October 28, 2014
"Establishing an effective monitoring and support system of Community Clinics (CCs) run by the ‘Core Team' is critical to enhance functions of CCs and community-based groups that manage and sustain CCs" was the key message that the participants received through the Training of Trainers (ToT) of the "Core Team". The new monitoring and support system of CCs includes the formation of the Core Team at the district and upazila levels. The Core Team will support development of activity plans of CC and Community Groups (CGs) and Community Support Groups (CSGs), make monitoring visits and support the first-line supervisors.
The ToT was held from 25-28 October, 2014 at Bangladesh Medical Research Centre participated by upazila health and family planning officers, senior health education officers, medical officers, and other staff from 4 districts. Mr. Anish Barua, the ToT facilitator, said, "After the 4-day ToT, participants should have enough knowledge to become master trainers with understanding and skills of leadership, planning, coordination, implementation, provision of continuous mentoring for CGs and CSGs." Once they go back to their original district, the participants will work as facilitators or members of the "Core Team" to make CG/CSG more active, functioning and long-lasting groups to contribute for the welfare of community people, in particular, mothers and children, through CCs.
To revitalize and improve the performance of 12,577 already established CCs nation-wide, JICA's Safe Motherhood Promotion Project Phase 2 (SMPP2) has been working together with the government's Community Clinic project. Running of a CC is supported by two types of community based groups; Community Group (CG), which looks after management of CC operation, and Community Support Group (CSG) that facilitates utilization of CC. There are 3 CSGs for each CC.Training on setting up and managing of all CGs and CSGs nationwide has been completed, however there are differences in how much each group is functioning. The study found that the number of clients and client satisfaction of CCs is high if CCs are proactively supported by CGs and CSGs. In order to create and keep actively functioning CGs/CSGs, a supporting system that is built-in the government structure is necessary.
Currently CARE staffs are stationed at SMPP2's main target districts as external facilitators for well-functioning of CGs and CSGs. The new CC monitoring arrangement utilizing the existing government system is expected to replace the roles of external facilitators at the end of SMPP2.
For the Purpose of reduction of maternal and neonatal morbidity/ mortality, the Government for Bangladesh requested the JICA to jointly implement the SMPP in Narsingdi district for 5-year period from 2006 to 2011. After successful completion of the 1st phase, SMPP has started its 2nd phase from July 2011.
Arrangement for sustaining CG/CSG for well-utilized Community Clinics