Addressing Bangladesh’s Demographic Challenges (ABDC) - Phase II

Area of competence: 
Integrated Primary Health Care
Donor organization: 
GIZ (German Agency for International Cooperation)
Start of Project: 
End of Project: 
Value of service: 
€ 2,266,045
Description of Project: 

Although significant progress has been made in the health sector in Bangladesh during the recent years, the area of sexual and reproductive health services remains weak. The contraceptive prevalence rate is low and discontinuation rates are high. Less than one third of all live births are attended by skilled health personnel resulting in frequent occurrences of delivery complications. Additionally, health care staff are often not sufficiently qualified and/or equipped to provide professional care. These problems occur particularly in urban centres in Bangladesh. Overall, access to and the availability of sexual and reproductive health services are still very limited in many places. The government recognises the significance of demographic measures, and considers 'population', 'health', and 'nutrition' to be equally important and priority areas for action. The responsible authorities need to develop further competences, capacities and coordination mechanisms to address problems in these areas.
The objective of the project “Addressing Bangladesh’s Demographic Challenges – ABDC” is to improve the provision of family planning and mother-and-child health care services for people living in urban and peri-urban centres in Sylhet, Rajshahi and Narayangunj City Corporations. The first phase of the project has successfully been completed in August 2015. In the second phase (September 2015 till December 2017), the same set of activities is being continued in all three city corporations, moreover, additional services have been included in the service package of EPOS.

Description of Services: 

This project promotes coordination and cooperation between the two ministries tasked with managing urban health, namely the Ministry of Health and Family Welfare & Ministry of Local Government, Rural Development and Cooperatives as well as with the Sylhet, Rajshahi and Narayangunj City Corporations.
The specific services being provided include:
Empowerment of adolescents and young urban couples aged between 15 and 24 with comprehensive and relevant information, education and communication (IEC) materials about the significance of family planning and of professionally assisted childbirth.

Strengthening of organizational capacity of the city corporations’ health departments to ensure that they manage their health sector activities better.
On-going advice to the City Corporations on how to improve inter-ministerial coordination mechanisms for SRH services (between the Health and the FP Division of the national Ministry, the Ministry for Local Governance, rural development and cooperatives, and the concerned city corporations).

Capacity building of health professionals: Development and implementation of a training concept for local public health personnel.
Safe delivery and midwifery education: Increasing quality and skills of Rajshahi and Sylhet Nursing College (RNC/SNC) graduates (midwife students); training peer educators at RNC/SNC; establishing skill lab for midwife students. Capacity building of staff at RNC, SNC and Khanpur Hospital; introducing total quality management at the three hospitals following the 5S approach.
Quality management: Enabling the members of the quality management (QM) Cells in the three City Corporations to assess the primary health care (PHC) facilities in their area. Capacity building of QM Cell members to observe compliance of PHC facilities with selected quality standards.

Project Volume: 
€ 2,266,045