Monitoring Helps Services to Reach the Poor Kamal Biswas UPHCP II, HLSP ( presenter) M Kabir, UPHCP II, HLSP A.B. Siddique...
Urban Primary Health Care Project UPHCP in Bangladesh <ul><li>Ministry of Local Govt. launched UPHCP I in 1998 in collabor...
Core policy <ul><li>Public Private Partnership for service delivery </li></ul><ul><li>Reimbursable finance mechanism  </li...
Mother and new born
Management <ul><li>Executing agency – Local Govt. Division of MoLGRD&C: Project Management Unit (PMU) </li></ul><ul><li>Lo...
Objective of the study <ul><li>Assess the situation of coverage of institutional delivery for the poor over a period of 20...
Methods <ul><li>Data of the institutional deliveries in 24 maternal hospitals were taken from Health Management Informatio...
Findings
Percent of poor for UPHCP Hospital delivery in Dhaka PAs 2005 2006 2007 2008 2009 DCC PA 1 0.9 1.3 4.7 13.6 20.1 DCC PA 2 ...
Findings
Percent of delivery for poor in UPHCP Hospitals in 14 Other cities, municipalities PAs 2005 2006 2007 2008 2009 CCCPA1 0 0...
Learning <ul><li>Pro-poor policy should be supplemented by strategies such as the entitlement card.  </li></ul><ul><li>Pro...
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Policy Objectives are not enough to reaching the poor in urban health projects in Bangladesh. Systemic Monitoring is essential-Kamal Biswas

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Policy Objectives are not enough to reaching the poor in urban health projects in Bangladesh. Systemic Monitoring is essential-Kamal Biswas

  1. 1. Monitoring Helps Services to Reach the Poor Kamal Biswas UPHCP II, HLSP ( presenter) M Kabir, UPHCP II, HLSP A.B. Siddique, UPHCP II, PMU Sharmin Mizan, UPHCPII,PMU
  2. 2. Urban Primary Health Care Project UPHCP in Bangladesh <ul><li>Ministry of Local Govt. launched UPHCP I in 1998 in collaboration with ADB </li></ul><ul><li>Second Urban Primary Health Care Project started in 2005 with ADB, DFID, UNFPA </li></ul><ul><li>UPHCP II ends on Dec 2011 </li></ul><ul><li>Area: 11 City/townships </li></ul><ul><li>Population: 10 m approximately </li></ul>
  3. 3. Core policy <ul><li>Public Private Partnership for service delivery </li></ul><ul><li>Reimbursable finance mechanism </li></ul><ul><li>User fees </li></ul><ul><li>30% of each service free to poor </li></ul><ul><li>ESP plus services (CS operation, eye care) </li></ul><ul><li>Sustainability fund </li></ul><ul><li>Contracted out Management Services </li></ul>
  4. 4. Mother and new born
  5. 5. Management <ul><li>Executing agency – Local Govt. Division of MoLGRD&C: Project Management Unit (PMU) </li></ul><ul><li>Local supervision: Project Implementation Unit of City Corporation/ municipality health department </li></ul><ul><li>Service Delivery : Partner NGOs/ Health departments </li></ul><ul><li>Monitoring Firm: PPME (HLSP) </li></ul>
  6. 6. Objective of the study <ul><li>Assess the situation of coverage of institutional delivery for the poor over a period of 2005 to 2009. </li></ul><ul><li>Define policy inputs helping the poverty related target. </li></ul>
  7. 7. Methods <ul><li>Data of the institutional deliveries in 24 maternal hospitals were taken from Health Management Information System (HMIS). </li></ul><ul><li>Descriptive analyses were undertaken to see the changes over the time. </li></ul><ul><li>HMIS data quality is assured through regular monitoring with a systematic approach. </li></ul>
  8. 8. Findings
  9. 9. Percent of poor for UPHCP Hospital delivery in Dhaka PAs 2005 2006 2007 2008 2009 DCC PA 1 0.9 1.3 4.7 13.6 20.1 DCC PA 2 0 0.3 0 12.5 26.8 DCC PA 3 0 0 0.4 21.6 39.7 DCC PA 4 0 0 0 20.2 23.5 DCC PA 5 0 0 1.9 15.4 34.4 DCC PA 6 0 0 0.7 18.8 25.1 DCC PA 7 20 15.2 28.5 39.6 34.2 DCC PA 8 0 1.7 6.4 20.6 24.8 DCC PA 9 0 0 4.6 22.1 29 DCC PA 10 0 0 3.5 11.6 29.9 Average 2.09 1.85 5.07 19.6 28.75
  10. 10. Findings
  11. 11. Percent of delivery for poor in UPHCP Hospitals in 14 Other cities, municipalities PAs 2005 2006 2007 2008 2009 CCCPA1 0 0 0 13.7 26.3 CCCPA2 3.1 2.7 5.7 18.5 21 CCCPA3 0 0 4.3 6.6 23.5 RCCPA1 0 0 17.3 13.9 27.4 RCCPA2 0 0 0 15.3 25.6 KCCPA1 0 0 3 17 38.5 KCCPA2 0 0 10.8 20.5 31.5 SCCPA1 0 0 1.3 23.8 23.8 BCCPA1 0 0 2.6 18.5 28.7 BogM PA 1 0 0 11.1 27.3 38 ComM PA1 0 0 5.2 42.3 31.8 MaM PA1 0 0 3.9 12 20.8 SavM PA1 0 0 19.5 21.6 20.8 SriM PA1 0 0 0 28.5 33.5 Average 0.22 0.19 6.05 19.64 27.94
  12. 12. Learning <ul><li>Pro-poor policy should be supplemented by strategies such as the entitlement card. </li></ul><ul><li>Pro-poor policy frame may not work alone. Regular monitoring with specific pro-poor indicators drives providers to reach maternal services to the poor. </li></ul><ul><li>Professional monitoring helps to improve performance and reach the poor. </li></ul>
  13. 13. www.hlsp.org

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