In 1990, DAM launched the programme AMIC (Addiction Management and Integrated Care) after recognizing the social and economic damage of drug abuse. Almost 20 years old, AMIC has seen it’s activities expand over the years and currently is multifaceted in the prevention and treatment of drug abuse. In 2002, AMIC was awarded with the highest national award by the Government of Bangladesh-Independence Award and is a member of the International Agency on Tobacco and Health and the International Council on Alcohol and Addiction and recently, a member of the Framework Convention Alliance on Tobacco Control. AMIC’s current projects include the following:01. Ahsania Mission Drug Addiction Treatment and Rehabilitation Centre
Established in 2004 in the district of Gazipur, the treatment and rehabilitation centre aims to provide clients with individualized quality treatment services. A comprehensive, holistic approach is implemented not only to assist clients in becoming drug free but to provide life skills, vocational training and psychosocial support through counseling. The treatment emphasizes not only on social rehabilitation but also economical rehabilitation and has recently created a Vocational Training Centre on-site to capacitate clients in a range of skills including electronics, garments and refrigeration. An integrated method of therapeutic community and the 12- steps of Narcotics Anonymous (NA) is implemented. Clients who are admitted will first undergo 14 days of detoxification then start long-term treatment (approximately 6 months) which after completion are provided with follow-up after care.
Family support groups and community groups are also organized and family counseling provided to help in mending broken relationships and sensitizing family members on drug abuse.02.Female Drug Treatment and Rehabilitation Center
With a greater understanding of the growing needs of Gender Responsive treatment for woman substance users, Dhaka Ahsania Mission come forward with “Female Drug Treatment and Rehabilitation Center” in Iqbal Road, Mohammadpur. It recognizes that success in recovery not only depends on the content of primary treatment but also on the availability of support services once a woman returns home to her family and community. Contrary to other centers in our country we actually designed to meet client’s needs of clinical treatment, family and community supports and counteract other social conditions that impact female by embracing few key principles and values in treatment. Treatment based on:
- client’s strengths not deficits
- Gender- specific
- Individual client needs
- Women empowerment
- Life skills
Our center offers at first 14 day detoxification which then followed by 2.5 month rehabilitation program. After completing the process clients will be provided with follow-up after care. Family support groups and community groups are there to reintegrate those clients with their families and to the society as well.
03. Improvement of the Real Situation of Overcrowding in Prisons (IRSOP) Project
There are shortcomings in the prison system in Bangladesh for various reasons. One of the most urgent problems is that Bangladeshi prisons are over-crowded, with the number of prisoners at 250 to 300 percent of actual capacity. However, the largest proportion of prisoners is under-trial custody. Prison overcrowding is symptomatic of a larger problem with justice sector institution. Government has now agreed to work with GIZ for 35 districts with DFID funding under the title of Access to Justice through Paralegal Services and Restorative Justice (AJPSRJ). The project is expected to be for six-year duration from 2013 to 2018, title Improvement of the Real Situation of Overcrowding in Prisons (IRSOP).
It will be implemented in 35 prisons and its catchment courts, police stations and communities in 10 districts. Prisoners who use drugs are often lack of facility of treatment and out of associated support like withdrawal management, counseling etc. Drug user’s prisoners and skill development training for prisoners to be supported in 10 prison sites and Dhaka Ahsania Mission is implementing this project with focusing in this area through the partnership with GIZ from 2014. The drug user prisoners will get support for drug treatment and counseling and will receive skill development training and other prisoners who need the skilled based training; so that they can easily be re-integrated in the society as potential members.
The key task and deliverables of this project are:
- Referrals of the drug dependents prisoners and released prisoners for treatment
- Skill based training for prisoners inside & outside of the prison
- Capacity building training for public and private drug treatment professionals
- Counseling session for drug dependent and other vulnerable prisoners
- Networking and referral linkage of potential public, private and corporate bodies to provide drug treatment, vocational training and micro finance for social reintegration.
04.” Advocacy for Comprehensive Implementation of Tobacco Control Law in Dhaka City” Project
The Government of Bangladesh has been signed and ratified Framework Convention on Tobacco Control (FCTC) accordingly formulated Smoking and Tobacco Products Usage (Control) Act 2005, so smoking is prohibited at public places and public transports in Bangladesh. But veracity is that most of the public places and transports which have articulated by the law still are not fully smoke free. In addition, the law does not express about 100% smoke free environment for most of the public places and transports. As a result large number of peoples are effecting by second hand smoking.
Dhaka is the capital of Bangladesh and having about 15 million populations. It is one of the most densely populated cities in the world. Dhaka City is at the center of all major economic, social, political and cultural activities of the nation. Even though the ‘Smoking and Tobacco Products Usage (Control) Act 2005’ establishes smoke-free public places and transports, the enforcement of the law in Dhaka City is very limited. As a result, the people of Dhaka City are highly exposed to second hand tobacco smoke. Thus it is essential for protecting Dhaka city dwellers from second hand smoking. Smoke-free initiative in Dhaka City is substantially important not only for its large population, but also for its political significance as the Capital City of the country. Accordingly Dhaka Ahsania Mission has been implementing “A Step towards Smoke-free Dhaka City” project funded by Campaign for Tobacco Free Kids (CTFK) under Bloomberg Initiatives. We do believe this project will be symbolized a lot of advancement of the tobacco control movement as well as reduce second hand smoke and make Smoke free Dhaka by establishing 100% smoke-free indoor environments in the city & necessary amendment of tobacco control law.
05. Urban Primary Health Care Services Delivery Project (UPHCSDP)
The project aims to improve access, equity, quality, utilization and institutional sustainability of urban primary health care (PHC) services in all city corporations and selected municipalities, particularly for the poor and women and children. The project is funded by Asian Development Bank (ADB) through the Local Government Division (LGD) of the Ministry of Local Government, Rural Development and Cooperatives. AMIC-Dhaka Ahsania Mission has been implementing the project in Uttara area of Dhaka City and Comilla City through Dhaka City Corporation started from 1 January 2013. In both area of the project the project delivering the service from one Comprehensive Reproductive Health Care Center (CRHCC) and Six Primary Health Care Center (PHCC), equipped with OT, Diagnostic Lab, Stay Ward, and Others clinical facilities. The project is delivering the following services:
Maternal health care: Maternal health services is providing through static (CRHCC & PHCC) and satellite points. Demand side financing is utilizing with the services.
Population and family planning services: Contraceptives are being available with the support from Directorate of Family Planning. Accompanied with quality counseling, all temporary methods providing from PHCC through static and satellite points and long acting permanent methods including sterilization delivering from CRHCC as per standard guideline.
Neonatal and child health care: All PHCC and CRHCC delivering neonatal and child health care including Counseling of mothers on neonate and child physical and psychological care as well as improvement of treatment seeking behavior
Reproductive health care: Management of various RTI/STI with appropriate counseling providing from both PHCC (static and satellite) and CRHCC. Counseling included with identification of cervical cancer, breast cancer, fistula and other reproductive tract diseases.
Adolescent care: All PHCC and CRHCC providing defined adolescent health services and mobilizing adolescents to improve knowledge on adolescent sexual and reproductive health within greater community.
Nutrition service: A range of services encompassing nutritional counseling, prevention of malnutrition and food supplementation are ensuring for mother and. vitamin A supplementation for both children aged 6 months to 6 years and lactating mothers and promotion of iodized salt consumption planned for essential elements under nutrition services.
Communicable and non-communicable diseases control: DAM collaborating with the National Tuberculosis Program for ensuring TB screening and DOTS services. GFATM TB Program merged with UPHCSDP program. Service promoters trained for early referral of both communicable and non-communicable diseases.
Limited curative care: Provision limited curative care are delivering from DAM UPHCSDP Program.
Behavior change communication: DAM considering behavior change communication as cross-cutting issue for behavior change of service providers, clients and community stakeholders.
Diagnostic services and emergency transportation service: As part of support service there are pathological laboratory in each PHCC to perform defined tests of blood, urine and stool. A medium capacity pathological laboratory set up in the CRHCC to carry out the specified tests.
Violence against women: DAM will applying experiences that have already been earned while implementing various rights-based projects.
06. GFATM TB Control program
In Bangladesh, Tuberculosis (TB) is a major public health problem and a leading cause of adult mortality. The WHO ranks Bangladesh the sixth among 22 high burden TB countries. Every year, around 76,000 people die because of TB in Bangladesh. BRAC is the first NGO to sign a MoU with the Government of Bangladesh in 1994 to expand the Directly Observed Treatment Short course (DOTS) services nationwide. Along with the government, BRAC is the principal recipient of Global Fund to Fight AIDs, Tuberculosis and Malaria (GFATM) to strengthen health system and expand DOTs across Bangladesh. BRAC and 42 other NGOs are implementing TB interventions in partnership with the government. AMIC –DAM as one of the implementing partner is delivering the TB service in Dhaka North City Corporation area .The major services are-1. Do register TB patient. and give daily medicine dose to the registered patients,2.Conduct awareness program- a)Conduct orientation workshop with Community /Opinion /Religious Leaders, b)Conduct orientation workshop with Non-Graduate Private Practitioners (PPs), c)Conduct orientation workshop with and HIV NGO workers d)Conduct orientation workshop with Factory Workers e) Conduct orientation workshop with Cured TB Patient f)Conduct folk songs and Film Show,3.Hospital /Clinic visit ,TB symptom patient refer for examine cough, 4. Participate in performance review meeting arrange by government & private organization.
07.Higher level Advocacy meeting and producing advocacy related material, Save the Children /“GFATM RCC Phase -2” Project:
The Government of Bangladesh is committed to limit the spread of HIV/AIDS in Bangladesh as a higher priority public health issue. In Collaboration with the MOHFW and NASP, Save The Children began managing the HIV/AIDS program in 2004 with funding support from the Global Fund. Based on the satisfactory performance ,The global fund awarded Bangladesh with an additional 6 years fund termed as “Rolling Continuation Channel (RCC)” supporting the project titled “Expanding HIV prevention in Bangladesh (2009-2015)” with the view of establishing “one program for accessing better result and impact. Considering the current HIV and AIDS situation in Bangladesh and create enabling environment for effective implementation of MARP program there is a strong need for Higher level advocacy among parliamentarians, different key ministries, Law enforcing agencies, journalists, relevant will support and facilitate the implementation of different targeted interventions. AMIC is working in this Projects as a implementing agency major activities of the projects are-1.Orient &Update focal points on HIV and AIDS of 17 ministries including their concerned departments, 2.Orient &Update policy makers of different ministries to support policies and program on HIV and AIDS, 3.Advocacy workshop with relevant officials of ministry of home affairs on implementation of harm reduction program, 4.Advocacy materials (Printed, video and other agreed format).
08.“Strengthen existing VCT Center Run by Other Organizations’ ‘Project
To increase HIV/AIDS prevention activities for risky population. Save the Children International under Global Fund, RCC Phase II project for Providing HIV testing and Counseling (HTC) session for Injecting Drug Users and Female Sex Workers at DICs through satellite Clinic in Gazipur District. Main objectives in the project are aims to address the demand of HTC services to Injecting Drug Users (IDUs) and Female Sex Workers (FSWs) at DIC level. AMIC is working in these Projects as a implementing agency major activities of the projects are-1. Strengthen existing HTC(HIV testing and counseling)center at Gazipur (Save the children Strengthen the center),2.Recruit and retain staff for (HIV testing and counseling Counselor, Lab Technologist, etc)for one HTC center,3.Ensure HTC focal to attend in counseling by Save the children,3.Ensure HTC focal to attend SoP orientation organized by Save the Children,4.Ensure HTC counselor to attend in counseling training organized by Save the Children,5.Ensure Lab Technologist attended basic training on HIV rapid testing, infection Prevention (IP), Universal Precaution (UP) and Post Exposure Prophylaxis (PEP) at BSMMU,6. Lab Technologist to attend refresher training on HIV rapid testing, infection prevention (IP) Universal Precaution (UP) and Post Exposure Prophylaxis (PEP) at BSMMU,7.Receive Test kits & consumables to conduct HTC sessions (Save the children will be provide HIV testing kits & and consumables in kind)8.Conduct HTC sessions for IDU and FSW DICs at Gazipur,9.Ensure and maintain sample transportation guideline from BSMMU for quality assurance,10.Conduct proficiency test and report back to BSMMU (Sample will be provided by BSMMU).
09. Creating Youth Advocates for Health in Bangladesh
The number of children dying has gone down dramatically since 1990. But still every year 6.9 million children – nearly half of them newborn babies – die from illnesses that can easily be prevented or treated. In Bangladesh 19,000 children die from pneumonia each year, accounting for 22% of under five deaths. The Government of Bangladesh on 21st July 2013 officially declared its commitment for ending preventable child deaths in the country by 2035.
To help end this injustice Save the Children launched the EVERY ONE campaign project in 2009. Through this project Save the Children has been campaigning for lifesaving medicines, such as pneumococcal vaccines and scaling up of the Community Case Management approach for training health workers.
AMIC– Dhaka Ahasania Mission has been implementing the project in three district Chittagong- satkania Upazila, Barisal – Muladi Upazila and Sylhet – Moulvibazar Upazila through started Save the Children International funded by SIDA started from May’2014.
The project activities are –
- Activities are- Recruit & Retain Staff
- Project Inaugural Workshop
- Advocacy Workshop with Stakeholders
- Formation of Youth Bridged (YB)
- Organize TOT on Youth Leaders and Echo Training
- Print and Distribute IEC Materials
- Perform extracurricular activities for awareness raising
- Organize Sensitization Meeting
- Conduct Journalist Training &Orientation-National level.
- Conduct Journalist Training &Orientation-District level.
- Conduct Parents Meeting
- Award Distribution
- Day Observance
- Organize Sports/events in school
- Networking and Coordination.
10.Haque- Bulu Ahsania Mission Hospital
AMIC is operating a general hospital to provide and promote health care to the people, specially to the poor at rural people at Shiali, badarpur near Patukhali Sadar . This general hospital is 20 beds set up with out patients services and well equipped diagnosis services. At present patients are receiving X-ray, ECG, Ultra sonogram and different serological diagnosis services from this hospital with low cost service fees. A secondary level Operation Theatre (OT) is available here to maximize the services which are a great support to the people of this area. EPI and TB program is included here and these services are also fostering the people’s attitude regarding health seeking behavior.
For more information visit www.amic.org.bd