The integrated community based maternal and child health program aims to improve health awareness; make essential health care services such as antenatal care, delivery, postnatal care, growth monitoring, basic treatments, health education, family planning etc., delivered through satellite clinics, accessible to people in remote and rural areas; establish a working referral system to secondary health care services; and support the government in setting up sustainable health program.

Health workers visiting houses and attending weekly micro-credit meetings distribute contraceptives, oral re-hydration therapy, vitamin A capsules and give health education. They also run sessions on reproductive health with adolescent females. Traditional Birth Attendants (TBAs) trained by TMSS are present in deliveries happening at home, encourages mothers and children to attend satellite clinics and refers complicated cases to hospitals. Twenty six paramedics and more than 500 TBAs, through 54 satellite clinics held each month and 54 unit office clinics provide these services.

Maternity Service
The medical care facilities for both Mother and Child are of high standards with two well equipped labor rooms, Incubators and other support systems are available for the neonatal ward. More than 2100 Infants were born in this Hospital.

Expanded Program on Immunization
The Immunization Center of Rafatullah Community Hospital provides with immunization over the year including the National Immunization Day for mass immunization. Moreover, the Satellite Clinics assist immunization to the neglected poor people of Northern part of the Country. Many children (0-1 yr) have been immunized under the program in the reporting period.

Family Planning
TMSS has been providing family planning services in the project areas since 1986. This service is provided permanently through Family Planning Center of Rafatullah Community Hospital & Sub-Clinics. A good number of women have been provided Family Planning Services through this program.

TMSS Health Care Centers
TMSS has established 69 Sub-Clinics in its operating areas in four divisions under TMSS “HEM Model”. The Sub-Clinics have been providing mainly Preventive Health Care Education and Primary Health Care Services including treatment of minor-problems by experienced Paramedics and Health-Workers under the THCC. TMSS has decided to run this model with their participation in sustainable manner from the allocation of risk fund of the member, 1/5th for health, 1/5th for informal education and 3/5th for their family security. This model will be implemented through all the branch office of TMSS.

Emergency Health Camp
TMSS health sector arranges emergency health camp for flood victims and victims of cold. About 12000 patients were provided with treatment free of cost during the reporting period. THS also arranges special health camp with nationally and internationally renowned Doctors of heart diseases, Skin VD, Orthopedics, ENT, Eye, Gynecology and Obstetrics, Medicine, Pediatrics, etc.

Campaign for HIV/AIDS
TMSS has been trying to protect the HIV/AIDS through creating awareness to the group member as well as community also. HIV/AIDS is now an alarming health problem for Bangladesh. TMSS has been working on this issue through raising awareness and sensitization among the general mass using different tools such as leaflets, banners, posters, festoons, audiovisuals, etc.

Anti-Drug Movement
TMSS has various effective activities such as seminar, workshop, counseling, etc. to raise consciousness against Drug-Addiction. The organization has a referral linkage to the rehabilitation center and takes an initiative to establish a rehabilitation center.

Assessment for Nutrition Status
Nutrition is an essential component for good health. The workers of THS assessed the nutritional status of people to provide suggestion. TMSS has also been working as an implementing organization of the Government’s National Nutrition Project in 09 Upazilas.

Arsenic Mitigation Program
Since 1999 TMSS has been doing identification and monitoring of Arsenic Mitigation Project on Tube-Well Water of Sylhet District financed by DCH, NGO Forum embracing as many as 914305 beneficiaries.

Acid Survivors Program (ASP)
In our society due to illiteracy, Unawareness, Poverty, Jealousy, atrocity, avidity, lack of patience, perseverance etc. some contemptible events are occurred. Acid throwing is one of such most revenging crimes. To rehabilitate of all such ill-fated Acid charged victims, TMSS provide them with medical and legal support and to assist them in mainstreaming with the society. Target Population is Female, Child, and Male.

By this time we Identification of Acid Victims- 30, Provided Treatment- 30 Meeting, Seminar/Workshop- 44, Posturing- 5500, Rehabilitation- 30, Legal Aid- 18 and awareness against this types of violence among 20000 (approximately) families.

Health-related Community Development Program
Besides the service to beneficiaries, TMSS also provides community base service for the use of sanitary latrine, remove the hanging latrine and use of safe drinking water. For these, we take some special program like- (a) Environmental Sanitation, Hygiene and Water Supply (ESHWS), Rural Area of Bangladesh Project, (b) Environmental Sanitation, Hygiene and Water Supply in Urban Slums and Fringes Project, (c) Remove hanging latrine program.

Conduct Health Education at Different levels

Health Education for TMSS Group Members
TMSS has 45,648 numbers of groups throughout the country. Each group consists of 20-30 members. These groups sit together once in week for 2 to 3 hours. In this group, besides micro-finance activities they discuss on health and hygiene, HIV/AIDS, trafficking, women and child rights, domestic violence etc.

TMSS provides one paramedics doctor, one clinical assistant and one health worker in a branch. She (TMSS always recruited women paramedical) attends the weekly group meeting and provides health support, first aid, and referral suggestions and discuss on various types of health issues. All budgetary allocation of the supports is borne by the Directorate of HEM (Health Education and Micro-finance). Total 55 Para-medics are working in 55 satellite clinics.

School health Education Program
TMSS carried out school health education program through its deferent projects and programs. National Nutrition Program (NNP), Urban Fringe Project, Participatory Adolescent Nutrition Improvement (PANI) is the major projects of TMSS in this regards.

Health Education in Community Health Program
For raising awareness and for providing services to the rural people, TMSS carried-out a project on Public Privet Partnership (PPP). Besides, in the NNP project TMSS provide health education on mother and child health, safe mother hood, adolescent and re-productive health to the community people.

IEC and BCC in Hospitals
TMSS establish a 310-bed hospital to provide hospital health to the people of all stratum of the community. Besides, 55 sub-clinic/satellite clinics provide health services to the rural poor, especially the women and children.

Occupational Health Program
TMSS provides occupational health services through its projects and programs, in this regard, Worst Form of Child Labour (WFCL) in Dhaka city, Adarsha Gram project –II etc are mentionable.

Develop Community Ownership for Health Promotion
In aim to strengthening rural health status as participatory method this project was under implemented. Public Privet Partnership (PPP) program, one of the components of the DFID supported to HPSP, this therefore being designed to improve poor women and children’s access to good quality, essential health services. PPP is a pilot intervention of MoHFW. This program has been initiated for enhancing ESP operation under Health Sector Program with an aim to establishing sustainable Health Care Delivery system in rural areas at CC and UH&FWC level.

Conduct Stakeholder Workshop at different Levels from National to Field

a) Organize Workshop on Health Issues Includes Health Education
TMSS promotes health awareness through organize workshop, in this regard TMSS organize a strategy development workshop with the assistance of NICARE and Health Consult, TMSS officials, representatives from PKSF, GoB official were present. The workshop was organized at RED office of TMSS. Moreover, TMSS organize NGO coordination and strategy seminar of National Nutrition Programme (NNP) in BIAM and TMSS training venue at Bogra.

b) Roundtable Discussion with The Daily Star
In HPSP program more than 11000 Community Clinics (CC) across the country was constructed. But unfortunately these CCs functional service are not meeting the demand. To address this issue a round table discussion was arranged with the banner tilted “ways to make Community Clinics (CCs) operational” at the Daily Star Office. The Daily Star and “NGO Network for PPP” a group of NGOs including TMSS, NICARE, Ad-din Hospital, Concern Universal, BRAC, DUS, LAMB Hospital, Papan Foundation, DUS, ASOD.

c) Anti Tobacco Movements
TMSS has been operating different activities on Anti Tobacco movement from its inception. As a continuation of its activities, it has taken huge initiative to observe the World No Tobacco Day 2009 arranged by Department of Health and World Health Organization. As TMSS is an active member of Bangladesh Anti Tobacco Alliance (BATA), it participated in Rally organized in front of the National Museum at Shahbag, Dhaka on 31st May. The Rally began from Shahbag and ended at Doctor Millon Memorial Auditorium at Dhaka Medical College. Honorable Minister of Ministry of Mealth and Family Planning was present as Chief Guest at seminar arranged right after the rally.