Funding Proposal For Childhood Diarrhoea In Bangladesh Assessment Answer
The project funding proposal on the intervention on childhood diarrhoea outlines the requirement of framing the recommendations for the management of the diseases while identifying the root causes. The fund required and the staffing will be essential in this context. The preliminary period of the Project has been proposed as three years program with irregular intervals of measuring the effectiveness of the program to be initiated. The stakeholders, sponsors, patients and the healthcare professionals will be benefited from this Project with the proper intervention method propagation, thereby eradicating the diseases and restoring the health of the children in the selected Country of Bangladesh.
Background and Assessment on the need of the Project
Bangladesh is a developing country. The general population is poor and has a dire need for medical facilities. The same has for long been argued by WHO and UNICEF. In addition to this, it is evident that 27% of child mortality rates in the Country are just due to Diarrhoea. This is a staggering count keeping Uganda and Ethiopia far behind. The population, in addition, is not aware how to keep this at bay. The Government has strived hard to curb this menace but is taught on finances to combat this disease effectively (Hasan & Richardson, 2017). The entrance of private parties and WHO in particular have quelled the seriousness of the issue to a large extent, but the effects are yet to be vibrant. The initiation of a project to downsize the child mortality rate due to Diarrhoea in Bangladesh is a great humanitarian cause and will also help improve the world condition. A creative and full proof plan is hereby proliferated to counter the massive child mortality rates in Bangladesh due to Diarrhoea.
The stakeholders' matrix projects the power-interest matrix. The power of the Project lies in the hands of the sponsor, and the investor who has a high interest in the Project. The patients are also interested as they are the sufferers of the disease where every year, several NGO initiates the campaign on sanitation and improving the potable water for consumption. In contradiction, it may be said that the awareness campaigns arranged by the Government have been drastically reduced in recent years as they focus on other aspects of healthcare facilities. Even the administration of the Project and the clerical staff shows low interest as they do not have any stake in the Project neither they can utilize any profit from the Project (Ahmad & Haque, 2018). Even the arsenic in groundwater contaminates the potable water where the intervention of the Government is witnessed to be lacking (Kindly refer to Table 3 annexed). Similarly, the government agencies witness repeated attempt in eradication measures taken on Diarrhoea where they are informed and shows low interest in comparison to the investors, patients and the sponsors.
Design of the Project and its Implementation
The project goal and purpose is to determine the target population of the children in various districts of the Country and assess the impact of Diarrhoea on the children. The objective of the project is to create sustainable measures to eradicate the problem of childhood diarrhoea from the population detected in phases divided into three-year programs (Kindly refer to Table 5 annexed). The assumable key results to be achieved from the implementation of this Project are getting success to identify the root cause of Diarrhoea and eradicate the problem from its root. This will help in the reduction of the child mortality rate in the identified Country (Billah et al. 2019). The intervention programs will support and address the promotion of preventive and curative practices incorporated in the management of childhood Diarrhoeal disease.
The resource that has to be incorporated in this Project includes the human resources, expenditure resources and the resources of the object. The preliminary resources include the fund that has to be accumulated for meeting the expenditures like providing staff salaries, procurement of medicines for the Diarrhoeal management, sanitization of the area, water resource management and miscellaneous expenditure on the Project (Hosain et al. 2019).
The project timeline will consist of the activities as the program or planning of the Project will consume one month; the setting up of the Headquarter will take three months. The advertisement for the Project will be carried out for two months. The campaign will be carried out for the 34 months while the testing of water and sanitation will be of a regular feature. The distribution of ORS and zinc supplements will be carried for three consecutive years. (Kindly refer to Table 4 annexed).
The program is planned as follows:
As informed by Savage (2018), the population is in no division more than 30,000,000. So for each division, a health centre comprising of two doctors and four nurse team will be sufficient as because the outbreak of Diarrhoea amongst children is area specific.
The program will initiate the propagation of different ways:
- ORS feeding during the loss of water in the body due to incessant Diarrhoea. The mothers to children between 0-4 years of age need to be educated that the necessity of feeding ORS to a baby is far more important during a diarrhoea infection.
- They were propagating the restricted usage of open water bodies for drinking water where other activities like bathing, washing clothes and utensils take place.
- The licensed doctors and nurses will be hired to reduce the domination of the unlicensed quacks and doctors, homoeopaths and pharmacists while seeking services from the public sectors and government agencies.
- The slum areas of the urban population have to be identified, and sanitation method and safe water consumption have to be monitored through this Project.
- Counselling of the mothers and would-be mothers will be essential to create an intervention in the management of the disease (Islam et al. 2018). The mothers will be mentored on the children rehydration, dietary treatment, breastfeeding and isolation if necessary in some cases.
The percentage decreased with the healthcare intervention project in the child mortality rate due to Diarrhoea is considered to be the finite measurement major output of the Project (Kindly refer to Table 2 annexed).
Methods to be incorporated in the Project is taking clear samples through field studies conducted in urban and rural areas of two districts in the first phase. The hospitals and health care centre are the preliminary sources of the data to be collected for the study and implementation of the Project (Pickering et al. 2018). The expectation of the stakeholders and the sponsors are to be fulfilled through an authentic collection of data with quantitative and qualitative information. The program leaders will be given the responsibility to arrange the data through the following medium:
- Survey method and questionnaire- The survey and questionnaire need to have open-ended and close-ended questions to get detailed information on the data pertaining to the existence of Diarrhoea among the children (Begum et al. 2020). A target group can be framed in the initial stages, which include from 0-3 years of age. The survey and questionnaire will include the clients, parents, patients' family, doctors and nurses and the stakeholders. The services will be integrated with the partner organizations if chosen any in the initial stages in the Project.
- Interviews and focus groups- The focus groups and interviews of this Project highlights the information collected from the parents of the children, government agencies, and other authentic sources which is based on the theme of childhood Diarrhoeal diseases in the Country (Sarker et al. 2016). The program also focuses on the services like the perceived cause of Diarrhoea, mitigation of the root cause of the Diarrhoeal disease and the homemade management through coaching and mentoring to be provided through this program.
- Observations- The ongoing programs in the nation regarding a similar theme can provide substantial information on the Project. The stakeholders, clients and patients involved in the research study can be approached to collect the data pertaining to the disease (Biswas et al. 2020). This can be one of the standardized methods to evaluate the necessity of the program to be initiated through this specific funding proposal.
- Documentation- There are several documents necessary for the Project to be passed for its commencement (Hussain et al. 2017). The necessary data includes an administrative document of approval of the Project, recruitment of staff documents, legal documents of the Project, electronic health record data of the patients, approval from the Government to conduct the project and outreach logs determining the reach of the field survey conducted prior to the implementation of the Project.
Frequency of data collection must be measured at irregular, and intermediate intervals as the prevalence measurement will not be required due to the already onset of the episode. The infrequent sampling helps to understand the effectiveness of the program undertaken and helps in measuring the awareness of the population on the severity of the disease (Qureshi et al. 2017). However, it is also witnessed that long interval measurements may create an error in the reliability of the information collected on a similar perspective. It is also essential to note that infrequent sampling will reduce the potential costs of the Project which will help in increasing the validity of the Project without compromising the actual intention of eradicating the disease from its root (Unicomb et al. 2018). The data, when measured at intermediate intervals, will result in the transparency of the Project; bring out the effectiveness of the intervention like water testing of the water-bodies and potable water of consumption in both rural and urban households.
The goals-based on short-term, intermediate and long-term goals have to be assessed with reference to the effort and finance (Truelove et al. 2020). The short term goals would be to reduce the child mortality rate due to Diarrhoea from the present 27 % to at least 15 %. This if possible would be a huge gain as the people would be aware that by the proper usage of medicine and food substances this high rate of mortality can easily and at a low cost be curbed (Bray et al., 2019). The people of the As to the mid and long term goals are concerned it is evident that the generations who are born the next year will also face the same predicament, but there always will be a mother in the neighbourhood who will know what exactly to do and whom to contact in case of aggravation of child diarrhoea (Mahumud et al. 2019). This will enable the project workers to pin-point the cases of child diarrhoea and eliminate the disease through medication easily. The mid-term goal of achieving at most 5% child mortality rate due to Diarrhoea will be a not so difficult task once the mass proliferation of this knowledge is already prevalent due to the achievement of short term goals.
Last but not least, when all the populace will be aware of how to contain and treat child diarrhoea, the deaths of children due to Diarrhoea in Bangladesh will be a thing of the past, and the objective of the Project will be achieved (Rahman & Ahsan, 2018). Today thousands of children die every year due to Diarrhoea in Bangladesh. However, if this Project is duly implemented and financed, then the eradication of child mortality due to Diarrhoea will be a matter of a few years.
The Team of the Project
Headquarters: One HOD bearing a doctorate degree and having some experience in managing such philanthropic events/projects in the past will be appointed. It will be welcome if the individual has been able to give out effective results in the past projects. Rick Taylor or Jimmy Brown can be considered for the post of HOD. The headquarters will also consist of one administrative assistant and one accounts staff who will also be from Australia, and they will look into the administrative and accounting aspects. They will be required to have experience in their respective fields.
Eight teams: Each team will consist of two doctors, preferably paediatricians and will be hired from Bangladesh. In case Australian doctors are hired, then the teams will comprise of one Australian and one Bangladeshi Doctor (Biswas et al. 2018). Each team will consist of four nurses preferably from Bangladesh to assist the economy in the Project and also to assist doctors in translating.
Four hundred ninety-two (492) health workers: The health workers will be hired on a region basis for each of the 492 sub-divisions of the Country (Joarder et al. 2020). They will be definitely Bangladesh nationals and will require a basic nursing certificate. They will be selected on the merit of their cogent speaking and convincing skills.
The budget of the Project will be wholly dependent upon the staffing and availability of volunteers for the task. The Project needs to be self-sufficient; hence the planning of the Project in an independent manner without counting the help of volunteers will be a great idea (Moucheraud et al. 2020). Although the Project will forever strive to gain the help of volunteers, it is very much pertinent that the financial calculations be assessed without counting in their help.
The importance of the realistic and cost-effectiveness of the budget is the culmination of the Project, thereby ensuring eradication of child mortality rates due to Diarrhoea in Bangladesh is noteworthy. If the proper budget functions are not met, then the Project will not only fail but may have to wrap up even before starting or in a midway.
The staff may be counted in the following manner. The divisions will require a total of 16 doctors and 32 nurses. The sub-districts will require 492 health workers. Considering that all the staff are deployed and hired in Bangladesh itself, the cost-effectiveness of the Project comes into vogue. An average doctor in Bangladesh earns 61000 BDT (Bangladeshi Taka) in a month. The minimum wage of a doctor in Bangladesh is 22000 BDT (Sommers et al. 2018). So keeping in mind both the amounts it will be negotiable and worthy if 65000 BDT is the wage set per month for a doctor. This will amount to BDT 65000 X 12 = 780,000 per financial year for each doctor. In this case, the doctor will not only be a good professional but also qualify in merit and ease the Project in many ways. The total sum for two doctors per division in Bangladesh will amount to 12,480,000 BDT (206,570 $). Similarly, if we calculate the Cost of nurses, we arrive at a conclusion that 26000 BDT is the average remuneration that a nurse earns in Bangladesh wherein the lowest average comes to 11500 BDT. So the remuneration of nurses can be set at 25000 BDT i.e. 25000 X 12 = 300,000 BDT per financial year.
Hence the total cost of 32 nurses will come to 300,000*32 = 9,600,000 BDT (158,830 $). In addition to this, the Project has also to account for the health workers in the 492 sub-districts which will definitely come to 150 BDT per health worker amounting to 1800 BDT a financial year. Again the total Cost of the health workers of all sub-districts cumulatively will come to 885,600 BDT (14,651 $). Hence the cumulative staffing cost for each financial year will amount to 1,251,000 $. Therefore to consummate the entire funding required for the project, it is essential that the budget allocation required by the Project only for staffing will amount to 1,251,000 X 5 years, i.e. 6,255,000 $.
The administrative costs which will have to be borne by the Project are the rents and permission related costs which are essential to be borne. The rent of the accommodations which will be rented in Dhaka and other divisions of Bangladesh is nominal. Presently Dhaka the capital offers office spaces as low as 84 BDT per Sq Ft. That means an office space of 150 Sq Ft which will be enough to conduct an office for this Project will hardly cost 12600 BDT. Similarly, the offices in the divisions will also cost around the same. So the entire administrative Cost will come around to 12,600 X8 = 100,800 BDT per financial year. This amount is as meagre as
The administrative costs will also entail the different costs for permissions and taxes levied by the Government of Bangladesh from time to time which can be waivered off through diplomatic and at times, personal talks (Perry et al. 2020). As this Project is part of a philanthropic mission UNO/WHO and UNICEF can also be roped into the alley the different taxes and governmental levies from upon the Project thereby enabling to ease the financial pressure from upon the Project.
The evaluation of the on-ground reality of the situation is required to be collected through the health workers and visits by the team of doctors. These visits and reaching out will entail an expenditure which will be accounted for in the budget under evaluation costs. Also holding meetings and gatherings to announce to the general mass will require a bit of incentive for the poor who are the actual target audience (Albis et al. 2019). This again will entail some costs which can be calculated as follows. The number of sub-divisions is 492. The teams will be required to conduct at least ten seminars/ gatherings per sub-division to cover the entire population. To ensure maximum attendance; it is witty to proclaim an incentive to attendees viz packaged refreshments. So every gathering will entail an additional cost of 5000 BDT, i.e. 50000 BDT per subdivision. That means for 492 sub-divisions the cost will come to 24,600,000 BDT (405,170 $).
The cost comparison for the consecutive three years can be derived from the fact that the evaluation costs as estimated for the first year only. The second-year will accrue 50% of that evaluation cost and the third year 25%. Hence, all other budgets remaining the same the difference in budgeting for the three financial years will depreciate while hiring staff will get increased with the miscellaneous costs.