Urban Primary Health Care Services Delivery Project (UPHCSDP)
The project aims to improve access, equity, quality, utilization and institutional sustainability of urban primary health care (PHC) services in all city corporations and selected municipalities, particularly for the poor and women and children. The project is funded by Asian Development Bank (ADB) through the Local Government Division (LGD) of the Ministry of Local Government, Rural Development and Cooperatives. AMIC-Dhaka Ahsania Mission has been implementing the project in Uttara area of Dhaka City and Comilla City through Dhaka City Corporation started from 1 January 2013. In both area of the project the project delivering the service from one Comprehensive Reproductive Health Care Center (CRHCC) and Six Primary Health Care Center (PHCC), equipped with OT, Diagnostic Lab, Stay Ward, and Others clinical facilities. The project is delivering the following services:
Maternal health care: Maternal health services is providing through static (CRHCC & PHCC) and satellite points. Demand side financing is utilizing with the services.
Population and family planning services: Contraceptives are being available with the support from Directorate of Family Planning. Accompanied with quality counseling, all temporary methods providing from PHCC through static and satellite points and long acting permanent methods including sterilization delivering from CRHCC as per standard guideline.
Neonatal and child health care: All PHCC and CRHCC delivering neonatal and child health care including Counseling of mothers on neonate and child physical and psychological care as well as improvement of treatment seeking behavior
Reproductive health care: Management of various RTI/STI with appropriate counseling providing from both PHCC (static and satellite) and CRHCC. Counseling included with identification of cervical cancer, breast cancer, fistula and other reproductive tract diseases.
Adolescent care: All PHCC and CRHCC providing defined adolescent health services and mobilizing adolescents to improve knowledge on adolescent sexual and reproductive health within greater community.
Nutrition service: A range of services encompassing nutritional counseling, prevention of malnutrition and food supplementation are ensuring for mother and. vitamin A supplementation for both children aged 6 months to 6 years and lactating mothers and promotion of iodized salt consumption planned for essential elements under nutrition services.
Communicable and non-communicable diseases control: DAM collaborating with the National Tuberculosis Program for ensuring TB screening and DOTS services. GFATM TB Program merged with UPHCSDP program. Service promoters trained for early referral of both communicable and non-communicable diseases.
Limited curative care: Provision limited curative care are delivering from DAM UPHCSDP Program.
Behavior change communication: DAM considering behavior change communication as cross-cutting issue for behavior change of service providers, clients and community stakeholders.
Diagnostic services and emergency transportation service: As part of support service there are pathological laboratory in each PHCC to perform defined tests of blood, urine and stool. A medium capacity pathological laboratory set up in the CRHCC to carry out the specified tests.
Violence against women: DAM will apply experiences that have already been earned while implementing various rights-based projects.