Report of bangladesh manob sampad unnayan sangstha by Md Papon

STD/AIDS Program in the Field of Truck, Bus Drivers, Commercial Sex Worker, Brothels & Floating Gay Girls with Clinical Management Program Implementing Organization: Bangladesh Manob Sampad Unnayan Sangstha (BMSUS)

Introduction/Relevance: Bangladesh with its 127 million populations is still fortunate to be a low prevalent country for HIV/AIDS as revealed in three consecutive sentinel surveillances, although geographically the country is located in continuity with two very high prevalent nations. The first HIV positive case in this country was detected in 1989 and according to government sources, till date. A total of 157 HIV positive cases have been reported in which the male population predominates. From available information, so far 17 HIV infected persons developed AIDS of which 11 already died: In reality, HIV/AIDS epidemic in Bangladesh is not very well understood and the existing situation is only partly known. Although it is not known exactly how many people are infected, it is true that HIV is being detected among our population especially among vulnerable cohorts. The first National Sentinel Surveillance (1998-1999) revealed an overall HIV prevalence among the high-risk behavior practicing sample population to be 0.4% and in second survey (1999-2000) it was 0.2%. However, the sample size of the two surveys were different and new categories of high-risk population were included as sample in the second survey. The first survey revealed that the rate of scropositivity in brothel population was six per 1000 sex workers. Among injecting drug users (IDUs). The rate was 25 per 1000 population. The study also found that 13% of the strict based female sex workers had injected themselves with drugs, although none of those had been tested positive for HIV. No HIV was found in a sample of truckers. Some people coming to government STD clinics in some parts of the country also had HIV, about three per 1000 population. Among men who have sex with men (MSM). HIV sepopositivity was found at a rate of about 2 per 1000 people. Epidemiologically, the findings of the second sentinel survey did not have a significant difference but it did increase the reliability of the previous findings. Findings of the third surveillance (2000-2001) have just been made available. Surveillance finding nevertheless concluded that high level of behavioral risk factors for the acquisition of HIV infection are very much in existence at least among the sampled population. It is specifically clear from the surveillance that some groups of people who practice high-risk sexual behavior have a large number of sexual partners, averaging between 12 and 40 per year. Each sex workers, of course, has many more, around 1000 per year.

KABP survey findings: When the sentinel surveillances showed the above figures, a number of studies and KABP surveys showed a very low knowledge on HIV/AIDS among different population groups. According to a study done in 1999, only 11.59% of surveyed population could mention AIDS as a sexually transmitted disease and 54% respondents have mentioned that having sex with HIV positive person can spread AIDS. Another KABP survey conducted on potential and returnee migrant workers revealed that 61% have heard of AIDS, only 4% of them have the full knowledge on the modes of transmission, 43% have partial knowledge and the rest 53% have cither misconception or no knowledge on the modes of transmission of HIV/AIDS. STD prevalence: In spite of the low prevalence of HIV in the country, many factors suggest that HIV may spread rapidly in the near future. For example, studies have shown high rates of STDs in various populations. In 1989, syphilis rates of 56% and 39% and 39% were found among floating and institutional SWs respectively. In 1997, 54% of 980 SWs gave a history of present or past symptomatic STDs. Recent reports indicate high levels of STDs amongst various other groups. As in many other Asian countries, condoms are not generally the preferred method of contraception. Furthermore, knowledge of condoms as a means to prevent STDs is very low. Existing high-risk behavioral practice: Moreover, sex outside marriage night is more widespread than traditionally acknowledged. Documented sexual practices include premarital, extramarital and male-to-male sex particularly among youth . For example, some studies indicated a high percentage of youths to have experience of sex before marriage and occurrences of induced abortions among women. Sixty percent of long distance truck drivers have sex with commercial sex workers about twice a month without any knowledge of HIV/AIDS. Extra-marital sex appears to exist even in rural societies and in particular where husbands are absent for long periods. Important studies of the sex industry identified large numbers (100,000) of generally non-literate SWs whose customers represent all segments of society. Female SWs have an average of 2-5 clients a day, making the number of clients about half a million men a day. Migration issues: Bangladesh has large member of international and national migrant laborers, transport workers and uniformed personnel. These individuals spend extensive periods away from their families that contribute to getting involved in new and different types of sexual relationships. Transponder mobility is high. Bangladesh also hosts large communities of expatriate refugees while itself having with refugee status in bordering countries. Injecting drug users: Available data from Client Monitoring System of Department of Narcotics Control and other research reports shows that prevalence of injecting drug use (IDUs) is on the rise. Most injecting drug users (IDUs) in Bangladesh share needles. In some areas the professional injectors use one needle for many IDUs. There are estimated 25,000 IDUs mainly in Dhaka. Khulna, and other towns including border areas. prevalence of STDs in quite high among drug users in general. A considerable proportion of IDUs are clients of sex workers and many IDUs are married, putting their family members at a higher risk of disease transmission. As mentioned earlier, the First National Surveillance for HIV and syphilis among the population practicing high-risk behavior showed highest seropositvity for HIV among IDUs that was 2.5â&#x20AC;?. Second surveillance has shown almost the similar trend.

Blood transfusion services: The existing blood transfusion system is not yet without risk of HIV transmission and improvement in the existing facilities is underway. Problems include approximately 200,000 required units of blood is currently largely (70-75%) provided by professional blood donors of whom approximately 20â&#x20AC;? are positive for hepatitis B and/or syphilis. In addition to providing safe (serviced) blood the added risk of transmission caused by medical/surgical/dental procedures needs to be considered in the light of under-practiced universal safety precautions. Contextual features: Bangladesh has many special contextual features that are relevant to HIV infection. These include widespread poverty, unequal access to health services, often-subordinate status of women, and low literacy and education levels. All combine to restricting knowledge in relation to health and negotiating power in matters of sex. A multi-sectoral response, and policy level support and commitment for empowerment of vulnerable groups to address the issues like stigma and discrimination are yet to be properly visualized. Research: Research, especially operational research, in the field of HIV and AIDS is very limited in this country. Operational research is an essential component of effective implementation of any program particularly those related to preventive actions and other cross cutting issues. Possibility of an epidemic: The above mentioned factors indicate that the present HIV situation could evolve rapidly into an impending and escalating epidemic in this country with serious health and socioeconomic consequences. The epidemic of AIDS could bring, in future, needs for major adjustments for individuals and their families, the health system both in terms of human and financial resources, disintegration of family structures, problems relating to increased poverty, numbers of orphans and abandoned children, and shortage of manpower in agriculture, industry and other sectors can be apprehended. As of middle of this year, levels of HIV were low and appeared to have been increased quite slowly over the past few years. At this moment it is not possible to product how much more it would increase and how rapid such an increase would lake place. Only continuous and repeated surveillance will be able to provide us the right kind of information. Form the information so far available, it may be assumed that Bangladesh is in the pre-epidemic stage for HIV (i.e. HIV prevalence did not exceed 1% among the sex workers and HIV has not disseminated to the general population. If an epidemic irrupts, it will irrupt first among the population of low-fee sex workers with the highest average turnover of customers. The sex workers with the highest partner turnover are low-ice brothel based SWs. HIV will be introduced into these high volume sex network primarily by male foreign transport workers, traders or seatiarers from nearby countries who regularly frequent towns and ports along the Bangladesh border, and/or by male Bangladeshi transport workers, traders or seafarers who have commercial sex encounters in high prevalence areas of nearby countries and regularly return to Bangladesh. It may thus be said that even though the spread of HIV infection in this country has been slow, its continuous detection, even though at a low level, call for an immediate action. We cannot miss this window of opportunities for a preventive action and let the epidemic to scale

up. Rather, there is very little scope for complacence and there are only very strong reasons for concern. Prevention and intervention initiatives: Fortunately, Bangladesh has been appreciably prompt for a timely response to prevent the epidemic. This is manifested, among others, by adopting a national policy, developing a longterm strategy, initiating multi-sectoral program implementation, increasing partnership with NGOs and other community organizations developing regular surveillance system, prioritizing targeted intervention, ensuring participation of PLWJIA in preventive action, initiating safe blood transfusion efforts, attracting donor support and resource mobilization, and making some major breakthrough in the field of information dissemination. Overview of the Project: How will the project address the problems? The proposed project will address specific segments of people living in Dinajpur. SSKS has some information on these particular population. Yet a quick assessment survey will be conducted to identify the socio-economic and health status and level of awareness on SRI 1 of the men. Women and adolescents of these communities more specifically. This will be done through interview. Focus Group Discussion (FGD) and review of documents available with SSKS and with relevant organizations. The survey report will help procuring BCC materials from other sources and conducting group learning sessions and meetings. For optimum utilization of resources, available BCC materials on SRM will be reviewed and will be procured according to target people’s literacy status. The following strategies will be adopted to combat the risk of STI), HIV/AIDS among the target people. • • • • • • • •

Peer approach will be applied to hook-up maximum number of target people of the said communities though this project. Awareness raising by disseminating information on sexual & reproductive health and prevention of STD HIV NDS by the peer. A group of peer educations will be developed and trained for disseminating information to the target people through organizing group learning sessions. Gatekeepers, community leaders and decision-makers of those communities will be consulted and advocacy meeting workshop will be conducted with them. Sport, folksong arid indigenous cultural shows will be organized on different occasions to disseminate messages on SRH, HIV/AIDS. Collaboration with related organizations and other similar type of agencies in awareness raising campaign. Linking with local youth and women groups and organizations for different types of BCC activities and active support from them. Promotion of condom use as a duel protection method.

Expected Results: In general, the following major results are expected after the completion of the project. 1. 2.

3. 4. 5.

Health seeking behavior will be improved among target beneficiaries specially in preventive side. Provision of RTI/STI service will be utilized in SSKS clinical facilities by the target people. Good referral network will be developed from Held to clinic of SSKS.

Statement of the Objectives: Board goal: Increase awareness on STD/HIV AIDS and bring about positive change in sexual and reproductive health behavior. Objectives, specific results, or desired effects: Objectives Specific results/desired effects 1. To disseminate information on STD/AIDs 1. Men, women and young people of project area to the target beneficiates Though peer become aware on STD HIV/AIDS and behavioral approach and group learning sessions. change taken place among them. 2. To create general awareness on STD/AIDS 2. General awareness created in the community in the project area through sports, folk songs, and people become motivated to participate in the campaign, rally, workshops, seminars. program. 3. To bring about positive change in SRII 3. Married men and women practice rational and behavior among beneficiaries. safe sex, increased use of condom. 4. Unmarried adolescents become aware about the hazards of indiscriminate sex practice. 4. To promote condom duel protection 1. Rate of condom use increased method. 2. Provision of RTI/STI Service utilization in clinic facility increased. Strategies: SSKS will adopt following strategies to implement the project: •

• • •

•

Health education, treatment, blood testing will be carried out through organizing mobile health camps in different places of the working area. The project deploy doctor, health workers, nurse, volunteers, peer educators to perform health related activities. Coordination : Necessary coordination & communication will be done to implement the project activities. The NGO will seek cooperation of the government machineries related nongovernment organization for smooth functioning of the project activities.

Expected outputs: 1. One rapid assessment survey conducted on SRI 1 and report published. 2. At least two videos on HIV AIDS procured and exhibited. 3. 10,000 copies of a poster and 10,000 leaflets procured/reprined, distributed and displayed. 4. 500 group learning sessions organized. 5. Sports events organized to the target audience. 6. Six workshops with community leaders and gate keepers organized. 7. One grand cultural show organized. 8. Indigenous cultural/folk song shows organized involving beneficiaries. 9. Arranged visit of two national celebrities as Good will Ambassador to the project areas. 10. AIDS day celebrated through rally and discussion. Project Activities: • • • • • • • • • • • • • • • • • • • • • •

Staff recruitment & training Assessment survey Selection of peer educators and group formation Procure office equipment and stationery goods including a computer Training for Peer Educators TOT of peer educators Life skill training for risk group Procure/reproduce IFC/BCC Materals Media publication for consciousness & awareness of the mass people. Organize peer learning sessions Organize workshop with community gate keepers Organize rally, meeting, campaign. Workshop on Drama Production Play Formation of cultural team Organize strect drama, folk song, cultural shows Arrange indoor games & cultural shows Arrange indoor games & cultural functions among the target groups to keep them away from abuse of drug. Organize cultural shows and sports at the project locations. Arrange medical camp in the highly risk area, refer the detected people to infections disease hospital if and which necessary. Preparation of cinema slide Organize cinema advertisement. Documentary film show

• • • • • • • • • • • • • • •

Organize cinema advertisement. Moral education Condom promotion among the target groups & risky groups Arrange blood test to determine STD/HIV/AIDS. Provide primary health care knowledge. Organize health fair Health focused drama festival Organize grand cultural show/drama festival at Kushtia. Organize cross learning visit. Arrange visit of two celebrities as Good will Ambassadors to the project areas. Word AIDS Day observation Reporting Monitoring & evaluation Audit Final Report Preparation & Submission.

Project Management: The project will be managed and executed under a project director. The PD will be responsible for overall administration of the project. The project will deploy 153 nos. Staff of different categories as shown below. 10 Field Officers (10 districts head quarter)

3 Regional Office

Mobile Health Services MBBS Doctor-10

Regional Coordmater-2 Field Coordinator-10

Program Monitor-2

Trainer-5 Accountant-10 Accountant-2 Media Communicator- Computer Operator20 2 Health Motivator-40 Driver-2 Service Staff-10 Service Staff-10 90 23

Head Office Project Director-1 Asst. Project Director-2 Finance Manger-1 Computer Programme-1

Health Assistant-1 Nurse-20

Public Relation Office-1 Documentation & Publication Office-1 Internal Auditor-2 Accountant-2 MIS Associate-2

Driver-1 Service Staff-1 53

Driver-3 Service Staff-4 20

Technician-20

Sustainability: To project will create awarness on HIV/AIDS among 10,000 families. It will also bring about behavioral change in their sex practice and develop improved health seeking habit in them. The project hopes that the positive behavioral changes will be retained in these populations and the programmatic sustainability will be achieved. They will continue to receive these benefits even after expiry of the project as the project expects sustainable behavioral change.

Justification of the Project: The project is justified in terms of the following context: •

Transport workers engaged in carrying goods in different places of the country. They often engage in unsafe exes with floating & commercial sex workers. They have a little or no knowledge on safe sexual behavior which made them vulnerable to HIV/AIDS infection. Occasionally the transport workers have to spend their days & nights in bordering areas and get contact with sex workers of out side the border. Floating sex businesses are on rise in the area due to some social, economical & natural causes. The floating sex workers sell sexes in terminals, ports, railway stations and elsewhere and are vulnerable to HIV/AIDS. The lack safe sex knowledge and health related information. Preventive measures against HIV/AIDS is not sufficient enough in comparison to the severity of the problem. The vulnerable groups have less access to the existing facilities & resources also. This promotion of preventive measures calls for urgent needs in the area.

•

Most of the injecting drug users in the area are in the age group of 25-40 years. Nearly half of them are married. According to the behavioral data available most of the drug users have been injecting for more than 4 years. Most injectors have about 20 shots a week, needle sharing is quite common. Clearing practices are not safe. Most of them are sexually active. Increasingly they have been vulnerable to STD/HIV AIDS infection and needs preventive intervention.

Project information Information about individual performance Information about resources usage Quality control Feedback on effective information campaign General Information

A special process will also be setup for monitoring & feeding back to the head office the experiences in working documentation of experiences from field, bottlenecks encountered, constraints, problems & success will feedback. So that problems can be solve and successes can be shared.

Evaluation: Both internal & external evaluation will be conducted. Project staff will carry out internal evaluation. External evaluation will be conducted after the end of the project. Donor & government representative will be most welcome in the external evaluation team. Reporting: Reporting flow chart of the project is shown below:

Donor/GOB

Governing Body

Executive Director

Project Director

Asst. Project Director

MBBS Doctor

District Coordinator

Nurse

Trainer

Program Monitor

Supervisor

Health Provider/Peer Educator Community Mobilizer Auditing: Internal auditor will carry out internal audit as routine work. Project accounts will be audited & verified by external auditor annually. About Bangladesh Manob Sampad Unnayan Sangstha (BMSUS) Bangladesh Manob Sampad Unnayan Sangstha (BMSUS) was established in the year 1995.

Organizational and Governance Structure of the Organization: Bangladesh Manob Sampad Unnayan Sangstha (BMSUS) is governed under the Cooperative Societies Registration Act, For all practical purposes. It is governed under the norms of a non-profit and non-political voluntary organization. This is a three-tier organization the central head office, the zonal Area office and the branch office. The organization is governed by a General Body at the apex level, followed by an Executive Body, chaired by the President and functioned by the Vice President. Below the General Secretary and Cashier. There are three functional Executive Members. The project Coordinator coordinates the Project/Programs, and below him are the Zonal Managers. Area Managers and Branch Managers. Description of Programs undertaken/ in hand: 1. Adult Education Program From 1998 funded DNFE BRAC. 2. NEEP from 1999, funded by DNFE BRAC 3. Training/ Skill Training Program from 1998 funded by BADC: 4. Savings & Credit Program from 2000, funded by Proshika: 5. Social Forestry Program during 1999-2000; funded by WFP. BADC 6. Distribution of Khash Land among poor People from 2000 to 2007; funded by Samata/DFIFD; 7. Disable Development Program from 1998, funded by CDD Savar & Disable Foundation, Banani, Dhaka. 8. Solid Waste Disposal Management Project from 2002; funded by BEMP/Environment Ministry: 9. HIV/AIDS Awareness Program from 2002: Funded by Drug Control department; and 10. Water & Sanitation Project from 2000; funded by NGO Forum. Work Plan Title of the Project : Prevention of STD/HIV/AIDS through Involving Transport Workers, CSEs, Floating Gay Girls. Action Plan Sl. 01 . 02 . 03 . 04 . 05 . 06

Activities Staff recruitment & training Assessment survey Organize peer educator Training for peer Educators Life skill training for risk group Procure/reproduce

Target 180 persons 1000 persons 100 persons

1st Q *

1st Year 2nd 3rd 4th Q Q * * *

2nd Year 5th 6th 7th 8th Q Q Q Q * * * *

100 persons

1000 persons as per

Remarks

. 07 . 08 . 09 . 10 . 11 . 12 . 13 .

14 .

IEC/BCC Materials Media publication for consciousness & awareness of the mass people Organize workshop seminar with community gate keepers Organize rally, meeting, campaign. Workshop or Drama Production Play Formation of culture

requirement 500 articles

500 nos.

10 nos.

500 events

Organize street drama, folk song, cultural shows Arrange indoor games & cultural functions among the target groups to keep them away from abuse of drug. Arrange medical camp in the highly risk area, refer the detected people to infectious disease hospital if and which necessary.

500 events

150 events

200 nos.

Budget Project Title: Prevention of STD/AIDS through involving Transport Workers, CSWs, Floating Gay Girls Detailed Budget Budget Activities Line 1 Staff recruitment 2 Staff training

180 persons 180 persons

Unit Total cost Taka 1,000 180,000 10,000 1,8000,000

3 4

10000 people 1000 persons

500 5,00,000 50,000 50,000,000

Assessment survey Life skill training & professional support for risk group Organize Peer Educators

Targets

100 persons

1,000

100,000

1st Year

2nd Year

205,000 1,8000,00 0 5,000,000 25,00,000

25,000,000

100,000

6 7.

Training for Peer Educators Organize workshop/seminar with community gate keepers

100 persons 500 nos

Billoard-50 nos Poster10,000 Pricure/Produce StickerIEC/BCC materials 1,00,000 Booklet10,000 Leaflet10,000 Video spot10 nos TV spot-5 nos Tele cast-300 times Media publication 500 articles for consciousness with photo & awareness of the mass people.

Budget Activities Line 10 Organize rally, meeting, campaign. 11 Formation of cultural team 12 Workshop of drama production Play 13 Organize street drama, folk song, cultural shows. 14 Arrange indoor games & cultural function among the target groups to keep them away from abuse of drug. 15 Arrange medical camp in the highly

5,000

5000,000

500,000

50,000 25,000,000

10,000,00 0

15,000,000

1,50,000

7,500,000

3,000,000

4,500,000

100

1,000,000

400,000

600,000

3,000,000

1,200,000

1,800,000

100

1000,000

400,000

600,000

1000,000

40,000

60,000

50,000

5,00,000

200,000

300,000

5,00,000

2,500,000

1,000,000

1,500,000

1,00,000 30,000,000

12,000,00 0 2,000,000

18,000,000

10,000

5,000,000

3,000,000

Total Taka 20,000,000

1st Year

2nd Year

500 nos

Unit cost 40,000

8,000,000

12,000,000

10 nos

50,000

500,000

200,000

300,000

10 nos

100,000

1,000,000

400,000

600,000

500 events

20,000

10,000,000

4,000,000

6,000,000

150 events

120,000

3,000,000

1,200,000

1,800,000

200 nos

200,000

40,000,000

16,000,00 0

24,000,000

Targets

16 17 18 19 20

22 23 24 25

risk area, refer the detected people to infectious disease hospital if and which necessary. Proparation of cinema slide Organization cinema advertisement. Documentary film show Organize religious counseling, moral education Condom promotion among the target group & risky groups. Purchase of medical equipment, laboratory instruments & materials for clinical management of HIV/AIDS. Arrange blood test to determine STD/HIV/AIDS. Provide primary health care knowledge. World AIDS day observation. World health day observation.

Budget Activities Line 26 Organize cross learning visit. 27 Organize goodwill sports with participation of risk groups. 28 Arrange visit of goodwill

10 nos

2000,00 0 150,000

2,000,000

800,000

1,200,000

7,500,000

3,000,000

4,500,000

500 shows

5,000

2,500,000

1,000,000

1,500,000

1200 lesson

20,000

24000,000

9,600,000

14,400,000

15,00,000 pcs

7,500,000

3,750,000

10 Centres

400,000, 000

400,000,00 0

300,000,0 00

100,000,00 0

3,000 persons

1,000

3,000,000

1,500,000

500 courses

50,000

25,000,000

12,500,00 0

12,500,000

20 events

100,000

2,000,000

1,000,000

20 events

100,000

2,000,000

1,000,000

50 cinema hall

Total Taka 5,000,000

1st Year

2nd Year

10 nos.

Unit cost 500,000

2,500,000

50 events

50,000

5,000,000

2,500,000

20 nos.

200,000

4,000,000

2,000,000

Targets

29 30 31 32 33 34 35

36 37 38 39 40

Budget Line

41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57

ambassador. Health fair Health focused drama festival Documentation & Publication Reporting Audit Evaluation Final Report Preparation & Submission Sub-Total Taka

Furniture & Fixture for 15 Offices: Table Computer Table Chair Almirah/File Cabinet Fan Sub-Total Taka

20 events 10 events

500,000 500,000

10,000,000 10,000,000

5,000,000 5,000,000

2,000,000 5,000,000

24 month

500,000

12,000,000

6,000,000

5,000,000

20 nos. 2 times 1 time 1 no.

200,000 100,000 500,000 1,000,00 0

4,000,000 200,000 100,000 500,000

2,000,000 100,000 250,000 500,000

6,000,000 2,000,000 100,000 250,000

1,000,000

500,000

734,880,00 0

367,440,0 00 367,440,0 00

1,200,000 180,000 1,800,000 525,000 151,500 151,500

1,200,000 180,000 1,800,000 525,000 151,500 3,856,500

Total Taka

1st Year

150 nos. 30 nos. 600 nos. 35 nos. 101 nos.

8,000 6,000 3,000 15,000 1,500

Activities

Targets

Unit cost

Vehicles & Equipmentâ&#x20AC;&#x2122;s for 15 Offices: Jeep Ambulance Micro Car Motorcycle Bicycle Computer Telephone Fax DVD Camera Digital camera Multimedia Projector Sound System Refrigerator Air Cooler Generator Color TV

1 1 2 2 25 40 30 20 2 3 5 5 5 10 10 5 10

5,000,000 3,000,000 2,000,000 1,500,000 100,000 5,000 100,000 10,000 20,000 150,000 20,000 200,000 100,000 30,000 60,000 70,000 20,000

5,000,000 3,000,000 4,000,000 3,000,000 2,500,000 200,000 3,000,000 200,000 40,000 450,000 100,000 1,000,000 500,000 300,000 600,000 350,000 200,000

5,000,000 3,000,000 4,000,000 3,000,000 2,500,000 200,000 3,000,000 200,000 40,000 450,000 100,000 1,000,00 500,000 300,000 600,000 350,000 200,000

367,440,00 0

2nd Year

58 59

VCR Musical Instruments Sub-Total Taka

10 10 sets

15,000 50,000

150,000 500,000 25,090,000 Total Taka

150,000 500,000 25,090,000

1st Year

2nd Year

Budget Activities Line 60 Office Rent & utilities for 12 Offices: 61 Office Rent 62 Electric Bill 63 Water & Gas Bill 64 Telephone Bill 65 Postage & Telegram 66 Printing & Stationery 67 Fuel & Maintenance for Motorcycle Fuel & Maintenance for Jeep, Micro, Car, Ambulance Sub-Total = Salary & Allowances: 68 Project Director (PD) 69 Assistant Project Director (APD) 70 Regional Coordinator 71 MBBS Doctor 72 Finance Manager 73 Computer Programmer 74 Field Coordinator

Targets

Unit cost

12 12 12 20 12

15,000 5,000 2,000 3,000 2,000

4,320,000 1,440,000 576,000 240,000 576,000

2,160,000 720,000 288,000 120,000 288,000

20,000

5,760,000

2,880,000

5,000

3,000,000

1,500,000

25,000

4,800,000s

2,400,000

20,712,000

10,356,000

Budget Activities Line 75 Public Relation Officer 76 Documentation & Publication Officer 77 Technician 78 Program Monitor 79 Trainer 80 Internal Auditor

45,000

1,260,000

630,000

35,000

2,940,000

1,470,000

30,000

2,520,000

1,260,000

11 1 1

30,000 30,000 20,000

9,240,000 840,000 560,000

4,620,000 420,000 280,000

20,000

5,600,000

2,800,000

Targets 1

Unit cost 18,000

Total Taka 504,000

18,000

20 3 10 2

18,000 16,000 16,000 16,000

1st Year

2nd Year

252,000

504,000

252,000

10,080,000 1,344,000 4,480,000 896,000

5,040,000 672,000 2,240,000 448,000

81 82 83 84 85 86 87 88 89 90 91

Budget Line 92 93

Health Assistant Accountant Media Communicator Computer Operator Nurse Health Motivator Driver Service Staff Peer Educator (part time) Executive Director (Partial)

11 16 20

10,000 10,000 10,000

3,080,000 4,480,000 5,600,000

1,540,000 2,240,000 2,800,000

3 22 50 10 20 100

8,000 7,000 6,000 6,000 5,000 3,000

672,000 4,312,000 8,400,000 1,680,000 2,800,000 8,000,000

336,000 2,156,000 4,200,000 840,000 1,400,000 4,200,000

25,000

700,000

350,000

80,892,000 4,044,600

40,446,000

40,446,000 4,044,600

84,936,600

40,446,000

44,490,600

Salary 10% increase in 2nd year Sub-Total Salary Activities Total Program Cost Taka TA & DA 15% on Staff Salaries Total Taka Contingency & Miscellaneous 5% on total budget Total Taka Overhead cost 10% Total Taka VAT & Tax 2.5% on total budget Grand Total Taka

Targets

Unit cost

Total Taka

1st Year

865,430,500 447,188,500 12,133,800

2nd Year 418,242,000

6,066,900

877,564,300 453,255,400 43,878,215 22,662,770

424,308,900 21,215,445

921,442,515 475,918,170 92,144,252 47,591,817

445,524,345 44,552,435

1,013,586,76 523,509,987 7 25,339,669 13,087,750

490,076,780

1,038,926,43 536,597,737 6

502,328,699

12,251,919

Grand Total Taka= 1,03,8926,436/- = (One hundred three crore eighty nine lac twenty six thousand four hundred thirty six) only. PROJECT PROPOSAL ON STD/AIDS Program in the Field of Truck, Bus Drivers, Commercial Sex Worker, Brothels & Floating Gay Girls with Clinical Management Program Title of the Project:

Prevention of STD/HIV/AIDS through Involving Transport Workers, CSWs, Floating Gay Girls. Introduction/Relevance: Bangladesh with its 127 million population is still fortunate to be a low prevalent country for HIV/AIDS as revealed in three consecutive sentinel surveillances, although geographically the country is located in continuity with two very high prevalent nations. The first HIV positive case in this country was detected in 1989 and according to government sources, till date. A total of 157 HIV positive cases have been reported in which the male population predominates. From available information, so far 17 HIV infected persons developed AIDS of which 11 already died: In reality, HIV/AIDS epidemic in Bangladesh is not very well understood and the existing situation is only partly known. Although it is not known exactly how many people are infected, it is true that HIV is being detected among our population especially among vulnerable cohorts. The first National Sentinel Surveillance (1998-1999) revealed an overall HIV prevalence among the high-risk behavior practicing sample population to be 0.4% and in second survey (1999-2000) it was 0.2%. However, the sample size of the two surveys were different and new categories of high-risk population were included as sample in the second survey. The first survey revealed that the rate of scropositivity in brothel population was six per 1000 sex workers. Among injecting drug users (IDUs). The rate was 25 per 1000 population. The study also found that 13% of the strict based female sex workers had injected themselves with drugs, although none of those had been tested positive for HIV. No HIV was found in a sample of truckers. Some people coming to government STD clinics in some parts of the country also had HIV, about three per 1000 population. Among men who have sex with men (MSM). HIV sepopositivity was found at a rate of about 2 per 1000 people. Epidemiologically, the findings of the second sentinel survey did not have a significant difference but it did increase the reliability of the previous findings. Findings of the third surveillance (2000-2001) have just been made available. Surveillance finding nevertheless concluded that high level of behavioral risk factors for the acquisition of HIV infection are very much in existence at least among the sampled population. It is specifically clear from the surveillance that some groups of people who practice high-risk sexual behavior have a large number of sexual partners, averaging between 12 and 40 per year. Each sex workers, of course, has many more, around 1000 per year. KABP survey findings: When the sentinel surveillances showed the above figures, a number of studies and KABP surveys showed a very low knowledge on HIV/AIDS among different population groups. According to a study done in 1999, only 11.59% of surveyed population could mention AIDS as a sexually transmitted disease and 54% respondents have mentioned that having sex with HIV positive person can spread AIDS. Another KABP survey conducted on potential and returnee migrant workers revealed that 61% have heard of AIDS, only 4% of them have the full knowledge on the modes of transmission, 43% have partial knowledge and the rest 53% have cither misconception or no knowledge on the modes of transmission of HIV/AIDS. STD prevalence: In spite of the low prevalence of HIV in the country, many factors suggest that HIV may spread rapidly in the near future. For example, studies have shown high rates of STDs in various populations. In 1989, syphilis rates of 56% and 39% and 39% were found among

floating and institutional SWs respectively. In 1997, 54% of 980 SWs gave a history of present or past symptomatic STDs. Recent reports indicate high levels of STDs amongst various other groups. As in many other Asian countries, condoms are not generally the preferred method of contraception. Furthermore, knowledge of condoms as a means to prevent STDs is very low. Existing high-risk behavioral practice: Moreover, sex outside marriage night be more widespread than traditionally acknowledged. Documented sexual practices include premarital, extramarital and male-to-male sex particularly among youth . For example, some studies indicated a high percentage of youths to have experience of sex before marriage and occurrences of induced abortions among women. Sixty percent of long distance truck drivers have sex with commercial sex workers about twice a month without any knowledge of HIV/AIDS. Extra-marital sex appears to exist even in rural societies and in particular where husbands are absent for long periods. Important studies of the sex industry identified large numbers (100,000) of generally non-literate SWs whose customers represent all segments of society. Female SWs have an average of 2-5 clients a day, making the number of clients about half a million men a day. Migration issues: Bangladesh has large member of international and national migrant laborers, transport workers and uniformed personnel. These individuals spend extensive periods away from their families that contribute to getting involved in new and different types of sexual relationships. Transponder mobility is high. Bangladesh also hosts large communities of expatriate refugees while itself having with refugee status in bordering countries. Injecting drug users: Available data from Client Monitoring System of Department of Narcotics Control and other research reports shows that prevalence of injecting drug use (IDUs) is on the rise. Most injecting drug users (IDUs) in Bangladesh share needles. In some areas the professional injectors use one needle for many IDUs. There are estimated 25,000 IDUs mainly in Dhaka. Khulna, and other towns including border areas. prevalence of STDs in quite high among drug users in general. A considerable proportion of IDUs are clients of sex workers and many IDUs are married, putting their family members at a higher risk of disease transmission. As mentioned earlier, the First National Surveillance for HIV and syphilis among the population practicing high-risk behavior showed highest seropositvity for HIV among IDUs that was 2.5â&#x20AC;?. Second surveillance has shown almost the similar trend. Blood transfusion services: The existing blood transfusion system is not yet without risk of HIV transmission and improvement in the existing facilities is underway. Problems include approximately 200,000 required units of blood is currently largely (70-75%) provided by professional blood donors of whom approximately 20â&#x20AC;? are positive for hepatitis B and/or syphilis. In addition to providing safe (serviced) blood the added risk of transmission caused by medical/surgical/dental procedures needs to be considered in the light of under-practiced universal safety precautions. Contextual features: Bangladesh has many special contextual features that are relevant to HIV infection. These include widespread poverty, unequal access to health services, often-subordinate status of women, and low literacy and education levels. All combine to restricting knowledge in

relation to health and negotiating power in matters of sex. A multi-sectoral response, and policy level support and commitment for empowerment of vulnerable groups to address the issues like stigma and discrimination are yet to be properly visualized. Research: Research, especially operational research, in the field of HIV and AIDS is very limited in this country. Operational research is an essential component of effective implementation of any program particularly those related to preventive actions and other cross cutting issues. Possibility of an epidemic: The above mentioned factors indicate that the present HIV situation could evolve rapidly into an impending and escalating epidemic in this country with serious health and socioeconomic consequences. The epidemic of AIDS could bring, in future, needs for major adjustments for individuals and their families, the health system both in terms of human and financial resources, disintegration of family structures, problems relating to increased poverty, numbers of orphans and abandoned children, and shortage of manpower in agriculture, industry and other sectors can be apprehended. As of middle of this year, levels of HIV were low and appeared to have been increased quite slowly over the past few years. At this moment it is not possible to product how much more it would increase and how rapid such an increase would lake place. Only continuous and repeated surveillance will be able to provide us the right kind of information. Form the information so far available, it may be assumed that Bangladesh is in the pre-epidemic stage for HIV (i.e. HIV prevalence did not exceed 1% among the sex workers and HIV has not disseminated to the general population. If an epidemic irrupts, it will irrupt first among the population of low-fee sex workers with the highest average turnover of customers. The sex workers with the highest partner turnover are low-ice brothel based SWs. HIV will be introduced into these high volume sex network primarily by male foreign transport workers, traders or seatiarers from nearby countries who regularly frequent towns and ports along the Bangladesh border, and/or by male Bangladeshi transport workers, traders or seafarers who have commercial sex encounters in high prevalence areas of nearby countries and regularly return to Bangladesh. It may thus be said that even though the spread of HIV infection in this country has been slow, its continuous detection, even though at a low level, call for an immediate action. We cannot miss this window of opportunities for a preventive action and let the epidemic to scale up. Rather, there is very little scope for complacence and there are only very strong reasons for concern. Prevention and intervention initiatives: Fortunately, Bangladesh has been appreciably prompt for a timely response to prevent the epidemic. This is manifested, among others, by adopting a national policy, developing a longterm strategy, initiating multi-sectoral program implementation, increasing partnership with NGOs and other community organizations developing regular surveillance system, prioritizing targeted intervention, ensuring participation of PLWJIA in preventive action, initiating safe blood transfusion efforts, attracting donor support and resource mobilization, and making some major breakthrough in the field of information dissemination. Overview of the Project:

How will the project address the problems? The proposed project will address specify segments of people living in Mymenshing. SSKS has some information on these particular population. Yet a quick assessment survey will be conducted to identify the socio-economic and health status and level of awareness on SRI 1 of the men. Women and adolescents of these communities more specifically. This will be done through interview. Focus Group Discussion (FGD) and review of documents available with SSKS and with relevant organizations. The survey report will help procuring BCC materials form other sources and conducting group learning sessions and meetings. For optimum utilization of resources, available BCC materials on SRM will be reviewed and will be procured according to target people’s literacy status. The following strategies will be adopted to combat the risk of STI), HIV/AIDS among the target people. • • • • • • • •

Expected Results: In general, the following major results are expected after the completion of the project. 6. 7. 8. 9. 10.

Level of knowledge, attitude and practice on prevention of STI/HIV/AIDS among men. Women and young people of the project area improved. Positive changes in sex practice meaning practice of ABC (Abstinence, Be faithful & condom) will take place; promiscuity, premarital and extra marital sex will be discouraged and condom use rate will be increased. Health seeking behavior will be improved among target beneficiaries specially in preventive side. Provision of RTI/STI service will be utilized in SSKS clinical facilities by the target people. Good referral network will be developed from Held to clinic of SSKS.

Statement of the Objectives: Board goal: Increase awareness on STD/HIV AIDS and bring about positive change in sexual and reproductive health behavior.

Objectives, specific results, or desired effects: Objectives Specific results/desired effects 1. To disseminate information on STD/AIDs 1. Men, women and young people of project to the target beneficiates thgough peer area become aware on STD HIV/AIDS and approach and group learning sessions. behavioral change taken place among them. 2. To create general awareness on STD/AIDS 2. General awareness created in the in the project area through sports, folk songs, community and people become motivated to campaign, rally, workshops, seminars. participate in the program. 3. To bring about positive change in SRII 3. Married men and women practice rational behavior among beneficiaries. and safe sex, increased use of condom. 4. Unmarried adolescents become aware about the hazards of indiscriminate sex practice. 4. To promote condom duel protection 1. Rate of condom use increased method. 2. Provision of RTI/STI Service utilization in clinic facility increased. Strategies: SSKS will adopt following strategies to implement the project: •

• • •

•

Risk group assessment: Information on risk group will be collected, compiled and analyzed through questionnaire survey. A data bank will be prepare on the risk group using computer software. Meeting, Seminar, Workshop: Meeting Seminar, Workshop will be organized involving people of different backgrounds including the risk groups. Peer Education: Peer Education (PEs) group will be developed, trained & oriented to work among the risk population. Both male & Female will be included in Peer Education group. Mass media campaign: Information on STD/HIV AIDS and related matters will be disseminated displayed through mass media channels. Under the project cultural groups will arrange different performance on HIV/AIDS issues. Health Promotion: Health education, treatment, blood testing will be carried out through organizing mobile health camps in different places of the working area. The project deploy doctor, health workers, nurse, volunteers, peer educators to perform health related activities. Coordination : Necessary coordination & communication will be done to implement the project activities. The NGO will seek cooperation of the government machineries related nongovernment organization for smooth functioning of the project activities.

Expected outputs: 11. One rapid assessment survey conducted on SRI 1 and report published. 12. At least two videos on HIV AIDS procured and exhibited. 13. 10,000 copies of a poster and 10,000 leaflets procured/reprined, distributed and displayed. 14. 500 group learning sessions organized. 15. Sports events organized to the target audience. 16. Six workshops with community leaders and gate keepers organized. 17. One grand cultural show organized. 18. Indigenous cultural/folk song shows organized involving beneficiaries. 19. Arranged visit of two national celebrities as Good will Ambassador to the project areas. 20. AIDS day celebrated through rally and discussion. Project Activities: • • • • • • • • • • • • • • • • •

• •

• • • • • • • • • • • • • • •

to keep them away from abuse of drug. Organize cultural shows and sports at the project locations. Arrange medical camp in the highly risk area, refer the detected people to infections disease hospital if and which necessary. Preparation of cinema slide Organize cinema advertisement. Documentary film show Organize cinema advertisement. Moral education Condom promotion among the target groups & risky groups Arrange blood test to determine STD/HIV/AIDS. Provide primary health care knowledge. Organize health fair Health focused drama festival Organize grand cultural show/drama festival at Kushtia. Organize cross learning visit. Arrange visit of two celebrities as Good will Ambassadors to the project areas. Word AIDS Day observation Reporting

• •

Monitoring & evaluation Audit

•

Final Report Submission.

Preparation

3 Regional Office

Mobile Health Services

MBBS 10

Project Director-1 Asst. Project Director-2 Doctor- Finance Manger-1

Regional Coordmater-2

Computer Programme-1

Computer Operator-2

Public Relation Office-1 Technician-20 Documentation Publication Office-1 Internal Auditor-2 Health Assistant- Accountant-2 1 Nurse-20 MIS Associate-2

Driver-2 Service Staff-10 23

Driver-1 Service Staff-1 53

Field Coordinator-10

Program Monitor-2

Accountant-10

Trainer-5 Accountant-2

Media Communicator-20 Health Motivator-40 Service Staff-10 90

Head Office

Driver-3 Service Staff-4 20

Sustainability: To project will create awareness on HIV/AIDS among 10,000 families. It will also bring about behavioral change in their sex practice and develop improved health seeking habit in them. The project hopes that the positive behavioral changes will be retained in these populations and the programmatic sustainability will be achieved. They will continue to receive these benefits even after expiry of the project as the project expects sustainable behavioral change. Justification of the Project: The project is justified in terms of the following context: •

•

Floating sex businesses are on rise in the area due to some social, economical & natural causes. The floating sex workers sell sexes in terminals, ports, railway stations and elsewhere and are vulnerable to HIV/AIDS. The lack safe sex knowledge and health related information. Preventive measures against HIV/AIDS is not sufficient enough in comparison to the severity of the problem. The vulnerable groups have less access to the existing facilities & resources also. This promotion of preventive measures calls for urgent needs in the area. Most of the injecting drug users in the area are in the age group of 25-40 years. Nearly half of them are married. According to the behavioral data available most of the drug users have been injecting for more than 4 years. Most injectors have about 20 shots a week, needle sharing is quite common. Clearing practices are not safe. Most of them are sexually active. Increasingly they have been vulnerable to STD/HIV AIDS infection and needs preventive intervention.

Project Monitoring: The activity monitoring system will have several purposes. The general purpose of the system will be to collect information about what is happening in the field and to interpret is so that timely decision can be made about the management of the program and timely corrective actions taken when needed based on the accurate field data. Monitoring information will include. • Project information • Information about individual performance • Information about resources usage • Quality control • Feedback on effective information campaign • General Information A special process will also be setup for monitoring & feeding back to the head office the experiences in working documentation of experiences from field, bottlenecks encountered, constraints, problems & success will feedback. So that problems can be solve and successes can be shared. Evaluation: Both internal & external evaluation will be conducted. Project staff will carry out internal evaluation. External evaluation will be conducted after the end of the project. Donor & government representative will be most welcome in the external evaluation team. Reporting: Reporting flow chart of the project is shown below: Donor/GOB Governing Body

Executive Director Project Director Asst. Project Director

MBBS Doctor

District Coordinator

Nurse

Trainer Program Monitor

Supervisor Health Provider/Peer Educator Community Mobilizer

Auditing: Internal auditor will carry out internal audit as routine work. Project accounts will be audited & verified by external auditor annually. About Manab Kalyankami Anathalaya (MKA) Manab Kalyankami Anathalaya (MKA) was established in the year 1994. Organizational and Governance Structure of the Organization: Manab Kalyankami Anathalaya (MKA) is governed under the Cooperative Societies Registration Act, For all practical purposes. It is governed under the norms of a non-profit and non-political voluntary organization. This is a three-tier organization the central head office, the zonal Area office and the branch office. The organization is governed by a General Body at the apex level, followed by an Executive Body, chaired by the President and functioned by the Vice President. Below the General Secretary and Cashier. There are three functional Executive Members. The project Coordinator coordinates the Project/Programs, and below him are the Zonal Managers. Area Managers and Branch Managers. Description of Programs undertaken/ In hand: 11. Adult Education Program From 1998 funded DNFE BRAC. 12. NEEP from 1999, funded by DNFE BRAC 13. Training/ Skill Training Program from 1998 funded by BADC: 14. Savings & Credit Program from 2000, funded by Proshika: 15. Social Forestry Program during 1999-2000; funded by WFP. BADC 16. Distribution of Khash Land among poor People from 2000 to 2007; funded by Samata/DFIFD; 17. Disable Development Program from 1998, funded by CDD Savar & Disable Foundation, Banani, Dhaka. 18. Solid Waste Disposal Management Project from 2002; funded by BEMP/Environment Ministry: 19. HIV/AIDS Awareness Program from 2002: Funded by Drug Control department; and 20. Water & Sanitation Project from 2000; funded by NGO Forum. Annex-2 Work Plan Title of the Project : Prevention of STD/HIV/AIDS through Involving Transport Workers, CSEs, Floating Gay Girls.

Action Plan Sl. Activities 01. Staff recruitment & training 02. Assessment survey 03. Organize peer educator 04. Training for peer Educators 05. Life skill training for risk group 06. Procure/reproduce IEC/BCC Materials 07. Media publication for consciousness & awareness of the mass people 08. Organize workshop seminar with community gate keepers 09. Organize rally, meeting, campaign. 10. Workshop or Drama Production Play 11. Formation of culture 12. Organize street drama, folk song, cultural shows 13. Arrange indoor games & cultural functions among the target groups to keep them away from abuse of drug. 14. Arrange medical camp in the highly risk area, refer the detected people to infectious disease hospital if and which necessary.

1 Q *

1st Year 2nd 3rd Q * *

4 Q *

2nd Year 5th 6th 7th 8th Q Q Q Q * * * *

100 persons

1000 persons as per requirement 500 articles

500 nos.

10 nos.

500 events 500 events

* *

150 events

200 nos.

Target 180 persons 1000 persons 100 persons

Remarks

Annex â&#x20AC;&#x201C; 3 Budget Project Title: Prevention of STD/AIDS through involving Transport Workers, CSWs, Floating Gay Girls Detailed Budget Budget Activities Line 1 Staff recruitment 2

Staff training

Assessment survey Life skill training & professional support for risk group Organize Peer Educators Training for Peer Educators Organize workshop/seminar with community gate keepers

5 6 7.

Pricure/Produce IEC/BCC materials

Media publication

Total Taka 180,000

1st Year

1,8000,00 0 5,00,000

1,8000,000

50,000

50,000,00 0

25,00,000

100 persons 100 persons 500 nos

1,000

100,000

5,000

5000,000

500,000

50,000

25,000,00 0

10,000,000

15,000,000

Billoard50 nos Poster10,000 Sticker1,00,000 Booklet10,000 Leaflet10,000 Video spot-10 nos TV spot-5 nos Tele cast300 times 500

1,50,000

7,500,000

3,000,000

4,500,000

100

1,000,000

400,000

600,000

3,000,000

1,200,000

1,800,000

100

1000,000

400,000

600,000

1000,000

40,000

60,000

50,000

5,00,000

200,000

300,000

5,00,000

2,500,000

1,000,000

1,500,000

1,00,000

30,000,00 0 5,000,000

12,000,000

18,000,000

2,000,000

3,000,000

Targets

Unit cost

180 persons 180 persons 10000 people 1000 persons

1,000 10,000 500

10,000

2nd Year

205,000

5,000,000 25,000,000

for consciousness & awareness of the mass people. Budget Activities Line 10 Organize rally, meeting, campaign. 11 Formation of cultural team 12 Workshop of drama production Play 13 Organize street drama, folk song, cultural shows. 14 Arrange indoor games & cultural function among the target groups to keep them away from abuse of drug. 15 Arrange medical camp in the highly risk area, refer the detected people to infectious disease hospital if and which necessary. 16 Proparation of cinema slide 17 Organization cinema advertisement. 18 Documentary film show 19 Organize religious counseling, moral education 20 Condom promotion among the target group & risky groups.

articles with photo 1st Year

2nd Year

40,000

Total Taka 20,000,000

8,000,000

12,000,000

10 nos

50,000

500,000

200,000

300,000

10 nos

100,000

1,000,000

400,000

600,000

500 events

20,000

10,000,000

4,000,000

6,000,000

150 events

120,000

3,000,000

1,200,000

1,800,000

200 nos

200,000

40,000,000

16,000,000

24,000,000

10 nos

2000,000

2,000,000

800,000

1,200,000

50 cinema hall

150,000

7,500,000

3,000,000

4,500,000

500 shows

5,000

2,500,000

1,000,000

1,500,000

1200 lesson

20,000

24000,000

9,600,000

14,400,000

15,00,000 pcs

7,500,000

3,750,000

Targets

Unit cost

500 nos

22 23 24 25

Purchase of medical equipment, laboratory instruments & materials for clinical management of HIV/AIDS. Arrange blood test to determine STD/HIV/AIDS. Provide primary health care knowledge. World AIDS day observation. World health day observation.

10 Centres

400,000, 000

400,000,00 0

300,000,000

100,000,000

3,000 persons

1,000

3,000,000

1,500,000

500 courses

50,000

25,000,000

12,500,000

20 events

100,000

2,000,000

1,000,000

20 events

100,000

2,000,000

1,000,000

Budget Activities Line 26 Organize cross learning visit. 27 Organize goodwill sports with participation of risk groups. 28 Arrange visit of goodwill ambassador. 29 Health fair 30 31 32 33 34 35

Health focused drama festival Documentation & Publication Reporting Audit Evaluation Final Report Preparation & Submission Sub-Total Taka

Furniture & Fixture for 15 Offices: Table

1st Year

2nd Year

500,000

Total Taka 5,000,000

2,500,000

50 events

50,000

5,000,000

2,500,000

20 nos.

200,000

4,000,000

2,000,000

20 events

500,000

5,000,000

2,000,000

10 events

500,000

5,000,000

24 month

500,000

6,000,000

5,000,000

20 nos. 2 times 1 time 1 no.

200,000 100,000 500,000 1,000,00 0

10,000,00 0 10,000,00 0 12,000,00 0 4,000,000 200,000 100,000 500,000

2,000,000 100,000 250,000 500,000

6,000,000 2,000,000 100,000 250,000

1,000,000

500,000

734,880,0 00

367,440,00 0 367,440,00 0

1,200,000

Targets 10 nos.

150 nos.

Unit cost

8,000

367,440,0 00

37 38 39 40 Budget Line

41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59

Computer Table Chair Almirah/File Cabinet Fan Sub-Total Taka

30 nos. 600 nos. 35 nos. 101 nos.

Activities Vehicles & Equipmentâ&#x20AC;&#x2122;s for 15 Offices: Jeep Ambulance Micro Car Motorcycle Bicycle Computer Telephone Fax DVD Camera Digital camera Multimedia Projector Sound System Refrigerator Air Cooler Generator Color TV VCR Musical Instruments Sub-Total Taka

6,000 3,000 15,000 1,500

Targets

Unit cost

1 1 2 2 25 40 30 20 2 3 5 5 5 10 10 5 10 10 10 sets

5,000,000 3,000,000 2,000,000 1,500,000 100,000 5,000 100,000 10,000 20,000 150,000 20,000 200,000 100,000 30,000 60,000 70,000 20,000 15,000 50,000

180,000 1,800,000 525,000 151,500 151,500

180,000 1,800,000 525,000 151,500 3,856,500 1st Year

Total Taka

5,000,000 3,000,000 4,000,000 3,000,000 2,500,000 200,000 3,000,000 200,000 40,000 450,000 100,000 1,000,000 500,000 300,000 600,000 350,000 200,000 150,000 500,000 25,090,000

2nd Year

5,000,000 3,000,000 4,000,000 3,000,000 2,500,000 200,000 3,000,000 200,000 40,000 450,000 100,000 1,000,00 500,000 300,000 600,000 350,000 200,000 150,000 500,000 25,090,00 0

1st Year

2nd Year

4,320,000 1,440,000 576,000 240,000 576,000

2,160,000 720,000 288,000 120,000 288,000

20,000

5,760,000

2,880,000

5,000

3,000,000

1,500,000

Targets

Unit cost

12 12 12 20 12

15,000 5,000 2,000 3,000 2,000

12 25

Total Taka

68 69 70 71 72 73 74

Fuel & Maintenance for Jeep, Micro, Car, Ambulance Sub-Total = Salary & Allowances: Project Director (PD) Assistant Project Director (APD) Regional Coordinator MBBS Doctor Finance Manager Computer Programmer Field Coordinator

Budget Activities Line 75 Public Relation Officer 76 Documentation & Publication Officer 77 Technician 78 Program Monitor 79 Trainer 80 Internal Auditor 81 Health Assistant 82 Accountant 83 Media Communicator 84 Computer Operator 85 Nurse 86 Health Motivator 87 Driver 88 Service Staff 89 Peer Educator (part time) 90 Executive Director (Partial) 91

Budget

25,000

2,400,000

20,712,000

10,356,000

45,000

1,260,000

630,000

35,000

2,940,000

1,470,000

30,000

2,520,000

1,260,000

11 1 1

30,000 30,000 20,000

9,240,000 840,000 560,000

4,620,000 420,000 280,000

20,000

5,600,000

2,800,000

Targets

Total Taka 504,000

1st Year

2nd Year

Unit cost 18,000

18,000

20 3 10 2 11 16 20

252,000

504,000

252,000

18,000 16,000 16,000 16,000 10,000 10,000 10,000

10,080,000 1,344,000 4,480,000 896,000 3,080,000 4,480,000 5,600,000

5,040,000 672,000 2,240,000 448,000 1,540,000 2,240,000 2,800,000

3 22 50 10 20 100

8,000 7,000 6,000 6,000 5,000 3,000

672,000 4,312,000 8,400,000 1,680,000 2,800,000 8,000,000

336,000 2,156,000 4,200,000 840,000 1,400,000 4,200,000

25,000

700,000

350,000

80,892,000 4,044,600

40,446,000

40,446,000 4,044,600

84,936,600

40,446,000

44,490,600

1st Year

2nd Year

Salary 10% increase in 2nd year Sub-Total Salary Activities

4,800,000s

Targets

Unit

Total Taka

Line 92 93

cost Total Program Cost Taka TA & DA 15% on Staff Salaries Total Taka Contingency & Miscellaneous 5% on total budget Total Taka Overhead cost 10% Total Taka VAT & Tax 2.5% on total budget Grand Total Taka

865,430,500 447,188,500 12,133,800

418,242,000

6,066,900

877,564,300 453,255,400 43,878,215 22,662,770

424,308,900 21,215,445

921,442,515 475,918,170 92,144,252 47,591,817

445,524,345 44,552,435

1,013,586,76 523,509,987 7 25,339,669 13,087,750

490,076,780

1,038,926,43 536,597,737 6

502,328,699

12,251,919

Grand Total Taka= 1,03,8926,436/- = (One hundred three crore eighty nine lac twenty six thousand four hundred thirty six) only.