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Baseline Survey on NGO Health Service Delivery Program (NHSDP, 2013-14)

NGO Health Service Delivery Program (NHSDP) is awarded by USAID to Pathfinder International to provide assistance on delivery of essential service package (ESP) through a network of local non-governmental organization (NGO) clinics which is based on the previous experiences and successes in NGO service delivery under the Bangladesh Smiling Sun Franchise Program (BSSFP) and National Service Delivery Program (NSDP); but incorporates new approaches to promote optimal health behaviors and community participation and will enhance local ownership of service delivery through institutional strengthening. It continues to provide services to NHSDP urban program areas located in Dhaka City Corporation, Chittagong City Corporation, remaining City Corporations and areas of District and Thana Municipalities and their respective comparison areas. It starts on November 2013 and be ended on June 2014.


Project Description: NHSDP implements the project under three intermediate results that together contribute to the project goals. These intermediate results (IRs) are:


  •            1.Client base expanded, especially for the poor, for a quality ESP
  •           2.Optimal healthy behaviors promoted
  •           3.Local ownership of service delivery enhanced


In turn, these IRs contributed to USAID’s Development Objective 3: Health Status Improved, and result in the following:


  •        1.Increased use of effective family planning and reproductive health services
  •        2.Increased use of integrated essential FP, health and nutrition services


Strengthened health systems and governance


The primary target groups for NHSDP are poor women of reproductive age (15-49) with a special emphasis on young women (under 25), newborns and children under-five. The program promotes active male participation in health service delivery and care seeking practices due to their critical role in decision-making.


The objective of the NHSDP Urban Baseline survey are to collect quantitative data on reproductive health, child health, limited curative care, TB and HIV/AIDS in NHSDP urban program areas.


Tasks carried out by Mitra and Associates:


Methodology (sample design & tools): The study has applied a stratified multi-stage sampling design to obtain a representative sample of households in two domains: project and non-project comparison areas to capture a 10 percent relative change over time in modern contraceptive prevalence among married women age 12-49 (CPR) and a 20 percent relative change over time in the percentage of last births during the two years preceding the survey that were attended by a skilled birth attendant (SBA), with 95 percent confidence and 80 percent. In project areas there are 133 clusters in total 4921 HHs and in non-project areas among 205 clusters there are 6970 HHs.


Questionnaires: There are two types of questionnaires; Household Schedule and Questionnaire, Women’s Questionnaire which modified following the context of field areas and translated in Bengali by Mitra. Also the listing form and Manuals for HH and women’s questionnaire was developed by Mitra.


Training: 5 days training was conducted for listers and including the field practice 15 days for HH.


Data collection and quality control: Approximately 6 months had spent to data collection for listing and household parts.QCO, editors edit the questionnaire at field and make necessary correction and do some cross interview to check the suspicious data.


Data processing: All data will be entered twice in cspro version and after cross checking and cleaning it will be handed over to Carolina population centre.


Client reference: The University of North Carolina at Chapel Hill, NC 27516-3997


Contact Person: Dr. James Thomas, Principal Investigator, Carolina Population Center, 123 W. Franklin St., University Square, University of North Carolina, Chapel Hill, NC 27516-3997


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