BACK PACK HEALTH WORKER TEAM
-Established in 1998
- Coordinated with health workers from Karen, Mon, and Karenni areas.
- Aim to reach IDPs in the least stable conflict zone areas
- Provide primary health care
- Aim to equip communities with the skills and knowledge to address their own needs while working towards a long-term sustainable community-based primary health care system.
2. BACK PACK HEALTH WORKER TEAM
● Established in 1998
● Coordinated with health workers
from Karen, Mon, and Karenni areas.
● Aim to reach IDPs in the least stable
conflict zone areas
● Provide primary health care
● Aim to equip communities with the
skills and knowledge to address their
own needs while working towards a
long-term sustainable community-based
primary health care system.
3. BACK PACK TEAMS AND
TARGET POPULATION
● Currently 100 back pack teams in
Karen, Karenni, Mon, Arakan,
Chin, Kachin and Shan States, and
Bago, Sagaing, and Tenasserim
Divisions in Burma.
Each Team:
● Has 3 – 5 Health Workers
● Serves an IDP Population
of ~2,000
● 2013 – 76,466 caseloads are
treated
4. Number of Back Pack Teams and Health
Workers
32
120
35
150
56
200
60
BP teams
Health Workers
225
70
235
70
257
70
257
70
257
76
274
76
287
80
300
289
81
81
290
83
307
95
417
100
379
450
400
350
300
250
200
150
100
50
0
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
6. 3 Major Programs
● Medical Care Program
● Community Health Education and
Prevention Program
● Maternal and Child Healthcare Program
7. Medical Care Program
● Treat common illnesses
0 Targets the 6 most prevalent
conditions: Malaria, ARI, Anemia,
Worms, Diarrhea and Dysentery
● Provision of medicine and medical
materials
● Strengthen existing referral system
● Emergency treatment for war-related
injuries
9. Community Health Education and
Prevention Program
● School Health Promotion access
● Community Water and Sanitation
Program
● Nutritional Promotion
●Village Health workshops
● Village Health Worker training
and workshops
10. Maternal & Child Healthcare Program
● Trained Traditional Birth Attendant
(TTBA) Training
0711 TBAs/TTBAs currently working
● TBA/TTBA Workshops are held
every six months
● Provision of TTBA supplies and
maternity kits
● 3,508 total deliveries in 2013
● Provide family planning methods
12. Obstacles to Program Implementation
● Restricted health worker mobility
0 Environment
0 Security
● Data collection
0 Dangers
0 Populations are frequently on the
move
● Health worker skills and training
13. Solutions to Obstacles
● Data Collection – solutions for security:
0 No identifying features on forms
0 Consult with local leaders
0 Use walkie-talkies and satellite phones
0 Some translation to local languages
● Health worker skills and training
0 Increase quality and quantity of training
0 Training-of-Trainers courses
0 Village Health Volunteers → Village Health Workers
0 Traditional Birth Attendants → Trained Traditional
Birth Attendants
14. Coordination and collaboration
● Cooperate with local authorities for transportation and
communication
● Coordinate with local ethnic health organizations to manage
the outbreak of diseases, referral of patients and for Basic
Medical Training
● Cooperate with IRC (health worker training & capacity
building); BRC (external M&E, capacity building, advocacy,
networking); MTC (health worker training); CPI (technical
support, i.e. HIS & Public Health)
15. Monitoring and Evaluation
I) Internal monitoring and evaluation:
● Program Management
● Program Development
● Program Effectiveness
0 Data Collection & Review
0 Health worker performance
0 Field Consultation with village leaders
0 Impact Assessment Survey
II) External monitoring and evaluation:
● 2008 – DCA; BRC/CIDA
● 2010-2011 – BRC/NCA/IRC/Inter Pares
● 2011 (Eastern Burma) – IRC/TBBC