlier. On August 09, 2014 we started CAG conduction. CVs used their register to make it update
about pregnant women, new couple, ELCO, newborn etc. of a CAG area. They update a CAG map containing
different legend which shows the demographic
information. ELCO, Adolescent, pregnant women,
aged ladies and gents, husband; youth and elite can
participant in a CAG. An open house discussion with
the participant Community Volunteers pick up one or
two massages. The massages discussed at cMPM.
Deputy Chief of Party SCI-Bangladesh and Project
Director, MaMoni-HSS, SCI-Bangladesh visited CAG
of Chitholia village at Nazirpur Upazila. The below table shows the status-
CAG Data
Union August September October November
Target Achieved Target Achieved Target Achieved Target Achieved
Dirgha 52 39 61 44 76 60 76 71
Purba Deulbari 141 78 155 92 164 121 164 134
Malikhali 97 50 97 48 97 59 97 79
Matibhanga 80 25 92 55 95 45 95 85
Nazirpur 80 19 97 63 97 69 97 93
Sekhmatia 91 53 91 51 100 62 100 96
Shankharikati 77 57 97 70 82 49 82 76
Sreeramkathi 87 83 77 74 91 69 91 88
Monthly Total- 705 404 767 497 802 534 802 722
Plan Vs Achieved of CAG in graph
Specification-
CAG is an active participation of community people where Health & family planning department
and MaMoni-HSS field staff participanted. It was a participatory way to deliver massages and pick
up problems regarding MNCHFP. CVs updated their register. We started CAG from August and
cMPM from September. So, in September CV attend cMPM meeting with their register and updated
FWA and HA registers.
To roll out CAG we found some problems.
1. Geographically dislocated from plan land.
2. Hard to reach area and some areas are most isolated.
0
100
200
300
400
500
600
700
800
900
August September October November
70
5 76
7
80
2
80
2
40
4 4
97
53
4
72
2
57
.3
64
.79
66
.58
90
.02
30
1
27
0
26
8
80
Target
Achieved
%
Drop
cMPM-
cMPM conduction-
After receiving cMPM video based training Nazirpur Upazla Started cMPM. The below table shows the status
of September-November, 2014.
Union September October November
Terget Achieved Droped Terget Achieved Droped Terget Achieved Droped
Dirgha 12 7 5 12 6 6 12 9 3
Purba Deulbari 24 3 21 24 13 11 24 17 7
Malikhali 12 6 6 12 8 4 12 12 0
Matibhanga 12 5 7 12 9 3 12 8 4
Nazirpur 12 5 7 12 9 3 12 12 0
Sekhmatia 12 9 3 12 9 3 12 12 0
Shankharikati 12 7 5 12 5 7 12 10 2
Sreeramkathi 12 9 3 12 9 3 12 12 0 Monthly Total- 108 51 57 108 68 40 108 92 16
Graph of cMPM conduction-
Significance-
cMPM was rollout for September-2014 months in field in Nazirpur and Bhandaria. In Nazirpur there were 108
cMPM meeting scheduled for every month. We found an active involvement of H/FP field staff in cMPM
conduction.
0
20
40
60
80
100
120
September October November
10
8
10
8
10
8
51
68
92
47
.22
62
.96
85
.18
57
40
16
Plan
Achived
%
droped
Contribution status of Community Mobilization at Saba Week (Service week) observation (8-13
Novermber-2014
Family Planning depertment of Pirojpur observed National Saba Week (Service Week) on November
08- 13, 2014. To make success the Saba Week MaMoni-HSS Field Facilatation Officer contributed
in counsilling and motivated clints. DDFP pirojpur recorded the below status-
Date Upazila
Permanent
Method
Long Term Method
Short term Method Maternal and New born
Health services
Adolescent services (Anima+ Others)
General services)
Mal
e
Fem
ale
IUD
Imp
lan
t
Inje
ctab
le
Pill
Co
nd
om
AN
C
De
live
ry
PN
C
0-5
ch
ild
care
Bo
ys
Gir
l
Mal
e
Fem
ale
8-13 November/
2014
Sadar 0 5 6 10 46 62 18 84 3 11 143 47 46 71 349
Nazirpur 0 0 7 0 36 49 17 32 1 9 94 26 55 43 197
Nesarabad 3 2 4 7 22 59 24 26 2 13 86 21 47 74 246
Total 3 7 17 17 104 170 59 142 6 33 323 94 148 188 792
Union Follow-up meeting-
SACMO of Family Planning, SACMO of Health, FWAs and FFO of MoMoni-HSS are in union follow up
Meeting at Malikhali Union Health and Family Welfare Center of Nazirpur, Pirojpur.
IR-4.e- JD based training
- Staff orientation-
Newly recruited staffs of PNGO’s were oriented on MaMoni-HSS to make them understand about
MaMoni-HSS project’s Goal, Objectives and 4-IRs provided by SCI in different venues on different
dates. Frist one was received by ME & DO and FC-CBS in Zastes Zakaria City, Sylhat on May 24 to
27, 2014 and another was received by DC, UC, FC-QA, RA Hotel City-In, Khulna on June 16-20,
2014 from ESDO. The below table shows the status –
Sl Positions Number
1. District Coordinator 1
2. FC-CBS 1
3. FC-QA 1
4. RC 1
5. ME&DO 1
6. Upazila Coordinator 3
Total- 8
Significance-
The orientation helped to learn the strategies of the project implementation and way to roll out
program, role of different position holders initially. And the program was started its first year activity
in Pirojpur district.
- MIS and Documentation Orientation
Monitoring, Evaluation and Documentation Officer received an orientation on MIS and
Documentation Provided by SCI at BCDM saver on July 05 to July 10, 2014. The aim of the
orientation was to know the key roles of ME & DO and different particulars. The main focus of the
orientation was Documentation, Photography, Tracer indicators as Monitoring Tools, MIS, MPR and
so on. The below table shows the participants status-
Sl Participant Venue Duration Days Remarks
1 ME & DO BDCM, Saver,
Dhaka
July 05 to July 10,
2014
6
Significance-
* Roll out project MPR.
* From July-Novermber-2014 MPR completeness and submission to SCI.
A group work of CAG in FSO’s JD based Training
FSOs were sit for Post- Test
- FSO’s JD based Orientation-
Field Facilitation Officer (FSO) was the main or front line or field level staff who played roles to
make functional MaMoni-HSS in community level. Community Mobilization part is the main bone
of the program which was designed based on the
responsibility of FSO. So, they needed to know
the responsibilities and technique to make the
program success. For this an orientation was
given to DC, UCs, TOs, FCs, ME & DO and RC
by SCI. After receiving the FSO’s JD based
Orientation, an orientation for FSO was
organized by ESDO. The orientation was started
in presence of Manager- Quality Assurance,
SCI- Dr Atier Rahman, DM-ME&DO, SCI- Feroz Ahmad and DM- CBS, SCI- Haran Chandra
Sarker. Manager-QA expected that every
participant will be attentive to the lessons and
facilitators will deliver clear massages about
every topic. Not a single session will be paused.
This is the foundation off the FSO. Through the
training they will learn their definite duties and
responsibilities. He assumed that FSOs are the
front line solder of MaMoni-HSS. The program
will bring success if the FSOs will work
according the JD. They will not left it returning from the training but they also read the every pages
of the JD so, patent is essential. The four days orientation was continued through internal observation
of MaMoni-HSS key staffs, SCI employee and ESDO’s central team. Focal Person of MaMoni-HSS,
ESDO, Md. Shamsul Haque Mridha and central training
coordinator of ES DO Md. Mojibar Rhaman were
observed the training. Essential logistics and tools were
used in the training like writing pad, pen, multimedia,
white board, marker, poster paper, marker etc. In CGA
meeting, PRA, cMPM, Union Follow up meeting
conduction and other important sessions were taught
forming three or four groups. A discipline maintenance
team was formed for the orientation. Family planning
compliance was read to the trainee and everybody put down a signature on an understand paper
A team work
separately. Child Safe Gurding Polices was also read to them and everybody put down signature on a
understand paper separately. To evaluate the training pre-test and post-test were given by the trainee.
Venue and dates-
Sl Title of the
orientation
Venue Date Days No.
Participant
Note
1 FSO’S JD
based
Orientation
Pirojpur Sadar Upazila
MaMoni-HSS Conference
Room
August 04-
August07,
2014
4 26
Facilitators-
Position Program Working Area Number
FC-CBS MaMoni-HSS Pirojpur 1
UC MaMoni-HSS Sadar, Nazirpur
and Nasarabad
3
TO MaMoni-HSS Sadar, Nazirpur
and Nasarabad
5
Observer-
Position Program Organization Working Area Number
Focal Person MaMoni-HSS ESDO Dhaka 1
Manager-QA MaMoni-HSS SCI Pirojpur 1
Training Coordinator Central ESDO Thakurgaon 1
District Coordinator MaMoni-HSS ESDO Pirojpur 1
DM-ME&DO MaMoni-HSS SCI Pirojpur
DM-CBS MaMoni-HSS SCI Pirojpur 1
Manager-Logistics MaMoni-HSS SCI Pirojpur 1
FC-QA MaMoni-HSS ESDO Pirojpur 1
RC MaMoni-HSS ESDO Pirojpur 1
ME&DO MaMoni-HSS ESDO Pirojpur 1
Significance-
After getting the orientation the newly recruited Field Facilitation Officers were understand about
their specific role mostly Nazirpur Upazila staff.
FP of MaMoni-HSS, ESDO inaugurated the UC
and TOs JD based Training
JD based Orientation of District Coordinator, FC-QA, FC-CBS
District Coordinator, Field Coordinator- Quality Assurance, and Field Coordinator- Community
Based Services were received JD based orientation at Avash, Barisal provided by SCI. The aim was
the orientation to provide guide line to the district office based cadres about their roll and
responsibility to lead the implementing team.
Sl Title of the
orientation
Venue Date Days No.
Participant
Note
1 JD based Orientation
of DC and FCs
Avash,
Barisal
August 29- September
02, 2014 4 3
Significance-
Getting the JD based Orientation three personnel became understand about their responsibility and
returning from there they started JD based Orientation of UC and TO. Following that, implementing
team of three upazilas started up the first year activity of MaMoni-HSS.
JD based Orientation of UC and TO
As per proposed 1st year Activity Plan of MaMoni-HSS Project implementing partner ESDO has
arranged a JD based Training of UCs and TOs for its part of three upazilas Pirojpur Sadar, Nazirpur
and Naserabad. On September 10, 2014 was the
opening day of the three days training. Md. Feroz
Ahmed, DM-ME&DO, SCI, Pirojpur was the
representative from SCI in the opening ceremony.
Md. Shamsul Haque Mridha, Focal Person,
MaMoni-HSS, ESDO were also present there. At
9.00 AM with congratulation and giving thanks,
DM- ME&DO of SCI, Pirojpur declared the
orientation-cum-training start. He said his opening speech, till then you should ask a question
whenever you would not able to understand, and the facilitator will also be transparent to deliver
detail to the participants. He added that it is the supervisory foundation of MaMoni-HSS
implementation in field level. Focal Person (FP) said that you would be able to understand about
your prime responsibility and the key ways to advent in field intervention. You all should utilize a
single moment onto learning and sharing about any topics during the orientation-cum-training. Md.
Mahidull Islam, District Coordinator, MaMoni-HSS, ESDO-Pirojpur expected a good contribution of
every participants both trainee and trainer. The participants were sit for Pre and Post- test of 30
marks.
Sl Title of the
orientation
Venue Date Days No.
Participant
Note
1 UC and TO’s
JD based
Orientation
Pirojpur Sadar MaMoni-
HSS Project Conference
Room
September 10-
September 13,
2014
4 8
30
11
16
30
15
23
30
13
23
0
5
10
15
20
25
30
35
Mark Range Pre Test Post Test
Evaluation Score of UC
Rahidul Islam
Hannan Khan
Hamidur Rahman
30 30 30 30 30
14 15
11 12 13
20 22
20 21 19
0
5
10
15
20
25
30
35
Mansura MahbubaMohosina
Saifuddin Abdullah hil bari Mosafraf
Evaluation Score of TO
Mark Range
Pre Test
Post Test
Photography Orientation-
Photography is an important element of Documentation. It varies a lot of talk then to write. It
illustrates and illuminates information. It represents a situation. In MaMoni-HSS it has an ample for
documentation. For this purpose, the below participants were received an Advanced Photography
Training.
S
L
Name of
the
participant
Designati
on
Working
Station
Date #
Batch
Days Venue Note
1 Aubdullahil
Bari
TO Naserabad Sep 01-
Sep 03,
2014
2nd
4 Parthshala,
Dhaka
2 Susanta
Sarkar
Subho
ME & DO Pirojpur Sep 14 to
Sep 17,
2014
3rd
4 Drik and
Pathshala,
Dhaka
BCC-Presenter orientation-
BCC- presenter received an orientation to arrange and conduct presentation in community level.
Status is given below:
Sl Title of the orientation Venue Date Days No.
Participant
Note
1 UC and TO’s JD based
Orientation
Pirojpur Sadar
MaMoni-HSS Project
Conference Room
September
10-
September
13, 2014
4 8
Orientation on Tracer Indicator-
Orientation on Tracer Indicator was conduct by ICDDR’B at the venue of MaMoni-HSS, Pirojpur on
July 09, 2014. The below table shows the participants of ESDO-
Sl Position Working
Area
Unite Note
1 District
Coordinator
Pirojpur 1
2 FC-QA Pirojpur 1
3 FC-CBS Piorjpur 1
5 RC Pirojpur 1
Total- 4
All Staff Orientation
Venue -S.B Community Center, Hospital Road, Pirojpur.
Date : September 27, 2014.
Implementing Partner of MaMoni-Health Systems Strengthen ESDO arranged all staff orientation
for its staffs at S.B Community Center, Hospital Road,
Pirojpur on September 27, 2014. DM-ME & DO of SCI,
Focal Person of, Finance Coordinator of ESDO-
MaMoni-HSS, and Human Resource coordinator of
ESDO, Training Coordinator of ESDO and District
Coordinator of MaMoni-HSS, Pirojpur were present at
the opening session of the orientation. There were also
present all filed staff- Field Support Officer (FSO),
Technical Officer (TO), Upazila Coordinator (UC),
Field Coordinator- Quality Assurance (FC-QA), Field
Coordinator- Community Based Service (FC-CBS), Referral Coordinator (RC), Monitoring,
Evaluation & Documentation Officer (ME & DO), Finance and Admin Officer (A & FO), Assistant
Finance and Admin Officer (( AF & AO), BCC-Presenter,
Helper and Support staff were also present in there. In the
orientation District Coordinator was in chair. With a delightful
atmosphere the orientation was declared start. At the begging of
the orientation, HR coordinator described about ESDO HR
policies to the audience thus the staff be known about ESDO
HR policies. It will help to build a unity of all staff. Finance
Coordinator Md. Zillur Rhaman discussed about finance
compliance of MaMoni-HSS as per activity wise budget. He
cleared the rules and regulations of Finance which will be
approved by USAID fund and also the norms of USAID Funded programs.
District Coordinator presented a power point presentation on overview of MaMoni-HSS. The
component managers also presented their presentation in the orientation.
IR-4.f- New project MIS roll out
N/A
IR-4.g- Tracer indicator survey
---------------------------
IR-4.h-Upazila level H&FP Monthly Meeting-
Three Upazilas Pirojpur Sadar, Nazirpur and Nasarabad participate in Upazila Health and Family Planning
Meeting from July- 2014. Though upazila team joined the meetings but could place in agenda. We hope we
will take place in agenda from October/ 2014.
Month Office name Meeting Title Participant
July
Upazila Family Planning
office, Nazirpur Monthly Meeting UC
Upazila Family Planning
office, Nasarabad Monthly Meeting UC
Upazila Family Planning
office, Sadar Monthly Meeting UC
August
Upazila Family Planning
office, Nazirpur Monthly Meeting UC
Upazila Family Planning
office, Nasarabad Monthly Meeting UC
Upazila Family Planning
office, Sadar Monthly Meeting UC
September
Upazila Family Planning
office, Nazirpur Monthly Meeting UC
Upazila Family Planning
office, Nasarabad Monthly Meeting UC
Upazila Family Planning
office, Sadar Monthly Meeting UC
October
Upazila Family Planning
office, Nazirpur Monthly Meeting UC
Upazila Family Planning
office, Nasarabad Monthly Meeting UC
Upazila Family Planning
office, Sadar Monthly Meeting UC
November
Upazila Family Planning
office, Nazirpur Monthly Meeting UC
Upazila Family Planning
office, Nasarabad Monthly Meeting UC
Upazila Family Planning
office, Sadar Monthly Meeting UC
IR-4.i-District level H&FP Monthly Meeting
Month Office Name Meeting title Participant
July DDFP offcie Monthly Meeting District Coordinator
CS office Monthly Meeting District Coordinator
August DDFP office
Special Advocacy
Meeting MaMoni-HSS, Pirojpur team
CS office Monthly Meeting FC-QA
September DDFP office Monthly Meeting District Coordinator
CS office Monthly Meeting FC-QA
October DDFP Office Monthly Meeting District Coordinator
CS office Monthly Meetinng FC-QA
November DDFP Office Monthly Meeting District Coordinator
CS Office Monthly Meeting District Coordinator
Special Advocacy Meeting with SBA
A special Advocacy Meeting on SBA was organized by Family Planning Department of Pirojpur
assisted by MaMoni-HSS on August 27, 2014 at
Upazila Conference Room; Sadar Upazila
chaired by DDFP, Pirojpur Ramkrishna Das. In
the meeting Divisional Director of Family
Planning, Barisal was the chief gust DD of
Family Planning was chaired. Nazmul Kabir,
Senior Manager, SCI, Pirojpur was the special
gust in the meeting. In the meeting field level
staff of family planning like FPI, FWV and
SACMO attend in the meeting. The two
implementing partners of MaMoni-HSS, Pirojpur
ESDO and Light House’s District coordinators
and other component managers were also present in the meeting. With giving thanks to all DDFP
read over the previous Meeting Minutes he offered Senior Manage, SCI, Pirojpur to present a power
point presentation. Sr. Manager Nazmul Kabir presented the goal, objective and IR-4 of MaMoni-
HSS. Following him DDFP handover a hand out to all participants developed by him containing with
many indicators to show at a glance the real scenario of Family Planning services at Pirojpur. One by
one he addressed the indicators which showing the lacking with the ways to meet them. He
expressed his experience that no any filed staffs do one’s own duty timely. He instructed with giving
an experience about MIS data inconsistency that MIS should be authentic data based. A fault input
does a harm of performance. He advocated in favour of MaMoni-HSS to the key SBA staff that
MaMoni-HSS has come to assist us to meet the MDG-4 & 5 targets to reduce maternal and neonatal
mortality rate. Chief Gust Divisional Director of Family Planning Haripada Ray thanked to DDFP
and MaMoni-HSS for arranging such an advocacy meeting in collaboration with field staff. He read
a notice to the audience from ministry. He wishes a successful mission will be with the core filling of
us to provide maximum support what we can. He argued that we are not alone now; a supportive
hand is besides us MaMoni-HSS. The program works on a few targets to achieve. The Memorandum
of understand with ministry of health and family planning was signed for this intervention. They
have come to strengthen our service reediness critical gap management. So, they are our friend, help
them. Think positively that they will help us.
One side of the Participants of Special advocacy Meeting on SBA
IR-4.j-Collaboration:
Stockholder/ Govt. Officer/
SCI MaMoni-HSS Staff
DDFP District Coordinator
CS District Coordinator
Sir. Manager (SCI) Distrcit Coordinator
UH&FPO Upazila Coordinators+ Dist. Cor.+ QA + RC
UFPO Upazila Coordinators + DC +QA
Manager- QA ( SCI) FC-QA + Dist. Cor.
Statistician (DDFP+CS) ME&DO + QA
Statistician (Upazila Level) UC & TO + ME&DO +QA
DM-ME & D Dist. Co. + ME & DO
FWV TO + FSO
HI TO + FSO
UP chairman + Members UC + TO + FSO + CBS
DC of Pirojpur is speaking at District Inception Meeting
DC of Pirojpur is speaking at District Inception Meeting on October 10, 2014
Dr. Atiar Rahman, Manager-QA, MaMoni-HSS, Pirojpur is delivering speeches in Saba Week on
November 06, 2014 at DDFP auditorium in chaired by DDFP and Honorable Gust DC of Pirojpur.
4. Problems and challenges-
- Taken prior approval for budget which was not in 1st year activity.
- Short time to implement 1st years activity.
- Work inside of BRAC frame as because BRAC traditionally providing incentives to Shasthya
Shebika/MaMoni Volunteer where they are working as completely volunteer from MaMoni HSS.
5. Priorities for second year/way forward-
- Finalizing CM strategy then develop in another upazila.
- Gap management e.g. paramedic deployment.
- Select area for pCSBA recruitment and training.
- Five days MNHFP package training at upazila level.
- One day orientation on misoprostol
6. Any cross cutting issues/activity
Pirojpur is a religious sensitive district mainly in community level. As we will work in community
level, we need to think it much. This issue is a national issue. Gender sensibility is also a major
option. So, we will select all CV female. To stay free from this pressure ESDO recurieted a major
portion of staff female. To balance gender of employee ESDO thinks in recruit process.
Internal Visitor
On August 13, 2014 a high profile visitor visited in Nazipur upazila. Deputy Chief of Party of Save
the Children International, Bangladesh Mr. Jobby Gorge and Program Director of MaMoni-HSS,
SCI, Bangladesh Dr. Afsana Karim visited a CAG meeting at Chitholia Village of Nazirpur Upazila.
To observe CAG roll out by BRAC Community Volunteer as piloting of Community Mobilization
activity. During their visit Focal Person of MaMoni-HSS, ESDO was present in there. It was the first
CAG of the village. They were in full session of CAG Meeting. In the CAG meeting about 20
participants were present of different ages. Most of them are women. Of the participant eight persons
were man. The CV played her role as she got from basic training. She discussed about different
issues on MNCHFP/N. From the discussion CV updated SS register but not CV register. CV updated
her CAG map with definite legend. She updated pregnant mothers, new born and new couple. A
BCC mageess were delivered by CV. At the end of her discussion Dr. Afsana Karim and DCoP
talked with the participants about MaMoni-HSS. They talked with some local elite common people
about MNCHFP related issues. On the way, they meet with a village police and asked that if a child
or a mother will die for complexion of delivery or any normal cases than will any law or action or
steps be taken by Union Parishad. The village police answered as much he knows off will work to
solve their problems. After visiting the CAG she recommends and shears some findings. Following
that they visited MaMonni-HSS Nazirpur Upazila Office.
DCoP visited CAG Meeting at Chitholia village of Nazirpur
union, Nazirpur
DCoP and PD talking with Village Police about MNCHFP
Visit of Razzak Bhai-
A joint field visit of SCI and brac was at Nazirpur Upazila. The visit was on Community
Mobilization where brac is stratagem partner on CM. During the visit Dr. Rezzaqul Alam,
representative of SCI, Sr. Regional Manager, Biswajit Sarkar and MaMoni-HSS district and Upazila
representative were with the mission.
The joint mission visited CAG at House: Niva Rani Village: South Sreeramkhati Union:
Sreeramkhati, cMPM at House: Atiyar Rahman member Village: Tarabuniya Union: Mativanga,
MaMoni-HSS upazila office and brac upazila office. The team met with MaMoni-HSS field staffs.
They were SS, SK, FSO and TO and discussed different issues regarding how could we make a good
achievement in CM access and engagement.
At CAG they observed CAG Meeting conduction by Shasthaya sebika, Tapoti Gorami while
she discussed on the topics of delay delivery, referral system, Nutrition, Distribute the FP
commodities and Pustikona. They also visited that how to update CV register and CAG
map with CAG information.
In the meeting, community people were presence above 30. And the visitor talked with the
community people about different MNCHFP/N issues. The villagers came to know about
MaMoni-HSS and wished a long run.
At Community Micro Planning Meeting (cMPM) the mission was met with community
people, Suraiya, Farida and Hasin, Shasthaya sebika. Milon, Health Assistant, Nasrin
Family welfare assistant. They observed that what was the role play of Govt. H/FP staff. At
meeting the SS carried their registers and different logistics. A regulation was written at the
meeting with agenda. They saw that FWA and HA made update their registers containing
SS registers data/ information if they missed any of them.
Following the field visit, a short sharing meeting was conducted by the mission where field
visit observations and findings were the topics at brac upazila office, Nazirpur.
MNCHFP related performance from MPR-
ELCO-
FP method- Pill
0
20000
40000
60000
80000
100000
120000
Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal
32
49
7 45
99
5
39
43
4
11
79
26
21
,17
6 36
,27
6
30
,60
5
88
,05
7
19
,37
4 3
6,3
14
30
,71
4
86
,40
2
24
,99
4
36
,39
9
32
,01
8
93
,41
1
95
,39
3
36
89
5
35
52
8
32
16
0
10
45
83
Projection
July
August
September
October
November
11
0
25
1
11
0
47
1
11
6
30
5
13
3
55
4
18
1
30
8
12
7
61
6
16
1
29
7
11
0
56
8
25
3
40
0
24
1
89
4
0
100
200
300
400
500
600
700
800
900
1,000
Pirojpur Sadar Nesarabad Nazirpur Three Upazila Total-
July
August
September
October
November
FP method- Condom
FP Method Injectable-
0
50
100
150
200
250
300
Pirojpur Sadar Nesarabad Nazirpur Three Upazila Total-
38
48
27
11
3
24
64
26
11
4
57
77
28
16
2
52
66
31
14
9
10
9
14
6
87
28
6
July
August
September
October
November
69
11
6
63
24
8
77
16
7
78
32
2
14
2
15
2
10
1
39
5
13
4
13
7
94
36
5
18
5
16
3
17
1
51
9
0
100
200
300
400
500
600
Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal
July
August
September
October
November
IUD
Implant
0
20
40
60
80
100
120
140
160
Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal-
18
8
32
58
22
23
46
91
33
39
39
10
1
34
27
28
89
43
57
47
14
7
July
August
September
October
November
0
50
100
150
200
250
300
Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal
12
9
8
29
23
18
14
55
22
25
10
57
28
23
11
62
74
70
15
5
29
9
July
August
September
October
November
Permanent Method (Male)
Permanent Method (Female)
0
5
10
15
20
25
30
35
Pirojpur Sadar Nesarabad Nazirpur District Total-
3
3
3
9
0
3
2
5 6
4
2
12
1 2
1
4
2
18
13
33
July
August
September
October
November
0
20
40
60
80
100
120
Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal
15
2
18
35
11
5
18
34
12
8
21
41
19
5 1
0
34
26
32
45
11
3
July
August
September
October
November
CAR-
New Pregnancy-
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Pirojpur Sadar Nesarabad Nazirpur Three Upazilatotal
75
.0
76
.4
77
.9
76
.3
74
.8
76
.5
77
.5
76
.2
74
.4
76
.9
76
.9
76
.0
74
.6
77
.2
75
.6
75
.8
54
.9
79
.3
77
.7
70
.6
July
August
September
October
November
0
100
200
300
400
500
600
700
800
900
Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal
13
1 2
39
25
0
62
0
16
5 2
70
27
6
71
1
22
6
35
0
24
1
81
7
15
5
28
2
25
4
69
1
18
2 2
66
24
4
69
2
July
August
September
October
November
ANC-1
ANC-2
0
200
400
600
800
1000
1200
1400
Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal
11
7
66
66
54
3
33
7
10
3
53
86
8
47
6
89
68
12
22
49
8
12
5
72
10
99
49
3
14
2
11
5
75
0
July
August
September
October
November
0
100
200
300
400
500
600
700
800
Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal
82
87
67
44
6
14
9
83
41
51
9
18
7
70
63
54
4
23
9
85
61
71
3
20
4
10
2
70
37
6
July
August
september
October
November
Skill Hand Delivery
Unskilled Hand Delivery
Still birth
0
100
200
300
400
500
600
700
800
Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal
89
20
6
15
1
44
6
10
3
19
7
17
1
47
1
17
1
19
2
18
8
55
1
15
9
27
0
21
5
64
4
16
3
30
3
25
0
71
6
July
August
September
October
November
0
20
40
60
80
100
120
140
160
180
Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal
9
22 23
76
10
28 23
129
13 24
19
146
17
31 22
162
21 20 27
68
July
August
September
October
November
Maternal Death
New born death (0-1year)
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
Piojpur Sadar Nesarabad Nazir[ur Three UpazilaTotal
1
0
1
2
1 1 1
3
1
0 0
1
2
1
2
5
1
2 2
5
July
August
September
October
November
0
0.5
1
1.5
2
2.5
3
Pirojpur Sadar Nesarabbad Nazirpur Three UpazilaTotal
1
0 0
1
0
1 1
2
0
1
2
3
July
August
September
October
November
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0
2
4
6
8
10
12
14
16
Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal
4 4 3
11
2 3
7
12
4
0 1
5 6
3
6
15
2 2 3
7
July
August
September
October
November
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