Good Health does not only mean free from diseases but it also means more i.e physical, mental and economic well beings. DORP aims to establish rights to health by integrated development with the slogan "Sunte habe tader katha jader katha haini suna'' listen to the words of those who were not heard through implementation of PRSP, MDG and Peoples Health chart. Development Organization of the Rural Poor-DORP, a non-government development organization has been working for the last few years through its Searching for poor Upazila Health and Family Planning Budget project. DORP has been implementing the project as a pilot scheme in 66 Upazilas under 06 Divisions of the country.

DORP prioritizing health sector working to establish health rights to the poor facilitating for providing quality health and health care services in the country along with 06 local NGOs in 06 upazilas with the following slogans. "We want implementation of health care rights and health care services";" Have Poor no health? Where is my share in the budget"; The local Organization and areas where DORP is implementing the project are: SHABOLOMBI, Lohagara upazila of Narail, SCOPE, Bakergonj Upazila of Barisal, DISHARE, Kaliakair upazila of Gazipur, Jana Kalyan Kendra-JKK, Kamalganj upazila of Moulvibazar, Polli Mukti Sangstha-PMS, Sirajgonj Sadar upazila of Sirajgonj and Upakulio Sathijan Parishad-USAP, Ramgati upazila of Laxmipur district. All the above stated NGOs are continuously making the local poor community aware to avail the health and health care services provided at upazila Health Complex and in Union Health & Family Welfare Center. The local NGOs are working on 3 issues. At Union level a 7-member committee through regular contact is activating the Union Health Study Committee and this committee keeps regular contact and enquire about the welfare of the recipient women of maternity allowance Amir Khasro, Program Coordinator asserted that local NGOs are working as a promoting agencies. The tools-format prepared at the National Meeting with the active participation of Experts, UHFP officer, UFPO, Reporters and representatives of NGOs are being used by the local NGOs. The information to be collected in tools--format will help to find out if the expenditures under upazila Health Budget have been expended as per approved budget. Mohammad Zobair Hasan, Researcher, DORP stated that through the application of the tools-format the situation of Neatness and cleanliness, position of stock of medicines, allocation of fund for satellite clinics and up keeping of medical appliances will be ascertained. Already the tools-formats are in use and local organization is regularly holding Advisory Committee meeting at Upazila Health Complex to improve the health and health care services to the public.

In order to aware the people of different professions about the health and health care services at the upazila health complex a "Health and Family Planning Budget Club" has been formed at upazila level. This club is rendering services as a strong civil society platform at local level. The members of the budget club discuss the prevailing problems and issues of union and upazila health and family planning budget and try to solve those locally through different initiatives. The issues & problems those cannot be solved locally the members of the budget club put forward those to DORP for advocacy and lobbying at the national level. Already a significant impact has been noticed at local level on different activities and initiatives of budget club.

AHM Nouman, Secretary General DORP while briefing the activities of the project said that DORP is giving due importance in the activities of health, utilizing its 20 years' experience from 2001. DORP has declared the village as "Health Village" and working through integrated development approach. Following the trend DORP is implementing "Pro-poor Upazila Health and Family Planning Budget. Investigation" project. At same time DORP has introduced Maternity Allowance to the poor pregnant women that has been helping in reducing infant mortality rate, increased feeding colostrums to the infants, increased taking nutritious food during pregnancy period, taking ANC & PNC services, increased utilizing EPI and family planning services, prevention of illegal divorce and child marriage and the birth and marriage registration.

Presently, the government is implementing the maternity allowance project through the Ministry of Women and Child Affairs. AHM Nouman again expressed his thanks and gratitude to the Chief Advisor, Dr. Fakruddin Ahmed for inclusion of Maternity Allowance in the national budget. Nouman as to the next initiative to Maternity Allowance urged the government to prepare and implement an integrated package and Social Assistance Program for Non-Assenters-(SAPNA) in order to make Bangladesh poverty free within 2030. He emphasized that government may introduce a block grant for a family for realizing 5 rights (Health Card, Education Card, A shelter for living house and Tk. 30.000 as living seed money and micro-credit fund). He stated that implementation of 'SAPNA' will be a social investment towards development of women and children. The initiative will help in reducing birth rate and will accelerate the agricultural yield.

The members Budget Club under the "Pro-Poor Public Health & Family Planning Budget Monitoring Investigation" Project have already have put forward some suggestions to the government, which are as follows:

During preparation of health budget at the planning stage the opinion of local people if incorporated then it will be realistic and services oriented one

If discussions are held with the authority and local people before preparation of health budget and their opinions are considered then the poor will receive more privileges in the health and health care services.

Health Budget should be prepared as per the need of each health center.

Health budget should be prepared taking into consideration the privileges and opportunities of the staffs and estimated number of service-recipients.

With the increase of development budget, the accountability and transparency of the same has to be ensured.

Public should know the amount of budget allocated in each health services providing center. Health services should be provided at low cost, with this initiative the patients will get good services; and services providers will give quality services. Residential problems of the staffs to be solved

Due to less number of staffs pressure of works go to the service rendering staffs, so recruitment should be made to fill up vacant positions as early as possible. The structures at the sub-centers are to be repaired & renovated at a living standard, this will enable the poor patients to get better services.

In the Family Planning Office; scarcity of office equipment such as computer telephone etc exist. Supply of the same at an early date is very much needed.

Due to non-existence of own office of the Family Planning department at Upazila, regular office works are being hampered. Woks would be more systematize and regular if separate office structure is constructed/rented.

Participation of NGOs needed to be increased in health sector monitoring activities.