Urban Health 2019-2023
Contribution ID : SE-0-SE-6-52170025This website displays open data about Swedish aid, which shows when, to whom and for what purpose Swedish aid is paid out, as well as what results it has produced. This page contains information about one of the contributions financed with Swedish aid.
The project aims at strengthening urban health systems with focus on structural reform, coordination and partnerships at the national level. This proposal, in partnership with the Government of Bangladesh, Government of Sweden and UNICEF, represents a step towards sustainable urban PHC programming for quality health services, especially for the poorest and mos...
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The project aims at strengthening urban health systems with focus on structural reform, coordination and partnerships at the national level. This proposal, in partnership with the Government of Bangladesh, Government of Sweden and UNICEF, represents a step towards sustainable urban PHC programming for quality health services, especially for the poorest and most vulnerable urban population. The proposed four years ( 2019-2023) of technical assistance from UNICEF will focus on the following results to be achieved by 2023: 1. Health systems are strengthened through institutional reform for functioning institutional structure and data management system to improve accountability for delivery of efficient Primary Health Care (PHC); 2. Innovative model of sustainable service delivery is established to improve access to and utilization of PHC services including standard minimum package of nutrition interventions especially by the poorest and most vulnerable population;3. Improved coverage of PHC in urban slum settlements and for socially segregated groups;4. Evidence on good practices and lessons learned is available for policy dialogue and advocacy to influence decision making processes.One of the most important features of this project is that it benefit 845,000 slum and non slum poor and low income population will benefit from the direct provision of primary health care services in the project areas. This will be achieved through a combination of efforts mix of a balance between upstream policy dialogue and advocacy and downstream work.PHC services will be strengthened through introduction of financial risk protection scheme which will improve the use and coverage of health services by women and children amongst vulnerable populations especially living in slum areas will increase. This will contribute towards improving demand, access and use of quality Maternal Newborn Child and Health services from vulnerable and underserved areas, and ultimately their rights to health care and survival is fulfilled;This will lead to the Innovative model of sustainable service delivery is established to improve access to and utilization of PHC services including standard minimum package of nutrition interventions especially by the poorest and most vulnerable/segregated population;Financial Protection mechanism through group health insurance mechanisms for low income and socially segregated populations will empower to benefit from quality PHC services close to their place of residence. Ultimately these vulnerable and socially segregated populations will experience fewer financial barriers to access life-saving PHC services;This will lead to the expected Objective 3: Improved coverage of PHC in urban slum settlements and for socially segregated groups;The improved governance system of urban health programs will contribute to improving coordination, measuring progress and accountability of urban health service delivery by the primary stakeholders, namely Ministry of Local Government , Ministry of Health and Local Government Institutions. Ultimately the urban population, especially from underserved areas, will realize their rights to health care and well-being.
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Result
Annual Narrative Report for the SIDA-funded project Strengthening Urban Health Systems for Comprehensive Primary Health Care (PHC) for the Most Deprived Women and Children for the period August 2021 July 2022. Some of the achievements during the reporting period include: Six urban model PHC clinics, also known as Aalo clinics, in four CCs were established. These model clinics targets low-income communities, and vulnerable people. Since inception, the utilization of the clinic has been increasing. Every month more than 9000 people visits the clinics. A training course on Strategic Leadership and Management was developed, and one training of trainers (ToT) and two batches of trainings were conducted. A total of 48 health managers have been trained where 12 of them were Zonal Health Officers from different city corporations (CCs). Another five-day training on maternal, neonatal, child, adolescent health and nutrition (MNCAH&N) was organized for urban health service providers working in Dhaka North and South City Corporations. A total of 61 participants attended the two training courses. Health Mangers and data entry operators of 190 Non-government Organizations (NGOs) in four CCs and two municipalities have been trained to report on the essential MNCAH&N services in the national Health Portal, District Health Information System 2 (DHIS2). Among them, 178 NGOs are reporting routinely. The Urban Health and Demographic Surveillance System (UHDSS) was continuously supported to monitor the health service delivery of urban slums and PHC indicators. Currently, there are about 41,389 households covering about 158,514 population according to the UHDSS. According to the latest round (round# 24, January May 2022) of surveillance, the trend analysis shows that of the percentage of 1-3 ANC visits increased from 42.0 per cent to 46.9 per cent from 2019 to 2022.
The overall vision of success for this project is that by 2023, sustainable improvement in the health status of the Bangladeshi population in urban areas is achieved, particularly for the poorest and most vulnerable groups. This will encompass strengthening institutional governance for sustainable delivery of Primary Health Care for women and children amongst the vulnerable population in underserved areas, particularly in urban slums and newly included wards in city corporations and municipalities. The four expected outcomes are: 1. Health systems are strengthened through institutional reform with a functioning institutional structure and data management systems to improve accountability for delivery of efficient Primary Health Care (PHC);2. Innovative model of sustainable service delivery system is established to improve access to and utilization of PHC services especially by the poorest and vulnerable/segregated population ;3. Coverage of primary health care is improved in urban slum settlements and for socially segregated groups4. Evidence based on good practices and lessons learned is available for policy dialogue and advocacy to influence decision making processes.
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