Essential Health Care (EHC)
Essential Health Care (EHC) is the foundation of BRAC’s health programme combining promotive, preventive and basic curative services. EHC has revolutionised the primary health care approach in Bangladesh, reaching millions with low cost basic health services through the frontline community health workers – Shasthya Shebikas and Shasthya Kormis. Currently, we are implementing EHC in 64 districts, but only EHC is present in 16 districts and EHC Plus (TB, Malaria and MNCH) in the rest of Bangladesh targeting a population of 53 million. The data presented here mirrors information from 47 districts and excludes MNCH and Malaria districts.
To improve health seeking behaviour by offering essential health services to people, particularly, women and children.
• To improve reproductive and maternal health status of women
• To improve health status of newborn and under five children
• To reduce the risk and vulnerability towards selective communicable and other diseases in the community
Shasthya Shebikas (SS) and Shasthya Kormis(SK), the frontline community health workers are locally recruited women and trained as health providers to deliver door-step health service in rural areas. They prevent and promote health activities through health education; disseminate health and nutrition messages through health forums, household visits and meetings with the wider community. In addition, basic curative services are provided at doorsteps of target populations. In collaboration with the government, BRAC is working in areas of immunisation, family planning and basic pregnancy related care. More importantly, major interventions, such as tuberculosis, malaria and maternal, neonatal and child health and nutrition programmes are founded on the basic structure of EHC.