At present 13136 CCs are on board & the number is increasing gradually. From 2009 – 2015, 460.88 million visits were made to CCs for services of which 9.071 million emergency & complicated cases were referred to higher facilities for proper management. Among the service seekers about 80% are women and children. On average 9.5-10 million visits are in CCs per month & 38 visits per day per CC.
CC is the lowest tier health facility for quality PHC. It is one stop service outlet for Health, Family Planning & nutrition. It is a preventive biased centre that provides mainly health education & health promotional services. All the CCs are outreach sites for routine Immunization & NID. It addition it provides limited curative care (treatment of minor ailments), screening of NCD-Hypertension, Diabetes, identifying emergency & complicated cases with referral to higher facilities. In a substantial number of CCs, normal delivery is being conducted subjected to the availability of skilled manpower (CSBA), proactive CG, committed local health management & where from patients can be referred within a short time or necessary support can be provided from UHC.
- Status of important services of CC from 2009-March, 2016:
|Sl #||Service||# of Visit/ # of patients||Remarks|
|1||PHC (Health, FP & Nutrition)||483.20 million visits||On average 39 visits/CC/day|
|2||Referred from CC||11 million emergency & complicated patients||Most of the cases have been referred to UHC|
|3||Normal Delivery (ND)||28160||Normal Delivery is going on in 1008 CC & is increasing|
|4||Supply of Medicine||Medicine worth Tk. 8270.50 million||Medicine supplied by EDCL & CMSD|
It is being done routinely by the supervisors of different level. The supervisors have been using the specific checklist. WHO supported by providing a few field monitors for 3 years. Some of our partners are supporting supervision & Monitoring by providing external facilitators. The external facilitators supported in the formation of district & Upazila core teams, capacitated them with remarkable improvement in supervision and monitoring of CC. It is being implemented in 5 districts. The DMCH&IO of GAVI-HSS & District Nutrition officers under UNICEF have been supporting supervision & monitoring of CC activities. Monitoring is also being done from CBHC head office through mobile tracking & analyzing online report with necessary feedback.
Comments/Observation of highly dignified personalities/Organization/Media
|Sl #||Dignified person||CC visited / activities on CC||Observation /Comments|
|1||Hon’ble PM, Sheikh Hasina||Visited CC in Rongpur||Expressed satisfaction|
|2||Hon’ble PM, Sheikh Hasina||Requested villagers to seek service from nearby CC through Voice Call||About 40 million rural people received Voice Call|
|3||Nobel Laureate Aung San Suu chi , Myenmar||During visit of Hon’ble Prime Minister Sheikh Hasina in the 1st week of March,2014 she informed Nobel laureate Aung San Suu Kyi on the success of Community Clinic in providing health services to the mass community people.||
Aung San Suu kyi was chanted with low cost but effective health services. She expressed desire to establish Community Clinic in her own constituency as a model & there after scale up in the entire country.
Source: Amader orthoniti,10.02.2016
|4||Hon’ble Secretary General, UNO, Ban Ki Moon||visited CC at Kulaura, Moulavibazar||Expressed satisfaction& opined that the model of rural health services of Bangladesh may be followed by other developing countries.|
|5||Hon’ble DG,WHO, Dr. Margaret Chan||Visited CC at Jessore & Satkhira district||Expressed satisfaction & opined that CC is a unique model for the health of rural people of Bangladesh, no need of any other model of any other country|
|6||Hon,ble RD, SEARO, WHO, Punam Khetrapal Singh||Visited a few CCs||Commented that Community Clinic is an incomparable initiative to ensure Health for all. She expressed her satisfaction for the spontaneous involvement of the community. Community Clinics are very careful in maternal & child health. WHO thinks that other countries should follow this example of Bangladesh|
|7||Hon’ble Parliamentary Committee on Govt. Commitments (9th Parliament)||Visited CCs in Sylhet & Moulavi bazaar||It seemed to the committee that establishment of Community Clinic is a successful program of the Government. It was not at all rational to close the program with the change of Govt. It is becoming possible to extend quality PHC to the rural people. Through it people’s awareness is increasing that will contribute vital role for development of healthy nation in near future.|
|8||Hon’ble Ex. President, Alhaj.H.M.Ershad||Visited CC in Rongpur||Expressed satisfaction & praised the contribution of Community Clinics|
|9||Hon’ble Principal Secretary, Prime Minister’s Secretariat||Visited CC in Moulavibazar||Expressed satisfaction as good number of patients are getting benefit through CC services & records are being maintained in an excellent way|
|10||Deputy Commissioner, Moulavibazar||Visited Srisurja CC of Kamalganj Upazila on 19.01.2015||Expressed satisfaction with CC services & its management|
|11||Daily Janokantho||Published on 21.1.14||News Head : Free Health care is available at the door steps of mass people through Community Clinic|
|12||Daily Ittefaq||Published on 14.09.14||News Head: Success in Delivery service at Community Clinic of Maheshkhali (Cox’s Bazar)|
|13||Daily Prothom Alo||10.08.2014||Maternal Health Care in hard to reach Island (Maheshkhali)|
|14||Daily Prothom Alo||10.04.2015||83% people satisfied with CC services (Intl. conf. at Dhaka on UHC organized by PPRC)|
|15||Permanent Secretary of Health of Namibia||24.04.2016||Visited CC in Gazipur district & expressed his satisfaction|
Community Health Care Provider (CHCP)
- Training manual for CHCPs’ basic training of 12 weeks (6 weeks theoretical + 6 weeks hands on) & trainer’s guide have been developed though a series of meetings, workshops with the participation of GO-NGO experts and specialists of UN Agencies. It was finalized through a national workshop with participation of MOHFW, DGHS, DGFP, UN Agencies, field managers & other stakeholders.
The training was cascade in type. First master trainers have been developed – there after they conducted TOT for District & Upazila managers and then the TOT holders conducted the basic training for the CHCPs.
10353 CHCPs have been provided Basic Training, 13114 CHCPs have provided refresher training.
Community Group (CG)
Training manual for CG members & trainer’s guide have been developed though a series of meetings, workshops with the contribution of GO-NGO experts and specialists of UN Agencies. It was finalized in a national workshop with the participation of MOHFW, DGHS, DGFP, UN Agencies, field managers & other stakeholders.
170799 CG members have been provided training.
Community Support Group (CSG)
Training manual for CSG members & trainer’s guide have been developed though a series of meetings, workshops with the participation of GO-NGO program experts. It was finalized in a national workshop with the participation of MOHFW, DGHS, DGFP, UN Agencies & other stakeholders.
560388 CSG members have been provided orientation.
- Statisticians’ training
All the statisticians of different levels (Division, District & Upazila) have been trained on the reporting formats & on line reporting.
552 statisticians have been provided training on Community Clinic MIS (Management Information System)
1st line supervisor
For the training of 1st line supervisors of both Health & Family planning, draft manual has been developed through a series of meetings and workshop with the participation of GO-NGO stakeholders. It has been piloted. With the findings of the pilot the draft has been further tuned & will be finalized through a national workshop. The training will be organized in 2016-2017.
Local Govt. Representative
19154 Local Govt. Representatives have been provided training.
Overseas training for experience sharing & learning on PHC, has been organized for the relevant & good performing managers of different levels (majority from the field). This was an incentive so that others might be inspired for sincere efforts & better performance through a healthy competition. Overseas training has been offered to 10 managers.
205 Officials of different levels have been offered overseas training.
CSBA training for female CHCPs: 1517 female CHCPs have been trained as CSBA
Welcome to Community Based Health Care
Community Clinic (CC) is the innovation of Hon’ble Prime Minister Sheikh Hasina to extend Primary Health Care to the doorsteps of rural people all over rural Bangladesh. Thousands of people are getting services from the CCs & it has become an integral part of health system. It is a unique example of Public-Private partnership as all the CCs have been constructed on community donated land while construction, medicine, service providers, logistics & all other inputs are from Govt. but management is both by community and Govt. through Community Group (CG). Community owns CC & plays active role for its improvement in all regards. People are satisfied with the services of CC as it is the one stop service outlet in respect of Health, Family Planning & Nutrition.
It is the flagship program of present Govt. At present 13136 CCs are on board as June 2016 and number is gradually increasing. In many cases Medical Officers & SACMOs are visiting CCs periodically and providing services to the complicated cases. All the CCs have been provided with Laptop & internet connection and have been reporting on line. E-health from CC to UHC has been introduced in some places. We hope that in near future E-heath will be scaled up all over the country. We believe that CC will be able to contribute substantially in achieving SDGs like MDGs & health for everybody will be ensured.