Nepal
Comprehensive Family Planning Services
Activity Dates
2004-2007
Activity Summary
The project ensured that sensitive and quality FP services were available though both static and mobile clinic interventions. A total of 6,710 clients received VSC services during the expanded VSC services in the project area. Among 6,710 clients, 2,798 are from marginalized and Muslim communities. A pilot expansion of mobile Comprehensive FP service was conducted in collaboration with Population Service International/Nepal (PSI) in two sites and a total of 163 clients received FP services.
FP service acceptance and continuation is an increasing trend in marginalized and non-marginalized communities in the project area of all four districts. Before program implementation there was no significant change noticed in the status of new users in marginalized population. However, since the start of the interventions a significant increase has been seen in FP users. By the end of the project, there was a noteworthy increase of new users (Pills and Depo Provera) which increased from 4.9% in 2003 to 9% in 2006. The continuing users of pills and Depo Provera increased from 8% in 2004 to 11.9% by the end of the project in September 2006. The percentage of new acceptors among marginalized population increased 10% during the start of the project to 15.2% at the end of the project in September 2006. An increasing trend was also noticed among the non-marginalized group members from 3.2% in 2002 to 9.9% in 2006.
Comprehensive family planning services were provided in coordination with the D(P)HO in marginalized community of impact VDCs. NGOs, PLA/RLG facilitators, FCHVs and health service providers identified voluntarily interested clients for comprehensive FP services and linked them to nearby service sites (DHO, PHCC and institutionalized FP services).
In order to increase access, HCP worked closely with PSI to develop an innovative way to provide contraceptives in the most remote areas and to reach marginalized population in coordination with the other program activities. The operation plan for the pilot outreach was a highly collaborative effort with multiple partners: DHO, NFHP, Save the Children (US), PSI, local Health Post/Sub Health Posts and local NGOs. The project was particularly sensitive to the importance of avoiding duplication or overlapping with government health services. It was intended that this collaboration would focus on communities of disadvantaged and marginalized people who otherwise did not have access to government family planning services.
As record keeping among the marginalized was an important aspect to measure effectiveness of the program, PNGOs coordinated with the DHO to ask HF-in-charges to circulate notices to write the last name of every clients/patients clearly during registration. During the supervision visits in HFs, the DHO personnel and PNGOs staff reviewed registers to check the record of marginalized clients. Trainings focusing the importance of record keeping were provided to MCHWs/VHWs, DHO personnel and PNGOs staff. Notices to the HFs written in Nepali block letters, "Please write the CASTE of every client/patient clearly during registration" were hung on every HF.
The HCP project oriented the GoN and NGO partner staff on the USAID Population policy (Tiahrt Amendment, Helms and Mexico City Policies) and enable them to comply with the policy. A one-day orientation was provided to all NGO staff, board members and DPHO staff of all four project districts. The overall purpose of the orientation was to make the participants aware about the USAID Population Policy and the importance of complying with the Policy.
Audience
General public (men and women of reproductive age)
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