Challenges and Opportunity of A Community

Clinic in Bangladesh: Sukundir Bag Bari

Community Clinic

Course title: Health Service Management.

Course Instructor: Prof. Dr. Shah Monir Hossain
Course code: PBH 701
 Presented by

Dr. MD. FAKHRUL

ABEDIN BHUIYAN

ID-1915246080
 Com m unity was first initiated by our
Clinic
honorable Prime minister Sheikh Hasina in 1996, in
order to promote primary health care through a
system covering 6000 population by one single CC.

 On 9.5-10 m illion people visit in

average
Community Clinics per month and 38 people visit
per day per Community Clinic.

 Among the service seekers about 80% are

wom en and children.

3
 CC focuses on maternal, reproductive and child health through
counseling, supply of contraceptives and other basic medicines.
Treatment is also provided for diarrhea, pneumonia and other
childhood infections.

 People’s participation is an important element of Community

Clinics as local community members actively participate in their
management.
Sukundir Bag Community Clinic

5
Geographical Situation

 Division: DHAKA

 District: Gazipur

 Sub district: Sader

upzilla

 Union: pubiel

 Ward : 03

6
 Established in 1996. It was
shut down in 2001 and again
re established in around 2007

 Total population : 8984

 House hold: 1492

 Per day: 36 -40 patients

 There are 8 blocks in the ward.

 UHC is 8 km away from the

Community Clinic.

7
 Community Health Care Provider
(CHCP): 1 (Jannatun Naher suma)
 Health Assistant (HA): 1 (Keya
akter kaniz )

 Family Welfare Assistant (): Nil

All of them report to the Health

Inspector
8
 Services of Communiunity Clinic

 Available Primary health

Services

 EPI program

 Medicine provided

 Community engagement

9
 One stop services:

 Clinic open everyday except Friday, till 9 am to 3pm

 Supply of medicine
 Treatment for minor ailments like common cold, skim diseases,
allergies etc.
 EPI program
 Normal delivery facilities
 Identifying emergency & complicated cases with referral to
higher facilities
 Emergency ambulance provided by UHC

10
 Domiciliary Services:

 HA visits home to home

 School visit for counseling on basic health, nutrition

and family planning

 Birth registration within 28 days of the birth

11
EPI vaccines are given under the government of
Bangladesh. Vaccines are found at all Govt. healthcare and
vaccination centers.
 EPI vaccination are provided against major diseases:
 Tuberculosis
 Polio
 Measles
 Pentavalent (Diphtheria, Pertussis, Tetanus, Hep B,
Hib)
 Schedule is 2nd Monday of every month
 Monthly target on average: 19 to 20 children
 Yearly target on average: 230 children

12
• Albendazole
• Antacid
• Calcium Lactate
• Chlorpheniramine tablet and syrup
• Co-trimoxazole
• Ferrous Fumarate and Folic Acid
• Hyoscine Butylbromide
• Metronidazole
• Paracetamol (suspension and tablet)
• Penicillin V
• Salbutamol tablet and syrup
• Vit A, B complex
• Zinc dispersible tablet
• Amoxicillin Capsule, dry syrup and
Paediatric drop
• Bezyl Benzoate
• Chloramphenicol Eye Drop
• Benzoic Acid ointment
• Gentian Violet Topical Solution
• Neomycin and Bacitracin Ointment
13
• Oral Rehydration Salt (ORS)
 Community Engagement
 Have good communication with UHC

 Very well connected and easily accessible with UHFPO: Dr. md.shahin
sekander ali
 Co-operative Community Support Group

 Community fund

 School visit- total 15: (Counseling, Health check-up forms, De- worming + Vit.
A
capsule)
 Announcement of the health programs through miking in Mosque

 Awareness of the people

14
 Physical Infrastructure:

 No back- up for electricity

 No tube well/water supply

 Lack of space in order to provide enough and better service

 Lack of equipment

 Lack of training

 Shortage of drugs/ medicines; people need to buy from

outside
 No collaboration with NGOs

 Community fund is not sufficient 15

 Arrangement of training

 Electricity through generator

 A tube-well should be built for safe drinking water

 Providing more rooms

 Involvement of NGOs in order to provide better management

16
17
18