Health Sector Overview

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Transcript Health Sector Overview

Integrated Program Design for Household and Community Resilience: Experience from Bangladesh

FSN Network Regional Knowledge Sharing Meeting Multi-Sector Program Integration Session November 13, 2010

Heather Danton

J

IBON O

J

IBIKA

(L

IFE AND

L

IVELIHOODS

P

ROGRAM

)

 Bangladesh 2004-2009, extended through May 2010.

 Implemented in collaboration with Helen Keller International (HKI), the NGO Forum for Water and Sanitation, the Cyclone Preparedness Programme (CPP) of the Bangladesh Red Crescent Society and 14 local NGO partners in Barisal Division, Bangladesh.

Jibon o Jibika explicitly directed at reducing high levels of food insecurity and malnutrition  Implemented in 13 upazilas in three districts of southwest Bangladesh.  Targeted 200,000 children U2  Cyclones Sidr and Aila struck target area in November 2007 & May 2009, respectively

A N I NTEGRATED P ROGRAM D ESIGN

Jibon-O-Jibika

Decreased household

food insecurity

in three districts of Barisal Division

SO1: Food

availability and purchasing power at the household level will have increased SO2: Health and nutrition of pregnant women and children under the age of two will have improved SO3: Communities and households will be more resilient to shocks that threaten their livelihoods

IR 1.1: Improved household level food production practices adopted and utilized IR1.2: Improved marketing practices adopted and utilized IR 2.1: Increased adoption of key MCHN practices and utilization of key MCHN services IR 2.2: Improved access to safe water and sanitation facilities IR 3.1: Improved community response and preparedness to natural disaster IR 3.2: Improved agency response to natural disaster

Community and Union-level integration by SO/Sector

SO 3: Disaster Preparedness SO2: MCHN SO1: Homestead gardening & marketing

K EY P ROGRAM R ESULTS

Disaggregated data show that reduction of prevalence in stunting, wasting and underweight is much higher in unions where all program components were implemented.

K EY P ROGRAM R ESULTS Median Dietary Diversity Score

7 6 2 1 5 4 3 Baseline SO1 & SO2 Unions Non SO1 Unions Endline

The median dietary diversity score improved in unions where all program components were working together

.