Community Health Worker (CHW)

dsc_2337Bangladesh is a country of approximately 150 million people with an area of 147,570 square kilometers. The  World Health Organization (WHO) estimates that Maternal mortality ratio (MMR) in Bangladesh is 176 per 100,000 live births which contributes 8.6% of deaths among deaths of female reproductive age (15-49 years).

Though Bangladesh has made tremendous progress in health improvement and population control during the last three decades. Infant and children (under five) mortality though declining over the years are still high at 54 per 1,000 live births and 72 per 1,000 children respectively (Unicef, 2009).

Community-based efficacy trials of maternal and neonatal care packages have shown reductions in neonatal or perinatal mortality, and some studies have utilized community-based workers to implement some or all elements of programmes. Improvement of the health and mortality situation in Bangladesh has been possible due to the successful implementation of large-scale public health programmes. To contribute in the health strategy of Government of Bangladesh and to implement Good Neighbors Bangladesh’s health agenda, we have introduced Community Health Workers (CHWs) project since 2016 in 5 CDPs (Community Development Projects).

cluster 1Community Health Workers (CHWs) can increase access to family planning programmes. With appropriate expectations and sufficient investment and support, CHWs have the potential to play an important role in strengthening weak health systems (Lehmann and Sanders, 2007). CHWs can deliver a variety of community-based health care services and are particularly important in areas where the use of facility-based services is low.

13. home visit by chwCHWs have been promoted for implementation of packages of interventions to reduce mortality of infants and mothers, improve health of mothers and newborn through extensive activities such as antenatal and postnatal home visits, promotion of immediate and exclusive breastfeeding, reproductive health services, family planning counseling, emergency referral services, health promotion and education among mothers and so on.

12. monthly cluster meeting by chwGNB arrange a number of meeting, awareness session, training to convert TBA to SBA. By this project CHW support family planning material. They help in reduction of maternal death & neonatal death. This project helps us to ensure safe motherhood and infant’s health.

The necessity of the project:

In Bangladesh, maternal mortality declined from 322 in 2001 to 194 in 2010, a 40% decline in 9 years. Bangladesh appears to be on track to achieving the primary target of MDG 5. The Government of Bangladesh has invested in a maternal health program with support from a number of development partners. Committing to achieving the Millennium Development Goal (MDG) 5, Bangladesh’s targets are to reduce the maternal mortality ratio (MMR) to 143 per 100,000 live births by 2015 and to increase skilled attendance at birth to 50 percent by 2010. Although Bangladesh has made progress in achieving reduction of maternal mortality ratio it is still very high in comparison to the developed country.

nalka cdp_home visit of anc & pnc mother of chw activities (6)

Bangladesh has a strong political commitment to ensure the quality of maternal health. BDHS (Bangladesh Demographic and Health Survey) 2014 revels that recent maternal mortality ration is 174/100000 live birth. Poor ANC coverage, lack institutional delivery, social and cultural constraint is the reason for poor maternal health. Furthermore, physician people ratio is 0.4/1000 (Data source: World bank 2010) is very concerning in compare to other countries. Experts say that Bangladesh needs a sustainable source in the community to ensure and strengthen maternal health. Government political will, awareness among people, strengthen of primary health care system and community mobilization is the key for the betterment of maternal health.

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