In order to address the increasing number of urban population that are getting affected by NCD’s in Bangladesh, Eminence started a pilot project in March 2006. In the year 2008, the project was extended for next two years as ‘Slum Based Non-Communicable Diseases Prevention Intervention.’ The aim of the project was to delay complication by creating awareness about the risk factors of non-communicable diseases by increasing knowledge to make change in habitual fact related to dietary pattern, physical activity, cession of tobacco and compliance to timely and proper medication among identified NCD patients in urban population through a community based intervention model. The project site was in sector 13 and 14 of Mirpur, Dhaka. The number of direct beneficiary population were 213 known cases of diabetes and hypertension patients aged from 22 to 82 years identified from 6000 population by a baseline screening.
The intervention was made through a community based service system which was comprised of three components:
Currently the Eminence has scaled-up the project in Mirpur as Urban Demographic and Health Surveillance Program (UDHSP). In this program, not only NCD, but all the burning issues of urban health is being addressed. UDHSP team visits every household and updates the list of residents. Information is collected on all births, deaths, pregnancies, in- and out- migration at the household level, and changes in marital status and educational attainment are noted. The information is recorded on paper forms and entered onto a database at the EMINENCE office.
Demographic surveillance data are collected at regular intervals. Every household in the study area is visited by a designated field coordinator and field supervisor who collect demographic information. Household identifiers (numbers identifying village, sub-village, cluster, household and member number) are held in a separate database to which temporary links are formed to generate data collection forms and invitations.
Today, the UDHSP covers a population of almost 10,000 people who live in these two wards in Mirpur. The activities of UDHSP is participatory with emphasis on empowering the people by raising awareness about key urban health issues (including water, sanitation and hygiene; communicable and non communicable diseases; poverty and livelihood) encompassing positive preventive behavior through health education. Eminence is planning to scale up UDHSP in two more slum areas and wards of the city in order to establish an effective surveillance system that monitors the impact of interventions with equity focus and generate relevant health, demographic and socioeconomic information for policies and programs, and further research.