STD/AIDS Program in the Field of Truck, Bus Drivers, Commercial Sex Worker, Brothels & Floating Gay Girls with Clinical Management Program Implementing Organization:
Bangladesh Manob Sampad Unnayan Sangstha (BMSUS)
Introduction/Relevance:
Bangladesh with its 127 million populations is still fortunate to be a low prevalent country for HIV/AIDS as revealed in three consecutive sentinel surveillances, although geographically the country is located in continuity with two very high prevalent nations. The first HIV positive case in this country was detected in 1989 and according to government sources, till date. A total of 157 HIV positive cases have been reported in which the male population predominates. From available information, so far 17 HIV infected persons developed AIDS of which 11 already died: In reality, HIV/AIDS epidemic in Bangladesh is not very well understood and the existing situation is only partly known. Although it is not known exactly how many people are infected, it is true that HIV is being detected among our population especially among vulnerable cohorts. The first National Sentinel Surveillance (1998-1999) revealed an overall HIV prevalence among the high-risk behavior practicing sample population to be 0.4% and in second survey (1999-2000) it was 0.2%. However, the sample size of the two surveys were different and new categories of high-risk population were included as sample in the second survey. The first survey revealed that the rate of scropositivity in brothel population was six per 1000 sex workers. Among injecting drug users (IDUs). The rate was 25 per 1000 population. The study also found that 13% of the strict based female sex workers had injected themselves with drugs, although none of those had been tested positive for HIV. No HIV was found in a sample of truckers. Some people coming to government STD clinics in some parts of the country also had HIV, about three per 1000 population. Among men who have sex with men (MSM). HIV sepopositivity was found at a rate of about 2 per 1000 people. Epidemiologically, the findings of the second sentinel survey did not have a significant difference but it did increase the reliability of the previous findings. Findings of the third surveillance (2000-2001) have just been made available. Surveillance finding nevertheless concluded that high level of behavioral risk factors for the acquisition of HIV infection are very much in existence at least among the sampled population. It is specifically clear from the surveillance that some groups of people who practice high-risk sexual behavior have a large number of sexual partners, averaging between 12 and 40 per year. Each sex workers, of course, has many more, around 1000 per year.
KABP survey findings:
When the sentinel surveillances showed the above figures, a number of studies and KABP surveys showed a very low knowledge on HIV/AIDS among different population groups. According to a study done in 1999, only 11.59% of surveyed population could mention AIDS as a sexually transmitted disease and 54% respondents have mentioned that having sex with HIV positive person can spread AIDS. Another KABP survey conducted on potential and returnee migrant workers revealed that 61% have heard of AIDS, only 4% of them have the full knowledge on the modes of transmission, 43% have partial knowledge and the rest 53% have cither misconception or no knowledge on the modes of transmission of HIV/AIDS.
STD prevalence:
In spite of the low prevalence of HIV in the country, many factors suggest that HIV may spread rapidly in the near future. For example, studies have shown high rates of STDs in various populations. In 1989, syphilis rates of 56% and 39% and 39% were found among floating and institutional SWs respectively. In 1997, 54% of 980 SWs gave a history of present or past symptomatic STDs. Recent reports indicate high levels of STDs amongst various other groups. As in many other Asian countries, condoms are not generally the preferred method of contraception. Furthermore, knowledge of condoms as a means to prevent STDs is very low.
Existing high-risk behavioral practice:
Moreover, sex outside marriage night is more widespread than traditionally acknowledged. Documented sexual practices include premarital, extramarital and male-to-male sex particularly among youth . For example, some studies indicated a high percentage of youths to have experience of sex before marriage and occurrences of induced abortions among women. Sixty percent of long distance truck drivers have sex with commercial sex workers about twice a month without any knowledge of HIV/AIDS. Extra-marital sex appears to exist even in rural societies and in particular where husbands are absent for long periods. Important studies of the sex industry identified large numbers (100,000) of generally non-literate SWs whose customers represent all segments of society. Female SWs have an average of 2-5 clients a day, making the number of clients about half a million men a day.
Migration issues:
Bangladesh has large member of international and national migrant laborers, transport workers and uniformed personnel. These individuals spend extensive periods away from their families that contribute to getting involved in new and different types of sexual relationships. Transponder mobility is high. Bangladesh also hosts large communities of expatriate refugees while itself having with refugee status in bordering countries.
Injecting drug users:
Available data from Client Monitoring System of Department of Narcotics Control and other research reports shows that prevalence of injecting drug use (IDUs) is on the rise. Most injecting drug users (IDUs) in Bangladesh share needles. In some areas the professional injectors use one needle for many IDUs. There are estimated 25,000 IDUs mainly in Dhaka. Khulna, and other towns including border areas. prevalence of STDs in quite high among drug users in general. A considerable proportion of IDUs are clients of sex workers and many IDUs are married, putting their family members at a higher risk of disease transmission. As mentioned earlier, the First National Surveillance for HIV and syphilis among the population practicing high-risk behavior showed highest seropositvity for HIV among IDUs that was 2.5”. Second surveillance has shown almost the similar trend.
Blood transfusion services:
The existing blood transfusion system is not yet without risk of HIV transmission and improvement in the existing facilities is underway. Problems include approximately 200,000 required units of blood is currently largely (70-75%) provided by professional blood donors of whom approximately 20” are positive for hepatitis B and/or syphilis. In addition to providing safe (serviced) blood the added risk of transmission caused by medical/surgical/dental procedures needs to be considered in the light of under-practiced universal safety precautions.
Contextual features:
Bangladesh has many special contextual features that are relevant to HIV infection. These include widespread poverty, unequal access to health services, often-subordinate status of women, and low literacy and education levels. All combine to restricting knowledge in relation to health and negotiating power in matters of sex. A multi-sectoral response, and policy level support and commitment for empowerment of vulnerable groups to address the issues like stigma and discrimination are yet to be properly visualized.
Research:
Research, especially operational research, in the field of HIV and AIDS is very limited in this country. Operational research is an essential component of effective implementation of any program particularly those related to preventive actions and other cross cutting issues.
Possibility of an epidemic:
The above mentioned factors indicate that the present HIV situation could evolve rapidly into an impending and escalating epidemic in this country with serious health and socioeconomic consequences. The epidemic of AIDS could bring, in future, needs for major adjustments for individuals and their families, the health system both in terms of human and financial resources, disintegration of family structures, problems relating to increased poverty, numbers of orphans and abandoned children, and shortage of manpower in agriculture, industry and other sectors can be apprehended.
As of middle of this year, levels of HIV were low and appeared to have been increased quite slowly over the past few years. At this moment it is not possible to product how much more it would increase and how rapid such an increase would lake place. Only continuous and repeated surveillance will be able to provide us the right kind of information. Form the information so far available, it may be assumed that Bangladesh is in the pre-epidemic stage for HIV (i.e. HIV prevalence did not exceed 1% among the sex workers and HIV has not disseminated to the general population. If an epidemic irrupts, it will irrupt first among the population of low-fee sex workers with the highest average turnover of customers. The sex workers with the highest partner turnover are low-ice brothel based SWs. HIV will be introduced into these high volume sex network primarily by male foreign transport workers, traders or seatiarers from nearby countries who regularly frequent towns and ports along the Bangladesh border, and/or by male Bangladeshi transport workers, traders or seafarers who have commercial sex encounters in high prevalence areas of nearby countries and regularly return to Bangladesh.
It may thus be said that even though the spread of HIV infection in this country has been slow, its continuous detection, even though at a low level, call for an immediate action. We cannot miss this window of opportunities for a preventive action and let the epidemic to scale up. Rather, there is very little scope for complacence and there are only very strong reasons for concern.
Prevention and intervention initiatives:
Fortunately, Bangladesh has been appreciably prompt for a timely response to prevent the epidemic. This is manifested, among others, by adopting a national policy, developing a long-term strategy, initiating multi-sectoral program implementation, increasing partnership with NGOs and other community organizations developing regular surveillance system, prioritizing targeted intervention, ensuring participation of PLWJIA in preventive action, initiating safe blood transfusion efforts, attracting donor support and resource mobilization, and making some major breakthrough in the field of information dissemination.
Overview of the Project:
How will the project address the problems?
The proposed project will address specific segments of people living in Dinajpur. SSKS has some information on these particular population. Yet a quick assessment survey will be conducted to identify the socio-economic and health status and level of awareness on SRI 1 of the men. Women and adolescents of these communities more specifically. This will be done through interview. Focus Group Discussion (FGD) and review of documents available with SSKS and with relevant organizations. The survey report will help procuring BCC materials from other sources and conducting group learning sessions and meetings. For optimum utilization of resources, available BCC materials on SRM will be reviewed and will be procured according to target people’s literacy status. The following strategies will be adopted to combat the risk of STI), HIV/AIDS among the target people.
· Peer approach will be applied to hook-up maximum number of target people of the said communities though this project.
· Awareness raising by disseminating information on sexual & reproductive health and prevention of STD HIV NDS by the peer.
· A group of peer educations will be developed and trained for disseminating information to the target people through organizing group learning sessions.
· Gatekeepers, community leaders and decision-makers of those communities will be consulted and advocacy meeting workshop will be conducted with them.
· Sport, folksong arid indigenous cultural shows will be organized on different occasions to disseminate messages on SRH, HIV/AIDS.
· Collaboration with related organizations and other similar type of agencies in awareness raising campaign.
· Linking with local youth and women groups and organizations for different types of BCC activities and active support from them.
· Promotion of condom use as a duel protection method.
Expected Results:
In general, the following major results are expected after the completion of the project.
1. Level of knowledge, attitude and practice on prevention of STI/HIV/AIDS among men. Women and young people of the project area improved.
2. Positive changes in sex practice meaning practice of ABC (Abstinence, Be faithful & condom) will take place; promiscuity, premarital and extra marital sex will be discouraged and condom use rate will be increased.
3. Health seeking behavior will be improved among target beneficiaries specially in preventive side.
4. Provision of RTI/STI service will be utilized in SSKS clinical facilities by the target people.
5. Good referral network will be developed from Held to clinic of SSKS.
Statement of the Objectives:
Board goal:
Increase awareness on STD/HIV AIDS and bring about positive change in sexual and reproductive health behavior.
Objectives, specific results, or desired effects:
| Objectives | Specific results/desired effects |
| 1. To disseminate information on STD/AIDs to the target beneficiates Though peer approach and group learning sessions. | 1. Men, women and young people of project area become aware on STD HIV/AIDS and behavioral change taken place among them. |
| 2. To create general awareness on STD/AIDS in the project area through sports, folk songs, campaign, rally, workshops, seminars. | 2. General awareness created in the community and people become motivated to participate in the program. |
| 3. To bring about positive change in SRII behavior among beneficiaries. | 3. Married men and women practice rational and safe sex, increased use of condom. |
| 4. Unmarried adolescents become aware about the hazards of indiscriminate sex practice. | |
| 4. To promote condom duel protection method. | 1. Rate of condom use increased
2. Provision of RTI/STI Service utilization in clinic facility increased. |
Strategies:
SSKS will adopt following strategies to implement the project:
- Risk group assessment:
Information on risk group will be collected, compiled and analyzed through questionnaire survey. A data bank will be prepare on the risk group using computer software.
- Meeting, Seminar, Workshop:
Meeting Seminar, Workshop will be organized involving people of different backgrounds including the risk groups.
- Peer Education:
Peer Education (PEs) group will be developed, trained & oriented to work among the risk population. Both male & Female will be included in Peer Education group.
- Mass media campaign:
Information on STD/HIV AIDS and related matters will be disseminated displayed through mass media channels. Under the project cultural groups will arrange different performance on HIV/AIDS issues.
- Health Promotion:
Health education, treatment, blood testing will be carried out through organizing mobile health camps in different places of the working area. The project deploy doctor, health workers, nurse, volunteers, peer educators to perform health related activities.
- Coordination :
Necessary coordination & communication will be done to implement the project activities. The NGO will seek cooperation of the government machineries related non-government organization for smooth functioning of the project activities.
Expected outputs:
1. One rapid assessment survey conducted on SRI 1 and report published.
2. At least two videos on HIV AIDS procured and exhibited.
3. 10,000 copies of a poster and 10,000 leaflets procured/reprined, distributed and displayed.
4. 500 group learning sessions organized.
5. Sports events organized to the target audience.
6. Six workshops with community leaders and gate keepers organized.
7. One grand cultural show organized.
8. Indigenous cultural/folk song shows organized involving beneficiaries.
9. Arranged visit of two national celebrities as Good will Ambassador to the project areas.
10. AIDS day celebrated through rally and discussion.
Project Activities:
- Staff recruitment & training
- Assessment survey
- Selection of peer educators and group formation
- Procure office equipment and stationery goods including a computer
- Training for Peer Educators
- TOT of peer educators
- Life skill training for risk group
- Procure/reproduce IFC/BCC Materials
- Media publication for consciousness & awareness of the mass people.
- Organize peer learning sessions
- Organize workshop with community gate keepers
- Organize rally, meeting, campaign.
- Workshop on Drama Production Play
- Formation of cultural team
- Organize street drama, folk song, cultural shows
- Arrange indoor games & cultural shows
- Arrange indoor games & cultural functions among the target groups to keep them away from abuse of drug.
- Organize cultural shows and sports at the project locations.
- Arrange medical camp in the highly risk area, refer the detected people to infections disease hospital if and which necessary.
- Preparation of cinema slide
- Organize cinema advertisement.
- Documentary film show
- Organize cinema advertisement.
- Moral education
- Condom promotion among the target groups & risky groups
- Arrange blood test to determine STD/HIV/AIDS.
- Provide primary health care knowledge.
- Organize health fair
- Health focused drama festival
- Organize grand cultural show/drama festival at Kushtia.
- Organize cross learning visit.
- Arrange visit of two celebrities as Good will Ambassadors to the project areas.
- Word AIDS Day observation
- Reporting
- Monitoring & evaluation
- Audit
- Final Report Preparation & Submission.
Project Management:
The project will be managed and executed under a project director. The PD will be responsible for overall administration of the project. The project will deploy 153 nos. Staff of different categories as shown below.
| 10 Field Officers (10 districts head quarter) | 3 Regional Office | Mobile Health Services | Head Office |
| Project Director-1 | |||
| Asst. Project Director-2 | |||
| MBBS Doctor-10 | Finance Manger-1 | ||
| Regional Coordmater-2 | Computer Programme-1 | ||
| Public Relation Office-1 | |||
| Field Coordinator-10 | Program Monitor-2 | Technician-20 | Documentation & Publication Office-1 |
| Trainer-5 | Internal Auditor-2 | ||
| Accountant-10 | Accountant-2 | Health Assistant-1 | Accountant-2 |
| Media Communicator-20 | Computer Operator-2 | Nurse-20 | MIS Associate-2 |
| Health Motivator-40 | Driver-2 | Driver-1 | Driver-3 |
| Service Staff-10 | Service Staff-10 | Service Staff-1 | Service Staff-4 |
| 90 | 23 | 53 | 20 |
Sustainability:
To project will create awareness on HIV/AIDS among 10,000 families. It will also bring about behavioral change in their sex practice and develop improved health seeking habit in them. The project hopes that the positive behavioral changes will be retained in these populations and the programmatic sustainability will be achieved. They will continue to receive these benefits even after expiry of the project as the project expects sustainable behavioral change.
Justification of the Project:
The project is justified in terms of the following context:
· Transport workers engaged in carrying goods in different places of the country. They often engage in unsafe exes with floating & commercial sex workers. They have a little or no knowledge on safe sexual behavior which made them vulnerable to HIV/AIDS infection. Occasionally the transport workers have to spend their days & nights in bordering areas and get contact with sex workers of out side the border.
· Floating sex businesses are on rise in the area due to some social, economical & natural causes. The floating sex workers sell sexes in terminals, ports, railway stations and elsewhere and are vulnerable to HIV/AIDS. The lack safe sex knowledge and health related information.
· Preventive measures against HIV/AIDS is not sufficient enough in comparison to the severity of the problem. The vulnerable groups have less access to the existing facilities & resources also. This promotion of preventive measures calls for urgent needs in the area.
· Most of the injecting drug users in the area are in the age group of 25-40 years. Nearly half of them are married. According to the behavioral data available most of the drug users have been injecting for more than 4 years. Most injectors have about 20 shots a week, needle sharing is quite common. Clearing practices are not safe. Most of them are sexually active. Increasingly they have been vulnerable to STD/HIV AIDS infection and needs preventive intervention.
Project Monitoring:
The activity monitoring system will have several purposes. The general purpose of the system will be to collect information about what is happening in the field and to interpret is so that timely decision can be made about the management of the program and timely corrective actions taken when needed based on the accurate field data. Monitoring information will include.
· Project information
· Information about individual performance
· Information about resources usage
· Quality control
· Feedback on effective information campaign
· General Information
A special process will also be setup for monitoring & feeding back to the head office the experiences in working documentation of experiences from field, bottlenecks encountered, constraints, problems & success will feedback. So that problems can be solve and successes can be shared.
Evaluation:
Both internal & external evaluation will be conducted. Project staff will carry out internal evaluation. External evaluation will be conducted after the end of the project. Donor & government representative will be most welcome in the external evaluation team.
Reporting:
Reporting flow chart of the project is shown below:
Auditing:
Internal auditor will carry out internal audit as routine work. Project accounts will be audited & verified by external auditor annually.
About
Bangladesh Manob Sampad Unnayan Sangstha (BMSUS)
Bangladesh Manob Sampad Unnayan Sangstha (BMSUS) was established in the year 1995.
Organizational and Governance Structure of the Organization:
Bangladesh Manob Sampad Unnayan Sangstha (BMSUS) is governed under the Cooperative Societies Registration Act, For all practical purposes. It is governed under the norms of a non-profit and non-political voluntary organization.
This is a three-tier organization the central head office, the zonal Area office and the branch office.
The organization is governed by a General Body at the apex level, followed by an Executive Body, chaired by the President and functioned by the Vice President. Below the General Secretary and Cashier. There are three functional Executive Members. The project Coordinator coordinates the Project/Programs, and below him are the Zonal Managers. Area Managers and Branch Managers.
Description of Programs undertaken/ in hand:
1. Adult Education Program From 1998 funded DNFE BRAC.
2. NEEP from 1999, funded by DNFE BRAC
3. Training/ Skill Training Program from 1998 funded by BADC:
4. Savings & Credit Program from 2000, funded by Proshika:
5. Social Forestry Program during 1999-2000; funded by WFP. BADC
6. Distribution of Khash Land among poor People from 2000 to 2007; funded by Samata/DFIFD;
7. Disable Development Program from 1998, funded by CDD Savar & Disable Foundation, Banani, Dhaka.
8. Solid Waste Disposal Management Project from 2002; funded by BEMP/Environment Ministry:
9. HIV/AIDS Awareness Program from 2002: Funded by Drug Control department; and
10. Water & Sanitation Project from 2000; funded by NGO Forum.
Work Plan
Title of the Project : Prevention of STD/HIV/AIDS through Involving Transport Workers, CSEs, Floating Gay Girls.
Action Plan
| Sl. | Activities | Target | 1st Year | 2nd Year | Remarks | ||||||
| 01. | Staff recruitment & training | 180 persons | 1st Q | 2nd | 3rd Q | 4th Q | 5th Q | 6th Q | 7th Q | 8th Q | |
| 02. | Assessment survey | 1000 persons | * | * | * | * | * | * | * | * | |
| 03. | Organize peer educator | 100 persons | * | * | * | * | * | * | * | * | |
| 04. | Training for peer Educators | 100 persons | * | * | * | * | * | * | * | * | |
| 05. | Life skill training for risk group | 1000 persons | * | * | * | * | * | * | * | * | |
| 06. | Procure/reproduce IEC/BCC Materials | as per requirement | * | * | * | * | * | * | * | * | |
| 07. | Media publication for consciousness & awareness of the mass people | 500 articles | * | * | * | * | * | * | * | * | |
| 08. | Organize workshop seminar with community gate keepers | 500 nos. | * | * | * | * | * | * | * | * | |
| 09. | Organize rally, meeting, campaign. | 500 nos. | * | * | * | * | * | * | * | * | |
| 10. | Workshop or Drama Production Play | 10 nos. | * | * | * | * | * | * | * | * | |
| 11. | Formation of culture | 500 events | * | * | * | * | * | * | * | * | |
| 12. | Organize street drama, folk song, cultural shows | 500 events | * | * | * | * | * | * | * | * | |
| 13. | Arrange indoor games & cultural functions among the target groups to keep them away from abuse of drug. | 150 events | * | * | * | * | * | * | * | * | |
| 14. | Arrange medical camp in the highly risk area, refer the detected people to infectious disease hospital if and which necessary. | 200 nos. | * | * | * | * | * | * | * | * | |
Budget
Project Title: Prevention of STD/AIDS through involving Transport Workers, CSWs, Floating Gay Girls
Detailed Budget
| Budget Line | Activities | Targets | Unit cost | Total Taka | 1st Year | 2nd Year |
| 1 | Staff recruitment | 180 persons | 1,000 | 180,000 | 205,000 | |
| 2 | Staff training | 180 persons | 10,000 | 1,8000,000 | 1,8000,000 | |
| 3 | Assessment survey | 10000 people | 500 | 5,00,000 | 5,000,000 | |
| 4 | Life skill training & professional support for risk group | 1000 persons | 50,000 | 50,000,000 | 25,00,000 | 25,000,000 |
| 5 | Organize Peer Educators | 100 persons | 1,000 | 100,000 | 100,000 | |
| 6 | Training for Peer Educators | 100 persons | 5,000 | 5000,000 | 500,000 | |
| 7. | Organize workshop/seminar with community gate keepers | 500 nos | 50,000 | 25,000,000 | 10,000,000 | 15,000,000 |
| 8. | Pricure/Produce IEC/BCC materials | Billoard-50 nos | 1,50,000 | 7,500,000 | 3,000,000 | 4,500,000 |
| Poster-10,000 | 100 | 1,000,000 | 400,000 | 600,000 | ||
| Sticker-1,00,000 | 30 | 3,000,000 | 1,200,000 | 1,800,000 | ||
| Booklet-10,000 | 100 | 1000,000 | 400,000 | 600,000 | ||
| Leaflet-10,000 | 10 | 1000,000 | 40,000 | 60,000 | ||
| Video spot-10 nos | 50,000 | 5,00,000 | 200,000 | 300,000 | ||
| TV spot-5 nos | 5,00,000 | 2,500,000 | 1,000,000 | 1,500,000 | ||
| Tele cast-300 times | 1,00,000 | 30,000,000 | 12,000,000 | 18,000,000 | ||
| 9. | Media publication for consciousness & awareness of the mass people. | 500 articles with photo | 10,000 | 5,000,000 | 2,000,000 | 3,000,000 |
| Budget Line | Activities | Targets | Unit cost | Total Taka | 1st Year | 2nd Year |
| 10 | Organize rally, meeting, campaign. | 500 nos | 40,000 | 20,000,000 | 8,000,000 | 12,000,000 |
| 11 | Formation of cultural team | 10 nos | 50,000 | 500,000 | 200,000 | 300,000 |
| 12 | Workshop of drama production Play | 10 nos | 100,000 | 1,000,000 | 400,000 | 600,000 |
| 13 | Organize street drama, folk song, cultural shows. | 500 events | 20,000 | 10,000,000 | 4,000,000 | 6,000,000 |
| 14 | Arrange indoor games & cultural function among the target groups to keep them away from abuse of drug. | 150 events | 120,000 | 3,000,000 | 1,200,000 | 1,800,000 |
| 15 | Arrange medical camp in the highly risk area, refer the detected people to infectious disease hospital if and which necessary. | 200 nos | 200,000 | 40,000,000 | 16,000,000 | 24,000,000 |
| 16 | Proparation of cinema slide | 10 nos | 2000,000 | 2,000,000 | 800,000 | 1,200,000 |
| 17 | Organization cinema advertisement. | 50 cinema hall | 150,000 | 7,500,000 | 3,000,000 | 4,500,000 |
| 18 | Documentary film show | 500 shows | 5,000 | 2,500,000 | 1,000,000 | 1,500,000 |
| 19 | Organize religious counseling, moral education | 1200 lesson | 20,000 | 24000,000 | 9,600,000 | 14,400,000 |
| 20 | Condom promotion among the target group & risky groups. | 15,00,000 pcs | 5 | 7,500,000 | 3,750,000 | 3,750,000 |
| 21 | Purchase of medical equipment, laboratory instruments & materials for clinical management of HIV/AIDS. | 10 Centres | 400,000,000 | 400,000,000 | 300,000,000 | 100,000,000 |
| 22 | Arrange blood test to determine STD/HIV/AIDS. | 3,000 persons | 1,000 | 3,000,000 | 1,500,000 | 1,500,000 |
| 23 | Provide primary health care knowledge. | 500 courses | 50,000 | 25,000,000 | 12,500,000 | 12,500,000 |
| 24 | World AIDS day observation. | 20 events | 100,000 | 2,000,000 | 1,000,000 | 1,000,000 |
| 25 | World health day observation. | 20 events | 100,000 | 2,000,000 | 1,000,000 | 1,000,000 |
| Budget Line | Activities | Targets | Unit cost | Total Taka | 1st Year | 2nd Year |
| 26 | Organize cross learning visit. | 10 nos. | 500,000 | 5,000,000 | 2,500,000 | 2,500,000 |
| 27 | Organize goodwill sports with participation of risk groups. | 50 events | 50,000 | 5,000,000 | 2,500,000 | 2,500,000 |
| 28 | Arrange visit of goodwill ambassador. | 20 nos. | 200,000 | 4,000,000 | 2,000,000 | 2,000,000 |
| 29 | Health fair | 20 events | 500,000 | 10,000,000 | 5,000,000 | 2,000,000 |
| 30 | Health focused drama festival | 10 events | 500,000 | 10,000,000 | 5,000,000 | 5,000,000 |
| 31 | Documentation & Publication | 24 month | 500,000 | 12,000,000 | 6,000,000 | 5,000,000 |
| 32 | Reporting | 20 nos. | 200,000 | 4,000,000 | 2,000,000 | 6,000,000 |
| 33 | Audit | 2 times | 100,000 | 200,000 | 100,000 | 2,000,000 |
| 34 | Evaluation | 1 time | 500,000 | 100,000 | 250,000 | 100,000 |
| 35 | Final Report Preparation & Submission | 1 no. | 1,000,000 | 500,000 | 500,000 | 250,000 |
| Sub-Total Taka | 1,000,000 | 367,440,000 | 500,000 | |||
| 734,880,000 | 367,440,000 | 367,440,000 | ||||
| Furniture & Fixture for 15 Offices: | ||||||
| 36 | Table | 150 nos. | 8,000 | 1,200,000 | 1,200,000 | |
| 37 | Computer Table | 30 nos. | 6,000 | 180,000 | 180,000 | |
| 38 | Chair | 600 nos. | 3,000 | 1,800,000 | 1,800,000 | |
| 39 | Almirah/File Cabinet | 35 nos. | 15,000 | 525,000 | 525,000 | |
| 40 | Fan | 101 nos. | 1,500 | 151,500 | 151,500 | |
| Sub-Total Taka | 151,500 | 3,856,500 | ||||
| Budget Line | Activities | Targets | Unit cost | Total Taka | 1st Year | 2nd Year |
| Vehicles & Equipment’s for 15 Offices: | ||||||
| 41 | Jeep | 1 | 5,000,000 | 5,000,000 | 5,000,000 | |
| 42 | Ambulance | 1 | 3,000,000 | 3,000,000 | 3,000,000 | |
| 43 | Micro | 2 | 2,000,000 | 4,000,000 | 4,000,000 | |
| 44 | Car | 2 | 1,500,000 | 3,000,000 | 3,000,000 | |
| 45 | Motorcycle | 25 | 100,000 | 2,500,000 | 2,500,000 | |
| 46 | Bicycle | 40 | 5,000 | 200,000 | 200,000 | |
| 47 | Computer | 30 | 100,000 | 3,000,000 | 3,000,000 | |
| 48 | Telephone | 20 | 10,000 | 200,000 | 200,000 | |
| 49 | Fax | 2 | 20,000 | 40,000 | 40,000 | |
| 50 | DVD Camera | 3 | 150,000 | 450,000 | 450,000 | |
| 51 | Digital camera | 5 | 20,000 | 100,000 | 100,000 | |
| 52 | Multimedia Projector | 5 | 200,000 | 1,000,000 | 1,000,00 | |
| 53 | Sound System | 5 | 100,000 | 500,000 | 500,000 | |
| 54 | Refrigerator | 10 | 30,000 | 300,000 | 300,000 | |
| 55 | Air Cooler | 10 | 60,000 | 600,000 | 600,000 | |
| 56 | Generator | 5 | 70,000 | 350,000 | 350,000 | |
| 57 | Color TV | 10 | 20,000 | 200,000 | 200,000 | |
| 58 | VCR | 10 | 15,000 | 150,000 | 150,000 | |
| 59 | Musical Instruments | 10 sets | 50,000 | 500,000 | 500,000 | |
| Sub-Total Taka | 25,090,000 | 25,090,000 |
| Budget Line | Activities | Targets | Unit cost | Total Taka | 1st Year | 2nd Year |
| 60 | Office Rent & utilities for 12 Offices: | |||||
| 61 | Office Rent | 12 | 15,000 | 4,320,000 | 2,160,000 | 2,160,000 |
| 62 | Electric Bill | 12 | 5,000 | 1,440,000 | 720,000 | 720,000 |
| 63 | Water & Gas Bill | 12 | 2,000 | 576,000 | 288,000 | 288,000 |
| 64 | Telephone Bill | 20 | 3,000 | 240,000 | 120,000 | 120,000 |
| 65 | Postage & Telegram | 12 | 2,000 | 576,000 | 288,000 | 288,000 |
| 66 | Printing & Stationery | 12 | 20,000 | 5,760,000 | 2,880,000 | 2,880,000 |
| 67 | Fuel & Maintenance for Motorcycle | 25 | 5,000 | 3,000,000 | 1,500,000 | 1,500,000 |
| Fuel & Maintenance for Jeep, Micro, Car, Ambulance | 8 | 25,000 | 4,800,000s | 2,400,000 | 2,400,000 | |
| Sub-Total = | 20,712,000 | 10,356,000 | 10,356,000 | |||
| Salary & Allowances: | ||||||
| 68 | Project Director (PD) | 1 | 45,000 | 1,260,000 | 630,000 | 630,000 |
| 69 | Assistant Project Director (APD) | 3 | 35,000 | 2,940,000 | 1,470,000 | 1,470,000 |
| 70 | Regional Coordinator | 3 | 30,000 | 2,520,000 | 1,260,000 | 1,260,000 |
| 71 | MBBS Doctor | 11 | 30,000 | 9,240,000 | 4,620,000 | 4,620,000 |
| 72 | Finance Manager | 1 | 30,000 | 840,000 | 420,000 | 420,000 |
| 73 | Computer Programmer | 1 | 20,000 | 560,000 | 280,000 | 280,000 |
| 74 | Field Coordinator | 10 | 20,000 | 5,600,000 | 2,800,000 | 2,800,000 |
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| Budget Line | Activities | Targets | Unit cost | Total Taka | 1st Year | 2nd Year |
| 75 | Public Relation Officer | 1 | 18,000 | 504,000 | 252,000 | 252,000 |
| 76 | Documentation & Publication Officer | 1 | 18,000 | 504,000 | 252,000 | 252,000 |
| 77 | Technician | 20 | 18,000 | 10,080,000 | 5,040,000 | 5,040,000 |
| 78 | Program Monitor | 3 | 16,000 | 1,344,000 | 672,000 | 672,000 |
| 79 | Trainer | 10 | 16,000 | 4,480,000 | 2,240,000 | 2,240,000 |
| 80 | Internal Auditor | 2 | 16,000 | 896,000 | 448,000 | 448,000 |
| 81 | Health Assistant | 11 | 10,000 | 3,080,000 | 1,540,000 | 1,540,000 |
| 82 | Accountant | 16 | 10,000 | 4,480,000 | 2,240,000 | 2,240,000 |
| 83 | Media Communicator | 20 | 10,000 | 5,600,000 | 2,800,000 | 2,800,000 |
| 84 | Computer Operator | 3 | 8,000 | 672,000 | 336,000 | 336,000 |
| 85 | Nurse | 22 | 7,000 | 4,312,000 | 2,156,000 | 2,156,000 |
| 86 | Health Motivator | 50 | 6,000 | 8,400,000 | 4,200,000 | 4,200,000 |
| 87 | Driver | 10 | 6,000 | 1,680,000 | 840,000 | 840,000 |
| 88 | Service Staff | 20 | 5,000 | 2,800,000 | 1,400,000 | 1,400,000 |
| 89 | Peer Educator (part time) | 100 | 3,000 | 8,000,000 | 4,200,000 | 4,200,000 |
| 90 | Executive Director (Partial) | 1 | 25,000 | 700,000 | 350,000 | 350,000 |
| 80,892,000 | 40,446,000 | 40,446,000 | ||||
| 91 | Salary 10% increase in 2nd year | 4,044,600 | 4,044,600 | |||
| Sub-Total Salary | 84,936,600 |