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Name of the project: “Maternal, Neonatal, and Child Health (MNCH) and Nutrition Service Delivery for Bangladeshi Host Communities at Cox's Bazar District” Programme Area: Maternal, Neonatal, and Child Health (MNCH) and Nutrition Service Delivery Duration: Decmber 2021 to 30 December 2024 Funded by: World Bank Managed by: UNICEF Implementation area:
Target audience:
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Cox's Bazar District has among the worst health, nutrition and population indicators in Bangladesh. There is a high infant mortality rate of 33 per 1,000 live births in Cox Bazar which is lower in compare to the national rate of 34 per 1,000 live births, still fall short of global targets and standards. ln addition, there is a higher prevalence of stunting among children under 5 of 34.6 per cent in Cox Bazar in compare with 28 percent at the national level. Antenatal care coverage in Cox Bazar district is below the national average, with 60 per cent of pregnant women attending at least one antenatal care consultation in compare to 75 per cent at the national level, and only 33 per cent of pregnant women attending four antenatal care visits against 37 per cent of national average. Institutional delivery in Cox’s Bazar is 29 per cent against the 59 per cent of national average, and delivery by skilled birth attendant stands at 34 per cent in compare to 59 per cent nationally. Post-natal care for new-borns is 39 per cent in Cox’s Bazar compare to the national average of 67 per cent, and post-natal care for mothers is 37 per cent compare to 65 per cent nationally. Complementary interventions through other collaboration: • UNICEF supply section is responsible for infrastructural upgradation of respective facilities • Apart from PHD, two partners of UNICEF are responsible for implementing some other trainings, QI initiatives, resource mobilization and data management and integration Expected Outcomes: All the planned interventions will contribute to enhancing the provision of - • CEmONC at two remote UHCs in Moheskhali and Kutubdia • BEmONC services at 3 UHCs in Ramu, Pekua and Chakaria • SCANU at the district hospital • NSUs, KMC & lMCl services across 5 UHCs in Moheskhali, Kutubdia, Ramu, Pekua and Chakaria • Quality MNCH services across all the 5 UHCs A strengthened and resilient health system will enable the achievement of Universal Health Coverage (UHC) and address inequities, including those faced by Rohingya refugees, as well as vulnerable populations rural and hard to reach locations including PWD. Program Output-1: The health system is strengthened to provide access to continuous comprehensive Maternal, Neonatal, Child and Adolescence Health (MNCAH)and Nutrition services through the delivery of Essential Service Packages (ESP) for Host communities through the recruitment and placement of staffs at UHCs. Program Output-2: The health system is strengthened to provide access to continuous comprehensive Maternal, Neonatal, child and Adolescence Health (MNCAH) and Nutrition services through the delivery of Essential service Packages (ESP) for Host communities through technical capacity building of new and existing HCW. Program Output-3: The health system is strengthened to provide access to continuous comprehensive Maternal, Neonatal, Child and Adolescence Health (MNCAH) and Nutrition services through the delivery of Essential Service Packages (ESP) for Host communities by strengthening quality improvement (QI) initiatives, providing operational and coordination support Upholding Accountability to Affected Population (AAP): While the overarching focus and priority of Health and Gender Support Program (HGSP) is to build health systems and strengthen the delivery of high quality MNCAH&N services in host community facilities, the general expectation is that Rohingya refugees may still benefit from the strengthening of the health system in the district, especially at UHCs. The program will continue extended collaboration with key actors to ensure Accountability to Affected Populations through establishing a strong mechanism of receiving feedbacks from the service recipients and leverage existing grievance redressed mechanism (GRM). Feedbacks will be collected and tracked monthly to ensure that proper corrective actions have been taken. |