Blue Star Program - an innovative program to mobilize non-formal health providers

The Blue Star program is a SMC branded network of community level non-graduate health providers, who are trained on family planning, reproductive and child health and nutrition with other public health priority areas to offer quality services to the beneficiaries. The vision of Blue Star program is to create a network of skilled community level non-graduate health providers offering a wide variety of public health services, products and emergency referrals to improve health, family planning and nutrition status of the community.

Major Accomplishment

  • Around 18% contributions in injectable CPR nationally (Source: BDHS-2014)
  • Administering 1.97 million SOMA-JECT injectable annually
  • Administering Sayana PRESS, a subcutaneous DMPA - a new technology of injectable contraceptive
  • Distribute 5.3 million Micro Nutrient Powder (MNP) MoniMix annually to prevent Iron Deficiency Anemia (IDA) among under-5 children
  • Refer 77,703 suspected TB cases for sputum test and necessary treatment, and refer 45,884 potential clients for LAPM service annually
  • Around 90% of BSPs are providing their monthly report through mobile based Blue Star Electronic Reporting System
  • Contributing 45% of SMC Pharmaceutical sales since inception

The program started in 1998 and it has now 7,000 providers. The program is being implemented in close collaboration with Directorate General of Family Planning (DGFP) of Bangladesh with the financial assistance from USAID. Blue Star Providers are selected based on certain criteria that include a minimum SSC level education, regulatory certification (drug license/PCB registration etc.), at least three years of practicing experience, adequate female and child client flow and have willingness to attend training programs and to adhere to the standard service protocol suggested by SMC.

After selection, the providers receive three days basic training and periodic refresher training at regular interval. The basic training is jointly organized by DGFP and SMC and successful participants receive a certificate signed by DGFP. The basic training curriculum includes family planning methods with special focus on Injectables, referral for Long Acting and Permanent Method, counseling skills, healthy timing and spacing of pregnancy, maternal health (which include antenatal care and safe delivery), postnatal care, essential new born care, integrated management of childhood illness focusing on ARI/pneumonia, diarrhoea, tuberculosis, child nutrition, record keeping and reporting. Periodical newsletter “ALAAP” is also distributed among the BSPs to update their knowledge on various technical areas as well as sharing best practices.

An injectable contraceptive Depo-Provera, over-branded by SMC as SOMA-JECT, is being offered by the BSPs. SMC also introduced SAYANA PRESS, a subcutaneous DMPA injectable contraceptive, through this network from 2013. They also refer suspected TB cases, potential LAPM clients and severely sick mother and children to the nearest service delivery points. In addition, they provide nutritional counseling and services for under-5 children and offer them MoniMix to address Iron Deficiency Anemia (IDA). Recently SMC introduced Growth Monitoring and Promotion services and Nebulization services for the under five children from the selected BSPs.

In 2016, SMC introduced Blue Star Electronic Reporting System (BSERS), a mobile and interactive voice response (IVR) technology based electronic reporting system for the Blue Star providers. About 90% of providers are sending their monthly performance and stock report directly to SMC easily using this platform without any charge from their end.

SMC promote Blue Star outlets and the network through comprehensive demand creation activities using both local and mass media. SMC organizes regional workshops in each year to create a learning opportunity from each other and improve performance through recognition and motivation. Currently 36 Program Officers-Training and Service Delivery are closely supervising the Blue Star program and provide on-site technical assistance to the providers to ensure quality of care and services across the country.

 

Some photographs of Blue Star program

 

Photo: Blue Star Training

Photo: Blue Star provider offering GMP service

Photo: Blue Star provider offering injectable service

Photo: Blue Star provider offering MoniMix service