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FromFrom

(The People’s Health Centre)(The People’s Health Centre)

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Pioneer organization in building innovative, affordable and accessible community health care services for the rural people.

Started in 1971 as a 480 bedded Bangladesh Field Hospital at the border of India

Registered as a public Charitable Trust in 1972

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Mission Mission &Vision &Vision

Mission Grame Cholo Gram Goro “(Let us

go to Village and build Village)

Vision Fate of the poor decides fate of the

country, Development of the country

depends on development of women

132 Eskaton Road, Dhaka

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• Develop people oriented health management program.Develop people oriented health management program.

• Provide basic education to poor women, train them to Provide basic education to poor women, train them to learn skills for income generation.learn skills for income generation.

• Build social awareness on women’s rights and to protect Build social awareness on women’s rights and to protect the rights of the minorities.the rights of the minorities.

• Assist people in disaster management with a focus to Assist people in disaster management with a focus to climate change.climate change.

GK’ s Major GK’ s Major ObjectivesObjectives

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GK commenced its journey with GK commenced its journey with 6 tents, 50 villages and with 6 tents, 50 villages and with health coverage of 50,000 people health coverage of 50,000 people in 1972. in 1972.

The doctors and volunteers The doctors and volunteers resided in 6 tents to make health resided in 6 tents to make health care services accessible to care services accessible to people in the rural areas.people in the rural areas.

Today GK has increased its overage to morethan 1.5 million rural population with 43 PHC centers in 647 villages across the country with 5 referral hospitals.

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An Illustrationof a GK workerby the FrenchSupport Committee

FRENCH SUPPORT COMITYG-K SAVAR BANGLADESH

Non-profit-making bodyCOMITE FRANCAIS DE SOUTIEN

G-K SAVAR BANGLADESH23, Esplanade Raoul Follereau

92130 Issy-Ies MoulineausF R A N C E

Fighting against multi-nationals

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Health is a reflection of society’s commitment to equity and justice. Poor health is both the cause and effect of poverty, illiteracy and ignorance.

GK’s overall objective is to use primary healthcare an entry point to work with the people , for the people, to develop a just society.

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GK provides a wide range of reproductive health services, including ANC and PNC services through a cadre of village-based trained health workers, known as paramedics, who are mostly female.

GK provides primary health care services at community level through field workers and specialized hospital care service at secondary and tertiary referral care hospitals.

Unit cost of GK health services is very low and thus affordable.

GK’s health care model

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People Oriented Health Management ProgramPeople Oriented Health Management Program

GK ensures community participation in health service delivery through GK ensures community participation in health service delivery through

constituting a Gonoshasthaya Health Committee at union level.constituting a Gonoshasthaya Health Committee at union level.

Gonoshasthaya Health Committee at union levelGonoshasthaya Health Committee at union level

Elected union parishad female members (Chairperson by rotation)Elected union parishad female members (Chairperson by rotation) : 3: 3

Traditional Birth AttendantTraditional Birth Attendant : 1 : 1

Land donorLand donor : 1: 1

Imam / PriestImam / Priest : 1 : 1

Ultra-poor / poorUltra-poor / poor : 1 : 1

Gk Staff as member secretary)Gk Staff as member secretary) : 1 : 1

Other membersOther members : 2-4: 2-4

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Paramedic TrainingParamedic Training

Paramedics Training in class roomParamedics Training in class room Bicycle TrainingBicycle Training

TBA training TBA training TBA training TBA training

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•GK’s paramedic system •GK’s TBA & TTBA

•GK’s Doctors

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• Primary Health Care.Primary Health Care.

• Secondary Health Care.Secondary Health Care.

• Tertiary Health Care Through Referral Hospital.Tertiary Health Care Through Referral Hospital.

• Supply of Essential Drugs.Supply of Essential Drugs.

• Health InsuranceHealth Insurance..

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Primary Health Care at a glancePrimary Health Care at a glance

Ante natal care (ANC)Ante natal care (ANC)

Post natal care (PNC)Post natal care (PNC)

Delivery at homeDelivery at home

Newborn and child careNewborn and child care

Family planning Family planning

ImmunizationImmunization

Treatment of common diseasesTreatment of common diseases

Provision of essential drugsProvision of essential drugs

Care for the destituteCare for the destitute

Care for the elderlyCare for the elderly

Care for the elderlyCare for the elderly

Care for disableCare for disable

Community physiotherapyCommunity physiotherapy

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Secondary Health care Secondary Health care

Out patient unit

Diagnostic facilities

Dental care

Emergency

Physiotherapy & YOGA

Burn & plastic surgery

Consultant

Blood transfusion

Operation

Referral

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Cardiac care (Under process)Cardiac care (Under process)

Cancer treatment (Under processCancer treatment (Under process))

Tertiary Health Care Tertiary Health Care

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Community awareness raising activities (Bou Shasuri Mela, Yard meeting)

Health message dissemination through poster, leaflet, billboard

Collaboration and advocacy with government

Collaboration with other NGOs

Active role in national policy development

Bou Shasuri Mela

Promotion of Health Care Promotion of Health Care

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Health Services in Char AreaHealth Services in Char Area

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Gonoshasthaya Mobile Clinic Gonoshasthaya Mobile Clinic

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1. Hazaribagh

2. Bottala Pulpar

3. Adabar

4. Pallabi

5. Kawranbazar

6. Koriel Bosti

7. Bagunbari

8. Sutrapur

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GK Mobile clinic working at 8 points GK Mobile clinic working at 8 points

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Rickshaw Pullers Health CooperativeRickshaw Pullers Health Cooperative

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Elderly (60 +) health careElderly (60 +) health care

Almost 35,000 thousand elderly people has been registered in our service area. Almost 35,000 thousand elderly people has been registered in our service area.

The traditional joint families are breaking down. All the earning members of the The traditional joint families are breaking down. All the earning members of the family is very busy with their daily life. They can not provide time take care of the family is very busy with their daily life. They can not provide time take care of the elderly people. So the olds are suffering from mental illness and other health elderly people. So the olds are suffering from mental illness and other health problems. problems.

Old parents are also left behind alone because of rural urban migration, intra Old parents are also left behind alone because of rural urban migration, intra country migration and also of increasing number of single family.country migration and also of increasing number of single family.

The vital issues related to them is health care. Elderly people needs their service The vital issues related to them is health care. Elderly people needs their service at their door step, but unfortunately that kind of service has not been developed at their door step, but unfortunately that kind of service has not been developed yet. yet.

Government health program don’t have any specific activity for the elderly people. Government health program don’t have any specific activity for the elderly people.

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Elderly cares areare as follows First registration, Home visit and

group discussion, Talk with them for

mental support, provide some basic care

such as : Identification and registration (door

to door)

Physical check up urine for albumin

and sugar

Blood Pressure measurement

Vision test

Hearing test

Elderly fair

Elderly camp

Nail cutting

Bathing

physiotherapy for disabled elderly people

Mental support especially by paramedics during their visit.

Monthly record keeping

Brushing hair,

Remove lice,

And treatment of common problems,

Referral for special treatment

If belongs to the destitute group we arrange food, clothing, mosquito net, vegetable seeds and other commodities. We also arrange special workshop for their recreation in our primary health care centre or in yard of some elderly people house in the village.

Elderly caresElderly cares

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Aw Ka Kha Ga Gha Umo Total

1. Population 9516 653307 347820 150723 73314 19265 1253945

2. No of Families 3662 138493 77705 34346 16488 7211 277905

3. Family Size 2.60 4.72 4.48 4.39 4.45 2.67 4.51

4. a) Widows 780 9074 3964 1406 472 212 15908

% by total widows 4.90 57.04 24.92 8.84 2.97 1.33 100.00

b) Abandand Wives 86 944 346 107 52 35 1570

% by total abandand wives 5.48 60.13 22.04 6.82 3.31 2.23 100.00

c) Widowers 174 1349 711 243 102 93 2672

% by total widowers 6.51 50.49 26.61 9.09 3.82 3.48 100.00

d) Eligible Couple 1023 121184 63120 28493 13617 5706 233143

% by total eligible Couple 0.44 51.98 27.07 12.22 5.84 2.45 100.00

5. Total Pregnancy 27 10961 4691 1156 213 65 17113

6. a) Family Planning Practice 451 69365 38438 18641 10546 5379 142820

b) Contraceptive Prevalence Rate (CPR) 44.09 57.24 60.90 65.42 77.45 94.27 61.26

7. Total Live Births 20 7961 4029 569 95 22 12696

CBR-1000 Mid year Population 2.10 12.19 11.58 3.78 1.30 1.14 10.12

8. Total Still Births 0 160 52 6 0 3 221

SBR-1000 Births 0.00 19.70 12.74 10.43 0.00 120.00 17.11

9. Total Deaths 21 1499 579 128 25 8 2260

CDR-1000 Mid year Population 2.21 2.29 1.66 0.85 0.34 0.42 1.80

10. Neonatal Deaths 7 158 34 4 0 2 205

NNMR-1000 live births 0 19.85 8.44 7.03 0.00 90.91 16.15

11. Infant Deaths 6 208 51 6 1 2 274

IMR-1000 live births 0 26.13 12.66 10.54 10.53 90.91 21.58

12.Maternal Deaths 0 11 2 0 0 0 13

MMR-100000 live births 0 138.17 49.64 0.00 0.00 0 102.39

Demographic Profile of Rural Population Served by GK, 1420.

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GGonopathshala basic Primary Educationonopathshala basic Primary Education

Char Jhanjhir GonopatshalaChar Jhanjhir Gonopatshala Kuthibari Bagdi GonopatshalaKuthibari Bagdi Gonopatshala

Bhatshala GonopatshalaBhatshala Gonopatshala

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Gonopathshala basic Primary education in CHTGonopathshala basic Primary education in CHT

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Gonopathshala in the CHTGonopathshala in the CHT

Trainers from FSC with teachersTrainers from FSC with teachers

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Gono Bishwabidyalay-helpful to combat struggles of Gono Bishwabidyalay-helpful to combat struggles of

Old Campus (GB) New Campus (GB)

Gonoshasthaya Institute of Health Sciences Gonoshasthaya Vaccine Research Laboratory

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Micro Credit & Gonoshasthaya credit cooperative Micro Credit & Gonoshasthaya credit cooperative

BeneficiaryBeneficiary

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Micro Credit & Gonoshasthaya credit cooperative Micro Credit & Gonoshasthaya credit cooperative

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Gonoshasthaya Credit CooperativeGonoshasthaya Credit Cooperative

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Financial Credit support

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Gonoshasthaya Dairy FarmGonoshasthaya Dairy Farm

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Monthly Gonoshasthaya (Magazine)Monthly Gonoshasthaya (Magazine) Some publication of Gonoprokashani Some publication of Gonoprokashani

GonomudranGonomudran

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Women Development Program and MDG-3Women Development Program and MDG-3

Narikendra Narikendra (center for women) Rural women receives skill development in non-(center for women) Rural women receives skill development in non-traditional trades such as, electrical wiring, printing, book binding, carpentry, metal traditional trades such as, electrical wiring, printing, book binding, carpentry, metal works, welding, motor driving, boiler and power tiller operation and dyeing and works, welding, motor driving, boiler and power tiller operation and dyeing and finishing of clothes Over 70% GK workers and 4 out of 10 directors are female. finishing of clothes Over 70% GK workers and 4 out of 10 directors are female. Women acquire self-confidence and self-reliance. GK provides financial assistance Women acquire self-confidence and self-reliance. GK provides financial assistance to female workers who desire to pursue higher education Already some paramedics to female workers who desire to pursue higher education Already some paramedics have qualified as medical doctor, some as microbiologists, some as pharmacists have qualified as medical doctor, some as microbiologists, some as pharmacists and some as physiotherapists.and some as physiotherapists.

See more…….See more…….

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Women’s EmpowermentWomen’s EmpowermentNarikendra is the only vocational training centre in Bangladesh for rural women where they Narikendra is the only vocational training centre in Bangladesh for rural women where they receives skill development in nontraditional trades as electrical wiring, printing, book binding, receives skill development in nontraditional trades as electrical wiring, printing, book binding, boiler operator, water pump and power tiller operator, carpentry, metal works, welding, motor boiler operator, water pump and power tiller operator, carpentry, metal works, welding, motor vehicle driving, dyeing and finishing clothes etc.vehicle driving, dyeing and finishing clothes etc.

Working in BakeryWorking in Bakery Working in wooden workshopWorking in wooden workshop

Working in metal WorkshopWorking in metal Workshop Repair power tillerRepair power tiller

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CarpentryCarpentry

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Operate printing machineOperate printing machine

Motor Driving TrainingMotor Driving Training

Gono Mudron (Printing)Gono Mudron (Printing)

BindingBinding

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Gono-BakeryGono-Bakery

Motor Driving TrainingMotor Driving Training

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Gonoshasthaya Grameen Textile Mills LtdGonoshasthaya Grameen Textile Mills Ltd

Gonoshasthaya Pharmaceuticals LtdGonoshasthaya Pharmaceuticals Ltd

Front view of pharmaceuticals Ltd.Front view of pharmaceuticals Ltd. Ointment production.Ointment production.

Gonoshasthaya Antibiotic Ltd.Gonoshasthaya Antibiotic Ltd.

Outside view of antibiotic Ltd.Outside view of antibiotic Ltd. Inside view of antibiotic Ltd.Inside view of antibiotic Ltd.

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Biogas is produced in the process of anaerobic digestion.

•To provide fuel for cooking purposes and To provide fuel for cooking purposes and organic manure to rural households through organic manure to rural households through biogas plants. biogas plants.

•To mitigate hard work of rural women, reduce To mitigate hard work of rural women, reduce pressure on forest accentuate social benefits. pressure on forest accentuate social benefits.

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Biogas Biogas

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Bondhu ChulaBondhu Chula

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Pictures of two models Pictures of two models PuccaVermi and Ring Vermi at GolachipaPuccaVermi and Ring Vermi at Golachipa

Vermi CompostingVermi Composting

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Homestead garden support:Homestead garden support:Vegetable cultivationVegetable cultivationSupporting 10,000 farmers with homestead Supporting 10,000 farmers with homestead vegetable gardening to have access to vegetable gardening to have access to nutritious food, nutritious food,

GK procured 100 high quality seed from GK procured 100 high quality seed from BADC and distributed among 4043 families BADC and distributed among 4043 families during winter season and 1039 families during winter season and 1039 families during summer season. during summer season.

Vegetable cultivationVegetable cultivation

Vegetable cooperativeVegetable cooperative

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Jute cultivation with credit support Jute cultivation with credit support

Paddy cultivationPaddy cultivation

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2007 & 2008 SIDR hits the southern part of the 2007 & 2008 SIDR hits the southern part of the country.country.

GK is working on that area since November 17, 2007.GK is working on that area since November 17, 2007.

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Relief Relief

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Communal violence Communal violence Bangladesh has over 86% Muslims, 12% Hindus and less than 2% Buddhist, Bangladesh has over 86% Muslims, 12% Hindus and less than 2% Buddhist, Christian and people of other religious faiths living in 148,000 sq.km area with Christian and people of other religious faiths living in 148,000 sq.km area with total population of 16 Milliontotal population of 16 Million. .

Communal Violence Relief for the violence affected people

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Emergency Medical TeamEmergency Medical Team

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Challenges Challenges How to integrate unequal land ownership and input mobilization to the How to integrate unequal land ownership and input mobilization to the majority of the poor farmers. majority of the poor farmers.

WOMEN IN DISASTER PREPAREDNESS MEETINGWOMEN IN DISASTER PREPAREDNESS MEETING

Goal Goal To reduce the sufferings of the SIDR victims To reduce the sufferings of the SIDR victims through employment generation, increasing through employment generation, increasing cropping intensity, increasing productivity.cropping intensity, increasing productivity.

Involving poor farmers including women in Involving poor farmers including women in agriculture, homestead horticulture, tree agriculture, homestead horticulture, tree plantation. Providing support to fishermen.plantation. Providing support to fishermen.

Making access to safe water, disaster Making access to safe water, disaster preparedness preparedness

Encouraging the victims to use the cyclone Encouraging the victims to use the cyclone shelters during emergency. shelters during emergency.

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Krishi Samabay Krishi Samabay (Agricultural Co-operative)(Agricultural Co-operative)

•Ploughing supportPloughing support

•Irrigation supportIrrigation support

•Tree PlantationTree Plantation•Homestead garden supportHomestead garden support•Beneficiary Training

Disaster Risk Reduction Disaster Risk Reduction (DRR) Program(DRR) Program

Rehabilitation of Schools and CollegesRehabilitation of Schools and Colleges

Cyclone shelter ConstructionCyclone shelter Construction

Safe Water with Gonoshasthaya FilterSafe Water with Gonoshasthaya Filter

Agricultural Co-operativeAgricultural Co-operative

Group DiscussionGroup Discussion

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Women Operating power tillerWomen Operating power tiller

Irrigation support Irrigation support

1. Ploughing support:.1. Ploughing support:. Gk supports Gk supports 5000 farmers of cooperatives with its 100 5000 farmers of cooperatives with its 100 Power Tillers during Aus, Aman and Rabi Power Tillers during Aus, Aman and Rabi seasons. seasons.

2 Irrigation support2 Irrigation support: Due to the salinity of ground : Due to the salinity of ground water, irrigation support is one of the vital issues water, irrigation support is one of the vital issues of ensuring a good harvest. Gk is now supporting of ensuring a good harvest. Gk is now supporting 100 groups with GK’s own procured pumps during 100 groups with GK’s own procured pumps during Aus, Aman and Rabi season when irrigation is Aus, Aman and Rabi season when irrigation is essential for crops. . essential for crops. .

Ploughing land Ploughing land

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Tree PlantationTree Plantation

Tree plant Tree plant distributiondistribution

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Beneficiary TrainingBeneficiary Training

GK conducted training program among 2000 GK conducted training program among 2000 farmers, including women who were trained farmers, including women who were trained for quality food production, preservation of for quality food production, preservation of seed, utilization of proper fertilizer, using of seed, utilization of proper fertilizer, using of irrigation water, maintenance of agricultural irrigation water, maintenance of agricultural equipments, power tiller operation, repairing equipments, power tiller operation, repairing as well as cooperatives management. as well as cooperatives management.

Repairing power tillerRepairing power tiller

Training power tillerTraining power tiller Beneficiary TrainingBeneficiary Training

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Disaster Risk Reduction (DRR) ProgDisaster Risk Reduction (DRR) Programram The beneficiaries were given orientation on The beneficiaries were given orientation on cyclone/ flood warning, to take basic cyclone/ flood warning, to take basic precautions during cyclone warning.precautions during cyclone warning. Red Red Crescent trainer, local public representatives Crescent trainer, local public representatives helped GK for conducting training of 5082 helped GK for conducting training of 5082 group members. smoothly. group members. smoothly.

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Rehabilitation of CollegesRehabilitation of Colleges Rehabilitation of SchoolsRehabilitation of Schools

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Cyclone shelter Construction:Cyclone shelter Construction: Two schools cum cyclone shelters were built each having 1400 sq.ft. plinth area. Which can accommodate at least 700 people at the time of cyclone in each shelter. More 16 built in 1994

Cyclone shelterCyclone shelter

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Safe Water with Gonoshasthaya FilterSafe Water with Gonoshasthaya Filter

GK introduced GK introduced Gonoshasthaya Filter. Gonoshasthaya Filter. ThoseThose FiltersFilters serve safe drinking water, serve safe drinking water, for cooking and other household for cooking and other household purpose for 5 families. purpose for 5 families.

GK placed 100 nos. of GK placed 100 nos. of Gonoshasthaya Gonoshasthaya FilterFilter providing safe drinking water to providing safe drinking water to 2500 families thereby reaching to 2500 families thereby reaching to approximately 14000 individuals. approximately 14000 individuals.

Safe Water FilterSafe Water Filter

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GK has established Safe Water Project GK has established Safe Water Project at Saturia with the cooperation of at Saturia with the cooperation of Social Development Foundation (SDF), Social Development Foundation (SDF), 50% financed by World Bank in 2004. 50% financed by World Bank in 2004.

GK has contributed 40% and local GK has contributed 40% and local beneficiaries contribution (land) is beneficiaries contribution (land) is 10% and recurrent expenses as on 10% and recurrent expenses as on monthly basis. FSC has also financed monthly basis. FSC has also financed GK to build OHT. GK to build OHT.

Saturia is one of the Arsenic Saturia is one of the Arsenic contaminated area. contaminated area.

Saturia Safe Water Tank Saturia Safe Water Tank

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Impact of Krishi Samabay in Sidr Impact of Krishi Samabay in Sidr Affected Area: Affected Area:

2. Employment generation2. Employment generation::

1. Poverty alleviation:1. Poverty alleviation:

3. Women in Agriculture: 3. Women in Agriculture:

4. Mechanization of Agriculture4. Mechanization of Agriculture

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Distribution Distribution of Boats and Netsof Boats and Nets Distribution Distribution of Boats of Boats

Distribution Distribution of Netsof Nets

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Agriculture, Social Forestation and Environmental Development Agriculture, Social Forestation and Environmental Development Area SIDR effected 2007Area SIDR effected 2007

Agriculture cooperativeAgriculture cooperative

Gono Krishikhamar (Agriculture)Gono Krishikhamar (Agriculture)

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Gonoshasthaya’s aid for cyclones and AILA Gonoshasthaya’s aid for cyclones and AILA VictimsVictims

Death due to Aila 2009 was less in comparison to the previous disasters but indirect devastation was very high and Govt appeal for external assistance was inadequate As a result external assistance was less in comparison to cyclone SIDR of 2007.

GK mobilized local recourses to mitigate emergency situation immediately after cyclone AILA 2009.

GK in partnership with local NGO (JAS) worked effectively for safe Water to serve most affected saline areas.

GK has contributed 15000 Euro with the assistance of France Support Committee, Solideritis and Aquassistance France and ensured local participation of 41.03% with local resources organized by JAS.

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GK and JAS had distributed 14,654,500 lit. treated potable water to over GK and JAS had distributed 14,654,500 lit. treated potable water to over

50,000 people. Cleaned the saline and polluted water of 172 ponds to 50,000 people. Cleaned the saline and polluted water of 172 ponds to

meet domestic needs of over 36,723 families. Distributed 78 Nos of 500 lit meet domestic needs of over 36,723 families. Distributed 78 Nos of 500 lit

water tank and 162 pieces of tarpaulin to harvest rain water in 69 isolated water tank and 162 pieces of tarpaulin to harvest rain water in 69 isolated

villages to benefit another -1950 families with 9,750 population. villages to benefit another -1950 families with 9,750 population.

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Magsaysay Award

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Right livelihood Award

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Voluntary Health Association Award

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1972 Certificate of Commendation in 1972 for contribution to the freedom struggle for the liberation of Bangladesh. The discovery of Penicillin was one of the milestones in the field of drug manufacturing in the last century. One of those pioneer scientists Dr. Norman Heatly out of his 6 (six) vessels used for manufacturing Penicillin donated 1 (one) to Gonoshasthaya Kendra and 5(five) to Oxford University.

1974 Awarded the Swedish Youth Peace Prize in 1974 in recognition of his contribution in setting up Gonoshasthaya Kendra, as a primary health care programme for the rural people utilizing rural women and men in delivering health care.

1997

Bangladesh has Awarded the Independence Day Award, 1997 ( received in 1978), the highest national award of recognition of his contribution to the development of primary health care in Bangladesh and the delivery of family planning services at the grass roots level

1985 Awarded the Ramon Magsaysay Award, popularly known as the ‘Asian Nobel Prize’ in 1985,in recognition of GK’s contribution in National Drug Policy in Bangladesh

2002 ”University of California, Berkeley honored Dr. Zafrullah Chowdhury with International “Heroes of Public Health Award in March, 2002

1992 Under his leadership in 1992 Gonoshasthaya Kendra was given the Right Livelihood Award, popularly known as the ‘Alternative Nobel Prize’, in recognition of its contribution to Primary Health Care development in Bangladesh and its role in the introduction of a National Drug Policy in Bangladesh.

1989 Moulana Bhasani Padak (Award)

1977 Shwadhinota Podok Independence Day award given by GOB in recognition of the services for family planning

AWARDS:AWARDS:

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