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(The People’s Health Centre) (The People’s Health Centre) 1

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

1

Red pin =There are six Referral Hospitals

Blue pin = Primary Health

Center

District : 21

Upazila : 27

Union : 37Static centre : 43Referral hospital : 06Population : 1253945

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 Grame Cholo Gram Goro “(Let us

go to Village and build Village)

Vision Fate of the poor decides the

progress of the country Development of the country

depends on development of women

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132 Eskaton Road, Dhaka

• To find ways and means for providing complete and comprehensive health care delivery system

• To sponsor projects for the social and economical development for poor people and particularly to restore control by women.

• To launch some exemplary activities for the enlistment of the fate of the general public which would influences on all public or private future development planning

• To promote more self-reliance to reduce the tendency to depend on others

Major Objectives

Some key points Health service delivery taken as a key issue

to change the attitude of the people towards health care

Primary Health Care at Community level taken as entry point

Female paramedic recruited for better acceptance by the community Started first and only non GOB Paramedical Training Centre. Female worker started riding bicycle (a revolutionary initiation in 1974)Empower the ordinary people to look after their Health,

Education and income generationIn 1977 GK trained female worker to perform minilaparatomyGK trained women in different vocational training including

motor driving

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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.

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- Educated village girls/women trained as health workers.

- Emphasis on providing mother and child health care services eg. ANC PNC, child birth, immunization, health education, treatments of common ailments, referral, providing essential drugs etc.

- Providing services at community and doorstep by health workers and specialized camps.

- Referral of complicated cases to secondary and tertiary care hospitals.

GK’s health care model

Ante natal care (ANC) Post natal care (PNC)Safe delivery at home by TBA and paramedicBlood transfusion at community level. Newborn and child care-(AMBU Bag And Foetal Monitor provided).Family planning, Immunization, Paramedic consultation in the community. General Practitioner consultation at Health centers & Sub centers., Treatment of common diseases, Eye sight testing and Dental Checkup Provision of 100 essential drugs, Oxygen & IV Fluids. Basic Blood, Stool, Urine, Cough and CSF Examination.Blood transfusion facilities.Minor Surgery (Removal of tumor, Circumcision etc) under local anesthesia. Care for the destitute, elderly and disabled personCommunity physiotherapyHeath and Nutritional EducationSchool Health Education & health examinationDetection and treatment of NCDsReferral to secondary and tertiary care hospital

Primary Health Care

During Disaster

Medical Team in natural calamity

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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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Health Services in Char AreaHealth Services in Char Area

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Rickshaw pullers and Van Rickshaw pullers and Van pullers Cooperative Health pullers Cooperative Health

Program Program

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1.

Hazaribagh

2. Bottala

Pulpar

3. Adabar

4. Pallabi

5.

Kawranbazar

6. Koriel

Bosti

7. Bagunbari

8. Sutrapur

1

8

2

3

4

6

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

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Others program of Gonoshasthaya Kendra 

i. Gonopatshala (Primary Education for the Poor)ii. Gonoshasthaya Institute of Health Sciencesiii. Gono Bishwabidyalay- helpful to combat struggles of lifeiv. Gonoprokashani (Publication Section)

v. Women’s Vocational Center)vi. Gono Shilpalaya (Metal Workshop)vii. Gono Kathkarkhana (Wooden furniture section)viii. Women's Motor Driving Schoolix. Gonoshasthaya Pharmaceuticals Ltd.

x. Gonoshasthaya Antibiotic Ltd. xi. Gonoshasthaya Basic Chemicals Ltd. xii. Gonoshasthaya Foods Ltd xiii. Gonoshasthaya Credit Co-operative Society Ltd. Xiv. Seasonal-Credit for Eradicating Poverty xv. Gonoshasthaya Krishi Somobaya (Agriculture co-

operative)

Achieved MDG 4 & 5

GKs innovative approach has given good dividend to achieve MDG 4 and 5. GK had achieved MDG 5. Now MMR of GK working area is 168 per 100,000 Live birth, National is 194 (BMMS 2010). Also GK has achieved MDG 4. Now IMR of GK working area is 18/1000 live births, National is 43 (BDHS 2013)

Alma Ata declaration for Health-for-all in 1978 based on the experience of GK

Magsaysay Award

Right livelihood Award

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.

1977

Bangladesh has Awarded the Independence Day Award, 1977 ( 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:

Today GK has increased its overage to more than 1.2 million rural population with 43 PHC centers in 631 villages across the country with 6 referral hospitals.