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Bangladesh

  • Community-Based Intervention to Reduce Neonatal Mortality in Bangladesh | Community Resource

    This report summarizes the implementation and findings of the Project for Advancing the Health of Newborns and Mothers (Projahnmo) in Bangladesh. Projahnmo was conceived to test the effectiveness of two different service delivery models of a community-based maternal and newborn care intervention package provided by CHWs, traditional birth attendants and community mobilizers. The study identified an effective model to reach newborns at home after delivery; the authors conclude that it suggests a model for integrated community-based care of newborns in rural Bangladesh.

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  • Community Health Worker Programs: A Review of Recent Literature | Community Resource

    This paper reviews recently published literature on community health worker programs, primarily focusing on maternal and newborn child health. Eighteen CHW programs and eleven relevant articles were included. It identifies key components of successful CHWs programs, reviews past successes and failures of CHW program implementation and summarizes important lessons learned.

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  • Community-based health workers achieve high coverage in neonatal intervention trials: a case study from Sylhet, Bangladesh | Community Resource

    This paper describes a large-scale community-based efficacy trial of chlorhexidine for cleansing the umbilical cord conducted in rural north-eastern Bangladesh. The trial established a two-tiered system of community-based workers: paid community health workers (CHWs) and volunteer village health workers (VHWs). The community-based workers delivered a package of essential maternal and newborn care interventions and one of three umbilical cord-care regimens.

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  • Performance of Female Volunteer Community Health Workers in Dhaka's Urban Slums | Community Resource

    This article describes a case-control study conducted in urban slum communities in Dhaka, Bangladesh, that examined barriers to optimal performance by volunteer CHWs. Financial incentives and rewards were commonly discussed by the CHWs; the socioeconomic condition of CHWs may also affect their motivation. The authors conclude that a combination of financial and non-financial incentives and rewards can be used to improve volunteer CHWs’ performance.

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  • Global Experience of Community Health Workers for Delivery of Health Related Millennium Development Goals: A Systematic Review, Country Case Studies, and Recommendations for Integration into National Health Systems | Community Resource

    This report aims to identify CHW programs with positive impacts on Millennium Development Goals (MDGs), related to health or otherwise, through a global systematic review undertaken of such interventions, as well as eight in-depth country case studies in SubSaharan Africa (Ethiopia Mozambique and Uganda), South East Asia (Bangladesh, Pakistan and Thailand) and Latin America (Brazil and Haiti).

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  • Factors Affecting Recruitment and Retention of Community Health Workers in a Newborn Care Intervention in Bangladesh | Community Resource

    This study investigates reasons for high rates of CHW attrition in Sylhet District in northeastern Bangladesh. The framework presented in this paper illustrates the decision-making process women go through when deciding to become, or continue as, a CHW. Factors such as job satisfaction, community valuation of CHW work, and fulfillment of pre-hire expectations all need to be addressed systematically by programs to reduce rates of CHW attrition.

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  • Tuberculosis Control in Developing Countries: A Generalized Community Health Worker Based Model | Community Resource

    This report analyzes the BRAC model in Bangladesh for Tuberculosis (TB) control and offers an alternate model, a community-based model that relies heavily on community health workers. The importance of utilizing community health workers to reduce the burden of TB is discussed throughout the report. It also speaks to the financial management of TB control programs and the implementation experiences of other developing countries such as India.

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  • Bangladesh: NGO and public sector tuberculosis service delivery -- rapid assessment results | Publications

    The Quality Assurance Project commissioned a rapid assessment of the Bangladesh service delivery system for TB-DOTS, the internationally recommended strategy for tuberculosis control. The assessment was designed to inform the development of a context-specific strategy to ensure the delivery of high-quality TB-DOTS care to achieve sustained detection of 70% of new smear-positive patients and an 85% cure rate. Examining the various aspects of both the Government- and NGO-managed systems, the assessment measured the following elements of the Bangladesh National Tuberculosis Program, of which the USAID-funded NGO Service Delivery Program is also a part: awareness-raising efforts, identification of suspects, case detection, mode of DOTS, cure rate, physical facilities, technical capacity, record keeping, referrals, and facility-to-facility referrals. After a presentation of findings, the report makes recommendations to achieve the targeted case detection and cure rates. (author's)

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