Community Health Program at Remote Hill District Case Study

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The Christian Hospital Chandraghona (CHC) in Kaptai Upazilla sub­‐district of Rangamati Hill District falls within Chittagong division in Bangladesh. Rangamati is the district where 52% of the population comprises different tribal people of ethnic minority. 82% of the total population lives in hilly village areas surrounded by forests and therefore they lack basic facilities. Accessibility to healthcare and other social services is minimal and difficult for the villagers. As a result, it is hard for service sectors to provide services at these locations. The long unresolved political dispute between the tribal and non-­‐tribal peoples further impedes the service sectors movement as well. 

Christian Hospital Chandraghona (CHC) is a 125-­‐bed hospital that provides a spectrum of services such as Outpatient, Inpatient, Diagnostic and Laboratory facilities, Physiotherapy and Operating Theaters. The hospital has a combination of different departments staffed by qualified service providers. In addition, since 2006, it has extended its service network to the marginalized tribal communities and villages through its Community Health Program (CHP) and mobile clinics in Kaptai Upazilla (project population is 30,000 in The mobile clinic travels based on a pre-­‐set schedule from the Community Health Center to remote villages. Trained community health workers designated as Basic Medical Workers (BMWs), who reside within their own villages provide these services to the village community.