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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

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

Henry Perry

7 November 2009

outline
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
slide3
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

shasthya shebika on the left with senior program specialist in the home of a client
Shasthya Shebika (on the left) with Senior Program Specialist in the Home of a Client
project features
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

project features cont
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
implications
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