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IMPACT STORY

LEDA HEALTH CLINIC, COX’S BAZAR, BANGLADESH

In a community susceptible to high health risks due to distance to existing healthcare facilities and lack of available services at night, IOM is working with BPRM, ECHO, and SIDA to contribute to improving health conditions in Leda, home to over 15,000 Undocumented Myanmar Nationals and 8,000 host community members.

As recently as September 2016, the 15,000 Undocumented Myanmar Nationals (UMNs) and the 8,000 host community members (HCs) that live in the Leda village of Teknaf Upazila in Cox’s Bazar could only go to the Leda Community Clinic (LCC) to receive healthcare services. This was twice the caseload the LCC was used to treating daily – increasing from 50 to over 100 with 40% of the patients UMNs – affecting the services provided and the quality of care.
A needs assessment carried out in 2015 identified that the distance to the LCC and lack of available services at night were among the key barriers for people in the area to access adequate healthcare services.
“People in our community are forced to rely on nearby pharmacies for medical advice, because the Community Clinic operates only during the day,” notes the Camp Management Committee (CMC) of Leda Makeshift Settlement (LMS).
Since February 2015, IOM has been supporting the LCC to provide services to an ever increasing clientele. Feasibility of further expansion of the LCC to provide extended services, however, is limited due to distance and logistics. So to adequately address the healthcare needs of the community required establishing an additional facility in the vicinity that operates longer hours.
In line with previous discussions to establish a standalone clinic in Leda, IOM requested its humanitarian development partners ECHO, BPRM, and Sida for funding to provide comprehensive primary healthcare and nutritional services.

  • OBJECTIVE: Improve the health outcomes of Undocumented Myanmar Nationals and Host Communities in Leda of Teknaf Upazila
    Construction: August to November 2016
    Benefits: 20,000 UMNs and 8,000 HCs
    Funded by: European Civil Protection and Humanitarian Aid Operations (ECHO); US Bureau of Population, Refugees, and Migration (BPRM); Swedish International Development Cooperation Agency (Sida)
    Budget: US$ 321,297 (BPRM $155,000, ECHO $98,350, Sida $67,947)
    Offers:
  • 24-hour emergency and out-patient services ê Basic Emergency Obstetric and Newborn Care (BEmONC).
  • Integrated management of childhood illnesses ê Communicable disease control components ê Psychosocial support.
  • Nutritional services including therapeutic feeding ê Immunization services through linkages with the national Expanded Programme on Immunization (EPI).

RESULTS TO DATE

  • The 10-bed Leda Health Clinic is currently operational and started providing limited services, including outpatient consultation and referrals, on 16 October, 2016.
  • Construction of the clinic commenced in August 2016 in a rented land adjacent to the LMS. There was a pre-existing concrete structure on site. Renovation of the old site along with most of the new construction work was completed in October.
  • All work was completed by early-November, with the full range of services beginning from 15 November, 2016.
  • The Leda Health Clinic is staffed with nine members, including a medical officer, a registered nurse/midwife, a paramedic, a lab technician, a counselor, a nursing assistant, a cleaner, and two security guards. All staff are on-board as of 01 December, 2016.
  • A total of 5,358 cases have been treated at the Leda Health Clinic up to December 2016. Among them, 415 women received Ante-Natal Care (ANC), 40 women received Post-Natal Care (PNC), and 25 children were delivered at the clinic.

Before-and-after transformation of the clinic can be seen in this video.

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