[Federal Register Volume 72, Number 80 (Thursday, April 26, 2007)]
[Notices]
[Pages 20850-20851]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-7977]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-07-06AT]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of information collection requests under review by the Office of 
Management and Budget (OMB) in compliance with the Paperwork Reduction 
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call 
the CDC Reports Clearance Officer at (404) 371-5960 or send an e-mail 
to [email protected]. Send written comments to CDC Desk Officer, Office of 
Management and Budget, Washington, DC or by fax to (202) 395-6974. 
Written comments should be received within 30 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 (NCDDPHP), 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. These Health Sector Reform programs 
have built on the Bamako Initiative since the early 1990s, 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 technical support from 1997-
2002, called the Community Based Reproductive Health Program (CBRHP). 
This approach used a community-based surveillance system to identify 
preventable deaths during pregnancy, 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. Funds were obtained 
from the CDC-Georgia State University Initiative to conduct a 
sustainability assessment. Assessment of sustainability is critical for 
promoting community mobilization within the health care sector in 
resource poor settings such as northwestern Tanzania and places where 
CARE and other organizations work. Little data exist on the issue of 
long-term viability of community efforts and this project has the 
potential to inform the discussion about sustainability of health-
focused programs.
    The project staff at CDC is seeking to implement data collection 
for this project in Northwestern Tanzania to examine long-term 
sustainability of community-based efforts.
    There are no costs to the respondents other than their time. The 
total estimated annualized burden hours are 267.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
          Type of  respondent                     Form              respondents    responses per   response  (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
Villagers.............................  Community assessment                 200               1               1
                                         Survey.
Leaders...............................  Key-informant interview               40               1           45/60
                                         guide.
Village Health Workers................  Village health worker                 44               1           30/60
                                         open ended interview-
                                         guide.
Facility Staff........................  Facility staff guide (1               15               2           30/60
                                         pre-assessment and 1
                                         post-assessment).
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[[Page 20851]]

    Dated: April 20, 2007.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
 [FR Doc. E7-7977 Filed 4-25-07; 8:45 am]
BILLING CODE 4163-18-P