Today is our topic of discussion Essential Service Package
Essential Service Package
Definition:
The ESP has been defined as all primary care interventions delivered at upazila levels and below.
It is an integrated package of health and family planning services which are responsive to clients’ needs, especially women, children, and the poor to provide quality services at a minimum cost, that are financially sustainable to be delivered from one-stop (integrated) service centers. The main purpose of ESP delivery is to organize the services of the different tiers of the service-delivery system.
Elements of the ESP:
i. Reproductive health care (safe motherhood) including family planning
ii. Child health care (ARI, Control of Diarrhoeal Diseases, EPI, Blindness prevention)
iii. Communicable disease control (TB, Leprosy, Malaria, Kala-azar, Filariasis, STD)
iv. Limited curative care (Common Conditions and Injuries)
v. Behaviour change communication (BCC): social change, advocacy, social marketing
Fig: Levels of ESP delivery
Tiers and levels of ESP delivery (Fig. 31-1):
The ESP is delivered through a three-tiered system. The Upazila Health Complex (UHC), the Union Health and Family Welfare Centre (UHFWC) and Community Clinics (CCs) which provide ESP services at upazila, union and village levels respectively.
smmon to TMW2) Inumina sbi bo Method of delivery of ESP:
ESP is delivered at upazila level and below through the establishment of static ‘community clinic’ managed by concerned community for one stop’ first-level services at most periphery in place of non-static EPI outreach /FP satellite clinics.
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