This document proposes a project to prevent and control hypertension, angina, myocardial infarction, and stroke in Gazipur District, Bangladesh. The project would conduct a baseline survey to assess the current prevalence of cardiovascular diseases and their risk factors. It would use a cross-sectional study design involving quantitative and qualitative data collection from over 1,000 men and women aged 30 and older. Data collection tools would include surveys, measurements, and focus group discussions. The project aims to improve cardiovascular health through prevention, detection, and treatment of risk factors. Findings would help inform effective intervention strategies to address the growing burden of non-communicable diseases in Bangladesh.

1. A PROJECT PROPOSAL TO PREVENT AND
CONTROL HYPERTENSION, ANGINA,
MYOCARDIAL INFARCTION AND STROKE IN
GAZIPUR DISTRICT
SUBMITTED BY
DR.

2. INTRODUCTION
In recent years, non-communicable diseases (NCDs) especially
diabetes, hypertension, angina, myocardial infarction and stroke
have been emerged as a global concern imposing
disproportionately higher impact on low- and middle-income
countries.
In 2015, 70% of global deaths were attributable to NCDs of
which over three quarters occurred in low and middle-income
countries.
Like other developing countries, Bangladesh is also troubled with
a rising burden of NCDs like hypertension angina, myocardial
infarction and stroke.
This baseline survey will be conducted to report the current
situation of NCDs and their behavioral and clinical risk factors in
selected intervention site Gazipur district , Dhaka.

3. JUSTIFICATION:
• Cardiovascular disease (CVD) is a general term for conditions affecting the heart or blood vessels.
• CVD is now one of the major causes of NCD in all over the world.
• Hypertension, angina, myocardial infarction and stroke are the major causes of CVD.
• In Bangladesh prevalence of hypertension is 25.2% in old adults aged 18-69 years.
• The World Health Organization ranks Bangladesh's mortality rate due to stroke as number 84 in
the world where prevalence of stroke in Bangladesh is 0.3%.
• So, our Govt should take proper steps to prevent and control the CVD in our country.
• Therefore, this baseline survey will be conducted to report the current situation of CVD
and their behavioral and clinical risk factors in Gazipur district , Dhaka to plan a effect
intervention strategy.

4. OBJECTIVES:
General Objectives:
• To improve cardiovascular health and quality of life
through prevention, detection, and treatment of risk
factors for hypertension, angina , myocardial
infarction and stroke.
Specific objectives:
• The specific objective of the baseline study is to
report prevalence of diseases and risk factors.
• To know NCD related knowledge, attitude and
practices, NCD related health care seeking practices
and compliance with treatment.

5. IMPLEMENTATION
STRATEGY:
• Study Design- A Cross-sectional study
including both quantitative and qualititative
approaches.
• Study setting and population- This
survey will be conducted in Kaliganj sub-
district of Gazipur district. Men and women
aged more than 30 years and living in the
selected sites will be our study population.

6. IMPLEMENTATION STRATEGY:
• Sample Size:
Sample size will be determined considering the prevalence of CVD
from non-communicable disease risk factor survey report, 2010.
Setting a 5% margin of error and 95% confidence level-
the minimum sample size will be 384.
As we will compare the result between male and female and
anticipating the design effect 1.5, we need, 384*2*1.5= 1152
respondent.
Considering 10% non-response rate,
the sample size will be 1,268.
For qualitative component, we will conduct 4 Focused Group
Discussions (FGDs) with 60 male and female diabetic and/or
hypertensive participants purposively selected from quantitative
sample. Each FGD will be comprised of 6-8 participants.
• Sampling technique:
A multistage sampling approach will be used for selecting
participants.

7. IMPLEMENTATION
STRATEGY:
• Study Tools and Supporting Materials-
Tools for quantitative component of this study will be
household listing questionnaire, survey questionnaire,
and quality control questionnaire. Some supporting
materials such as showcards, measurement bowl and
spoon, drug list and interview observation checklist will
also be used. FGDs will be conducted using guidelines.
All tools will be pre-tested and necessary modification
will be done before actual data collection.
• Data Analysis- Quantitative data will be analyzed
using Stata version 13. Descriptive analysis will be
performed to estimate the prevalence, knowledge,
attitudes and practices pertinent to hypertension and
behavioral risk factors across the study sites and gender.

8. PROJECT MANAGEMENT:
• The project management will include-
• Executive director
• Co-investigator
• Coordinator- Monitoring and evaluation
• Coordinator- Training
• Program manager
• Program Officer
• Other affiliated personnel

9. MONITORING AND EVALUATION:
To ensure the activities are align with the proposal and
appropriate with the needs. A project time bar chart will
be developed and will be followed accordingly.
Management and coordination team will visit the project
at monthly basis and a quarterly and final report will be
given regarding the project progress. In addition to that,
the external financial audits will be conducted by qualified
auditors.

10. BUDGET:
Item Description Number of
Item per
person
Cost
sharing per
unit in BDT
Total Cost in BDT
Basic emergency medicine
box
Logistic support
(Sphygmomanometer,
Stethoscope, pulse oximeter,
ECG machine, Stadiometer)
Drugs
Hygiene kit
Operational cost such as
photocopy,
stationary, printing, mobile
bill, etc.,
HR cost
Total (BDT)

11. TIME FRAME
Month
Activity
1 2 3 4 5 6
Identification of the project
area
Stuff recruitment and training
Calculation, Budget and Buying
products
Data collection
Monitoring, evaluation and
monthly report
Data analysis
Final report

12. PROJECT
DELIVERABLES:
Proposal
project reports
Project governance plan
Progress report
Project scope statement

13. IMPLICATIONS:
It is evident that a significant portion of adults in Bangladesh are suffering from CVD. In addition, behavioral
risk factors of CVD like tobacco consumption, high salt intake, inadequate fruits and vegetables consumption
and inadequate physical activity are highly prevalent in this population. As hypertension, stroke and their risk
factors attribute to premature death and disability and pose enormous burden on the diseased individuals
and their household along with the health system of Bangladesh, it is a timely need, and this study result will
help to take necessary steps for the prevention and control of CVD in Gazipur district.