Securing Health Through Safe Treatment and Other Initiatives (SHOSTI)
Description
1. Health Insurance: Under SHOSTI, there are three types of health insurance facilities available:* Platinum: No registration fee, 40% discount for family members registration fee, other services including laboratory 40% and 20% discount for member and family members respectively.* Gold: No registration fee, 30% discount for family members’ registration fee and 10% discount for member and family members respectively.* Silver: No registration fee, 20% and 10% discount for member and family members respectively on other services including laboratory tests.2. Capacity Building/Training Services: i. Community Medical Technical Education ii. Community-Based Nutrition Service Providers iii. Community-Based Noncommunicable Diseases (NCDs) Service Providers iv. Community-Based Eye Care Service Providersv. Community-Based Pharmacy Management Education vi. Community-Based Mother and Child Care Service Providersvii. Community-Based Nursing Educationviii. Community-Based Physiotherapy 3. Creating Entrepreneurs and Promoting Social Business: The unemployed youth are now taking the opportunity to start their own shops, with assistance from SHOSTI. Under SHOSTI, there are 350 grocery shops in each clinic area. Furthermore, SHOSTI has taken the initiative to promote the homemade, healthy foods in the market, which have created incoming source for the women and people with disabilities.4. Women Empowerment: SHSOTI has taken the initiative to promote the handlooms and food items prepared by the women at home. The majority of the women in Bangladesh are housewives, and this initiative can enable them to earn some extra money for their family. Besides, the project has taken up a social business angle to help female sex workers who are willing to return to mainstream society. Under this program, they will get training and in-kind support to start manufacturing products. SHOSTI will take the responsibility of marketing the products.5. Providing Support to Ultra Poor: The community management committee under SHOSTI identifies ultra poor in the clinic areas and register them. From the program, they get free medical services and capacity building training, plus in-kind support to start their own business or shop.6. Community Ownership and Shareholders: One of the principal operating strategies of SHOSTI is to involve the local communities in the management of the project. One of the strengths of SHOSTI is that Eminence gives the ownership of the clinics to the community. Thus, the community owners are involved in the project from the beginning, as they receive shares of "their" clinic. It is planned that after one year the shareholders from the community will be the actual owners of the clinic, although the financial and administrative management will remain under Eminence, and the monitoring and evaluation will be participatory from both of the Eminence and Community Management Group.
1. Training on Medical Education: Unemployed youth and marginalized women are being offered training on community-based health service courses.2. Training and In-kind Support on hand-loom and pickles manufacture: Female sex workers, women from marginalized groups, and abandoned women who are eager to work, get training and in-kind support tostart manufacturing their own products. 3. In-kind Support for Entrepreneurs: Unemployed youth can start their own shops with assistance from SHOSTI. Under SHOSTI, there already are 350 grocery shops in each clinic area.
It is envisaged that strengthened multilateral consultation between a partner (Eminence) from a developing country and global partners will facilitate better co-ordination and accountability. The multi-sectoral nature of the targeted goals require truly collaborative and multi-disciplinary group of stakeholders focused on deploying effective programs/approaches in a sustainable way. A combination of partners with expertise in development, trade, consumption and production, health, investment, education and other sectors is expected to help to bring to the table the necessary breadth of skills to deal with the goals from all necessary angles. Stronger action plans, with robust monitoring and evaluation frameworks will be taken which are in turn likely to attract resources from potential donors. They will be encouraged to follow aid effectiveness principles in providing support for long-term. The strategic paper on Sustainable Development will provide the guiding policy directives for developing a collaborative approach by partners. Once the action plan of the partnership finalized, these too will provide guidance for partners activities at local level in particular. Eminence will be the hub of the coalition where they will act as the Secretariat to coordinate the international partners along with implementing regional action plans. Although SHOSTI aims to serve the people quality services with low and affordable prices, it needs to be self reliant to get sustainability in providing services. Initially Eminence will invest on it to popularize to the community. In doing so, Eminence has its own business plan to make it self-reliant. As of the plan, initially every clinic needs to earn an amount of BDT 200,000 taka in the first year. Then gradually the amount is increased along with the increased cost of the services and other related objects. Although SHOSTI is owned, managed and controlled by Eminence, it is planned that the ownership will be handed over to the community through selling the shares after a certain period of time (primarily after one year).
Eminence has its unique, built-in monitoring system to monitor the activities of SHOSTI. There are three tiers of monitoring system: (i) monitoring by the clinics' local staff (in each of the clinics there is an assigned person who monitors day to day activities of the clinic to ensure its smooth running, (ii) monitoring by the central office of Eminence (a team working to implement SHOST, with an assigned person to specifically oversee the activities of SHOSTI), and (iii) monitoring by the Committee members (as the clinics are managed by the community, the community members act as the monitoring unit for the services). The monitoring is done based on the set indicator and set goals for this program. Also the monitoring of the services and activities are done by the recording and reporting system of the organization.<br />
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<br>Since 2014, approximately 300 pregnant women and 350 mothers and their children from each centre got quality services at low and affordable cost per year (for a total of 2,400 pregnant women and 2,800 mothers and children). Almost 1,500 patients from the community have been referred to SHOSTI clinic and have received health services. An international conference on community health was organized last year, where policy makers and researchers all around the world gathered to share success stories in providing community-based health services. A total of 65 unemployed young individuals from the community received in-kind and cash support to start their own entrepreneurship projects. <br />
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<br>As part of outreach activities, the paramedic and the counseling staffs of SHOSTI clinics continued providing satellite services in slums situated in catchment areas. Scheduled to take place once in each week at the static clinics, these camps designed to provide screening and diagnostic service, counseling, referral, and lifestyle modification advices to the people coming to the camps at free of cost. So far, 50 camps took place. Under the initiative of rehabilitating women sex workers in the main stream society, ‘SHOSTI’ has already rehabilitated 25 such female who were involved in sex industry. They got training on garment manufacturing and supported in-kind. <br />
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* International Society for Urban Health (ISUH)
* Bangladesh Urban Health Network (BUHN)
* Population and Sustainable Development Alliance (PSDA)
* CANSA (Climate Action Network-South Asia)
* Global Citizens forum for Sustainable Development (GCFSD)
SDGS & Targets
Goal 11
Make cities and human settlements inclusive, safe, resilient and sustainable
11.1
By 2030, ensure access for all to adequate, safe and affordable housing and basic services and upgrade slums
11.1.1
Proportion of urban population living in slums, informal settlements or inadequate housing
11.2
11.2.1
Proportion of population that has convenient access to public transport, by sex, age and persons with disabilities
11.3
11.3.1
Ratio of land consumption rate to population growth rate
11.3.2
Proportion of cities with a direct participation structure of civil society in urban planning and management that operate regularly and democratically
11.4
Strengthen efforts to protect and safeguard the world’s cultural and natural heritage
11.4.1
Total per capita expenditure on the preservation, protection and conservation of all cultural and natural heritage, by source of funding (public, private), type of heritage (cultural, natural) and level of government (national, regional, and local/municipal)
11.5
By 2030, significantly reduce the number of deaths and the number of people affected and substantially decrease the direct economic losses relative to global gross domestic product caused by disasters, including water-related disasters, with a focus on protecting the poor and people in vulnerable situations
11.5.1
Number of deaths, missing persons and directly affected persons attributed to disasters per 100,000 population
11.5.2
Direct economic loss attributed to disasters in relation to global domestic product (GDP)
11.5.3
(a) Damage to critical infrastructure and (b) number of disruptions to basic services, attributed to disasters
11.6
By 2030, reduce the adverse per capita environmental impact of cities, including by paying special attention to air quality and municipal and other waste management
11.6.1
Proportion of municipal solid waste collected and managed in controlled facilities out of total municipal waste generated, by cities
11.6.2
Annual mean levels of fine particulate matter (e.g. PM2.5 and PM10) in cities (population weighted)
11.7
11.7.1
Average share of the built-up area of cities that is open space for public use for all, by sex, age and persons with disabilities
11.7.2
Proportion of persons victim of non-sexual or sexual harassment, by sex, age, disability status and place of occurrence, in the previous 12 months
11.a
Support positive economic, social and environmental links between urban, peri-urban and rural areas by strengthening national and regional development planning
11.a.1
Number of countries that have national urban policies or regional development plans that (a) respond to population dynamics; (b) ensure balanced territorial development; and (c) increase local fiscal space
11.b
By 2020, substantially increase the number of cities and human settlements adopting and implementing integrated policies and plans towards inclusion, resource efficiency, mitigation and adaptation to climate change, resilience to disasters, and develop and implement, in line with the Sendai Framework for Disaster Risk Reduction 2015-2030, holistic disaster risk management at all levels
11.b.1
Number of countries that adopt and implement national disaster risk reduction strategies in line with the Sendai Framework for Disaster Risk Reduction 2015–2030
11.b.2
Proportion of local governments that adopt and implement local disaster risk reduction strategies in line with national disaster risk reduction strategies
11.c
Support least developed countries, including through financial and technical assistance, in building sustainable and resilient buildings utilizing local materials
Goal 5
Achieve gender equality and empower all women and girls
5.1
End all forms of discrimination against all women and girls everywhere
5.1.1
Whether or not legal frameworks are in place to promote, enforce and monitor equality and non‑discrimination on the basis of sex
5.2
5.2.1
Proportion of ever-partnered women and girls aged 15 years and older subjected to physical, sexual or psychological violence by a current or former intimate partner in the previous 12 months, by form of violence and by age
5.2.2
Proportion of women and girls aged 15 years and older subjected to sexual violence by persons other than an intimate partner in the previous 12 months, by age and place of occurrence
5.3
5.3.1
Proportion of women aged 20-24 years who were married or in a union before age 15 and before age 18
5.3.2
Proportion of girls and women aged 15-49 years who have undergone female genital mutilation/cutting, by age
5.4
Recognize and value unpaid care and domestic work through the provision of public services, infrastructure and social protection policies and the promotion of shared responsibility within the household and the family as nationally appropriate
5.4.1
Proportion of time spent on unpaid domestic and care work, by sex, age and location
5.5
Ensure women’s full and effective participation and equal opportunities for leadership at all levels of decision-making in political, economic and public life
5.5.1
Proportion of seats held by women in (a) national parliaments and (b) local governments
5.5.2
Proportion of women in managerial positions
5.6
Ensure universal access to sexual and reproductive health and reproductive rights as agreed in accordance with the Programme of Action of the International Conference on Population and Development and the Beijing Platform for Action and the outcome documents of their review conferences
5.6.1
Proportion of women aged 15-49 years who make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care
5.6.2
Number of countries with laws and regulations that guarantee full and equal access to women and men aged 15 years and older to sexual and reproductive health care, information and education
5.a
Undertake reforms to give women equal rights to economic resources, as well as access to ownership and control over land and other forms of property, financial services, inheritance and natural resources, in accordance with national laws
5.a.1
(a) Proportion of total agricultural population with ownership or secure rights over agricultural land, by sex; and (b) share of women among owners or rights-bearers of agricultural land, by type of tenure
5.a.2
Proportion of countries where the legal framework (including customary law) guarantees women’s equal rights to land ownership and/or control
5.b
5.b.1
Proportion of individuals who own a mobile telephone, by sex
5.c
Adopt and strengthen sound policies and enforceable legislation for the promotion of gender equality and the empowerment of all women and girls at all levels
5.c.1
Proportion of countries with systems to track and make public allocations for gender equality and women’s empowerment
Goal 1
End poverty in all its forms everywhere
1.1
By 2030, eradicate extreme poverty for all people everywhere, currently measured as people living on less than $1.25 a day
1.1.1
Proportion of the population living below the international poverty line by sex, age, employment status and geographical location (urban/rural)
1.2
By 2030, reduce at least by half the proportion of men, women and children of all ages living in poverty in all its dimensions according to national definitions
1.2.1
Proportion of population living below the national poverty line, by sex and age
1.2.2
Proportion of men, women and children of all ages living in poverty in all its dimensions according to national definitions
1.3
Implement nationally appropriate social protection systems and measures for all, including floors, and by 2030 achieve substantial coverage of the poor and the vulnerable
1.3.1
Proportion of population covered by social protection floors/systems, by sex, distinguishing children, unemployed persons, older persons, persons with disabilities, pregnant women, newborns, work-injury victims and the poor and the vulnerable
1.4
By 2030, ensure that all men and women, in particular the poor and the vulnerable, have equal rights to economic resources, as well as access to basic services, ownership and control over land and other forms of property, inheritance, natural resources, appropriate new technology and financial services, including microfinance
1.4.1
Proportion of population living in households with access to basic services
1.4.2
Proportion of total adult population with secure tenure rights to land, (a) with legally recognized documentation, and (b) who perceive their rights to land as secure, by sex and by type of tenure
1.5
By 2030, build the resilience of the poor and those in vulnerable situations and reduce their exposure and vulnerability to climate-related extreme events and other economic, social and environmental shocks and disasters
1.5.1
Number of deaths, missing persons and directly affected persons attributed to disasters per 100,000 population
1.5.2
Direct economic loss attributed to disasters in relation to global gross domestic product (GDP)
1.5.3
Number of countries that adopt and implement national disaster risk reduction strategies in line with the Sendai Framework for Disaster Risk Reduction 2015-2030
1.5.4
Proportion of local governments that adopt and implement local disaster risk reduction strategies in line with national disaster risk reduction strategies
1.a
Ensure significant mobilization of resources from a variety of sources, including through enhanced development cooperation, in order to provide adequate and predictable means for developing countries, in particular least developed countries, to implement programmes and policies to end poverty in all its dimensions
1.a.1
Total official development assistance grants from all donors that focus on poverty reduction as a share of the recipient country's gross national income
1.a.2
Proportion of total government spending on essential services (education, health and social protection)
1.b
Create sound policy frameworks at the national, regional and international levels, based on pro-poor and gender-sensitive development strategies, to support accelerated investment in poverty eradication actions
1.b.1
Pro-poor public social spending
Goal 3
Ensure healthy lives and promote well-being for all at all ages
3.1
3.1.1
Maternal mortality ratio
3.1.2
Proportion of births attended by skilled health personnel
3.2
3.2.1
Under-five mortality rate
3.2.2
Neonatal mortality rate
3.3
By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases
3.3.1
Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations
3.3.2
Tuberculosis incidence per 100,000 population
3.3.3
Malaria incidence per 1,000 population
3.3.4
Hepatitis B incidence per 100,000 population
3.3.5
Number of people requiring interventions against neglected tropical diseases
3.4
3.4.1
Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease
3.4.2
Suicide mortality rate
3.5
Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol
3.5.1
Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders
3.5.2
Alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol
3.6
3.6.1
Death rate due to road traffic injuries
3.7
By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes
3.7.1
Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods
3.7.2
Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group
3.8
Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all
3.8.1
Coverage of essential health services
3.8.2
Proportion of population with large household expenditures on health as a share of total household expenditure or income
3.9
3.9.1
Mortality rate attributed to household and ambient air pollution
3.9.2
Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)
3.9.3
Mortality rate attributed to unintentional poisoning
3.a
3.a.1
Age-standardized prevalence of current tobacco use among persons aged 15 years and older
3.b
Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all
3.b.1
Proportion of the target population covered by all vaccines included in their national programme
3.b.2
3.b.3
Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis
3.c
3.c.1
Health worker density and distribution
3.d
Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks
3.d.1
International Health Regulations (IHR) capacity and health emergency preparedness
3.d.2
Percentage of bloodstream infections due to selected antimicrobial-resistant organisms
SDG 14 targets covered
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Shamim Hayder Talukder, MD, Founder and Chief Executive Officer