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Back Pack Health Worker Team 
Back Pack Health Worker Team
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.
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
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
Organizational Structure and Governance
3 Major Programs 
● Medical Care Program 
● Community Health Education and 
Prevention Program 
● Maternal and Child Healthcare Program
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
Back Pack Health Worker Team
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
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
Summary of MCHP deliveries from 2004-2013 
Years 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 
Total Deliveries 1432 2297 2693 3463 3156 3708 3770 3412 3961 3,508 
Live Births 1347 2222 2594 3337 3095 3621 3704 3356 3927 3,486 
Still Births/ Abortions 84 81 103 134 63 90 67 50 35 24 
Neonatal Deaths 47 73 94 117 69 96 77 53 37 14 
Maternal Deaths 8 15 15 27 13 16 9 13 9 7 
Low Birth Weight N/A N/A N/A N/A 237 9540 279 254 263 103
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
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
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)
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
Thank you

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Hematinics and Erythropoietin- Pharmacology of Hematinics
 

Back Pack Health Worker Team

  • 1. Back Pack Health Worker Team Back Pack Health Worker Team
  • 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
  • 11. Summary of MCHP deliveries from 2004-2013 Years 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Total Deliveries 1432 2297 2693 3463 3156 3708 3770 3412 3961 3,508 Live Births 1347 2222 2594 3337 3095 3621 3704 3356 3927 3,486 Still Births/ Abortions 84 81 103 134 63 90 67 50 35 24 Neonatal Deaths 47 73 94 117 69 96 77 53 37 14 Maternal Deaths 8 15 15 27 13 16 9 13 9 7 Low Birth Weight N/A N/A N/A N/A 237 9540 279 254 263 103
  • 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