Outline of the Project

Title

Safe Motherhood Promotion Project Phase 2
(Bengali name: Shustho Matritto Project)

Country

Bangladesh

Target area

Whole country (some activities are held in several districts only)

Term of Cooperation

From July 1, 2011 until June 30, 2016

Subject

Health

Target groups

1. Community people, particularly pregnant and post-partum women and neonates
2. All level relevant staff under Department of Health and Family Planning at Central, district and upazila

Overall goals (i.e., what we expect to see after completing the project)

Maternal and neonatal health status is improved in Bangladesh.

Project purpose (i.e., what we expect to achieve during implementing the project)

The approaches to improve MNH service quality and utilization in line with Health, Population, and Nutrition Sector Development Program (HPNSDP) are expanded in Bangladesh.

*Field of approaches is extended to the subject related to Operational Plan of HPNSDP as follows: 1) Community Based Health Care (Upazila Health System, CC), 2) Hospital Services Management and Safe Blood Transfusion (Total Quality Management (TQM)), 3) Maternal and Neonatal Child Health Care, 4) Maternal Reproductive and Adolescent Health, and 5) Essential Service Delivery

Outputs

1. Good practices of MNH services are identified and consolidated in national strategies and guidelines.
2. Mechanism to monitor and support replication of good practices is developed for making replicated good practices functional.
3. A package of MNH interventions under Upazila Health System (UHS) is developed.

Activities

[Output 1] Good practices of MNH services are identified and consolidated in national strategies and guidelines.

1-1	To analyze and document the process and results of the Project interventions to identify issues constraining further improvement of utilization and quality of MNH services
1-1-1	To identify good practices of the Project to be reflected in the policies, strategies and guidelines
1-1-2	To evaluate the effectiveness and impact of the interventions (TQM, CSG, HLP, etc.)
1-2	To disseminate the extracted good practices and lessons learnt of the Project and other good practices
1-2-1	To develop Chowgacha experience training program to identify and consolidate good practices for hospital management
1-2-2	To facilitate utilization of the Project sites as learning sites and horizontal learning
1-2-3	To conduct mapping of MNH activities implemented by government, development partners and NGOs
1-2-4	To facilitate mutual learning and collaboration among stakeholders on MNH to optimize the efforts and resources
1-3	To incorporate good practices and lessons identified by the Project into national MNH policies (e.g. operational plan, sector program documents, etc,) strategies, and guidelines
1-3-1	To hold project technical meetings with relevant government officials on MNH
1-3-2	To participate in MNH related activities at the national level such as Annual Review and Evaluation of HPNSDP
1-3-3	To make and revise guidelines and manuals for the implementation of MNH activities
1-4	To implement new interventions for improvement of MNH services utilization and quality in Narsingdi and Jessore

[Output 2] Mechanism to monitor and support replication of good practices is developed for making replicated good practices functional.

2-1	To develop a monitoring and support mechanism for hospitals under 5S/Kaizen/TQM
2-2	To develop a monitoring and support mechanism for community support groups
2-3	To develop a district horizontal learning mechanism to support the replication of good practices of union parishads

[Output 3] A package of MNH interventions under Upazila Health System (UHS) is developed

3-1	To design MNH approaches within the UHS (concept, strategy, interventions, monitoring and evaluation)
3-2	To implement MNH approaches in some target Upazilas to observe appropriateness and replicability with available local resources
3-2-1	To support practice of Local Level Planning (LLP) and District Management Information System (MIS) to enhance MNH service delivery
3-2-2	To improve the quality of MNH services at hospitals by application of 5S/Kaizen/TQM and Hospital Improvement approach
3-2-3	To capacitate CSGs to promote safe delivery at communities
3-2-4	To collaborate with local government bodies to mainstream MNH activities in the communities
3-3	To monitor and evaluate the MNH approaches for assessment of the effect
3-4	To reflect the results and process of MNH approaches to the national strategies, trainings and implementation tools

Input

[Japanese Side]

1. Dispatch of experts
   -Long-term Experts
   (1) Chief Adviser
   (2) Project Coordinator
   (3) Monitoring and Evaluation
   -Short term Experts:
   (1) TQM
   (2) MCH
   (3) Community mobilization
2. Provision of equipment
3. Training of counterpart personnel
4. Dispatch of study team when necessary
5. Allocation of operational costs for the Project
   -Local staff, NGO sub-contract, trainings, basic hospital facility and equipment, baseline and end line surveys
6. Local staff
   -Technical advisor (TA)
   -Senior Project Officer (SPO)
   -District Manager (DM)
   -Upazila Coordinator (UC)
   -Administration & Financial Officer (AFO)
   -Technical Officer (TO)
   -Midwife (MW)

[Bangladeshi Side]

1. Assignment of counterpart personnel
2. Office premises in Dhaka, Narsingdi, Jessore, and Satkhira