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Reaching out and linking in: Health systems and close-to-community services
REACHOUT Bangladesh Team
The REACHOUT project is funded by the European Union
Objective of REACHOUT Bangladesh
• To conduct implementation research and strengthen the role of close-to-community (CTC) health workers, focusing menstrual regulation (MR)
Reproductive Health Services Training and Education Program
Formal Providers
Informal providers
(Independent)
Informal Providers (supervised by organization)
CTC providers in Bangladesh
EmbedmentComponent Reproductive Health Services
Training and Education Program
Referral card Use of Referral Card Use of Referral Card
Cost sharing Referral card printingWorkshop (jointly with JPG)
Referral card printing by the organization
Ownership Engaged own trainers Engaged own trainers
Training Manual
Submitted a training manual to Govt. for approval which includes REACHOUT facilitative referral training manual
Formal
provider Engagement process
Formal relation (i.e. using referral fee)
Informal relation (i.e. rapport, trust)
Informal providers (Independent)
Informal Providers (supervised by organization)
Engaging informal CTC providers
Intervention: referral card
Challenges
Fund for sustainability of the embedding process
Delaying decision for multi layer decision makers
Staff turnover including CTC providers
Adjustment of new staff with the embedding process
Workload of implementation partners
Monitoring gap for maintaining record of the referral card
Utilization and filling of the card by the referrer
Negative approach towards the referral card (suspicion on extra fees) by some clients
Future Plans
Continuous communication with implementing partners & adapt implementing strategy
Bi-monthly meeting with partners
Strengthening monitoring process by organizing joint workshop with CTC supervisors
Increasing referral competency of CTC providers by arranging join workshop
Monthly meeting between CTC providers & their supervisor and will be documented
Engaging multi-layer of supervisors for smoothing & sustainability of the embedding process
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