Center for Health Market Innovations (CHMI)

Programs

Bangladesh Second Urban Primary Health Care Project

last updated Jul 23, 2012

Overview

Implementing organization: 
Government of the People’s Republic of Bangladesh (GOB) under Local Government Division, Ministry of Local Government Rural Development & Cooperatives
Implementation Partner(s): 
National NGOs
Legal Status: 
Public-private partnership
Year Launched: 
2005
Stage: 
Short-term project
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Government
Additional Source(s) of Funding: 
Donor
Funders: 
Asian Development Bank (ADB), DFID, SIDA, UNFPA;ORBIS International

Scale

Number of Clients Served: 
9.41 Million (catchment area)
Upscaling: 
The project has scaled up to serve 5 additional municipalities: Bogra, Comilla, Sirajgonj, Madhobdi, and Savar.
Scope: 
Additional services provided by the project include eye care, care for victim of violence against women, and voluntary counseling and testing for HIV/AIDS.
Summary: 

UPHCP-II is a government run initiative that aims to improve the health status of the poor in six city corporations and five municipalities by providing an essential package of high-impact services. The project began on July 1, 2005 and will continue until December 31, 2011.

Program goals/rationale: 

The Government of Bangladesh has made a substantial commitment to provide comprehensive health care to its people. Notable success has been achieved in the delivery of EPI, ORS, sanitation and family planning services for which Bangladesh is internationally recognized. The national development plans laid out the foundations for comprehensive delivery of a wide variety of Health and Family Planning services in urban and rural areas. However, for a period of time, there was proportionately less than optimum investment in primary health care services for the urban poor and slum dwellers to meet those priority needs.

Key program components: 

The Project will improve the efficiency of urban health services by (i) improving the spatial distribution of health center - PHC centers, comprehensive reproductive health care (CRHC) centers, and mini-clinics - in accordance with population density and geographical factors; (ii) supporting cost-effective interventions to reduce mortality and morbidity; (iii) enabling low-cost private sector participation in the provision of preventive and promotive health care services by partner NGOs; (iv) allowing appropriate user fees; (v) improving the monitoring and supervision system; and (v) concentrating on the provision of health services that will create the greatest public good in order to use scarce government resources more efficiently.

Over 50% of the project's target population is from four main groups: (i) slum dwellers living legally in slums; (ii) squatters living illefally onland owned by others; (iii) floating populations with no fixed residence; and (iv) other urban poor living throughout urban areas, mixed with the nonpoor. The Project will target all four groups through mini- or satellite clinics, outreach activities, and domiciliary services. Large slums will have mini-clinics, which will be open in the evening to maximize their use by the poor.

The Project will continue to contract out primary health care (PHC) services to nongovernment organizations through partnership agreements that were pioneered under the first Urban Primary Health Care Project (UPHCP-I). The Project will ensure pro-poor targeting by requiring that at least 30% of the preventive, promotive, and curative services provided are for the poor. Overall, 38% of clinical services are provided for free, including free medicine to the identified urban poor.

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