ASHA PROJECT

(HOPE PROJECT)

Sparkman Global Health

Case Competition

Team 6Justine Goetzman, Isabella Hincapie Agudelo, Lassane

Kabore, Maya Mukundan, Natalie Wilson

1

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

2

Problem Analysis:

Economic

Economic Devastation

Agricultural Destruction

Lack of Diversification

(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

3

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Outdated Program 1972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

4

Problem Analysis:

Poor Access to Health Resources

Access to Safe

Water, Food, and Health

Water

Contamination with

saline, fecal matter, arsen

ic, & other debris

Destruction of Latrines

Food

Destruction of food

supply, crops,

livestock, storage facilities

Health

Lack of trained

providers

Cultural Barriers

Disparity

Gender

5

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

6

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

7

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

8

Budget-Total=20 M US $

69.00%

20%

1%10%

Infrastructures

Economic development

Disaster preparedness

Health care

9

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

GRAND TOTAL 20000000

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 vil lage 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

10

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

11

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

12

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

13

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.

14

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%

15

Questions?

“We believe that poverty does not belong to a civilized human society. It belongs to

museums”.

- Muhammed Yunas