The Bulobazi District profile, health and medicine homework

Introduction
The purpose of this assignment is to give you practice in making a planning proposal to develop a project to address a health need. It will assess your ability to: Write to a prescribed format following a proposal structure Identify, from an outline situation analysis, the health needs of a community Formulate a response which addresses those needs, and sets priorities where appropriate, uses given reading and your own experience, and is feasible and logical Move from general concepts to details of costs, staff and timetable Give you confidence, having done it once, for future occasions.Background to the taskThe central government of Kalitopia, in its new long term strategic statement (2025 Vision for Health), has identified a high number of individuals suffering (or at risk from) cardiovasculardiseases in the country. Cardiovascular diseases are a group of non-communicable disorders of the heart and blood vessels including1: coronary heart disease (also known as ischaemic heart disease) – disease of the blood vessels supplying the heart muscle cerebrovascular disease (also known as stroke) – disease of the blood vessels supplying the brainThe Ministry of Health is therefore requiring all districts to develop proposals for improving cardiovascular health services as a matter of high priority. A World Bank Health Project in cooperation with the ‘Basic Needs Foundation – Kalitopia’ has a component focusing on this, and the District Health Planning Group for Bulobazi District has been asked to develop an outline costed proposal to access funding from this project. Funds have been provisionally earmarked for the project in Bulobazi subject to a satisfactory proposal being developed to improve cardiovascular health services. These funds are: Recurrent funding of 50,000 shillings per year in year 1, updated by 10% in year 2 and a further 10% in year 3; Capital funds totaling 100,000 shillings over the three years.These funds are additional to the regular health budget (details in the Bulobazi District profile) and which is not expected to increase over the three years.
The taskYou are part of the District Health Planning Group within Bulobazi District. Other members of theplanning group are the District Medical Officer, the Assistant District Commissioner, and a representative of the community. The District Health Planning Group needs to prepare the planning proposal for improving cardiovascular health services for the whole District, to be considered at the next meeting of the project planning team and you have been asked to prepare the first draft. The proposal will cover a 3 year period from January 2016 to December 2018. The current date is October 2015.You, therefore, have to decide, within the resources allocated and based on your knowledge of the District, what strategies should be planned for the District. This should be written as a planning proposal, with a completed budgetStructure of the proposalYour assignment should be written in the form of a project proposal (rather than an academic essay).The project methodology requires you to use the following headings in submitting your proposal:1. Situation analysis setting out key issues (no more than 500 words)2. Statement of the objectives of the project3. Outline of the proposal (what strategies you propose should be set up, what each strategy should achieve; and the main activities needed for each strategy)4. Justification of the proposal (why you have selected your particular strategies)5. Resource implications (what staff, equipment etc. will be required in addition to the existing budget for the District). A budget for each of the three years should be included. A blank budget sheet is Attachment 3. It is recommended that you use this format for your proposal)6. Implementation schedule for the proposed activities (an outline programme of who will do what, in what order, and when). A blank Gantt chart (Attachment 4) is available to develop this implementation schedule, but feel free to use any other format if deemed appropriate.7. Monitoring & evaluation. Based on your objectives, how you would measure the success of the project, including selection of criteria for the objectives and indicators for each criteria and source of information.The Bulobazi District profile (Attachment 1), including the schedule of unit costs, should be consulted in preparing the proposal, but some of the information may be redundant. For any costs or information which you need but are not given, you should make a reasonable assumption and say clearly that you are making an assumption. Note also that information is not always totally accurate or consistent and you may need to make judgements about this.Situation analysis. A brief situation analysis and clear outline of the specific problem to be addressed focusing on aspects relevant to the topic (maximum 500 words). 10% Objectives. Clear, measurable and feasible objectives related to both health status and service delivery for the project which arrive from the situational analysis and government policies.5%Outline proposal. Clear description of each strategy for what will be done to achieve each of the objectives and activities for each of the strategies. All strategies and activities need to feasible and realistic.20%Implementation. Logical sequence, feasible time scales, and sensible allocation of tasks.10%Equity and gender. Appropriate consideration of equity and gender issues throughout the proposal.5%Monitoring & evaluation. Relevant and sensible criteria, indicators and source of information indicated.10%Presentation. The assignment follows the general guidance for preparingassignments. The proposal’s format and structure is user-friendly. Any references used are cited using the expected citation style.

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