MaMoni-HSS Clossing Report-14

MaMoni-Health Systems Strengthen Project Pirojpur District.

Closing Report

October 2013 to December 2014

Implemented by- ESDOII Light House II save the Children International

Background

Eco Social Development Organization (ESDO) continuous mended for its holistic development

of rural and urban populations in the areas of mother and child health care services, family

planning , water and sanitation , nutrition growth monitoring rights and governs, gender

development and women empowerment , human rights and promotion of extreme minority

rights, education, livelihood, skills of Bangladesh. The organization is registered with the

Department of Social Service in 1988, Registration No. DSS/440/88, Registered with the NGO

Affairs Bureau in 1993, Registration No. 694/93 (Renewed-2012), Registered with the Micro-credit

Regulatory Authority, No: MRA-0000204, Registered with the Department of Family Planning

in 2000, Registration No.A-149/2000, Licensed with Directorate of Health Services (for

Hospital), License No. 1983.

Considering the health implications and requirement of good nutritional status, ESDO set forth its health,

nutrition and environmental development programme. ESDO provided various types of MNH,

reproductive, child and general health services by operating community clinic and static clinics through

Developing Community Support System (ComSS) funded by joint GoB- UN MNHI, Health Pilot

Programme (HPO) funded by SDF, Community Managed Health Care (CMHC), Human Resources

Development for Health(HRH), Women and Their Children’s Health(WATCH) funded by Plan

International Bangladesh, ESDO SISHU Hospital funded by Japan Embassy Bangladesh. Through

these projects ESDO is contributing towards improving the maternal and neonatal health and nutrition

status of the people within the intervention areas.

ESDO provided various types of clinical and non-clinical services to its beneficiaries. ESDO has covered

widen services for ensuring safe water, sanitation and hygiene education under the projects

Strengthening LGI to Eradicate Wash Poverty(SLEWP), Sustainable Micro Sanitation

Programme(SMSP), Sanitation, Hygiene Education and Water Supply ( SHEWA-B) Project,

Advancing Sustainable Environmental Health (ASEH), Arsenic Mitigation Programme, Hygiene,

Sanitation and Water Supply Project( HYSAWA) with the funding support of Water Aid, Max

Foundation Netherland, DPHE- UNICEF, NGO Forum, DPHE- BAMWSP and HYSAWA fund .

Through these projects, ESDO is contributing towards improving the safe water, sanitation and hygiene

education of the people within the intervention areas.

ESDO has been conducting Improving Maternal and Child Nutrition (IMCN), Community Nutrition

Initiative (CNI) and SHOUHARDO with the support of World Food Programme (WFP) and CARE/

USAID. The activities are running towards achieving objective of the projects and significant positive

changes have been improving. A good number of children were covered by the growth monitoring &

promotion activity through regular follow-up, supervision & monitoring. A huge number of underweight

newborn infants have substantially improved from the status of severe malnutrition. To perform above

mentioned interventions a group of experienced and committed medical doctor, paramedic/ medical

assistant, Community Health Mobilizer, Health Volunteer, TBAs are working with the community

people. ESDO has been implementing these programs in close collaboration with health department and

local government institution and community to achieve Millennium Development Goal (MDG) 4 and 5.

ESDO has well equipped office, numbers of managerial and field staff along with sufficient vehicle

facilities at the proposed area. More over ESDO is very much familiar with the community, local

administration and local government that will contribute to smooth operation of the proposed project.

Based on the above mentioned strength and experience ESDO is interested to implement the

MAMONI Health Systems Strengthening Activity with the technical support of SCI, that will be

helpful to achieve the Mamoni HSS objective to increase availability and quality of high –impact

interventions through strengthening district –level local management and health systems directly

contributes to the goal of increased utilization of services.

2. Goal

To improve utilization of integrated Maternal, Newborn, Child Health, Family Planning and

Nutrition (MNCH/FP/N) services.

3. Objectives

To increase availability and quality of high impact interventions through strengthening district

level local management and health system.

To reach in goal and achieve objectives MaMoni-HSS stands four intermediate results (IRs).

IR-4

IR.1- Improve service readiness through critical gap management.

IR.2- Strengthen health systems at district level and below.

IR.3- Promote enabling environment to strengthen district level health system.

IR.4- Identify and reduce barriers to accessing health services.

7. District Profile

At a glance of Pirojpur :

District Profile: o Population data :

Total Population : 11, 35,097 Male : 5, 78,899 Female : 5, 56,198

o Number of Upazilla : 07 ( Sadar, Nazirpur, Kawkhali, Neserabad, Zianagor, Bhandaria, Mathbaria)

o Number of union : 51 ( Additional 1 union has been formed from Daulbari Dobra Union namely Kalardoania under Nazirpur Upazila)

o Staff strength

Civil Surgeon : 01

Deputy Director Family Planning : 01

UH&FPO : 07

UFPO : 00

MO(MCH-FP) : 03

RMO : 03

Nurse : 104

HI : 17

AHI : 54

HA : 278

FPI : 52/47

SACMO : 88 (Health- 41 Family Planning-47)

FWV : 59 / 48

FWA : 269/258

CSBA : 16 ( HA-5, FWA-11)

CHCP : 153/145

Number of FWC with location : ( Details Sheet Attached)

Total # Union Facility : o # of FWC = 43

o # of RD = 06

o # of Union Clinic = 01

Selected FWC for NVD service up gradation : 21 in Number

SL Name of Upazila Union Name of UH&FWC

Village in which UH&FWC is situated

Type of building

One Storied

Two Storied

Three Storied

1 Pirojpur sadar Shariktala Shariktala UH&FWC Shariktala

2 Pirojpur sadar Kadamtala Kadamtala UH&FWC Kadamtala

3 Pirojpur sadar Shongkorpasha Shongkorpasha UH&FWC

Shongkorpasha

4 Pirojpur sadar Durgapur Durgapur UH&FWC Durgapur

5 Nesarabad Shutiakathi Shutiakathi UH&FWC Shutiakathi

6 Nesarabad Jalabari Jalabari UH&FWC Purba Jalabari

7 Nesarabad Guarekha Guarekha UH&FWC Rudropur

8 Nesarabad Sharengkathi Sharengkathi UH&FWC

Modde Korfa

9 Nazirpur Sheakmatiya Sheakmatiya UH&FWC

Babur Hat Bari

10 Nazirpur Malikhali Malikhali UH&FWC Sachia

11 Nazirpur Deulbari Deulbari UH&FWC Gawkhali

12 Bhandaria Gowripur Gowripur UH & FWC Gowripur

13 Bhandaria Bhitabaria Bhitabaria UH&FWC Madirabad

14 Bhandaria Talikhali Talikhali UH&FWC Talikhali

15 Kawkhali Chirapara ChiraparaUH&FWC Nilti-Chirapara

16 Kawkhali Sayna Raghunathpur

Sayna Raghunathpur UH&FWC

Faloibuniya √

17 Kawkhali Amrajuri Amrajuri UH&FWC Gandharbo - Amrajuri

√

18 Mathbaria Betmore Rajpara

Betmore Rajpara UH&FWC

Betmore √

19 Mathbaria Dhanisafa Dhanisafa UH&FWC Tetulbaria √

20 Mathbaria Amragacchia Amragacchia UH&FWC

Amragacchia √

21 Mathbaria Sapleza Sapleza UH&FWC Sapleza √

Category Wise Number of Human Resource Civil Surgeon : 01

DDFP : 01

UH&FPO : 07

UFPO : 00

MO (MCH-FP) : 08/03

RMO : 03

Nurse : 105/104

HI : 17

AHI : 56/54

HA : 287/278

FPI : 52/47

SACMO : 88 (Health- 46/41 Family Planning-59/47

FWV : 59 / 48

FWA : 269/258

CSBA : 16 ( HA-5, FWA-11)

CHCP : 153/145

At a glance of Sadar Upazila :

At a glance of Pirojpur Sadar Upazila

Name of the Union Total

Sikdermollik

Kodamtola

Durgapur

Kolakhali

Tona Sariktola

Sankarpasa

(pirojpur sadar)Pourosova

UHC

Area in Sq Km 25.2 23.43 17.04 16.42 14.6 19.97 23.33 29.5 0 169.49

Number of municipality

1 0 1

Number of Union 1 1 1 1 1 1 1 09 Ward 0 7

Number of Village

13 12 9 9 10 14 13 25 0 105

Number of House Hold

4165 3847 3107 2329 3416 3909 6150 7311 0 34234

Number of FWA Unit

6 6 4 3 5 5 6 9 0 44

Demography 0

Total Population 19832 17839 15186 11745 16557 17515 20559 43523 0 162756

Male 10017 9522 7873 6399 8779 9017 10499 22714 0 84820

Female 9815 8317 7313 5346 8178 8498 10060 20809 0 78336

0-11 m children 366 330 294 200 360 350 628 0 0 2528

CBA women (15-49 age)

4087 4096 2787 1750 2437 6251 0 0 21408

ELCO 3006 3302 2363 1865 2763 2924 3654 7433 0 27310

Facility information

0 0

Upazila Health Complex

0 0 0 0 0 0 0 0 0 0

UH&FWC 1 1 2 1 1 1 1 0 0 8

RD/USC 0 0 0 0 0 0 0 0 0 0

Total number of Community Clinic

2 2 1 2 2 2 4 0 0 15

EPI outreach center

24 24 24 24 24 24 24 24 0 192

Number of Merged SC with EPI

7 8 8 8 8 8 7 0 0 54

Total number of Satellite center. (as per plan)

8 8 8 8 8 8 8 0 0 56

NGO clinic (Number and Name

0 0 0 0 0 0 0 Mare stop

0 0

CMPM Center 0 0 0 0 0 0 0 0 0 0

CMPM held in Community Clinic

0 0 0 0 0 0 0 0 0 0

Total number of Satellite center planned in the Community Clinic/monthly

0 3 1 1 2 2 4 0 0 13

Number of cMPM merged with SC

0 0 0 0 0 0 0 0 0 0

Human Resource

0

UH&FPO 0 1 1

Jr. consultant (Gynae)

0 0 0

RMO 0 1 1

UFPO 0 0 0

MOMCH-FP 0 0 0

AUFPO 0 1 1

AFWO 0 1 1

UFPA (sanctioned post/Existing number)

0 3 3

0 3 3

HI (sanctioned post/Existing number)

1 1 1 0 0 0 0 0 0 3

1 1 1 0 0 0 0 0 0 3

AHI (sanctioned post/Existing number)

1 1 1 1 1 1 1 2 0 9

2 1 1 1 2 2 2 2 0 13

Sanitary Inspector 0 1 1

MT (EPI) 1 1 1 2 1 1 1 0 1 9

SACMO-FP (sanctioned post/Existing number)

1 1 1 2 1 1 1 0 0 8

0 0 0

SACMO-Health (sanctioned post/Existing number)

1 1 1 1 1 1 1 0 0 7

1 1 1 1 1 1 7 0 0 13

FWV (sanctioned post/Existing number)

1 1 1 1 1 1 1 0 0 7

1 1 1 1 1 1 1 0 0 7

FPI (sanctioned post/Existing number)

1 1 1 1 1 1 1 0 0 7

0 1 1 1 1 1 0 0 0 5

HA (sanctioned post/Existing number)

6 5 5 3 5 5 6 9 0 44

6 5 5 3 5 4 6 8 0 42

FWA (sanctioned post/Existing number)

6 6 4 3 5 5 6 8 0 43

6 6 4 3 5 5 6 7 0 42

CHCP (sanctioned post/Existing number)

2 2 2 2 2 2 4 0 0 16

2 3 1 2 2 2 4 0 0 16

cSBA (FP) 0 1 0 0 0 1 0 0 2

cSBA (Health) 0 1 0 0 0 1 0 0 2

cSBA (Brac) 0 1 1 1 1 0 1 0 0 5

Statistician (sanctioned post/Existing number)

0 0 0 0 0 0 0 0 1 1

0 0 0 0 0 0 0 0 1 1

Pharmacist (sanctioned post/Existing number)

1 1 1 1 1 1 1 0 0 7

0 0 0 0 0 0 0 0 0 0

Communication 0

Total # Hard to reach area (EPI source)/ Media Dark Area

2 0 1 1 0 1 2 0 0 7

Community mobilization

0

Total number of CVSS) (BRAC)

32 24 26 18 21 20 38 0 0 179

SK (BRAC) 3 3 3 2 2 2 4 0 0 19

PO (BRAC) 1 1 0 1 0 1 1 0 0 5

Total Number of CAG

71 66 62 46 63 64 84 0 0 456

Number of referral Hub

4 4 3 3 3 2 5 0 0 24

Total Population (Collection by FSO)

18935 17642 15382 11800 15770 16112 21686 0 0 117327

Total House Hold (Collection by FSO)

4281 3958 3368 2448 3538 3476 5152 0 0 26221

Total ELCO (Collection by FSO)

3860 3283 2955 2236 3024 3329 4011 0 0 22698

Total CAG (Collection by FSO)

71 66 62 46 63 64 84 0 0 456

Field level data- Septermber-2014

Nazirpur Upazila

Name of Upazila: Nazirpur

Name of Union Total

Matibhanga

Nazirpur

Malikhali

Deulbari Dirgha Shekmatia

Shakharikhati

Shreeramkhati

Area in Sq Km 24.65 21.01 29.94 45.62 29.98 12.08 9.97 25.67 198.92


0 0 0 0 0 0 0 0 0

Number of Union 1 1 1 1 1 1 1 1 8

Number of Village 18 22 20 9 22 13 15 23 142


4714 4830 4570 4056 3921 5675 4966 4498 37230

Number of FWA Unit

5 6 6 7 6 5 5 5 45

Demography 0

Total Population 24286 17975 25257 35553 17528 16853 22030 20295 179777

Male 12364 9110 13222 17889 8853 7328 10678 10401 89845

Female 11922 8865 12035 17664 8675 9511 11352 9894 89918

0-11 m children 491 437 402 1027 333 465 484 376 4015


4958 4989 4754 4056 4325 5895 5326 4898 39201

ELCO 4770 3348 3923 6432 2957 3659 3175 3166 31430


0


0 0 0 0 0 0 0 0 0

UH&FWC 0 0 1 1 1 1 0 1 5

RD/USC 1 0 0 0 0 0 0 0 1


3 2 3 5 3 3 2 3 24

EPI outreach center 24 24 24 48 24 24 24 24 216


4 8 8 8 4 8 4 8 52


4 8 8 8 4 8 4 8 52


0 0 0 0 0 0 0 0 0

CMPM Center 12 12 12 12 12 12 12 12 96


3 2 3 5 3 3 2 3 24


0 1 1 1 0 1 1 0 5


4 8 8 8 4 8 4 8 52

Human Resource 0

UH&FPO 0 0 0 0 0 0 0 0 0


0 0 0 0 0 0 0 0 0

RMO 0 0 0 0 0 0 0 0 0

UFPO 0 0 0 0 0 0 0 0 0

MOMCH-FP 0 0 0 0 0 0 0 0 0

AUFPO 0 0 0 0 0 0 0 0 0

AFWO 0 0 0 0 0 0 0 0 0


0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0


0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0


1 1 2 2 1 1 1 1 10

1 1 1 2 1 1 0 1 8

Sanitary Inspector 0 0 0 0 0 0 0 0 0

MT (EPI) 0 0 0 0 0 0 0 0 0


0 0 1 1 1 1 0 1 5

0 0 1 1 1 1 0 1 5


1 3 1 1 1 1 1 1 10

1 3 1 0 1 1 0 1 8


1 2 1 1 1 2 1 1 10

1 2 1 1 0 1 1 1 8


1 1 1 1 1 1 1 1 8

1 1 1 0 1 1 1 1 7


6 6 6 8 6 6 6 6 50

5 6 6 7 6 5 6 6 47


5 6 6 7 6 5 5 5 45

5 6 5 7 6 4 5 5 43


3 2 3 5 3 3 2 3 24

3 2 3 5 3 2 2 3 23

cSBA (FP) 0 1 0 1 1 0 0 0 3

cSBA (Health) 0 0 1 0 0 0 0 0 1

cSBA (Brac) 1 0 1 2 0 1 0 0 5


0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0


1 0 1 1 1 1 1 1 7

1 0 1 0 0 0 0 0 2

Communication


2 0 4 20 0 2 0 0 28


0


35 36 36 71 31 40 37 37 323

SK (BRAC) 3 4 4 8 3 4 4 4 34

PO (BRAC) 1 1 1 2 1 1 1 1 9

Total Number of CAG 95 97 97 164 76 100 82 91 802

Number of referral Hub 4 3 5 8 4 4 1 3 32


23377 22258 22901 36745 17774 25596 22653 20402

191706


4714 4830 4570 8179 3921 5675 4966 4498 41353


4477 4334 4974 8114 3423 4701 3731 4166 37920


96 93 94 160 76 104 93 87 803

Nesarabad Upazila

Name of Upazila: Nesarabad

Name of the Union Total

Boldia Shohagadal

Shwruap kati

Atghor kuriana

Jolabari

Doihari Guarekha

Shamudoy

kati

Sutia kati

Sareng kati

Municipali

ty

UHC

Area in Sq Km 5.12 5 7 7.3 6.5 5.99 14.7 10.4 11 3.29 1.43 77.73


0 0 0 0 0 0 0 0 0 0 1 1

Number of Union 1 1 1 1 1 1 1 1 1 1 10

Number of Village 16 1 14 20 13 20 22 18 6 8 138


7349 6910 7698 4190 4771 2798 3473 3196 6681 2723 0 49789

Number of FWA Unit

7 7 5 6 5 3 6 6 6 3 54

Demography 0

Total Population 32432 29019 13499 17322 19576 10041 13820 13376 29379 12205 19983 21065

2

Male 15654 14117 6422 8639 9556 4908 6624 6532 14447 5888 10845 10363

2

Female 16778 14902 7077 8683 10020 5133 7196 6844 14932 6317 9138 10702

0

0-11 m children 0


0

ELCO 5310 4986 5075 3081 3183 1601 2704 2588 5324 2204 36056


0


0 0 0 0 0 0 0 0 0 0 1 1

UH&FWC 0 1 1 0 1 1 1 1 1 1 8

RD/USC 0 0 1 1 0 0 0 0 0 0 2


4 4 1 3 3 2 2 2 4 2 27

EPI outreach center 24 24 24 24 24 24 24 24 24 24 240


0 4 7 5 5 0 6 0 4 6 37


0 8 8 8 8 0 8 0 8 8 56


0 0 0 0 0 0 0 0 0 0 0

CMPM Center 0 0 0 0 0 0 0 0 0 0 0


0 0 0 0 0 0 0 0 0 0 0


0 4 1 3 3 0 2 0 4 2 19


0 0 0 0 0 0 0 0 0 0 0

Human Resource 0

UH&FPO 0 0 0 0 0 0 0 0 0 0 1 1


0 0 0 0 0 0 0 0 0 0 0

RMO 0 0 0 0 0 0 0 0 0 0 0

UFPO 0 0 0 0 0 0 0 0 0 0 1 1

MOMCH-FP 0 0 0 0 0 0 0 0 0 0 1 1

AUFPO 0 0 0 0 0 0 0 0 0 0 1 1

AFWO 0 0 0 0 0 0 0 0 0 0 0


0 0 0 0 0 0 0 0 0 0 3 3

0 0 0 0 0 0 0 0 0 0 3 3


0 0 0 0 0 0 0 0 0 0 4 4

0 0 0 0 0 0 0 0 0 0 4 4


1 1 1 1 1 1 1 1 1 1 10

1 1 1 1 1 1 1 1 1 1 10

Sanitary Inspector 0 0 0 0 0 0 0 0 0 0 1 1

MT (EPI) 0 0 0 0 0 0 0 0 0 0 1 1


0 1 1 1 0 1 1 1 1 0 7

0 1 1 1 1 1 1 1 1 1 9


1 1 1 1 1 1 1 1 1 1 10

1 1 1 1 1 1 1 1 1 1 10


0 1 1 1 1 1 1 1 1 1 9

0 1 1 1 0 0 1 0 1 1 6


1 1 1 1 1 1 1 1 1 1 10

1 1 1 1 1 1 1 1 1 1 10


8 7 5 4 6 5 3 4 7 3 52

8 7 5 4 6 5 3 4 7 3 52


7 6 4 6 5 5 5 6 5 5 54

7 6 4 6 5 3 5 6 4 4 50


4 4 3 3 3 2 2 2 4 2 29

4 4 1 3 3 2 2 2 4 2 27

cSBA (FP) 0 1 0 0 0 0 1 0 0 0 2

cSBA (Health) 0 0 0 1 0 0 0 0 0 0 1

cSBA (Brac) 0 0 0 0 0 0 0 0 0 0 0


0 0 0 0 0 0 0 0 0 0 1 1

0 0 0 0 0 0 0 0 0 0 1 1


0 0 0 1 0 0 1 0 1 1 4

0 0 0 1 0 0 0 0 0 1 2

Communication 0


0 0 0 0 0 0 0 0 0 0 0


0


0 0 0 0 0 0 0 0 0 0 345 345

SK (BRAC) 0 0 0 0 0 0 0 0 0 0 43 43

PO (BRAC) 1 1 1 1 1 1 1 1 1 1 4 14

Total Number of CAG

0 0 0 0 0 0 0 0 0 0 0

Number of referral Hub

0 0 0 0 0 0 0 0 0 0 45 45


34165 30620 35695 18715 20451 13338 15730 14177 31263 11923 22607

7


7349 6910 7698 4190 4771 2798 3473 3196 6681 2723 49789


6587 6766 7060 3986 3240 2653 3646 2890 6238 2160 45226


143 122 141 82 86 57 61 58 122 49 921

MaMoni-HSS, ESDO-Pirojpur Staff Status-

Sl Position Sanctioned In Place Vacant Note

1 District Coordinator 1 1 0

2 FC-QA 1 1 0

3 FC-CBS 1 1 0

4 Referral Coordinator 1 1 0

5 ME&DO 1 1 0

6 BCC Presenter 1 1 0

7 BCC Helper 1 1 0

8 F&AO 1 1 0

9 UC 3 3 0

10 TO 5 5 0

11 AF&AO 3 3 0

12 FSO 26 26 0

13 SS 4 4 0

- Staff Posting

i) District Office

Sl Position Number Note

1 District Coordinator 01

2 FC- QA 01

3 FC-CBS 01

4 RC 01

5 ME&DO 01

6 F&AO 01

7 BCC-Presenter 01

8 BCC- Helper 01

9 Support Staff 01

Pirojpur Sadar Upazila Staff-

1 Upazila Coordinator (UC)

01

2 Technical Officer (TO) 01

3 AF&AO 01

4 Field Support Officer (FSO)

07

5 Support Staff 01

6 Night Guard 01

7 Cleaner Cum Aya 01

Nazirpur Upazila Staff-


01


3 AF&AO 01


09

5 Support Staff 01

6 Night Guard 01


iv) Nasarabad Upazila Staff-



01


3 AF&AO 01


10

5 Support Staff 01

6 Night Guard 01


Intermediate Result wise Activity Report

IR-01- Improve service readiness through critical gap management.

IR-1.a- Work Force Need assessment and facility assessment with Infrastructure Photography

A joint intervention was conducted with SCI and Implementing partner ESDO staff of Pirojpur

for its three upazilas. The main purpose of workforce

need assessment is to identify gaps in set systems of

government health and family planning department

service providing in upazila, union and community

level. We used a prescribed format provided by SCI.

Completing WNA we developed District profile of

Pirojpur. And we got photography of all UH & FWC to

assesses infrastructures condition and for future

evolution. Few Photographies are below

Jalabri UH & FWC, Nasarabad, Pirojpur Residence of Jalabari UH & fWC, Nasarabad, Piorjpur.

In front of Tona UH & FWC of Sadar Upazila, Pirojpur Shakharikathi Union Clinic of Nazirpur upazila, Pirojpur

In front of Durgapur UH & FWC, Sadar Upazila, Pirojpur Labor room of Durgapur UH & FWC of Sadar Upazila,

Pirojpur

Sutiakathi UH & FWC roof, Nasarabad, Pirojpur Sutiakathi UH & FWC Labor Room with delivery bed,

Nesarabad, Piorjpur

Chungapasa UH & FWC, Durgapur, Sadar, Pirojpur In front of Sohagdal UH & FWC, Nasarabd, Pirojpur

After complete facility assessment we found a major number of UH & FWCs situation is not positive to

conduct round O’clock delivery. Most of them are very poor with their infrastructure. The buildings,

windows, doors, roofs, toilets, water pump or tub-well (running water capacity), electricity, labor bed,

labor room logistics, medicines, tools etc. are low standard. Even few facility buildings have no suitable

environment where service providers would provide their service with proper attention. Insufficiency of

basic needs in residence of the UH & FWCs, the service providers do not show their wish to reside there

for functioning 24/7 deliveries.

Tools of Workforce need assessment, Facility Profile and situation analyze :

We used SCI stander Workforce need assessment, Facility Profile and situation analyze format and

collect inventory data from every facilities.

Guide line and orientation:

As per guide line of Senior Manager of MaMoni-HSS, Pirojpur district and Manager – Quality Assurance

we conducted the intervention. For this, an orientation was received on the prescribed format.

Who did :

Upazila Coordinators and Technical Officers conducted the task with the assistance of Quality Assurance

team.

* What did-

Filled up the entire format and took Photography of the facilities.

* Out Comes-

After getting all facilities assessment and profile we found HR gaps, Poor condition of facility structures,

logistics inevitability, etc.

Action Plan:

1. We proposed the below facilities for minor renovation to make them 24/7 delivery functional.

SL No: Proposed Facility Name of Upazila

1 Sikdarmollik UH&FWC Sadar

2 Durgapur UH&FWC Sadar

3 Tona UH&FWC Sadar

4 Shariktola UH&FWC Sadar

5 Sarenkhati UH&FWC Nesarabad

6 Ghuyarekha UH&FWC Nesarabad

7 Sohagdol UH&FWC Nesarabad

8 Deulbari UH&FWC Nazirpur

9 Dirgha UH&FWC Nazirpur

10 Mativanga UH&FWC Nazirpur

Table 4: Summary of plan for upgrading upazila and union level facilities Pirojpur Sadar List of facilities (UH&FWC) and

UHC

What services will be

upgraded

Physical renovation needs

Additional staffing needs

Supply/ equipment

needs

Other requirements

(e.g. staff training,

attachment etc)

Durgapur

UH&FWC 24/7

Wall repairing, floor covering, water

motor, water pipeline repair

2 Paramedics

Auto clave machine,

recovery bed, spot light

FWV need EoC training

Chungapasha

UH&FWC NVD NO No No No

Kadamtala

UH&FWC 24/7 No 2 Paramedics No FWV need EoC training

Kalakhali

UH&FWC NVD No No No No

Shariktala

UH&FWC 24/7

New Electric line wiring, wall and floor repairing covering & painting water pipeline, toilet fitting

No Instrument

trolley & tray, O2 cylinder


Shongkorpasha

UH&FWC 24/7 No No

BP machine, Recovery bed, baby Wight machine, autoclave machine


Shikdermollik

UH&FWC NVD Reparing windows, doors, floor, roof

No

Recovery bed, baby Wight machine, autoclave machine

No

Tona UH&FWC NVD NO No No

FWV EoC training

Nazirpur : List of facilities (UH&FWC) and

UHC


upgraded



Supply/ equipment

needs

Other requirements


attachment etc)

Dirgha

UH&FWC NVD Repair windows, doors, water line, electricity

3 Paramedics Recovery bed, O2 cylinder

Need attachment

Malikhali

UH&FWC NVD NO

2 Paramedics

BP machine, Recovery bed, baby Wight machine, autoclave machine


Matibhanga

RD. NVD

Covering floor, roof, Repair windows, doors, water line, electricity

No

Delivery table,

autoclave machine

No

Deulbari

UH&FWC NVD

Floor & roof Covering, Repair windows, doors, water line, electricity

No No No

Sheakmatiya

UH&FWC 24/7 No No Delivery table

repair FWV need EoC training

Shakharikathi

Union Clinic NVD

No No No No

Sreeramkhathi

UH&FWC NVD No No No


Nesarabad:

List of facilities (UH&FWC) and

UHC


upgraded



Supply/ equipment

needs

Other requirements


attachment etc)

Shutiakathi

UH&FWC

24/7 No No No FWV need EoC training

Swarupkathi

UH&FWC

NVD No No No No

Somudoykathi

UH&FWC

NVD No 3 Paramedics No No

Daihari

UH&FWC

NVD No 3 Paramedics No No

Guarekha

UH&FWC NVD

Labor Room repair, wall painting, Floor & roof Covering, Repair windows, doors, water line, electricity

No No FWV need EoC training

Jalabari

UH&FWC 24/7 No No

No Need attachment

Sharengkathi

UH&FWC 24/7 Repair windows, doors, water line, electricity

No

No FWV need EoC training

Shohagdol

UH&FWC NVD

Wall repair, celling,

toilet repair No No No

Atghor kuriana

RD NVD No No No No

Sharsshena_RD NVD No No No No

3. Current status of availability of MNCHFPN services at union level facilities-

Sl.No Upazila List of Union

facilities

Current status of MNCHFPN services at union level (UH&FWC, RD or USC). Write Yes or No (Y/N)

Satellites Remarks

AN

C

NV

D

AM

TSL

PN

C

HB

B

IMC

I

Referral fo

r co

mp

licated

MN

H

Sick new

bo

rn

mgt

Co

nd

om

s IUD

Inject ab

le

# plan

ned

# regular

/Pills

1. Pirojpur Sadar Upazila

Durgapur Y Y Y Y Y Y Y Y Y Y Y

2. Chungapasa Y 0 0 Y Y Y Y Y Y Y Y


Kadamtala Y Y Y Y Y Y Y Y Y Y Y


Kalakhali Y 0 0 Y Y Y Y Y Y Y Y


Shankarpasha Y Y Y Y Y Y Y Y Y Y Y


Sariktala Y Y Y Y Y Y Y Y Y Y Y


Sikder Mallik Y 0 0 Y Y Y Y Y Y Y Y


Tona Y 0 0 Y Y Y Y Y Y Y Y

9. Nesarabad Upazila Atghar Kuriana

Y 0 0 Y Y Y Y Y Y Y Y

10. Nesarabad Upazila Baldia Y 0 0 Y Y Y Y Y Y Y Y

11. Nesarabad Upazila Daihari Y Y Y Y Y Y Y Y Y Y Y

12. Nesarabad Upazila Guarekha Y Y Y Y Y Y Y Y Y Y Y

13. Nesarabad Upazila Jalabari Y Y Y Y Y Y Y Y Y Y Y

14. Nesarabad Upazila Samudaykati Y 0 0 Y Y Y Y Y Y Y Y

15. Nesarabad Upazila Sarengati Y Y Y Y Y Y Y Y Y Y Y

16. Nesarabad Upazila Sohagdal Y 0 0 Y Y Y Y Y Y Y Y

17. Nesarabad Upazila Sutiakati Y Y Y Y Y Y Y Y Y Y Y

18. Nesarabad Upazila Nesarabad

(Swarupkati) Y 0 0 Y Y Y Y Y Y Y Y

19. Nazirpur Upazila Dirgha Y Y Y Y Y Y Y Y Y Y Y

20. Nazirpur Upazila Purba

Deulbari Dobra

Y Y Y Y Y Y Y Y Y Y Y

21. Nazirpur Upazila Malikhali Y Y Y Y Y Y Y Y Y Y Y

22. Nazirpur Upazila Matibhanga Y 0 0 Y Y Y Y Y Y Y Y

23. Nazirpur Upazila Nazirpur Y 0 0 Y Y Y Y Y Y Y Y

24. Nazirpur Upazila Sekhmatia Y Y Y Y Y Y Y Y Y Y Y

25. Nazirpur Upazila Shankharikati Y 0 0 Y Y Y Y Y Y Y Y

26. Nazirpur Upazila Sreeramkathi Y 0 0 Y Y Y Y Y Y Y Y

4. HR Data- (Annex-1)

IR1.b- Paramedic Deployment:

One Paramedic deployed at Jalabari UH & FWC of Nasarabad Upazila, Pirojpur.

Jalabari is remote area of Nasarabad upazila of Pirojpur. Geographically it is a low land area of southern part

of Bangladesh. Most of the areas are under water mostly in rainy season. Only Union Health and Family

Welfare center is the service center for the people of Jalabari. But, people of this rural place are not getting

proper service from the facility mostly the maternal and newborn care though the facility has two SACMOs.

Of them one is Health Department and another is Family Planning department; no Family Welfare Visitor

(FWV). Thus the economically poor family pregnant women of this locality did not got Ante-natal Care and

Post-natal Care. Facility delivery was far cry. Because, the facility infrastructure is poor conditioned and its

service provider residence is such like a ghost house where there is no living facility. Moreover, Satellite and

EPI sessions were poor number. As a result it is easy to assume that health and family planning condition of

Jalabari Union is under stemate. GoB monthly MIS data shows such a below rate performance. Under IR-1to

critical gap management, MaMoni-HSS Pirojpur made a proposal to DDFP to deploy a paramedic in vacant

place of FWV in Jalabari Union Health and Family Welfare Center (UH & FWC). Honoroable DDFP sir

issued an official memo on August 04, 2014.

Implementing partner ESDO recruited one paramedic and fills the vacant with. Ms. Shahinur Begum received

the office note and conducted with UH & FPO to work in Jalabari UH & FWC. She worked in the facility

form August 22, 2014. After joining her she is conducting Satellites, EPIs. She works in the position of FWV

and gives services as the position holds. Now the facilities are functioning well. She confirms in the facility

ANC, PNC services and common illness and sessional infection of child. After providing paramedic in

Jalabari UH & FWC the rate of ANC, PNC and other outreach service is being achieved. Performance of the

facility is incorporated in GoB MIS report. The below table shows a glance of achievement of paramedic-

MaMoni-HSS provided paramedic is giving ANC in a Satellite Clinic

Sl August September October November

ANC-1 4 6 21 33

ANC-2 6 4 10 12

ANC-3 0 2 7 5

Delivery 0 0 0 08 (home)

PNC-1 3 3 24 20

PNC-2 4 2 11 16

Satellite- Plan Vs Achievement

Satellite Plan Achieve Plan Achieve Plan Achieve Plan Achieve

8 3 8 5 8 5 8 7

Graph- ANC

PNC-

Satellite-

0

10

20

30

40

50

60

ANC-1 ANC-2 ANC-3

4 6

0

6 4 2

21

10 7

37

16

59

August

September

October

November

3 4 3 2

24

11

24

18

0

5

10

15

20

25

30

PNC-1 PNC-2

August

September

October

November

0

1

2

3

4

5

6

7

8

August September October November

8 8 8 8

3

5 5

7

Plan

Achievement

Facilitator of PHD facilities in the training

Significance:

The above charts show the performance comprising the working month of the provided Paramedic in Jalabari

UH & FWC. We found, in August- November/2014 ANC, PNC and satellite service uprising gradually.

Rather than she provided different service to common illness and sessional infection of child. These

performances were incorporated in GoB MIS-3 as regular reporting.

IR-02: Strengthen health systems at district level and below.

IR-2.a- Leadership Management Training

District and Upazila level health and family planning managers received leadership Management training.

Civil Surgeon, District Director of Family Planning, Upazila Health and Family Planning Officers, Upazila

Family Planning Officers from August 24, 2014 to August 28, 2014. We enlisted the mangers name and send.

As a result helath and family planning department both district and upazila are more efficient and productive

to MaMoni-HSS.

IR-2.b- DHIS-2 for Statisticians

Management report shows performance. This is the way rating and showing status of the situation.

Statisticians are the key holders whom need to be skilled in MIS. To strengthen this MIS, need training.

MaMoni- HSS, Pirojpur send the list of district and upazila level statisticians.

IR-2.c- cMPM video based training

Under IR-4 to promote enabling environment to

strengthen health system district level and below

cMPM is one the important component in MaMoni-

HSS project. Community Micro Planning is the root

level action to strengthen system. The community

micro planning would act as minor but its result a

huge. To meet up some problems need a frame, not a

volume action. Micro plan does such things. To start

the cMPM meeting the main actors need the idea

about the meeting that how would it be conducted and

what will be its discussion points. They need to know

the cMPM structure.

A pilot activity on Community Mobilization was rolling out in Nazirpur Upazila with brac. For this a

Memorandum of Understanding (MoU) was

developed between MaMoni-HSS and brac. Thus

brac is a technical partner of MaMoni-HSS. As the

log frame of MoU, brac confirmed CAG and cMPM

by their SS. In cMPM, GoB field level H/FP staff has

a vital role. So, HA, AHI, FWA CHCHP and

MaMoni-HSS FSO were received the training. The

training was video based titled “cMPM Video based

Training”. It was started on August 20, 2014 and end

on September 04, 2014. The training was provided by

PHD, a national organization. cMPM video based

training was visited by DDFP, UFPO and UNO of

Nazirpur.

The below participants status-

Participant Number Note

AHI 8

HI 3

HA 40

FPI 6

FWA 45

FSO 9

MT(FPI) 1

SI 1

CHCP 24

TFPA 1

Statistician 1

Total- 139

Significance-

As a popular media of training, MaMoni-HSS provided multimedia based training to the trine to draw clear

attention and shape a good idea. Getting cMPM video based training; Health and Family Planning Department

field staff became understand the impotency of Community Micro Planning Meeting. After that, a plan

developed of selected cMPM by MaMoni-HSS Upazila team and the plan was shared with Field staff of H/FP

at beginning every month. According to the schedule cMPM was conducted in presence of them and it was

most functional in community level. HI Mr. Chittaranjan Ray shared his view that it is really good activity to

solve minor problems in community level. They are committed to continue this kind of activity regularly to

reduce maternal and neonatal mortality.

JSV : Plan Vs Achievement

Every Month 3 JSV must be conducted by GoB district and Upazila levels H/FP managers. The below table

shows the status-

Month Targe

t

Achiev

e Deviation

Achieve

%

August-2014 3 1 2 33

September-2o14 3 1 2 67

Total 6 3 3 50

The below table shows date and legend of JSV-

Date Name of the

Legend

Designation Visited place Note

24-8-2014 Ram Krishna Das DDFP, Pirojpur Nazirpur UCH, cMPM

video based training,

Sekhmatia UH & FWC

01-09-2014 H.P. Shikder UFO, Nazirpur cMPM video based

training

DDFP visited Shakhmatia UH & FWC

First Joint Supervisory Visit-

Implementing Partner of MaMoni-HSS project,

ESDO- Nazirpur organized cMPM video based

training for Halth and Family Planning

department’s field staff. The key positions are

FWA, CHCP, HI, AHI, HA, FPI from MaMoni-

HSS staff FSO. Mr. Ramkrishan Das, DDFP,

Pirojpur visited the Video Based Training with

Senior Manager of SCI, MaMoni- HSS program

and District Coordinator of implementing partner

ESDO jointly. A video was played to show how the training was conducting for the participants.

With a congratulation seepeach Sr. Manger of SCI, Pirojpur introduced each other. He brifed a short

about MaMoni-HSS to the participants. Following him DDFP facilated about cMPM stratigy to the

participants thus they could easily make them understand. He announced with a official voice that

nobody will left behind to provide service as we are commited and it is our intigrity. There are a

many under grade acheievment those could not be published for all with a cradible or honorable

manner. Not a single moment is said us to go slothy patent. We should move with our respectable

hand and to grow a gental domain in Pirojpur district in family planing sector. We would over come.

DDFP assumed that MaMoni-HSS staffs our frined. They will help us to be strenghten and we have

also some responsibility to help them for our betterness. Giving thanks agin DDFP moved froward to

visit Sekhmatia UH & FWC. During his visiting prieod he check the privious documants and records

while SACMO and FWV were in their office. Sharing some findings with the facility staffs, he

noticed that the facility should founction round O’Clock in week. He introduced MaMoni-HSS as a

assistance hand will support providing some nessisties and you should help them.

2nd

JSV

September 01, 2014 At 12.00 PM H.P. Shikdar, UFPO, Nazirpur entered into the training room

while ongoing a session about the

MaMoni-HSS goal, objectives and IR-4

and the acting roll of the

HA/FWA/CHCP/FWV/SACMO/FPI and

MaMoni-HSS field staff. He addressed to

the trainee about MaMoni-HSS as it is a

good intervention to reduce Maternal,

Neo-natal and child health to achieve MDG-4 and 5. He offered & highly instructed to the audience

to help to each other. He declared that MaMoni-HSS is not our anti party but a helpful path as best

friend; we should take help from them and we the government employee is the responsible to achieve

the result in the field of MNCHFP/N only they are the path way. He strongly noticed that nobody

would not behind to ensure quality service delivery to the rural general people. He more added that

after calculating the rate of Mortality Rate of Maternal and Newborn, MaMoni-HSS has come, it is

the sham of us we the field worker does not provide service accordingly. So, don’t let behind; come

forward to achieve more together. In the visiting period of H.P. Shikdar, UFPPO, Nazirpur Md.

Nashir Uddin Faruq, Assistant Director, PHD, Md. Ferdous, District Coordinator, MNHI-PHD-

Bagherhat, Susanta Sarkar Subho, ME&DO, MaMoni-HSS, ESDO-Pirojpur & Hannan Khan, UC,

MaMoni-HSS, ESDO-Nazirpur were present.

UNO of Nazirpur Visited cMPM video based

training

Special Visit by UNO of Nazirpur.

A Joint Supervisory Visit (JSV) was with Mr. Mrinal Kanti Dey, UNO, Nazirpur, Pirojpur. At 1.00

PM on September 03, 2014. He entered the training room while ongoing a session about the Unite of

cMPM in a union based on health and family planning design. It was last batch of the batch plan to

train to the HA/FWA/CHCP and MaMoni-HSS Field Support Supervisor (FSO). He delivered a

welcome speech to the trainee. He emphasized that every NGO’s work is social work for our people.

They come in field with a program in a view to solve a problem which they got through a survey or

field work. MaMoni-HSS has also come in our locality with a view to reduce Maternal, Neo-natal

and child death to achieve MDG-4 and 5. We all whom are the service provider for the people should

have some respective responsibility for people

as well as people also seek service from us. It is

our integrity to serve and it would be our pride.

The arrangement of cMPM video based training

is an ideal and supplementary production. It

helps us to solve any problem with a micro plan,

it’s wonderful. It will march our huge load, so

take it by heart. During his visit Md. Habibur

Rahman, Sr. Logistics Assistant, SCI, Susanta

Sarkar Subho, ME&DO, Md. Mahabbat Hossian Faruk, FC-CBS, ESDO-Pirojpur, MaMoni-HSS,

ESDO-Pirojpur & Hannan Khan, UC, MaMoni-HSS, ESDO-Nazirpur were present.

IR-3: Promote enabling environment to strengthen district level health system

IR-3.a- Inception Meeting

District Inception Meeting

Promote enabling environment MaMoni-HSS, Pirojur completed Distrcit Inception Meeting with Distrcit

Health and Family Planning department.

Upazila Inception Meeting

As per 1st year activity plan to create enable environment

district level and below, MaManoi-HSS, ESDO has

completed upazila advocacy meeting successfully. Local

Government, Health and Family Planning Department

officers and stockholders were the participant of the

meeting. The meeting was organized by Upazilla Family

Planning Department and assisted by MaMoni-HSS

where Upazila Nirbahi Officer (UNO) was the chief

gust. All union chairmen or their respective

representative were also present in the meeting. A power

point presentation was presented on MaMoni-HSS. In the presentation, there were goal, objectives and IRs.

To make the participants understand the scenario in health and family planning department in Pirojpur district,

national status and our targets were presented in there. As per agenda an open discussion was for the

participants. Different reclamations and questions were arisen in there. Upazial Health & Family Planning

managers were given their answers. With showing a positive view Helath and Family Planning department

asked every department help to reduce maternal and neonatal mortality rate from Pirojpur district. Upazila

Nirbahi Officers were very pleased to know that MaMoni-HSS will work for strengthen government health

systems. It is a helpful and positive activity in this district. All union chairmen are asked to help the program

for their people.

Sl Upazila Venue Date

1 Pirojpur Sadar Upazila Parisad Auditorium 22/09/2014

2 Nazirpur Upazila Parisad Auditorium 22/09/2014

3 Nasarabad Upazila Parishad Auditorium 24/ 09/ 2014

Significance

This is an important event in favor of MoMoni-HSS team to make a

successful intervention in Pirojpur. It will create an enable environment

to access in needed component. As they are the local leader and elite,

they will lead us also. The success of MaMoni-HSS is the success of

Pirojpur or of their people. So, they would own MaMoni-HSS and we

will be more efficient and productive.

Union Inception Meeting-

MaMoni-HSS, ESDO-Pirojpur completed union advocacy meeting in there upazila Pirojpur Sadar, Nazirpur

and Nasarabad. As per 1st year activity plan ESDO completed 26 uinons advocacy meeting. The meeting was

organized by Union Health & Family Planning Department assisted by MaMoni-HSS. This varies a valuable

importance that it will create a positive environment to implement MaMoni-HSS in community level. Union

Parishad Chairman, Member, local elite, Health and Family Planning field staffs were the participant f the

advocacy meeting. MaMoni-HSS union level staff

(FSO), upazila level staff and district level

representative was participated there. The

representative of Upazila or district addressed Fogal,

Objects and IRs of MaMoni-HSS. Knowing goal and

objectives of MaMoni-HSS different questions were

arisen there in the open discussion session. Union

Parshid Chairman and Members asked to the Health and

Family Planning staff about the present scenario of

field. They stated detail and asked to continue EPI and other services as per plan. UH & FWC staffs were

committed to make the UH & FWC functional 24/7 service delivery and conduct normal delivery.

Upazila and union wise schedule is below-

Sl Upazila Union Venue Date

1

Sadar

Kadamtoal Kadamtola Union Parishad Hall Room 18/9/14

2 Tona Tona Union Parishad Hall Room 18/9/2014

3 Sariktola Sariktola Union Parishad Hall Room 18/9/2015

4 Kolakhali Kalakhali Union Parishad Hall Room 16/9/2014

5 Sankarpasa Sankarpasa Union Parishad Hall Room 22/9/2014

6 Durgapur Durgapur Unio Parishad Hall Room 20/09/14

7 Sikdarmollik

Sikdarmollik Union Parishad Hall

Room 23/9/2014


1

Nazi

rpu

r

Matibhanga Matibhanga Union Parishad Hall Room 17/9/2014

2 Shakarikathi

Shakarikathi Union Parishad Hall

Room 17/9/2014

3 Dirgha Dirgha Union Parishad Hall Room 17/9/2014

4 Shekhmatia Shekhmatia Union Parishad Hall Room 18/9/2014

5 Kolardoania

Kolardoania Union Parishad Hall

Room 18/9/2014

6 Nazirpur Nazirpur Union Parishad Hall Room 23/9/2014

7 Sreeramkathi

Sreeramkathi Union Parishad Hall

Room 20/9/2014

8 Malikhali Malikhali Union Parishad Hall Room 24/9/2014

9 Daulbari Daulbari Union Parishad Hall Room 28-9-2014


1

Nasa

rab

ad

Sawmudaykathi Sawmudaykathi Union Parishad Hall

Room 18/9/14

2 Jalabari Jalabari 18/9/2014

3 Sarngkathi Sarngkathi Union Parishad Hall Room 18/9/2015

4 Daihari Daihari Union Parishad Hall Room 16/9/2014

5 Guarakha Guarakha Union Parishad Hall Room 22/9/2014

6 Sutiakati Sutiakati Union Parishad Hall Room 20/09/14

7 Boldia Boldia Union Parishad Hall Room 23/9/2014

8 Swarupkathi Swarupkathi Union Parishad Hall Room 18/9/2014

9 Atgharkuriana

Atgharkuriana Union Parishad Hall

Room 27/9/14

10 Sohagdol Sohagdol Union Parishad Hall Room 23/9/2014

Media Coverage-

IR-3.b- Day observations

July 11 World Population Day-

“Investing in Young People” was the massage of World Population Day of 2014. MaMoni-HSS project

offices observed the day jointly DDFP. District Family Planning Department organized to observation the

day. Different activities were in there. The day was also observed by there working upozila Pirojpur Sadar,

Nazirpur and Nasarabad of MaMoni-HSS, ESDO.

World Breast Feeding Week (August 01 to 07, 2o14)

“Breastfeeding: A Winning Goal-For Life”- was thee Massage of World Breast Feeding Week 2014.

MaMoni-HSS Project, ESDO observed the week jointly with Health department. Different Activities

were taken to observe the week.

A rally on World Population Day

Hand washing Day- 2014 observation-

“Clean hands save lives”, the driving theme was for Global Handwashing Day-2014 and was

celebrated on October 15, 2014 globally as well as in Bangladesh. The Day was observed as a

campaign to motivate and mobilize millions around the world to wash their hands with soap. It was

dedicated to raising awareness of handwashing with soap as a key approach to disease prevention. It

might initiated to reduce childhood mortality rates related respiratory and diarrheal diseases by

introducing simple behavioural changes - hand washing with soap.

MaMoni-HSS ESDO-Nesarabad, Pirojpur celebrated

the day with different awareness raising program and

mick announcing throughout the locality. Health

department of GoB and MaMoni-HSS of Nesarbad

Upazila observed the day jointly leaded by health

department. An awareness program was took place at

Kamarkathi village of Jalabari Union under the

Upazila. In the campaign about 30 to 35 different ages

people were attend there mostly them were women as

because women are the main skipper of clean family;

clean living. There were govt. H/FP department workers.

A demonstration of Hadwashing with soap was conducted

by Field Support Officer Ms Chamali Akhter. The aim of

the demonstration is to show how we would confirm hand

washing at our household level and in another place.

Following that, Health Assistant (HA) Md. Abdul Halim

addressed about the importance of Hadnwashing. He

pointed to make it as a culture in our society to save lives.

He assumed that Behaviour Change Communication

(BCC) is an active and performing program. We should take responsibility from own accords or

positions independently.

Participants gatherd in BCC show

IR-4: . Identify and reduce barriers to accessing health services

IR-4.a- BCC activities

BCC- Presentation Background –

As per guide line of the MaMoni-HSS activity IR-4,

BCC-Presentation is one of the key activities in

social mobilization. It is very challengeable activity

to make people aware. The rural general people

believe their old customs and they are very happy to

have it though it may be a superstation. We see

different initiatives are applying to make change

behavior; video show is an extra ordinary thinking.

On 13 August, 2014 an orientation was held in SCI,

Dhaka Office of the BCC-Presenter.

How to organize-

To select venue and date to hold the BCC event, BCC- Presenter contacted with the UP member.

With concern UP member and villagers & help of Upazila team of Nazirpur selects the venues to

hold the event. Then he prepared a schedule. Our field staff Field Support Officers (FSO) delivered

the massage to the common people about the event. And they also made contact with Health and

Family Planning UH&FWC personnel to attend in the event.

Using Materials- a) 42’’ television, DVD player

b) Microleb M-108 Speaker.

Using Tool- One video Clip of 27 minutes on MNCHFP/N.

Venue and Schedule-

Sl Upazila Union Village Venue Time Date

1 Nazirpur Sekmatia Roghunatpur RoghunatpurAbasan 10AM 26/08/2014

2 Nazirpur Mativanga Tara Bunia Tarabunia P.M School 04pm 27/08/2014

3 Nazirpur Nazirpur Nazirpur Nazirupur Union Parisad 10 AM 10/09/2014

4 Nazirpur Mativanga Baliari Baliari Suniler Bari 3 PM 11/09/2014

5 Nazirpur Shakharikathi Shekhbari Baijora Bazar 10 AM 13/09/2014

6 Nazirpur Shakharikathi Uttar

Shakharikathi Gouri Rani’s House 10 AM 14/09/2014

7 Nazirpur Nazirpur Choto

Baithakathi Choto Baithakathi 10 AM 15/98/2014

1. Detail of the Activity-

In the first year implementation period, we were able to organize 07 (Seven) BCC shows at

community level. The venue and schedule shows the above table. At the schedule time, there was a

gathering of different ages around the venue. Ward UP Member was nominated as chairman of the

event. Getting permission from Chairman, BCC-

Presenter addressed an introduction massage to the

spectators on MaMoni-HSS project. Then the Video

show was screened. With a great attention the

Spectators were indulge in the television screen on

MNCHFP/N till 27 minutes. Gradually, people joined

in the crowed. After the end of the video clip, a quiz

competition was conducted. The quiz was on the video

show. Different quiz was taken about MNCHFP/N. For

each correct answer, the first one was prized. Only six

prizes were for six quizzes. H/FP personnel of

UH&FWC like FWV/SACMO/FWA/HA/EPI/CHCP any one was the judge of the quiz session. And

the prize handed also by them. After quiz session, H/FP personnel introduced MaMoni-HSS to the

people.

Participants Status-

Sl Profession Number Remarks

UP Chairman 0

UP Member 9

FWA 12

FWV 2

SACMO 1

HI 7

AHI 0

HA 7

FPI 7

CHCP 5

CSBA 0

Teacher 6

Mowlovi 0

Other Profession 774

Total- 830

Gender basis participant status

Female Male Total

647 183 830

Community is an integrated and complex platform where different believes, thinks, minds, customs,

cultures, practices, attitude, behavior, colors, emotions, owning etc. are mixed. It has log flow and

continuous appellation. It is like a hard substance. These are barriers. To enter in the substance to

touch its Soule, different strategy has developed by the social researchers. The main phenomenon is

FWV Lipi Biswas prized the quiz winner at RoghunatpurAbasan

to develop a way of communication thus a log practice of the community would be change gradually.

Researchers believe that these kinds of customs are mostly unawareness. Sometimes it happen

unwanted things. Such a motivational tool which will work potentially is better of Behavior Change.

So, the first think is common people’s interest. As video graph has an ample of the community to

make them aware so, a video clip is better communication. BCC presentation is such a

communication to make people understand on MNCHFP/N.

In every arrangement of BCC presentation different classes, professions, age’s people were gathered.

BCC presentation created evidence reaching with the massages of MNCHFP awareness about their

responsibilities as well as some leading person of this community whom would take a role to solve

the problems. It created a better opportunity to develop a social linkage with health and family

planning department with local government. If we see the participants table, the professional of

different professions were in there and they assumed their role. Even we can assume to see the below

quote-

Mativanga UP member of Nazirpur Upazila, Pirojpur Mossaref Hossain said, “It is good; good for

the people. Need more show and more crowds to raise more awareness about health and family

planning”.

IR-4.b- ToT on CV orientation

To roll out CV activity within a short time at Nazirpur, MaMoni-HSS organized ToT on CV at

Distrcit office, Pirojpur on July 02 to July 03, 2014 provided by SCI. The participants were both

district and Upazila team. The below table shows the participants status-

Position of

Participant

Working

Location

# of

Participan

t

Dist.

Coordinator Pirojpur 1

FC-QA Pirojpur 1

FC-CBS Pirojpur 1

ME & DO Pirojpur 1

UC Nazirpur 1

TO Nazirpur 2

FSO Nazirpur 9

Total- 16

FP of ESDO visited CV orientation at

Nazirpur Mativanga Union.

IR-4.c- Basic training for CVs

MaMoni-HSS has a pilot activity on Community

Mobilization at Nazirpur. This piloting activity is

implementing by BRAC. BRAC also works on

MNCHFP/N in Pirojpur Distrcit. There was a sharing with

BRAC to organize the CV orientation. First BRAC

provided its CV target. A sharing meeting was conducted

by SCI, Partner organization ESDO, Pirojpur and BARC,

Pirojpur that how to roll out basic training/ orientation of

CV. Batch & date plan, Venue plan, logistics plan, convince strategy was developed by the sharing

meeting. BRAC would provide convince food cost and Venus. MaMoni-HSS will provide trainee

and logistics. From July 06, 2014 to July 24, 2014 at different venues of BRAC community level

offices CV orientation was conducted. Focal Person of MaMoni-HSS, ESDO inaugurated the

program. The status of orientation of CV (SS) shows below-

SL Upazila Total

Union

Target

of CV

Orientated

of CV

Batch Venue Note

1 Nazirpur 9 323 323 18 BRAC field

Offices

Facilitator-

Nazirpur Upazila MaMoni-HSS team of Nazirpur Upazilla and District team of MaMoni-HSS,

ESDO were the facilitators. A ToT on CV (SS) orientation was received the facilitator providing

SCI, Pirojpur. The below table show the status of the facilitators –


1 UC 1

2 TO 2

3 FSO 9

Observers-

This orientation was roll out through regular observation by different key personnel of MaMoni-HSS

and BRAC. The below personnel were the observers-

Position Program Organization Working

Area

Number

Focal Person MaMoni-HSS ESDO Dhaka 1

District Coordinator MaMoni-HSS ESDO Pirojpur 1

DM-ME&DO MaMoni-HSS SCI Pirojpur 1

DM-CBS MaMoni-HSS SCI Pirojpur 1

FC-QA MaMoni-HSS ESDO Pirojpur 1

RC MaMoni-HSS ESDO Pirojpur 1

ME&DO MaMoni-HSS ESDO Pirojpur 1

IR-4.d- CAG meeting performance

A piloting program with BRAC on CM activities is

roll out at Nazirpur Upazila. It will evaluate the result.

On the assessment of BRAC CM activities, it will take

decision whether BRAC will continue CM activities or

not. CAG is one of the first steps of CM. The

community Volunteer will conduct a CAG in every

month with 250 people. For 750 people BRAC has one

CV and she conducts three CAG each month. The

community Volunteer is recruited by BRAC. The CAG

areas are marked by BRAC. To examine CAG started

at Nairpur earlier. On August 09, 2014 we started CAG conduction. CVs used their register to make it update

about pregnant women, new couple, ELCO, newborn etc. of a CAG area. They update a CAG map containing

different legend which shows the demographic

information. ELCO, Adolescent, pregnant women,

aged ladies and gents, husband; youth and elite can

participant in a CAG. An open house discussion with

the participant Community Volunteers pick up one or

two massages. The massages discussed at cMPM.

Deputy Chief of Party SCI-Bangladesh and Project

Director, MaMoni-HSS, SCI-Bangladesh visited CAG

of Chitholia village at Nazirpur Upazila. The below table shows the status-

CAG Data

Union August September October November

Target Achieved Target Achieved Target Achieved Target Achieved

Dirgha 52 39 61 44 76 60 76 71

Purba Deulbari 141 78 155 92 164 121 164 134

Malikhali 97 50 97 48 97 59 97 79

Matibhanga 80 25 92 55 95 45 95 85

Nazirpur 80 19 97 63 97 69 97 93

Sekhmatia 91 53 91 51 100 62 100 96

Shankharikati 77 57 97 70 82 49 82 76

Sreeramkathi 87 83 77 74 91 69 91 88

Monthly Total- 705 404 767 497 802 534 802 722

Plan Vs Achieved of CAG in graph

Specification-

CAG is an active participation of community people where Health & family planning department

and MaMoni-HSS field staff participanted. It was a participatory way to deliver massages and pick

up problems regarding MNCHFP. CVs updated their register. We started CAG from August and

cMPM from September. So, in September CV attend cMPM meeting with their register and updated

FWA and HA registers.

To roll out CAG we found some problems.

1. Geographically dislocated from plan land.

2. Hard to reach area and some areas are most isolated.

0

100

200

300

400

500

600

700

800

900

August September October November

70

5 76

7

80

2

80

2

40

4 4

97

53

4

72

2

57

.3

64

.79

66

.58

90

.02

30

1

27

0

26

8

80

Target

Achieved

%

Drop

cMPM-

cMPM conduction-

After receiving cMPM video based training Nazirpur Upazla Started cMPM. The below table shows the status

of September-November, 2014.

Union September October November

Terget Achieved Droped Terget Achieved Droped Terget Achieved Droped

Dirgha 12 7 5 12 6 6 12 9 3

Purba Deulbari 24 3 21 24 13 11 24 17 7

Malikhali 12 6 6 12 8 4 12 12 0

Matibhanga 12 5 7 12 9 3 12 8 4

Nazirpur 12 5 7 12 9 3 12 12 0

Sekhmatia 12 9 3 12 9 3 12 12 0

Shankharikati 12 7 5 12 5 7 12 10 2

Sreeramkathi 12 9 3 12 9 3 12 12 0 Monthly Total- 108 51 57 108 68 40 108 92 16

Graph of cMPM conduction-

Significance-

cMPM was rollout for September-2014 months in field in Nazirpur and Bhandaria. In Nazirpur there were 108

cMPM meeting scheduled for every month. We found an active involvement of H/FP field staff in cMPM

conduction.

0

20

40

60

80

100

120

September October November

10

8

10

8

10

8

51

68

92

47

.22

62

.96

85

.18

57

40

16

Plan

Achived

%

droped

Contribution status of Community Mobilization at Saba Week (Service week) observation (8-13

Novermber-2014

Family Planning depertment of Pirojpur observed National Saba Week (Service Week) on November

08- 13, 2014. To make success the Saba Week MaMoni-HSS Field Facilatation Officer contributed

in counsilling and motivated clints. DDFP pirojpur recorded the below status-

Date Upazila

Permanent

Method

Long Term Method

Short term Method Maternal and New born

Health services

Adolescent services (Anima+ Others)

General services)

Mal

e

Fem

ale

IUD

Imp

lan

t

Inje

ctab

le

Pill

Co

nd

om

AN

C

De

live

ry

PN

C

0-5

ch

ild

care

Bo

ys

Gir

l

Mal

e

Fem

ale

8-13 November/

2014

Sadar 0 5 6 10 46 62 18 84 3 11 143 47 46 71 349

Nazirpur 0 0 7 0 36 49 17 32 1 9 94 26 55 43 197

Nesarabad 3 2 4 7 22 59 24 26 2 13 86 21 47 74 246

Total 3 7 17 17 104 170 59 142 6 33 323 94 148 188 792

Union Follow-up meeting-

SACMO of Family Planning, SACMO of Health, FWAs and FFO of MoMoni-HSS are in union follow up

Meeting at Malikhali Union Health and Family Welfare Center of Nazirpur, Pirojpur.

IR-4.e- JD based training

- Staff orientation-

Newly recruited staffs of PNGO’s were oriented on MaMoni-HSS to make them understand about

MaMoni-HSS project’s Goal, Objectives and 4-IRs provided by SCI in different venues on different

dates. Frist one was received by ME & DO and FC-CBS in Zastes Zakaria City, Sylhat on May 24 to

27, 2014 and another was received by DC, UC, FC-QA, RA Hotel City-In, Khulna on June 16-20,

2014 from ESDO. The below table shows the status –

Sl Positions Number

1. District Coordinator 1

2. FC-CBS 1

3. FC-QA 1

4. RC 1

5. ME&DO 1

6. Upazila Coordinator 3

Total- 8

Significance-

The orientation helped to learn the strategies of the project implementation and way to roll out

program, role of different position holders initially. And the program was started its first year activity

in Pirojpur district.

- MIS and Documentation Orientation

Monitoring, Evaluation and Documentation Officer received an orientation on MIS and

Documentation Provided by SCI at BCDM saver on July 05 to July 10, 2014. The aim of the

orientation was to know the key roles of ME & DO and different particulars. The main focus of the

orientation was Documentation, Photography, Tracer indicators as Monitoring Tools, MIS, MPR and

so on. The below table shows the participants status-

Sl Participant Venue Duration Days Remarks

1 ME & DO BDCM, Saver,

Dhaka

July 05 to July 10,

2014

6

Significance-

* Roll out project MPR.

* From July-Novermber-2014 MPR completeness and submission to SCI.

A group work of CAG in FSO’s JD based Training

FSOs were sit for Post- Test

- FSO’s JD based Orientation-

Field Facilitation Officer (FSO) was the main or front line or field level staff who played roles to

make functional MaMoni-HSS in community level. Community Mobilization part is the main bone

of the program which was designed based on the

responsibility of FSO. So, they needed to know

the responsibilities and technique to make the

program success. For this an orientation was

given to DC, UCs, TOs, FCs, ME & DO and RC

by SCI. After receiving the FSO’s JD based

Orientation, an orientation for FSO was

organized by ESDO. The orientation was started

in presence of Manager- Quality Assurance,

SCI- Dr Atier Rahman, DM-ME&DO, SCI- Feroz Ahmad and DM- CBS, SCI- Haran Chandra

Sarker. Manager-QA expected that every

participant will be attentive to the lessons and

facilitators will deliver clear massages about

every topic. Not a single session will be paused.

This is the foundation off the FSO. Through the

training they will learn their definite duties and

responsibilities. He assumed that FSOs are the

front line solder of MaMoni-HSS. The program

will bring success if the FSOs will work

according the JD. They will not left it returning from the training but they also read the every pages

of the JD so, patent is essential. The four days orientation was continued through internal observation

of MaMoni-HSS key staffs, SCI employee and ESDO’s central team. Focal Person of MaMoni-HSS,

ESDO, Md. Shamsul Haque Mridha and central training

coordinator of ES DO Md. Mojibar Rhaman were

observed the training. Essential logistics and tools were

used in the training like writing pad, pen, multimedia,

white board, marker, poster paper, marker etc. In CGA

meeting, PRA, cMPM, Union Follow up meeting

conduction and other important sessions were taught

forming three or four groups. A discipline maintenance

team was formed for the orientation. Family planning

compliance was read to the trainee and everybody put down a signature on an understand paper

A team work

separately. Child Safe Gurding Polices was also read to them and everybody put down signature on a

understand paper separately. To evaluate the training pre-test and post-test were given by the trainee.

Venue and dates-

Sl Title of the

orientation

Venue Date Days No.

Participant

Note

1 FSO’S JD

based

Orientation

Pirojpur Sadar Upazila

MaMoni-HSS Conference

Room

August 04-

August07,

2014

4 26

Facilitators-

Position Program Working Area Number

FC-CBS MaMoni-HSS Pirojpur 1

UC MaMoni-HSS Sadar, Nazirpur

and Nasarabad

3

TO MaMoni-HSS Sadar, Nazirpur

and Nasarabad

5

Observer-

Position Program Organization Working Area Number

Focal Person MaMoni-HSS ESDO Dhaka 1

Manager-QA MaMoni-HSS SCI Pirojpur 1

Training Coordinator Central ESDO Thakurgaon 1

District Coordinator MaMoni-HSS ESDO Pirojpur 1

DM-ME&DO MaMoni-HSS SCI Pirojpur

DM-CBS MaMoni-HSS SCI Pirojpur 1

Manager-Logistics MaMoni-HSS SCI Pirojpur 1

FC-QA MaMoni-HSS ESDO Pirojpur 1

RC MaMoni-HSS ESDO Pirojpur 1

ME&DO MaMoni-HSS ESDO Pirojpur 1

Significance-

After getting the orientation the newly recruited Field Facilitation Officers were understand about

their specific role mostly Nazirpur Upazila staff.

FP of MaMoni-HSS, ESDO inaugurated the UC

and TOs JD based Training

JD based Orientation of District Coordinator, FC-QA, FC-CBS

District Coordinator, Field Coordinator- Quality Assurance, and Field Coordinator- Community

Based Services were received JD based orientation at Avash, Barisal provided by SCI. The aim was

the orientation to provide guide line to the district office based cadres about their roll and

responsibility to lead the implementing team.

Sl Title of the

orientation

Venue Date Days No.

Participant

Note

1 JD based Orientation

of DC and FCs

Avash,

Barisal

August 29- September

02, 2014 4 3

Significance-

Getting the JD based Orientation three personnel became understand about their responsibility and

returning from there they started JD based Orientation of UC and TO. Following that, implementing

team of three upazilas started up the first year activity of MaMoni-HSS.

JD based Orientation of UC and TO

As per proposed 1st year Activity Plan of MaMoni-HSS Project implementing partner ESDO has

arranged a JD based Training of UCs and TOs for its part of three upazilas Pirojpur Sadar, Nazirpur

and Naserabad. On September 10, 2014 was the

opening day of the three days training. Md. Feroz

Ahmed, DM-ME&DO, SCI, Pirojpur was the

representative from SCI in the opening ceremony.

Md. Shamsul Haque Mridha, Focal Person,

MaMoni-HSS, ESDO were also present there. At

9.00 AM with congratulation and giving thanks,

DM- ME&DO of SCI, Pirojpur declared the

orientation-cum-training start. He said his opening speech, till then you should ask a question

whenever you would not able to understand, and the facilitator will also be transparent to deliver

detail to the participants. He added that it is the supervisory foundation of MaMoni-HSS

implementation in field level. Focal Person (FP) said that you would be able to understand about

your prime responsibility and the key ways to advent in field intervention. You all should utilize a

single moment onto learning and sharing about any topics during the orientation-cum-training. Md.

Mahidull Islam, District Coordinator, MaMoni-HSS, ESDO-Pirojpur expected a good contribution of

every participants both trainee and trainer. The participants were sit for Pre and Post- test of 30

marks.

Sl Title of the

orientation

Venue Date Days No.

Participant

Note

1 UC and TO’s

JD based

Orientation

Pirojpur Sadar MaMoni-

HSS Project Conference

Room

September 10-

September 13,

2014

4 8

30

11

16

30

15

23

30

13

23

0

5

10

15

20

25

30

35

Mark Range Pre Test Post Test

Evaluation Score of UC

Rahidul Islam

Hannan Khan

Hamidur Rahman

30 30 30 30 30

14 15

11 12 13

20 22

20 21 19

0

5

10

15

20

25

30

35

Mansura MahbubaMohosina

Saifuddin Abdullah hil bari Mosafraf

Evaluation Score of TO

Mark Range

Pre Test

Post Test

Photography Orientation-

Photography is an important element of Documentation. It varies a lot of talk then to write. It

illustrates and illuminates information. It represents a situation. In MaMoni-HSS it has an ample for

documentation. For this purpose, the below participants were received an Advanced Photography

Training.

S

L

Name of

the

participant

Designati

on

Working

Station

Date #

Batch

Days Venue Note

1 Aubdullahil

Bari

TO Naserabad Sep 01-

Sep 03,

2014

2nd

4 Parthshala,

Dhaka

2 Susanta

Sarkar

Subho

ME & DO Pirojpur Sep 14 to

Sep 17,

2014

3rd

4 Drik and

Pathshala,

Dhaka

BCC-Presenter orientation-

BCC- presenter received an orientation to arrange and conduct presentation in community level.

Status is given below:

Sl Title of the orientation Venue Date Days No.

Participant

Note

1 UC and TO’s JD based

Orientation

Pirojpur Sadar

MaMoni-HSS Project

Conference Room

September

10-

September

13, 2014

4 8

Orientation on Tracer Indicator-

Orientation on Tracer Indicator was conduct by ICDDR’B at the venue of MaMoni-HSS, Pirojpur on

July 09, 2014. The below table shows the participants of ESDO-

Sl Position Working

Area

Unite Note

1 District

Coordinator

Pirojpur 1

2 FC-QA Pirojpur 1

3 FC-CBS Piorjpur 1

5 RC Pirojpur 1

Total- 4

All Staff Orientation

Venue -S.B Community Center, Hospital Road, Pirojpur.

Date : September 27, 2014.

Implementing Partner of MaMoni-Health Systems Strengthen ESDO arranged all staff orientation

for its staffs at S.B Community Center, Hospital Road,

Pirojpur on September 27, 2014. DM-ME & DO of SCI,

Focal Person of, Finance Coordinator of ESDO-

MaMoni-HSS, and Human Resource coordinator of

ESDO, Training Coordinator of ESDO and District

Coordinator of MaMoni-HSS, Pirojpur were present at

the opening session of the orientation. There were also

present all filed staff- Field Support Officer (FSO),

Technical Officer (TO), Upazila Coordinator (UC),

Field Coordinator- Quality Assurance (FC-QA), Field

Coordinator- Community Based Service (FC-CBS), Referral Coordinator (RC), Monitoring,

Evaluation & Documentation Officer (ME & DO), Finance and Admin Officer (A & FO), Assistant

Finance and Admin Officer (( AF & AO), BCC-Presenter,

Helper and Support staff were also present in there. In the

orientation District Coordinator was in chair. With a delightful

atmosphere the orientation was declared start. At the begging of

the orientation, HR coordinator described about ESDO HR

policies to the audience thus the staff be known about ESDO

HR policies. It will help to build a unity of all staff. Finance

Coordinator Md. Zillur Rhaman discussed about finance

compliance of MaMoni-HSS as per activity wise budget. He

cleared the rules and regulations of Finance which will be

approved by USAID fund and also the norms of USAID Funded programs.

District Coordinator presented a power point presentation on overview of MaMoni-HSS. The

component managers also presented their presentation in the orientation.

IR-4.f- New project MIS roll out

N/A

IR-4.g- Tracer indicator survey

---------------------------

IR-4.h-Upazila level H&FP Monthly Meeting-

Three Upazilas Pirojpur Sadar, Nazirpur and Nasarabad participate in Upazila Health and Family Planning

Meeting from July- 2014. Though upazila team joined the meetings but could place in agenda. We hope we

will take place in agenda from October/ 2014.

Month Office name Meeting Title Participant

July

Upazila Family Planning

office, Nazirpur Monthly Meeting UC


office, Nasarabad Monthly Meeting UC


office, Sadar Monthly Meeting UC

August







September







October







November







IR-4.i-District level H&FP Monthly Meeting

Month Office Name Meeting title Participant

July DDFP offcie Monthly Meeting District Coordinator

CS office Monthly Meeting District Coordinator

August DDFP office

Special Advocacy

Meeting MaMoni-HSS, Pirojpur team

CS office Monthly Meeting FC-QA

September DDFP office Monthly Meeting District Coordinator

CS office Monthly Meeting FC-QA

October DDFP Office Monthly Meeting District Coordinator

CS office Monthly Meetinng FC-QA

November DDFP Office Monthly Meeting District Coordinator

CS Office Monthly Meeting District Coordinator

Special Advocacy Meeting with SBA

A special Advocacy Meeting on SBA was organized by Family Planning Department of Pirojpur

assisted by MaMoni-HSS on August 27, 2014 at

Upazila Conference Room; Sadar Upazila

chaired by DDFP, Pirojpur Ramkrishna Das. In

the meeting Divisional Director of Family

Planning, Barisal was the chief gust DD of

Family Planning was chaired. Nazmul Kabir,

Senior Manager, SCI, Pirojpur was the special

gust in the meeting. In the meeting field level

staff of family planning like FPI, FWV and

SACMO attend in the meeting. The two

implementing partners of MaMoni-HSS, Pirojpur

ESDO and Light House’s District coordinators

and other component managers were also present in the meeting. With giving thanks to all DDFP

read over the previous Meeting Minutes he offered Senior Manage, SCI, Pirojpur to present a power

point presentation. Sr. Manager Nazmul Kabir presented the goal, objective and IR-4 of MaMoni-

HSS. Following him DDFP handover a hand out to all participants developed by him containing with

many indicators to show at a glance the real scenario of Family Planning services at Pirojpur. One by

one he addressed the indicators which showing the lacking with the ways to meet them. He

expressed his experience that no any filed staffs do one’s own duty timely. He instructed with giving

an experience about MIS data inconsistency that MIS should be authentic data based. A fault input

does a harm of performance. He advocated in favour of MaMoni-HSS to the key SBA staff that

MaMoni-HSS has come to assist us to meet the MDG-4 & 5 targets to reduce maternal and neonatal

mortality rate. Chief Gust Divisional Director of Family Planning Haripada Ray thanked to DDFP

and MaMoni-HSS for arranging such an advocacy meeting in collaboration with field staff. He read

a notice to the audience from ministry. He wishes a successful mission will be with the core filling of

us to provide maximum support what we can. He argued that we are not alone now; a supportive

hand is besides us MaMoni-HSS. The program works on a few targets to achieve. The Memorandum

of understand with ministry of health and family planning was signed for this intervention. They

have come to strengthen our service reediness critical gap management. So, they are our friend, help

them. Think positively that they will help us.

One side of the Participants of Special advocacy Meeting on SBA

IR-4.j-Collaboration:

Stockholder/ Govt. Officer/

SCI MaMoni-HSS Staff

DDFP District Coordinator

CS District Coordinator

Sir. Manager (SCI) Distrcit Coordinator

UH&FPO Upazila Coordinators+ Dist. Cor.+ QA + RC

UFPO Upazila Coordinators + DC +QA

Manager- QA ( SCI) FC-QA + Dist. Cor.

Statistician (DDFP+CS) ME&DO + QA

Statistician (Upazila Level) UC & TO + ME&DO +QA

DM-ME & D Dist. Co. + ME & DO

FWV TO + FSO

HI TO + FSO

UP chairman + Members UC + TO + FSO + CBS

DC of Pirojpur is speaking at District Inception Meeting

DC of Pirojpur is speaking at District Inception Meeting on October 10, 2014

Dr. Atiar Rahman, Manager-QA, MaMoni-HSS, Pirojpur is delivering speeches in Saba Week on

November 06, 2014 at DDFP auditorium in chaired by DDFP and Honorable Gust DC of Pirojpur.

4. Problems and challenges-

- Taken prior approval for budget which was not in 1st year activity.

- Short time to implement 1st years activity.

- Work inside of BRAC frame as because BRAC traditionally providing incentives to Shasthya

Shebika/MaMoni Volunteer where they are working as completely volunteer from MaMoni HSS.

5. Priorities for second year/way forward-

- Finalizing CM strategy then develop in another upazila.

- Gap management e.g. paramedic deployment.

- Select area for pCSBA recruitment and training.

- Five days MNHFP package training at upazila level.

- One day orientation on misoprostol

6. Any cross cutting issues/activity

Pirojpur is a religious sensitive district mainly in community level. As we will work in community

level, we need to think it much. This issue is a national issue. Gender sensibility is also a major

option. So, we will select all CV female. To stay free from this pressure ESDO recurieted a major

portion of staff female. To balance gender of employee ESDO thinks in recruit process.

Internal Visitor

On August 13, 2014 a high profile visitor visited in Nazipur upazila. Deputy Chief of Party of Save

the Children International, Bangladesh Mr. Jobby Gorge and Program Director of MaMoni-HSS,

SCI, Bangladesh Dr. Afsana Karim visited a CAG meeting at Chitholia Village of Nazirpur Upazila.

To observe CAG roll out by BRAC Community Volunteer as piloting of Community Mobilization

activity. During their visit Focal Person of MaMoni-HSS, ESDO was present in there. It was the first

CAG of the village. They were in full session of CAG Meeting. In the CAG meeting about 20

participants were present of different ages. Most of them are women. Of the participant eight persons

were man. The CV played her role as she got from basic training. She discussed about different

issues on MNCHFP/N. From the discussion CV updated SS register but not CV register. CV updated

her CAG map with definite legend. She updated pregnant mothers, new born and new couple. A

BCC mageess were delivered by CV. At the end of her discussion Dr. Afsana Karim and DCoP

talked with the participants about MaMoni-HSS. They talked with some local elite common people

about MNCHFP related issues. On the way, they meet with a village police and asked that if a child

or a mother will die for complexion of delivery or any normal cases than will any law or action or

steps be taken by Union Parishad. The village police answered as much he knows off will work to

solve their problems. After visiting the CAG she recommends and shears some findings. Following

that they visited MaMonni-HSS Nazirpur Upazila Office.

DCoP visited CAG Meeting at Chitholia village of Nazirpur

union, Nazirpur

DCoP and PD talking with Village Police about MNCHFP

Visit of Razzak Bhai-

A joint field visit of SCI and brac was at Nazirpur Upazila. The visit was on Community

Mobilization where brac is stratagem partner on CM. During the visit Dr. Rezzaqul Alam,

representative of SCI, Sr. Regional Manager, Biswajit Sarkar and MaMoni-HSS district and Upazila

representative were with the mission.

The joint mission visited CAG at House: Niva Rani Village: South Sreeramkhati Union:

Sreeramkhati, cMPM at House: Atiyar Rahman member Village: Tarabuniya Union: Mativanga,

MaMoni-HSS upazila office and brac upazila office. The team met with MaMoni-HSS field staffs.

They were SS, SK, FSO and TO and discussed different issues regarding how could we make a good

achievement in CM access and engagement.

At CAG they observed CAG Meeting conduction by Shasthaya sebika, Tapoti Gorami while

she discussed on the topics of delay delivery, referral system, Nutrition, Distribute the FP

commodities and Pustikona. They also visited that how to update CV register and CAG

map with CAG information.

In the meeting, community people were presence above 30. And the visitor talked with the

community people about different MNCHFP/N issues. The villagers came to know about

MaMoni-HSS and wished a long run.

At Community Micro Planning Meeting (cMPM) the mission was met with community

people, Suraiya, Farida and Hasin, Shasthaya sebika. Milon, Health Assistant, Nasrin

Family welfare assistant. They observed that what was the role play of Govt. H/FP staff. At

meeting the SS carried their registers and different logistics. A regulation was written at the

meeting with agenda. They saw that FWA and HA made update their registers containing

SS registers data/ information if they missed any of them.

Following the field visit, a short sharing meeting was conducted by the mission where field

visit observations and findings were the topics at brac upazila office, Nazirpur.

MNCHFP related performance from MPR-

ELCO-

FP method- Pill

0

20000

40000

60000

80000

100000

120000

Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal

32

49

7 45

99

5

39

43

4

11

79

26

21

,17

6 36

,27

6

30

,60

5

88

,05

7

19

,37

4 3

6,3

14

30

,71

4

86

,40

2

24

,99

4

36

,39

9

32

,01

8

93

,41

1

95

,39

3

36

89

5

35

52

8

32

16

0

10

45

83

Projection

July

August

September

October

November

11

0

25

1

11

0

47

1

11

6

30

5

13

3

55

4

18

1

30

8

12

7

61

6

16

1

29

7

11

0

56

8

25

3

40

0

24

1

89

4

0

100

200

300

400

500

600

700

800

900

1,000

Pirojpur Sadar Nesarabad Nazirpur Three Upazila Total-

July

August

September

October

November

FP method- Condom

FP Method Injectable-

0

50

100

150

200

250

300

Pirojpur Sadar Nesarabad Nazirpur Three Upazila Total-

38

48

27

11

3

24

64

26

11

4

57

77

28

16

2

52

66

31

14

9

10

9

14

6

87

28

6

July

August

September

October

November

69

11

6

63

24

8

77

16

7

78

32

2

14

2

15

2

10

1

39

5

13

4

13

7

94

36

5

18

5

16

3

17

1

51

9

0

100

200

300

400

500

600


July

August

September

October

November

IUD

Implant

0

20

40

60

80

100

120

140

160

Pirojpur Sadar Nesarabad Nazirpur Three UpazilaTotal-

18

8

32

58

22

23

46

91

33

39

39

10

1

34

27

28

89

43

57

47

14

7

July

August

September

October

November

0

50

100

150

200

250

300


12

9

8

29

23

18

14

55

22

25

10

57

28

23

11

62

74

70

15

5

29

9

July

August

September

October

November

Permanent Method (Male)

Permanent Method (Female)

0

5

10

15

20

25

30

35

Pirojpur Sadar Nesarabad Nazirpur District Total-

3

3

3

9

0

3

2

5 6

4

2

12

1 2

1

4

2

18

13

33

July

August

September

October

November

0

20

40

60

80

100

120


15

2

18

35

11

5

18

34

12

8

21

41

19

5 1

0

34

26

32

45

11

3

July

August

September

October

November

CAR-

New Pregnancy-

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

Pirojpur Sadar Nesarabad Nazirpur Three Upazilatotal

75

.0

76

.4

77

.9

76

.3

74

.8

76

.5

77

.5

76

.2

74

.4

76

.9

76

.9

76

.0

74

.6

77

.2

75

.6

75

.8

54

.9

79

.3

77

.7

70

.6

July

August

September

October

November

0

100

200

300

400

500

600

700

800

900


13

1 2

39

25

0

62

0

16

5 2

70

27

6

71

1

22

6

35

0

24

1

81

7

15

5

28

2

25

4

69

1

18

2 2

66

24

4

69

2

July

August

September

October

November

ANC-1

ANC-2

0

200

400

600

800

1000

1200

1400


11

7

66

66

54

3

33

7

10

3

53

86

8

47

6

89

68

12

22

49

8

12

5

72

10

99

49

3

14

2

11

5

75

0

July

August

September

October

November

0

100

200

300

400

500

600

700

800


82

87

67

44

6

14

9

83

41

51

9

18

7

70

63

54

4

23

9

85

61

71

3

20

4

10

2

70

37

6

July

August

september

October

November

Skill Hand Delivery

Unskilled Hand Delivery

Still birth

0

100

200

300

400

500

600

700

800


89

20

6

15

1

44

6

10

3

19

7

17

1

47

1

17

1

19

2

18

8

55

1

15

9

27

0

21

5

64

4

16

3

30

3

25

0

71

6

July

August

September

October

November

0

20

40

60

80

100

120

140

160

180


9

22 23

76

10

28 23

129

13 24

19

146

17

31 22

162

21 20 27

68

July

August

September

October

November

Maternal Death

New born death (0-1year)

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

5

Piojpur Sadar Nesarabad Nazir[ur Three UpazilaTotal

1

0

1

2

1 1 1

3

1

0 0

1

2

1

2

5

1

2 2

5

July

August

September

October

November

0

0.5

1

1.5

2

2.5

3

Pirojpur Sadar Nesarabbad Nazirpur Three UpazilaTotal

1

0 0

1

0

1 1

2

0

1

2

3

July

August

September

October

November

†Q‡j mšÍvb‡Kv †Kv‡j wb‡q dvwngv

Satellite Clinic- (plan vs Achievement)

A`ÿ avÎxi fzj cÖ‡Póvi dj; dvwngv GLb kh¨vkvqx

dvwngvi ‡Kvj Ry‡o mšÍvb G‡jI †M․i‡ei nuvwm †K‡o wb‡q‡Q Amy¯’Zv| wZwb †eu‡P Av‡Qb ZeyI mšÍvb gvZ… y»nxY| KviY dvwngv

GLb kh¨vkvqx | dvwngv LvZzb (20) wc‡ivRcyi †Rjvi AšÍ©MZ mì Dc‡Rjvi K`gZjv BDwbqbvaxb •fiecyi MÖv‡gi Awaevmx|

¯^vgx †gvt kvnv`vr (27) wKsKZ©e¨weg~p; ¯¿x euvPv‡eb bv mšÍvb‡K!

w`b gRyi kvnv`vr| A‡bï evwo‡Z kÖg wewµ K‡i •`wbK hv Avq nq Zv w`‡q LvIqv LiP †gUv‡q msmv‡ii Ab¨vb¨ Pvwn`v †gUv‡bv

KóKi| ZeyI Avkvq eyK †eu‡a‡Qb kvnv`vr I dvwngv| we‡qi 1 eQi

c‡iB msmvi Ry‡o Puv` nuvwm fwi‡q w`‡Z Avm‡Q bZzb AwZw_| dvwngv

Mf©eZx wbwðZ n‡j cÖme c~e©eZ©x †mev MÖn‡Y eª¨v‡Ki ¯^v¯’¨ Kg©x

hv_v_©B mvnvh¨ K‡iwQ‡jb| mšÍvb cÖm‡ei m¤¢ve¨ ZvwiL wQj GwcÖj

12, 2014 wLªt| cÖm‡ei w`b Nwb‡q Avm‡j m¤¢ve¨ Zvwi‡Li 1 gvm c~‡e©

dvwngvi gv wbivc` mšÍvb cÖme I cÖme cieZx© mg‡q gv I

beRvZ‡Ki cv‡k †_‡K cÖ‡qvRbxq †mev wbwðZ Kivi D‡Ï‡k¨ Zvi

evwo ev‡MinvU †Rjvaxb eo‡Rjvq wb‡q hvb| KviY dvwngvi k¦vo–wi

†eu‡P †bB Ges cv‡k †_‡K mvnvh¨ Ki‡eb †ZgbI †KD wQ‡jb bv|

h_vh_ w`b A_©vr 12 GwcÖj, 2014 wLªt 3.00 Uvi mgq dvwngvi cÖme

e¨v_v I‡V| dvwngvi gv `ªæZ MÖv‡gi Z_vKw_Z avÎx ixbv (35)-‡K

Wv‡Kb| `xN© cÖvq 7 N›Uv ¯vfvweK †Póvq e¨v_© nb avÎx| dvwngvi

cÖme hš¿Yv †e‡oB Pj‡Q| avÎx Zvi A-cÖwkwÿZ †K․kj Aej¤^b

K‡iI †Kvb djv dj Avm‡Qbv| dvwngvi gv `ªæZ wPwKrmv †K‡›` ªI

wb‡”Qb bv| ZLb cÖvq mKvj 9 Uv| avÎxi mKj cÖ‡Póv hLb e¨v_©

ZLb Zvi A`ÿ cÖ‡Póv †gvZv‡eK cÖme c‡_ nvZ cÖ‡ek Kivb Ges †Q‡j mšÍvb cÖme m¤úv`b K‡ib| cÖme cieZ©x‡Z dvwngvi

Aweivgfv‡e i³ÿiY eÜ nw”Qjbv| dvwngvi gv‡qi wek¦vm †h, i³ÿiY ¯^vfvweK wbq‡gB eÜ n‡q hv‡e| wek¦vm wb‡q 6 w`b †K‡U

†Mj i³ÿiY eÜ nw”Qjbv| dvwngv Zvi cÖme c‡_ cÖPÐ e¨v_v Abyf~Z KiwQ‡jb| i³ eÜ I e¨v_v bv Kgvq 19 GwcÖj dvwngv‡K

ev‡MinvU †Rjv KPzqv Dc‡Rjv ¯^v¯’¨ K‡cø‡· fwZ© Kiv‡bv nq| nvmcvZv‡ji KZ©eïZ Wv³vi cÖwkÿ‡Y wQ‡jb| nvmcvZv‡ji GRb

bvm© †mwjbv (40) dvwngvi †g․wLK weeiY ï‡b nvmcvZv‡j fwZ© Kiv‡q †Kvb cixÿv bv K‡iB cÖm‡ei iv¯Ív †mjvB Kwi‡q †`b|

†mjvB cieZ©x Ae¯’vq dvwngvi 12 w`b wPwKrmv nj| 12Zg w`b †mjvB †K‡U Avevi gv‡qi evwo hvb dvwngv| Ae¯’vi DbœwZ ZeyI

0

2

4

6

8

10

12

14

16


4 4 3

11

2 3

7

12

4

0 1

5 6

3

6

15

2 2 3

7

July

August

September

October

November

NUjbv| ¯vgx kvnv`r dvwngv‡K evwo‡Z wb‡q G‡m 24/5/2014 Bs Zvwi‡L wc‡ivRcy‡i Wvt dvinvbvi ( MvBbx Kbmvj‡U›U) Gi

Kv‡Q wPwKrmvi Rb¨ †M‡jb| Wvt dvinvbv Zv‡K 1 gv‡mi Ilya w`‡q ch©‡eÿ‡Y iv‡Lb| 1 gvm c‡iI Zvi Ae¯’vi †Kvb DbœwZ nq

bvB| Gevi dvwngv Wvt nsmcwZ wmK`vi, GgI-GgwmGBP-Gi kiYvcbœ nb| Wvt GBPwc wmK`vi Acv‡ik‡bi K_v e‡jb hv

wc‡ivRcy‡i m¤¢e bq| Acv‡ik‡bi Rb¨ Zv‡K Lyjbvq †h‡Z n‡e| 11 RyjvB dvwngv‡K Lyjbv †gwW‡Kj K‡jR Ges nvmcvZv‡j fwZ©

Kiv‡bv n‡j cixÿvq †`Lv †Mj †h, A`ÿ avÎx Øviv cÖme Kivi mgq cÖme c‡_ nvZ cÖ‡ek Kiv‡j nv‡Zi bL cÖme c‡_ †j‡M cÖme

c_ †K‡U hvq hv‡Z i³ ÿiY wbqwgZ nw”Qj; eÜ nw”Qjbv| GZw`‡b hZ wPwKrmv n‡q‡Q Zv meUvB AcwiwÿZ Ges fzj wPwKrmv|

AZtci 12 RyjvB dvwngv‡K Acv‡ikb Kiv‡bv nj hv‡Z 3 e¨vM i³ w`‡Z n‡q‡Q| Ges 2 AvM÷ ch©šÍ †mLv‡b wPwKrmvaxY

_v‡Kb| dvwngv cy‡ivcywi my¯’¨ bb| nvmcvZv‡ji weQvbvq ï‡q _vK‡Z Zvi Avi f‡jv jv‡Mbv| kvnv`vr-Gi A_©‡hvMvb w`‡b w`‡b

dzwi‡q †M‡Q| ch©vß A_© †hvMvb w`‡Z wngwkg Lv‡”Q| GZw`‡b cÖvq cÂvk nvRvi UvKviI †ekx A_© e¨q n‡qI dvwngv my¯’¨ bq| A_©

†hvMvb w`‡Z wM‡q n‡Z n‡q‡Q FYx| wbiæcvq kvnv`r; Amy¯’¨ dvwngv| `yB-G wg‡j dvwngv nvmcvZvj Qvoj|

Amy¯’ dvwngv †ewkÿY e‡m _vK‡Z cvi‡Qb bv, fvjfv‡e nuvU‡ZI cvi‡Qb bv| ZvB mšÍv‡bi hZœ I ey‡Ki `ya mgq I mwVK wbq‡g

n‡”Qbv| Ah‡Zœ †e‡o DV‡Q mšÍvbwU| mšÍvbwU GLbI †Kvb cÖKvi wUKv cÖvß nq bvB|

Z_¨ I Qwe mOMÖ‡n gvnveyev †eMg GdGmI, K`gZjv BDwbqb wc‡ivRcyi m`I, wc‡ivRcyi|

hvPvBKvix ‡gvt nvwg yi ingvb Dc‡Rjv †Kv-AwW©‡bUi gv-gwb: GBPGmGm wc‡ivRcyi m`i, wc‡ivRcyi|

Ò Ae‡k‡l wUKv †`qv nj kvn Rvjv‡K Ó

wkïi bvg t ‡gv: kvnvRvjvj nvIjv`vi

wcZv : †gv: kvnv`vZ (27) nvIjv`vi|

gvZv : dvwngv LvZzb (20) |

MÖvg : ‣figcyi

BDwbqb : K`gZjv|

Dc‡Rjv : wc‡ivRcyi mì|

‣figcyi wbevmx w`b gRyi †gv: kvnv`v‡Zi cÖ_g mšÍvb kvnvRvjvj †K Rb¥ w`‡Z (gv ) dvwngv GLb kh¨vmvqx| Amy¯’ ¯¿xi wPwKrmv

LiP Pvjv‡Z wMqv Afve AbU‡bi g‡a¨ w`qv w`b hv‡”Q dvwngv I kvnv`v‡Zi| ev‡ci evwo‡Z A`ÿ avÎxi `viv cÖme mnqZv †bqvq

cÖme cieZx© `xN© RwUjZv †`Lv‡`q dvwngvi| kvnv`vZ ¿x‡K my¯’ Kivi Rb¨ KL‡bv ev‡MinvU KL‡bv wc‡ivRcyi Ges me©‡kl

Lyjbvq †gwW‡Kj K‡jR nvmcvZv‡j Wv³v‡ii kibvcbœ nb, wKš‘ dvwngvÕi Amy¯’¨Zv Kv‡Ubv| ¯¿xÕi wPwKrmv LiP enb Ki‡Z dZzi

n‡Z e‡m‡Q kvnv`vZ| kvnRvjv‡ji hZœ †bevi mgq †hgb cvbbv †Zgwb g‡b fv‡m †ÿ¨` I Awbnv| MZ 12 GwcÖj 2014 Bs

Zvwi†L Rb¥ †bqv kvnvRvjvj eZ©gv‡b 7 gv‡mi wkï †h GKwU wUKvI cÖvß nq bvB| ‣figcyi GjvKvq Kg©iZ ¯^v¯’¨ mnKvix (GBP G)

wUKv †K‡›`ª wkï‡K wb†q Avmvi Rb¨ e‡j‡Qb wVKB wKš‘ gv dvwngv kk¨vkvqx †hwb kvnRvjvj‡K wUKv †K‡›`ª wb‡q Avmvi kvwiixK

ej cvb bvB| wcZv kvn`vZ g‡b K‡ib †h, †Q‡j Avgvi my¯’¨ Av‡Q ev Zvi †Kvb wUKv †èvi ìKvi bvB|

kvnv`v‡Zi ciwk Avey †m‡Li evwo‡Z BwcAvB I m¨vUvjvBU †K›`ª| gv-gwb: GBPGmGm cÖK‡íi GdGmI gvnveyev †eMg welqwU

Rvb‡Z cv‡ib Ges ZZÿYvZ kvnv`v‡Zi evwo‡Z hvb| evwo‡Z Dcw¯’Z dvwngv, kvnv`vZ I Zvi kvïox‡K wUKvÕi ¸iæZ¡ †evSvb|

ZeyI kvnvRvjvj wUKv cÖvß nq bvB| cieZ©x‡ZI gvnveyev K‡qK w`b kvnv`v‡Zi evwo hvb Ges cwiev‡ii mKj‡K †evSvb|

Ae‡k‡l GdGmI gvnveyev wb‡RB MZ 28 A‡±vei 2014 Bs Zvwi‡L kvnvRvjvj‡K †Kv‡j wb‡q Avey †m‡Li evwo‡Z AbywôZ

BwcAvB †K‡›`ª wb‡q Av‡mb | 7 gv‡mi wkï kvnvRvjvj wewmwR , wcwf-1 I gy‡L cwjI wUKv cvq| GdGmI gvnveyev evwo‡Z wUKv

†bqvi ci GKUz R¡i Av‡m‡Z cv‡i GwelqwUI wkïi dzdz‡K e‡j Av‡mb| wUKv †bqvi ci GKUz R¡i Av‡m c‡ii w`b ‡m‡i hvq|

GLb wbwðšÍ kvnv`vZ| AvMvgx mKj wUKv ¸‡jv mgq gZ ‡`qv‡eb e‡j Avk¦vm †`b dvwngv I kvnv`vZ| Zvi e‡jb, wUKvi ¸iæZ¡

m¤ú‡K© Avgv‡ì Rvbv bv _vKvq Avgiv kvnRvjvj‡K wUKv †èvi Rb¨ †K‡›`ª †hgb wb‡q Avwm bvB †Zgwb gv‡qi Amy¯’¨ZvI GKwU

eo AšÍivq|

Z_¨/ Qwe msMÖ‡nÑ Qwe I mn‡hvMxZvq gvnveyev ‡eMg gvbmyiv mv_x GdGmI wUI gv-gwb:GBPGmGm cÖKí gv-gwb:GBPGmGm cÖKí K`gKjv BDwbqb, mì, wc‡ivRcyi| wc‡ivRcyi mì, wc‡ivRcyi

GdGmI gvnveyevi †Kv‡j wUKv wb‡Z hv‡”Q kvnvRvjvj

MaMoni-HSS Clossing Report-14

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