[Federal Register Volume 71, Number 33 (Friday, February 17, 2006)]
[Notices]
[Pages 8586-8587]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-1513]


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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 [email protected].
    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
                                                 -----------------
    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