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     ASHA PROJECT
    (HOPE PROJECT)
          Sparkman Global Health
            Case Competition
                 Team 6
Justine Goetzman, Isabella Hincapie Agudelo, Lassane
       Kabore, Maya Mukundan, Natalie Wilson
Problem Analysis:
2
    Infrastructure
                                                    Vulnerability to
                                                    destruction and
                                                       flooding
                           Coastal Location

                                                  Remote from Shelters




    Inadequate Housing                              Unsustainable to
         & Shelters                                  future disaster
      Homes Damaged      Transitional materials
        (N=191,657)           & Methods

                                                   Increases expense



                         Underdeveloped land
                          tenure & property         Scarcity of Land     Displacement
                            rights systems
Problem Analysis:
3
    Economic
                                       Lack of
                                   Diversification
                                  (main source of
                   Agricultural       income)
                   Destruction
                                  Livestock Loss



                                     Schools
      Economic
     Devastation    Resource           (Fully
                    Depletion      Damaged N=
                                        230;
                                       Partial
                                    Damage N
                                       =335)
                                      Injuries
                                    (N=16,310)
                   Family Loss                       Loss of Income
                                     Death (N=
                                       1,292)
Problem Analysis:
4
    Disaster Preparedness


                           Reactive Focus on
                              Relief and          Lack of risk
                             Rehabilitation        reduction
    Ineffective Disaster
      Plan Approach
                                               Lack of Community
                           Outdated Program     awareness of the
                                 1972               Disaster
                                               Management Plan
Problem Analysis:
5
    Poor Access to Health Resources
                              Contaminatio
                                  n with
                              saline, fecal
                              matter, arsen
                               ic, & other
                     Water        debris
                               Destruction
                               of Latrines
       Access to               Destruction
         Safe                    of food
      Water, Food,            supply, crops,
                     Food
      and Health
                              livestock, stor
                               age facilities
                                  Lack of
                                  trained
                                 providers
                     Health                     Disparity
                                 Cultural
                                 Barriers
                                                Gender
Strategic Plan
6




                 Improve the lives of community affected by natural
              disasters by providing sustainability through exponential
               capacity building & empowerment via implementing a
                                  training program



                          Economic
    Infrastructure      Development &           Disaster
                                                                     Health Care
    Development          Agricultural         Preparedness
                        Diversification
Strategic Plan
7


                              Economic
      Infrastructure       Development &         Disaster
                                                                   Health Care
      Development            Agriculture       Preparedness
                           Diversification
    • Individual       •   Microcredit       • Training         • Village Health
      Cyclone              System              Community          Leader Training
      Resistant        •   Diversify Crops     Leaders          • Nurse
      Homes            •   Blanket Making    • Disaster           Practitioner
    • Water Supply         & storage           Training in        Program
      • Rainwater      •   Animal Skin         Schools            (2/Village)
        harvesting         Processing for    • Community        • Primary Care
      • Rooftop            hide                Awareness of     • Disaster AID
        Catchment                              the CDMP           • First Aid &
        areas                                  Protocol             Triage
      • Sanitation                           • Development of     • Counseling
        (Community                             the CORE
        Latrines)                              Council
Scalability
8


       Pilot: 100 people from the most affect village
        through application process
       Recruitment every month
       50 homes per month
       Expanding to every village
       Model for other disaster areas
Budget-Total=20 M US $
9


                 10%
            1%




      20%
                                Infrastructures
                                Economic development
                                Disaster preparedness
                                Health care



                       69.00%
DETAILED BUDGET OF PROPOSAL DEVELOPMENT IN BARGUNA DISTRICT/TEAM#6


                                                                                      GRAND TOTAL                20000000
10   Objective 1                                                     #items           cost per unit          %
     INFRASTRUCTURES DEVELOPMENT                                                                                    69.34              13868000
                   House building                                              6280        1573.248408                49.4              9880000
                   Tube wells                                                  1330        1503.759398                    10            2000000
                   Latrines                                                   40000                     50                10            2000000
     Objective 2                                                                                                                                  0
     ECONOMIC DEVELOPMENT AND AGRICULTURE DIVERSIFICATION                                                                 20            4000000
                   Crops diversification                                       4000                    500                10            2000000
                   Microcredit                                                                                            10            2000000
                   Advocacy for property rights                                                              integrated             #VALEUR!
                                                                                                                                       13880000
     Objective 3
     ENHANCING DISASTER PREPARDNESS                                                                                   0.66                   132000
                   Training community leaders                                   560                    100            0.28                    56000
                   Meetings of the core counsel                                 560        35.71428571                    0.1                 20000
                   Training children in schools                                 560                    100            0.28                    56000
     Objective 4                                                                                                           0
     IMPROVING HEALTH CARE                                                                                                10            2000000
                   Training village health leaders                              560                   1000                                   560000
                   Providing primary health care (prevention, promotion)        560                                             integrated
                   Training on disaster aid                                     560                   1000                2.8                560000
                   Acquiring computers for teleconference                       560                   1000                2.8                560000
                   Medicines                                                                                              1.6                320000
Partnerships
11


        CORE Council
          Coordinationof response and focusing energy
          toward sustainability & risk reduction
        Save the Children
          Training   Village Health Leaders
        BRAC
          Obtaining   new livestock
        CDMP Committee
Monitoring & Evaluation
12


               Monitoring                        Evaluation

                                   Data Collection Years 1, 3
        Field Visits                  Benchmarks Met?
            Monthly
                                   Program Evaluation Year
        Supervision                2, 4
            Daily                     What is working?
        Monthly Meeting               How do we know?
            Debriefing                Why? Or Why Not?
        Workshops/Retreats                End programs that are not
          Improving Skills                 effective at Year 3
          Building Community      Sustainability Evaluation at
                                    Year 5
Long Term Goals
13

        At least 8% of families’ housing needs in Barguna should be met with
         a cyclone resistant home
        At least 40000 latrines have to be provided
        At least 1330 tube wells spread over the Barguna district have to be
         constructed
        Established partnerships with NGO
        At least 4000 farmers should be given raw material and technology for
         diversification of crops
        $2,000,000 USD microcredit dispersed in loans
        1 health leaders trained /village for primary health care
        1 person trained per village on disaster aid
        Established telemedicine program-computer and technology provision
         1/ village
        320 000 $-Medicines and health equipment
Mid/Short Term Goals
14


     - Mid term- At least 80 % of long terms goals
       have to be met by the end the year 4.

     - Short term- At least 40 % of long terms goals
       have to be met by the end the year 2.
Outcomes Assessment
15


        Trainers are community based by Year 2
        Program has trainees from every village
        Microcredit fund established in partnership with
         Asian Development Bank
        Children can demonstrate drill procedures of
         disaster protocol
        Children describe protocol for severe weather
        All citizens can verbalize what to correctly do in
         the event of a natural disaster.
        Decreased infant mortality rates by 10%
        Decreased morbidity by 10%
Questions?




“We believe that poverty does not belong to a civilized human society. It belongs to
                                   museums”.
                               - Muhammed Yunas

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ASHA Project Improves Disaster Resilience

  • 1. 1 ASHA PROJECT (HOPE PROJECT) Sparkman Global Health Case Competition Team 6 Justine Goetzman, Isabella Hincapie Agudelo, Lassane Kabore, Maya Mukundan, Natalie Wilson
  • 2. Problem Analysis: 2 Infrastructure Vulnerability to destruction and flooding Coastal Location Remote from Shelters Inadequate Housing Unsustainable to & Shelters future disaster Homes Damaged Transitional materials (N=191,657) & Methods Increases expense Underdeveloped land tenure & property Scarcity of Land Displacement rights systems
  • 3. Problem Analysis: 3 Economic Lack of Diversification (main source of Agricultural income) Destruction Livestock Loss Schools Economic Devastation Resource (Fully Depletion Damaged N= 230; Partial Damage N =335) Injuries (N=16,310) Family Loss Loss of Income Death (N= 1,292)
  • 4. Problem Analysis: 4 Disaster Preparedness Reactive Focus on Relief and Lack of risk Rehabilitation reduction Ineffective Disaster Plan Approach Lack of Community Outdated Program awareness of the 1972 Disaster Management Plan
  • 5. Problem Analysis: 5 Poor Access to Health Resources Contaminatio n with saline, fecal matter, arsen ic, & other Water debris Destruction of Latrines Access to Destruction Safe of food Water, Food, supply, crops, Food and Health livestock, stor age facilities Lack of trained providers Health Disparity Cultural Barriers Gender
  • 6. Strategic Plan 6 Improve the lives of community affected by natural disasters by providing sustainability through exponential capacity building & empowerment via implementing a training program Economic Infrastructure Development & Disaster Health Care Development Agricultural Preparedness Diversification
  • 7. Strategic Plan 7 Economic Infrastructure Development & Disaster Health Care Development Agriculture Preparedness Diversification • Individual • Microcredit • Training • Village Health Cyclone System Community Leader Training Resistant • Diversify Crops Leaders • Nurse Homes • Blanket Making • Disaster Practitioner • Water Supply & storage Training in Program • Rainwater • Animal Skin Schools (2/Village) harvesting Processing for • Community • Primary Care • Rooftop hide Awareness of • Disaster AID Catchment the CDMP • First Aid & areas Protocol Triage • Sanitation • Development of • Counseling (Community the CORE Latrines) Council
  • 8. Scalability 8  Pilot: 100 people from the most affect village through application process  Recruitment every month  50 homes per month  Expanding to every village  Model for other disaster areas
  • 9. Budget-Total=20 M US $ 9 10% 1% 20% Infrastructures Economic development Disaster preparedness Health care 69.00%
  • 10. DETAILED BUDGET OF PROPOSAL DEVELOPMENT IN BARGUNA DISTRICT/TEAM#6 GRAND TOTAL 20000000 10 Objective 1 #items cost per unit % INFRASTRUCTURES DEVELOPMENT 69.34 13868000 House building 6280 1573.248408 49.4 9880000 Tube wells 1330 1503.759398 10 2000000 Latrines 40000 50 10 2000000 Objective 2 0 ECONOMIC DEVELOPMENT AND AGRICULTURE DIVERSIFICATION 20 4000000 Crops diversification 4000 500 10 2000000 Microcredit 10 2000000 Advocacy for property rights integrated #VALEUR! 13880000 Objective 3 ENHANCING DISASTER PREPARDNESS 0.66 132000 Training community leaders 560 100 0.28 56000 Meetings of the core counsel 560 35.71428571 0.1 20000 Training children in schools 560 100 0.28 56000 Objective 4 0 IMPROVING HEALTH CARE 10 2000000 Training village health leaders 560 1000 560000 Providing primary health care (prevention, promotion) 560 integrated Training on disaster aid 560 1000 2.8 560000 Acquiring computers for teleconference 560 1000 2.8 560000 Medicines 1.6 320000
  • 11. Partnerships 11  CORE Council  Coordinationof response and focusing energy toward sustainability & risk reduction  Save the Children  Training Village Health Leaders  BRAC  Obtaining new livestock  CDMP Committee
  • 12. Monitoring & Evaluation 12 Monitoring Evaluation  Data Collection Years 1, 3  Field Visits  Benchmarks Met?  Monthly  Program Evaluation Year  Supervision 2, 4  Daily  What is working?  Monthly Meeting  How do we know?  Debriefing  Why? Or Why Not?  Workshops/Retreats  End programs that are not  Improving Skills effective at Year 3  Building Community  Sustainability Evaluation at Year 5
  • 13. Long Term Goals 13  At least 8% of families’ housing needs in Barguna should be met with a cyclone resistant home  At least 40000 latrines have to be provided  At least 1330 tube wells spread over the Barguna district have to be constructed  Established partnerships with NGO  At least 4000 farmers should be given raw material and technology for diversification of crops  $2,000,000 USD microcredit dispersed in loans  1 health leaders trained /village for primary health care  1 person trained per village on disaster aid  Established telemedicine program-computer and technology provision 1/ village  320 000 $-Medicines and health equipment
  • 14. Mid/Short Term Goals 14 - Mid term- At least 80 % of long terms goals have to be met by the end the year 4. - Short term- At least 40 % of long terms goals have to be met by the end the year 2.
  • 15. Outcomes Assessment 15  Trainers are community based by Year 2  Program has trainees from every village  Microcredit fund established in partnership with Asian Development Bank  Children can demonstrate drill procedures of disaster protocol  Children describe protocol for severe weather  All citizens can verbalize what to correctly do in the event of a natural disaster.  Decreased infant mortality rates by 10%  Decreased morbidity by 10%
  • 16. Questions? “We believe that poverty does not belong to a civilized human society. It belongs to museums”. - Muhammed Yunas