• Health Care Proposal


Prepare your output here
OUTPUT:
All the output will be calculated against the baseline information.

What you have written below are targets. What you need to address is how to receive monitoring data. See my suggestions below.
  • 50% of malpractice will be reduced
  • How will you capture data on malpractice? Do do that you first have to define malpractice. Then decide how you will CAPTURE data on malpractice. CAPTURE is the first part of the CIPSODA model.
( Dcotor are not available in hospital, Patient are not getting minimum medicine from the hospital , Pateinet are not referd to Personal chamber,doctoors are not taking money from the patient in hospital )
  • 70% eligible mother will get quality health care service from the hospitals
  • 30% maternal mortality will be reduced within project year
  • How will you capture data on quality health care? Do do that you first have to define what you mean by quality health care. Then decide how you will CAPTURE data on health care. CAPTURE is the first part of the CIPSODA model.
  • 75% posted human resources will be ensured for the service delivery points
  • For this you will have to capture the nature of manpower employed, whether posts are vacant and daily attendance.
  • 100% of service providers will stay working station regularly
  • Capture Attendance?
  • 65% of child will get quality health care service
  • How will you capture data on quality health care? Do do that you first have to define what you mean by quality health care. Then decide how you will CAPTURE data on health care. CAPTURE is the first part of the CIPSODA model.( We will follow the national standated for ensuring qulaity health care on Maternal and Child health )
  • 100% of service providers will be trained on E-Governance
  • What is e-Governance? Without defining monitoring data to capture what will you train them on?
  • An automated MIS system will be established to ensure service for the maternal health
  • 70% of local people will be aware about the quality health care services
How will you know? ( we will know through the resultmesurement of the awreness level activities)
  • Socioeconomic profile of service receivers will be identified
  • What exact data will you CAPTURE?( Who are going to take health care service from local hospital, Qocupation/profession , Monthly incime level , education )

How will the above be achieved? It is only when you have monitoringe data that you can hope to reduce step-by-step

Response: We shall visualize our activities/process in log frame model through which we will achive our goal. .

The output should be numeric on which decisions can be taken and action followed.

Expected result
Monitoring
- Monotoring patients satis facltion level
- with monitoring cheklist ( with some monitiong questions)
- Monitoring Number of Human Resourcess working for the Hospital
- Attendance , Interview with the patients
- Quality Health care service
- Interview with the patiens , Key stake holdesr
- Monitoring MIS data
- Result base monotoring ( Effcativeness efficiency and progress )
- Crorres chek the central dat wityh the hospitals dats of distrct and upazila level
Monitoring Tools to be used for the projwct :
  • Event Reports
  • MIS report
  • Monthly Hospital Report
  • Quarterly Progress Report
  • Annual report
  • Action Plan

Task 5: Develop Proposal on "Health Care System "
Project Title : Towards sustainable quality health care services through automation for eligible mother in rural Bangladesh

Background:
70% mother of rural are are taking health care service from unskilled service providers because of:
  • Service provides are not available in the rural area
  • Less number of health service delivery points
  • General people dont have information about the quality health care service
  • responsible persons are not providing time in work station
  • Service providers dont have benefits for providing batter service on the other hands dont have punishment for not providing the service
  • Miss use of resources
  • Nepotism and political interference is high in promotion and transfer

Objectives:
  • To enhance 8% maternal care among the mothers
  • To increase 10% post maternal care for the mothers
  • To reduce 10% infant mortality rate
  • To enhance awareness on quality health care service among the people

Drawbacks & Benefits:

In the proposed project proposal intends to find out the drawbacks of existing health care serice & predict the quality health care serice for rural Bangladesh.

Drawbacks:
Current Maternal Health Condition:
  • 70% mother of rural Bangladesh are getting service from unskilled service providers. Most of the health serice deliery points in rural areas dont hae suffiecient doctors and other services.Very few service proiders are appointed in those health service delivery points, are not accountable in their services. Absence of good governance also one of the reason of less quality services.On the other hands general populations are not well aware about the service.
  • Undemocratic influence
  • System-loss
  • Lack of coordination
  • Poor management
  • Weak monitoring process

Benefits:
  • Ensure Quality serice
  • Established effective system
  • Good Goernence system will be ensured
  • Established structured management system
  • Strengthen monitoring process

Model Set up :
  • Identify data source( Union , Upazila and district level Hospital)
  • Data collection process( Tools will be used in data colletion )
  • Data coding
  • Establish data management system
Implementation Model :
Implementation Model ( LFA)
Narrative Summary
Objectively Variable Indicators (OVI)
Means of Varification (MOV)
Assumption
Overall Objectives/Impact
  • Reduce maternal mortality rate in the district
  • Reduce under five child mortality rate in the distract
-30% maternal mortality will be reduced
-30% Child motality will be reduced
-70% mother will get service from Skilled Service providers
-Goverment report
-Project report
-Media Coverage
-Resourcess will be available for the project
- Next goverment will give same priority for this project
Specific Objective/Purpose
  • Service providers will be ensured based on the needs
  • Local people will be aware about he the services
  • Automate MIS system will be introduced in Hospitals/Health Care Delivery Points
-90% service providers will be available in hospitals
-99% proposed post for the hospital will equipped by the service providers
-80% local people will be aware about the services of hospitals
-Funcitonal MIS System
-Records of the service providers
- Proposed records of the hospitals
- Necessy proposal provided to the central level
- Awarenss level of the community people

Output
  • Number of media peope will be sensitized bout the local level health problem
  • Number of Project Steering Committee member will know the progress through the meeting
  • Local community people will be aware about the maternal health and Child health and they will get the information where they will get the servive therough awareness raising session ( Life Skills Education)
  • Number of people of the hospital will be trained on e-governenace
  • Number of local level stakeholders will be snsetided about the service of the hospital and about the role of them to ensure service
  • Number of policy level people will be sensitized about the neds of the hospitals through central level advocay
  • All the data will be imputed in automated MIS system
  • Mother/guardians will get a message from the hospital with reminding the date of getting service from hoispital
-Number of media people writing on this issue in local and national level news paper
-Events report
-Annual report

Activities
  • Sensitization of local level media people on the health care issues
  • Formed Project Steering Committee with the participation of journalists, local government representatives, government officials, business man, senior citizens and Teachers
  • Conduct awareness raising events local community on health care service and E-governance
  • Conduct orientation on e governance for service providers
  • Conduct local level advocacy meeting with different level stake holders
  • Conduct advocacy meeting with Ministry of Health to ensure service providers
Health Service Delivery Points
  • Develop automated MIS system for the Health Service Delivery Points
  • Mobile SMS system will be introduced through Health Service Delivery Points
Number of events will be conducted
- Proposed Human resources for the project
- Budget for the project
- Necessary material for the project
Action plan
- Events records


Methodology:
  • Field level data collection in prescribed format ( status of Maternal health & Child health conditions, reson of not gettingservice from the gov hospital and NGos hospital)
  • Automation set up/ Established MIS system in Distract and Upazila hospitala
  • awareness raising among the general people
  • Established elictorinic complain systen ( Through Mobile SMS)
  • Punch card/Smart card system establiment
  • Prepaid card
  • Training
Here you need to go through each step of CIPSODA to suggest how each should be implemented. (1 mark)
‍Step of ‍CIPSODA
‍What?
‍How?
‍Capture
Service receiving data of eliglible mother
Records of Hospital and fromMIS of Hospital
‍Input
Finance , Staffs , Service , Training for the service providers , Materilas for awarenrs raising ,
Donor support , Recruememt , Condicting traoining , distribue revelbent BCC matrials
‍Process
Development MIS system, Develop Mobile Mobile SMS sysem , Meeting with relevel stake hopders & Policy makers . Conducting training for the Service providers doc & non doctors
Throgh orgnizing relevents , highering ecpert for developm MIs software
‍Storage
- all the relevent data & MIS data, event information will be recorded
-MIS report , event repport , activities report meeting minues advocay meeting records
‍Output
How many people receive service from the hospitisl , Homay people are aware about the service , Homany people are complining for not getting service
Through record keeping system
‍Decision
- Wha we need to do to achive our goal, whare we want to go , what
- with conparison with service receiving sttus of others yers , How may complin is comming for not getiing service and infomation , how may report publishe by the journalist
‍Action
  • Sensitization of local level media people on the health care issues
  • Formed Project Steering Committee with the participation of journalists, local government representatives, government officials, business man, senior citizens and Teachers
  • Conduct awareness raising events local community on health care service and E-governance
  • Conduct orientation on e governance for service providers
  • Conduct local level advocacy meeting with different level stake holders
  • Conduct advocacy meeting with Ministry of Health to ensure service providers
Health Service Delivery Points

  • Develop automated MIS system for the Health Service Delivery Points
  • Mobile SMS system will be introduced through Health Service Delivery Points
With devloping annual Action plan againt the need of the proposed project
Prevent Personal Objectives:
  • Centralized and decentralized control
  • Reduce male practice in leaing working station with formal process
  • Reduce miss use of Human Resourcess in Hospital
  • No one will work for their personl interts ( I.e Full time present in working station, no one will take additional money from the patients , patients will get sufficient medicime frm the hospitl , patients will get friendly behave from the service providers )



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