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The BRAC Manoshi Urban Maternal, Neonatal and Child Health Project in Dhaka, Bangladesh

The BRAC Manoshi Urban Maternal, Neonatal and Child Health Project in Dhaka, Bangladesh. Henry Perry 7 November 2009. Outline. Introduction to BRAC, to Bangladesh, and to one of Dhaka’s urban slums Description of the field operations of the Manoshi Project

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The BRAC Manoshi Urban Maternal, Neonatal and Child Health Project in Dhaka, Bangladesh

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  1. The BRAC Manoshi Urban Maternal, Neonatal and Child Health Project in Dhaka, Bangladesh Henry Perry 7 November 2009

  2. Outline • Introduction to BRAC, to Bangladesh, and to one of Dhaka’s urban slums • Description of the field operations of the Manoshi Project • Implications for the urban poor in developing countries

  3. BRAC World’s best example of implementation of the ideals of Alma Ata and Health for All at scale Winner of Gates Award for Global Health in 2004 Multi-sectoral approach to development, health improvement, and empowerment Programs self-sustaining with local income through economies of scale, vertical integration, and formation of profit-making related businesses See their website: http://www.brac.net

  4. BRAC Worldwide Operations

  5. Urban Population Growth in Bangladesh, 1870-2100

  6. Satellite Image of Korail Slum

  7. Typical Scene in the Korail Slum

  8. Shasthya Shebika (on the left) with Senior Program Specialist in the Home of a Client

  9. Form Hanging on Client’s Wall which CHW Completes during Home Visit

  10. Piggy Bank Kept by Pregnant Mother and Prenatal Form Completed by CHW Supervisor

  11. Project Features Builds on a census-based approach of mapping and number all households, visitation of all homes, registration and monitoring births and deaths Computerized health information system guides daily work Strong community participation CHWs not salaried (their income locally generated), well-trained, and well-supervised, and provide many types of health services Strong link to referral services

  12. Project Features (cont.) • Supported by a $25 million grant from the Gates Foundation • Is being scaled up to reach all 8 million slum inhabitants in urban areas of Bangladesh

  13. Implications • One of the few examples of implementation of “state of the art” MNCH interventions at scale in urban slums • Approach is sustainable with minimal external resources • If project shown to be effective, could become a global model • Evidence for effectiveness of community-based integrated approaches to improve child health for the urban poor one of the great needs in global health today

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