[Federal Register: February 17, 2006 (Volume 71, Number 33)]
[Notices]
[Page 8586-8587]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr17fe06-69]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-06-06AT]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call 404-639-5960
and send comments to Seleda Perryman, CDC Assistant Reports Clearance
Officer, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an e-mail
to omb@cdc.gov.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology. Written comments should be received
within 60 days of this notice.
Proposed Project
A Sustainability Assessment of Community-based Interventions in
Northwestern Tanzania--New--National Center for Chronic Disease
Prevention and Health Promotion
[[Page 8587]]
(NCCDPHP), Coordinating Center for Health Promotion (CoCHP), Centers
for Disease Control and Prevention (CDC).
Background and Brief Description
Empowerment and capacity building have been promoted by the Bamako
Initiative as integral steps in making Primary Health Care (PHC)
services universally available. Health Sector Reform programs since the
early 1990s have built on the Bamako Initiative, drawing attention to
the potential for community engagement in health services and health
governance through mechanisms such as Community Health Funds. In many
contexts community-focused approaches have been used to promote
maternal and infant health, and community well-being.
In Tanzania, a community-based approach to improve maternal and
newborn health (MNH) and reduce preventable maternal and perinatal
deaths was implemented by CARE with CDC support from 1997-2002. This
approach used a community-based surveillance system to identify
preventable deaths during pregnancy and during the perinatal and
newborn period, and developed a community mobilization program
utilizing community volunteers to assist women and families with
obstetrical emergencies to get to functioning health facilities.
Specifically the initiative focused on increasing capacity for
community members to identify and participate in decisions and
strategies for providing health care services, and supporting
prevention and health education through village health workers (VHWs).
Evaluation of this effort showed that the community members used
the services successfully and supported their volunteers, but only a
handful of these communities had programs in place that were functional
at the end of the project in 2002. Since the end of project activities,
the long-term sustainability of community-level efforts has not been
assessed. Therefore, this proposed initiative presents a unique
opportunity to examine long-term legacies of community-based programs,
which is seldom done, but has the potential to inform community-focused
programs and research in every context. Assessment of sustainability is
critical for promoting community mobilization within the health care
sector in resource poor settings such as northwestern Tanzania and
potentially other such places where CARE and other organizations work.
The primary purpose of this proposal is an assessment of a program
called the Community Based Reproductive Health Program (CBRHP). Of
particular interest are the acceptance, relevance and sustainability
of: (a) Volunteer village health workers efforts; (b) community-based
maternal and peri-natal surveillance system; and (c) emergency medical
transport systems in resource poor settings--some of the initiatives
that were implemented in the first phase of the CBRHP managed by CARE
during 1997-2002. Qualitative and quantitative methods will be used to
conduct this assessment.
There are no costs to respondents except their time to participate
in the survey.
Estimated Annualized Burden Table
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Average
Number of Number of burden per Total burden
Respondents respondents responses per response (in (in hours)
respondent hours)
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Villagers....................................... 200 1 1 200
Leaders......................................... 40 2 45/60 60
Village health workers.......................... 44 1 30/60 22
Facility staff.................................. 15 2 30/60 15
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Total....................................... 299 .............. .............. 297
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Dated: February 10, 2006.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. 06-1513 Filed 2-16-06; 8:45 am]
BILLING CODE 4163-18-P