PAST EXPERIENCE OF DIFFERENT PROGRAMS
Experience in Population Program: Jatiya Tarun Sangha (JTS) on voluntary spirit has been working on family planning program since 1966. JTS organized national level campaign for family planning in collaboration with other organizations. As an aided program JTS started health and family planning activities in June, 1987 with support of FPIA. In consultation with the Government authorities the program was initiated in eight thanas where JTS has its own establishments. Due to winding down of FPIA programs in Bangladesh, the project was handed over to The Asia Foundation in 1990. Up until now, JTS has been implementing FP-MCH program with support of The Asia Foundation. During 1992, JTS expanded service areas in two thanas, Chkoria thana of Cox’s Bazar and Sadar thana of Rangamati district. Partnership with local NGO has started in 1995. Presently, JTS has two partner organizations, BANDHAN and TULIP. In 1997, JTS has expanded its program in Ukhia of Cox’s Bazar, Lama and Alikadam of Bandarban district.
Modified Local Initiative Program: JTS and The Asia Foundation decided to experiment Local Initiative Program with some modification in Chkoria of Cox’s bazaar and Sadar thana of Rangamati district. The community volunteers were selected to provide services. Volunteers educate clients for accepting modern methods, hold contraceptives, supply contraceptives to new acceptors, re-supply to clients, help organize satellite clinics, and keep simple records of contraceptives distribution. Field workers prepare and use clients map with color codes for special target population like newly weds, low parity couples etc. To ensure community participation, union and thana family planning management committees were formed with composition of local elite, social workers, NGO and GOB representatives. (Information of Volunteer program needs to be incorporated)
Jiggasha Program: BANDHAN, a partner organization of JTS, introduced JIGGASHA program developed by John Hopkins University (JHU) in its working area. Important features of this program are:
Door to Door Injectable Program: Clinic of TULIP Social Welfare Organization, a partner organization of JTS, provides injectable at door step. TULIP’s working area is one among six (6) organization’s sites of The Asia Foundation where door to door injectable pilot project was initiated.
STD Prevention Program: During 1996, JTS under financial assistance of HIV AIDS STD Alliance of Bangladesh (HASAB) conducted need assessment to obtain the qualitative information on the socio-economic condition, including information on health, family planning, nutrition, water and sanitation, and sexual behavior. This was done for assessing the vulnerability of the target community towards STD and AIDS. Based on these assessment findings, JTS has developed STD prevention program. Since January 1997, the programs implementing in Gonoktuli Sweeper Colony, Hazaribag, Dhaka.
Safe Motherhood Program: JTS in collaboration with the World Assembly of Youth (WAY) was conducted operational research on safe motherhood. This research was initiated in eight (8) unions under four (4) thanas of Rajbari and Magura districts in 1992. The main purpose of this study was to test interventions by rural youth groups aiming to improve nutrition level and build up iron reserves among 15-20 years old young women in the project area. All young women of 15-20 age groups were selected as target population of this study. The study was materialized through the following steps.
- Registration of young women of 15-20 years age group.
- Baseline interview of the selected young women.
- Nutrition education campaign for 4 months.
- Iron & folic acid with other inputs Supplementation campaign for another 4 months.
JTS has successfully implemented this community based intervention program by mobilizing rural youth. JTS demonstrated its potentiality to undertake long term operational research on a national level. (Study report attached as annex - ????)
JTS Clinical Program: During 1992, JTS has expanded clinical services by setting up four (4) mini clinics in four (4) of its branches located in Sreepur under Gazipur, Ullahpara under Sirajgonj, Bagmara under Rajshahi and Patiya under Chittagong district. Later in 1996, it established three (3) more clinics, one in Dhaka city which is attached with the JTS head office and the other two are in Rangamati and in Jointapur of Sylhet district. The total number of clinics stands at nine (9) including two clinics of its partner organizations. Eight out of nine clinics are in rural areas. These clinics are providing clinical contraceptive (IUD, Injectables) services, immunization, pre and post natal care, nutrition screening services to the community people. During 1996, JTS established a clinic located in Dhaka. This clinic is equipped with laboratory facilities.
Clinic of TULIP Social Welfare Organization, a partner organization of JTS, provides injectable at door step. TULIP’s working area is one among six (6) organization’s sites of The Asia Foundation where door to door injectable pilot project was initiated. BANDHAN, the other partner organization of JTS, has introduced vaccinator in its program for popularizing injectables.
To improve the quality of clinical services, JTS has formed a quality assurance committee headed by MOCC of Rangamati. This made a considerable impact on relationship between JTS and GOB. Client’s reffered by JTS receive improved care in GOB facilities. As a result clinical performance of JTS Rangamati branch improved than before.
Collaboration and Partnership with Local Organizations: JTS has been working with local organizations on an equal partnership basis for implementing population program activities in two districts, with BANDHAN in Noakhali and with TULIP in Chittagong. JTS envisages this partnership beneficial for both organizations. In general term, local organizations have uniqueness in the area of program implementation and have some deficiency in organizational management. JTS as lead organization provides monitoring in managing projects and providing technical assistance for ensuring quality of services.