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1
ASHA PROJECT (HOPE PROJECT)
Sparkman Global Health Case Competition
Team 6Justine Goetzman, Isabella Hincapie Agudelo, Lassane
Kabore, Maya Mukundan, Natalie Wilson
2
Problem Analysis: Infrastructure
Inadequate Housing & Shelters
Homes Damaged (N=191,657)
Coastal Location
Vulnerability to destruction and
flooding
Remote from Shelters
Transitional materials &
Methods
Unsustainable to future disaster
Increases expense
Underdeveloped land tenure & property rights
systemsScarcity of Land Displacement
3
Problem Analysis: Economic
Economic Devastation
Agricultural Destruction
Lack of Diversificatio
n(main source of income) Livestock
Loss
Resource Depletion
Schools(Fully
Damaged N= 230;
Partial Damage N
=335)Family Loss
Injuries (N=16,310) Death (N=
1,292)
Loss of Income
4
Problem Analysis:Disaster Preparedness
Ineffective Disaster Plan
Approach
Reactive Focus on Relief and Rehabilitation
Lack of risk reduction
Outdated Program 1972
Lack of Community
awareness of the Disaster Management
Plan
5
Problem Analysis: Poor Access to Health Resources
Access to Safe Water, Food, and
Health
Water
Contamination with saline, fecal
matter, arsenic, &
other debris Destruction
of Latrines
Food
Destruction of food supply, crops,
livestock, storage
facilities
Health
Lack of trained
providersCultural Barriers
Disparity
Gender
6
Strategic Plan
Improve the lives of community affected by natural disasters by providing sustainability through
exponential capacity building & empowerment via implementing a training program
Infrastructure Development
Economic Development & Agricultural Diversification
Disaster Preparedness Health Care
7
Strategic Plan
Infrastructure Development
• Individual Cyclone Resistant Homes
• Water Supply• Rainwater
harvesting• Rooftop
Catchment areas
• Sanitation (Community Latrines)
Economic Development &
Agriculture Diversification
• Microcredit System
• Diversify Crops
• Blanket Making & storage
• Animal Skin Processing for hide
Disaster Preparedness
• Training Community Leaders
• Disaster Training in Schools
• Community Awareness of the CDMP Protocol
• Development of the CORE Council
Health Care
• Village Health Leader Training
• Nurse Practitioner Program (2/Village)
• Primary Care • Disaster AID
• First Aid & Triage
• Counseling
8
Scalability 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 $
69%
20%
1% 10%
InfrastructuresEconomic developmentDisaster preparednessHealth care
10
DETAILED BUDGET OF PROPOSAL DEVELOPMENT IN BARGUNA DISTRICT/TEAM#6
GRAND TOTAL 20000000Objective 1 #items cost per unit %INFRASTRUCTURES DEVELOPMENT 69.34 13868000
House building 6280 1573.248408 49.4 9880000Tube wells 1330 1503.759398 10 2000000Latrines 40000 50 10 2000000
Objective 2 0ECONOMIC DEVELOPMENT AND AGRICULTURE DIVERSIFICATION 20 4000000
Crops diversification 4000 500 10 2000000Microcredit 10 2000000Advocacy for property rights integrated #VALEUR!
13880000Objective 3ENHANCING DISASTER PREPARDNESS 0.66 132000
Training community leaders 560 100 0.28 56000Meetings of the core counsel 560 35.71428571 0.1 20000Training children in schools 560 100 0.28 56000
Objective 4 0IMPROVING HEALTH CARE 10 2000000
Training vil lage health leaders 560 1000 560000Providing primary health care (prevention, promotion) 560 integratedTraining on disaster aid 560 1000 2.8 560000Acquiring computers for teleconference 560 1000 2.8 560000Medicines 1.6 320000
11
Partnerships CORE Council
Coordination of response and focusing energy toward sustainability & risk reduction
Save the Children Training Village Health Leaders
BRAC Obtaining new livestock
CDMP Committee
12
Monitoring & Evaluation
Field Visits Monthly
Supervision Daily
Monthly Meeting Debriefing
Workshops/Retreats Improving Skills Building Community
Data Collection Years 1, 3 Benchmarks Met?
Program Evaluation Year 2, 4 What is working? How do we know? Why? Or Why Not?
End programs that are not effective at Year 3
Sustainability Evaluation at Year 5
Monitoring Evaluation
13
Long Term Goals 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 - 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 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