community health development project in long reap hoi

Community Health Community Health Development Project inDevelopment Project in

Long Reap HoiLong Reap Hoi

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Members1.Mr.Nalong Bouchaleune (Lao PDR)2.Ms.Win Pa Pa Soe (Myanmar)3.Mr.Kirati pong Punyaruang (Thailand)4.Mr.Sajja Chokeboonsongsawad (Thailand)

Project Management Learning Program19-30 April 2010, Mekong Institute, Khon Khaen

Outline Outline

Problem and objectivesProblem and objectives Stakeholder AnalysisStakeholder Analysis Problem Tree AnalysisProblem Tree Analysis Objective Tree AnalysisObjective Tree Analysis Design and Monitoring Framework (DMF)Design and Monitoring Framework (DMF) Work Breakdown Structure (WBS)Work Breakdown Structure (WBS) MS ProjectMS Project Program benefitsProgram benefits

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Problems and objectivesProblems and objectives

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- Communicable disease is the major health problem

- Physical access is becoming of a barrier to health services for local community

- The overall strategic framework identifies health as a priority sector for community development;

- proposing to decrease the spread of communicable diseases and raise life expectancy

- upgrading the quality and capacity of health personnel;- improving health financing

- The Project will support the strengthening of policy and capacity for health system development communitywide.

Community Health Development Community Health Development Project in Project in Long Reap HoiLong Reap Hoi

1.Stakeholder Analysis

Stake Holder Stakeholder Interest Perceived Problem Resource Mandate

Local Population - High salaries- Work in Tourist Industry with high living standard

-Lack of capitals- Lack of knowledge-High living cost-Increase crime case-Cultural problem

Cultural and traditional ways

Tourist -Less crime travel to the local interesting place-Healthy Food and good sanitation

-No interpretation-Environmental pollution

Willingness to pay for improved service

New Inhabitants -Earn more money- get skillful workers

-Reduce the price of rooms and meal-Compete with other business-Lack of skillful workers

Enough Capital Resource

4Project Management Learning Program 19-30 April 2010, Mekong Institute, Khon Khaen

Community Health Development Project in Community Health Development Project in Long Reap HoiLong Reap Hoi

Stake Holder Stakeholder Interest Perceived Problem Resource Mandate

Sex Workers - With high income more visitors-Get health care

-Lack of health care service-Lack of information about HIV/AIDS

Service

Department of Health -Control HIV/AIDS outbreak- decrease drug abuse

-Poor HIV/AIDS prevention program-Increase of prostitution-Cannot provide health service to sex workers

Knowledge and capital to prevent local community health problem

Government Sectors (Mayor)

-Prevent trafficking of women and child-Want to get high living standard of local people

-Not enough budget-Illegal works increase-Cannot control tourist visiting at the same time

Authority to manage

1.Stakeholder Analysis (Cont’d)



2.Problem Tree

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3.Objective Tree

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Design Summary

Performance Targets

Data Source Assumption/ Risks

Impact Good Health Condition

60% of local community are in good health after 3 years

- Health Index by Ministry of Health- WHO (World Health Organization)

A: Participation of MOH and local government regarding the HIV/AIDS health care program remain stable and activeR: New Occurrence of virus and disease

Outcome 1.Communicable HIV/AIDS disease in the area decreased

2.Local people have awareness (disease situation)

1.Disease decrease 50% from current situation within 3 years

2.Number of awareness people 60% local community in 3 years

- Statistics from Ministry of Health

- Survey (Primary Data)

A: Health care program is appropriate for local communityR: - local community don’t have sufficient access to get information - Uneducated person will don’t understand the PR program - Ignore the program

4.Design and Monitoring Framework



Design Summary

Performance Targets Data Source

Assumption/ Risks

Output 1.1 New hospitals/ clinics

1.2 Treatment/ preventation program

1.3 Skillful doctors and health staff

2.1 PR Program

2.2 Trained sex workers for alternative jobs

1.1 (1) big hospital and 15 clinics after 3 years

1.2 (4) times/ year

1.3 (10) skilled doctors+ 50 skilled staffs in hospital and 10 skilled doctors and 20 trained staffs in clinic

2.1 (2) programs /2 times / year during 3 years

2.2 (50) sex workers/2 program 4 times per year in 3 successive years

- Physical Inventory

- Project Report

A: - Financing of MOH improve for hospital and clinic - There are enough capacity for skill training of health staffs - The cost of building material will not increase more than 20% R: - Health staff don’t want to go to local area - Sex worker refuse the alternative jobs

4.Design and Monitoring Framework (cont’d)

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Design Summary

Performance Targets

Data Source Assumption/ Risks

Activities and Milestone

1. Feasibility Study for build the 1 hospital and 15 clinics.

2. Training 20 doctors and 70 staffs to know how to prevent and cure the disease.

3. Making PR program to inform people about the communicable disease in Long Reap Hoi.

4. Conducting communicable disease prevention and treatment program. Providing vaccination and curative services to 5,000 local community people.

Input ADB – $ 16.67 million

• Building Construction – $ 7.58 million• Training – $ 0.35 million• PR program – $ 1.3 million• Prevention and Treatment Program – $ 7.66 million

4.Design and Monitoring Framework (cont’d)

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Work breakdown structure

Community Health Development Program


5.Work break down structure (WBS)

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6.Task Dependencies and Critical Path

StartProject

ConstructionHospital/clinics

start

Finished construction

FeasibilityStudy

FeasibilityStudy is finish

Design theBuilding

Set ApprovedFor

Building

Budget is approved

ApprovedFor

Construction

ConstructionStarted

TrainingThe

Health Staffs

Finished TrainingProgram

Identify & Hire the

Resource Person

Hire the Resource Person finished

TrainingCourse define

ProvideTrainingfacilities

Training forDoctors &

staffs

TrainingFinishde

PR Program Finished PR Program

IdentificationOf

Target groups

OrganizeThe PR Team

Selecting & Making

Contents

Selecting & Making

Contents is finished

SelectionOf

Media

SelectedMedia

Run the Program

Prevention/TreatmentProgram

Finished Presentation/

treatmentProgram

Promotion ofHealth

Education

Simplify theHospital

Procedures

ProvidingVaccination &Immunizations

Vaccination &Immunizations

Provided

ProvideCurativeService

CurativeService isProvide

1

2

3 4 5 6 7 8 9

10

11 12 13 14 15 16 17

20 21 22 23 24 25 26 27

28 29 30 31 32 33 3435

3619

18

90 150 30 15730

90 240 270 285 1015

30 14 365

270

300 314 679759

60

270

280 310 331 345

710

10 30 21 14

1015

1075 1105 11411506

60 30 36 365

1506

Finished



5.Work break down structure (WBS) (cont’d)

WBS and Task Duration



6.Task Dependencies and Critical Path (cont’d)

Critical Path

Program BenefitsProgram Benefits

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• Health benefit• incorporates challenges facing local community in gaining access to health services • delivers good-quality services from new hospitals and clinics.

• Social and poverty benefit • make illness less costly• reduce communicable disease, maternal mortality with major impact on the well-being of the family and the survival of children.

• Economic benefit•project interventions will reduce illness and premature death in the family, thereby improving productivity and income. • cost savings due to increased health service coverage. • resource or out-of-pocket savings may flow from increased access to nearby health services (e.g., reduced transport costs)

Sustainable Community Health Sustainable Community Health Development ProgramDevelopment Program

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Thank you for your kind Thank you for your kind attention.attention. 18Project Management Learning Program 19-30 April 2010, Mekong Institute, Khon Khaen

Community Health Development Community Health Development Project in Project in Long Reap HoiLong Reap Hoi

community health development project in long reap hoi

Documents

health services

ministry of health

health financingthe

capacity of health personnel

world health organizationa

years health index

hivaids health care

community developmentproposing