Taking healthcare where the community is: the story of the Shasthya sebikas of BRAC in Bangladesh

To mitigate the income-erosion effect of illness and vulnerability of the poor households, BRAC, an indigenous Bangladeshi NGO, integrates Essential Health Care (EHC) activities with its microcredit-based poverty-alleviation interventions. The EHC delivers preventive and basic curative health servic...

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מחבר ראשי:	Ahmed, Syed Masud
פורמט:	Article
שפה:	English
יצא לאור:	BRAC University 2010
נושאים:	Community health workers BRAC Bangladesh
גישה מקוונת:	http://hdl.handle.net/10361/415

id	10361-415
record_format	dspace
spelling	10361-4152019-09-29T05:47:18Z Taking healthcare where the community is: the story of the Shasthya sebikas of BRAC in Bangladesh Ahmed, Syed Masud Community health workers BRAC Bangladesh To mitigate the income-erosion effect of illness and vulnerability of the poor households, BRAC, an indigenous Bangladeshi NGO, integrates Essential Health Care (EHC) activities with its microcredit-based poverty-alleviation interventions. The EHC delivers preventive and basic curative health services to the villagers through Shasthya Sebika (SS) who is the community health worker selected from among the village-based women's credit group members who is willing to provide voluntary services, and acceptable to the community she serves. The SSs receive four weeks basic residential training backed up by regular monthly refreshers. For specific programmes such as DOTS, community-based ARI, or safe motherhood, the SSs are given additional training. Each SS covers around 250 households, and she makes at least once a month visit to the households. During these visits, they disseminate health, nutrition and family planning messages, motivate to install tube-wells and sanitary latrines, identify and register pregnancy cases, identify TB suspects for sputum examination, provide treatment for common illnesses and sell health commodities. The SSs work on voluntary basis but earn some income from the sale of health commodities. Meticulous selection, training, supportive supervision, functional referral linkage and performance-based incentives are key factors responsible for the sustenance of the model till date. 2010-10-10T06:23:39Z 2010-10-10T06:23:39Z 2008 Article http://hdl.handle.net/10361/415 en BRAC University Journal, BRAC University;Vol.5, No.1,pp. 39-45 application/pdf BRAC University
institution	Brac University
collection	Institutional Repository
language	English
topic	Community health workers BRAC Bangladesh
spellingShingle	Community health workers BRAC Bangladesh Ahmed, Syed Masud Taking healthcare where the community is: the story of the Shasthya sebikas of BRAC in Bangladesh
description	To mitigate the income-erosion effect of illness and vulnerability of the poor households, BRAC, an indigenous Bangladeshi NGO, integrates Essential Health Care (EHC) activities with its microcredit-based poverty-alleviation interventions. The EHC delivers preventive and basic curative health services to the villagers through Shasthya Sebika (SS) who is the community health worker selected from among the village-based women's credit group members who is willing to provide voluntary services, and acceptable to the community she serves. The SSs receive four weeks basic residential training backed up by regular monthly refreshers. For specific programmes such as DOTS, community-based ARI, or safe motherhood, the SSs are given additional training. Each SS covers around 250 households, and she makes at least once a month visit to the households. During these visits, they disseminate health, nutrition and family planning messages, motivate to install tube-wells and sanitary latrines, identify and register pregnancy cases, identify TB suspects for sputum examination, provide treatment for common illnesses and sell health commodities. The SSs work on voluntary basis but earn some income from the sale of health commodities. Meticulous selection, training, supportive supervision, functional referral linkage and performance-based incentives are key factors responsible for the sustenance of the model till date.
format	Article
author	Ahmed, Syed Masud
author_facet	Ahmed, Syed Masud
author_sort	Ahmed, Syed Masud
title	Taking healthcare where the community is: the story of the Shasthya sebikas of BRAC in Bangladesh
title_short	Taking healthcare where the community is: the story of the Shasthya sebikas of BRAC in Bangladesh
title_full	Taking healthcare where the community is: the story of the Shasthya sebikas of BRAC in Bangladesh
title_fullStr	Taking healthcare where the community is: the story of the Shasthya sebikas of BRAC in Bangladesh
title_full_unstemmed	Taking healthcare where the community is: the story of the Shasthya sebikas of BRAC in Bangladesh
title_sort	taking healthcare where the community is: the story of the shasthya sebikas of brac in bangladesh
publisher	BRAC University
publishDate	2010
url	http://hdl.handle.net/10361/415
work_keys_str_mv	AT ahmedsyedmasud takinghealthcarewherethecommunityisthestoryoftheshasthyasebikasofbracinbangladesh
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Taking healthcare where the community is: the story of the Shasthya sebikas of BRAC in Bangladesh

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