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PROJECTS

PROJECTS

BACKGROUND

  • With support from the Government of the Netherlands, FPA India implemented the Choices and Opportunities Project which focused on young people, particularly the very young between 10-14 years. It was initiated in 3 Branch locations- Agra, Ahmedabad and Bangalore, was scaled up later to include Madurai, Panchkula and Srinagar Branches.
  • The programme provided an opportunity to promote young people’s sexual and reproductive health and rights (SRHR), to identify and scale-up good practices in adolescent-friendly service provision, comprehensive sexuality education (CSE) and also to identify new strategies to reach young people and underserved groups.

INTERVENTION

  • A comprehensive, gender-sensitive, rights-based sexuality education curriculum ‘Growing Up is Fun’ was developed. The themes that were most relevant to young adolescents were focussed upon while working with them.
  • Parents were also encouraged to communicate with their adolescents on SRH issues and about gender, abuse, pubertal changes.
  • During the Project duration a total of 11,10,551 services were accessed by 33,905 young people. The experience of the Project has been integrated in all FPA India Branches, who are strategising and working with young adolescents

CHALLENGES FACED

  • Communities initially resist SRHR programs for young people as many adults associate a sense of discomfort with talking about sexual and reproductive health. This impacts the willingness of schools to grant permissions for conducting programs.
  • For some topics girls and boys need to be educated separately to maintain comfort levels. Besides, young adolescents are not able to actively contribute project planning.

Total services provided by FPA India (All Branches)

KEY LEARNINGS

  • Programs need to be holistic including opportunities for self-development. They also need to be interactive along with informative.
  • Involvement of parents and teachers is critical equipping them with skills to communicate on SRH issues.
  • Before providing SRH services it is important to touch upon general health services.
  • SRH needs for information or services is not uniform with those living on the streets having different needs as compared to those living in protective environment of families.
  • Capacity building of service providers is imperative, particularly skills in counselling. They should also assuring confidentiality to the young adolescent
  • Capacity building of government frontline workers is important.

BACKGROUND

  • SETU (Services, Education, & Training Unit) project was envisaged to increase awareness and access to family planning services by poor, underserved and vulnerable groupsof the community, while utilising and revitalising the existing service delivery channels.
  • The project was implemented in 26 districts of India from 2012 to 2015
  • Focus of SETU model was on doorstep delivery of Contraceptives commodities and FP services through trained Community Based Provider (CBPs) who also mobilised communities.
  • Targeted IEC activities including interpersonal communication and multi-media activities were carried out leading to behaviour and social change.

INTERVENTION

  • A cadre of 2500 CBPs were the ‘Peer’ with-in the community, providing doorstep service delivery and mobilising the community.
  • About 2000 ASHAs trained to reach out to the community.
  • In far-flung, hard to reach, remote areas poor and underserved population were provided the access to basic essential FP, MCH services through mobile medical vans.
  • Special outreach service sessions were arranged near to community.
  • Social marketing of RH commodities for sustainability of CBPs.
  • A satellite clinic was placed in the community to provide basic, non-invasive FP, SRH and MCH services at minimal/free cost.

CHALLENGES FACED

  • More than 55 lakhs FP and RMCH services delivered to about 20 lakhs beneficiaries through SETU project.
  • About 12000 female sterilisations, 1000 male sterilisations done under the project.
  • Expanded coverage of newer contraceptive – about 15,000 Injectable DMPA doses provided through project.
  • Capacity building of 5000 community health workers in FP and RMCH issues.

KEY LEARNINGS

  • Upgradation of CBDs to CBP (i.e. Depot – Providers) suited the outreach design of less HR and max output.
  • Data verification is needed to keep the project staff updated about the timely change in definition and M&E practices.
  • Commodity Security System of the satellite clinic and RHFPC need to be strengthened.
  • Mobile Medical Van approach was important to increase the accessibility and acceptability of services by community.
  • Introduction of user fees in SETU satellite clinic and social marketing of contraceptive and other commodities helped in the cost recovery and sustainability.
  • Financial transition with outreach team like CBD/CBP, link workers were made through bank only. This helped CBD/CBP open the bank account leading to their empowerment.

BACKGROUND


IPPF received a grant from the David and Lucile Packard Foundation to harness the political priority and evidence to ensure that SRHR is represented in the final intergovernmental negotiations on the post 2015 development framework.


In India, the project was implemented by FPA India (Family Planning Association of India) from July 2012 to June 2014, through IPPF, with the following objectives to get SRHR prioritized in national as well as local level policy, budgets, regulatory documents or legislation.


  • To assess linkages between SRHR and poverty alleviation in key national development policies and programmes currently implemented at the national/state level.
  • To develop strategic alliances to raise awareness about linkages between SRHR and poverty alleviation zamong key stakeholders at the national level
  • To develop evidence-based messages which resonate with key stakeholders from the civil society and relevant government department.

  • PROJECT INTERVENTION


    Project activities were designed to collate evidence at the policy level as well as from the community perspective to work towards the objectives.Policy and programme documents and papers developed by the Ministries of Women and Child Development, Health and Family Welfare, Rural Development, Urban Development and Poverty Alleviation, Statistics and Programme Implementation and the Planning Commission, were scanned. Structured interviews were conducted with government officials from some of these ministries. This review revealed that SRHR and poverty alleviation measures were not adequately linked in the government programmes and policies.


    Three non-SRH civil society organizations (CSOs) were partnered with and oriented on the relevance of SRHR to poverty alleviation. These NGOs also conducted community-based activities to bring about awareness of the link between SRHR and poverty alleviation.In order to influence programmatic and policy changes with regard to carrying out integrated SRHR and poverty alleviation programmes, a two–day workshop for staff belonging to the partner NGOs in Barwani was conducted, to orient them on SRHR issues and also to work with them to bring out an advocacy strategy for positioning SRHR as critical to poverty alleviation through integrated community based interventions linking the two issues. All three partner CSOs were also supported by a second sub-grant to conduct SRHR related activities with their poverty alleviation and development work.


    SUCCESS


    A community based qualitative study conducted in the operational area of these partner NGOs brought out very vital nuances on community perspective of SRHR-PA integration. The document worked as a tool in itself to push forward the agenda of positioning SRHR as crucial to poverty alleviation. Once the community opinions were established, it paved the way to work on the advocacy strategy and bring out clear evidences on the need for such an integrated approach.

    This project has attempted to demonstrate an approach to the SRH-PA integrated model that has neither been demonstrated nor documented so far. This model therefore holds a possibility of being a learning model for several NGOs working in the space of SRHR. A documentary film on project learnings was therefore developed and widely disseminated through social media (YouTube). The outcome of the effort can be seen in the linkhttp://www.youtube.com/watch?v=PaKhLeR5Bfo

    Another significant outcome of this two-year project was the generation of an advocacy brief that would now be extensively presented to possible partners and collaborators and convince them of the need to position SRHR as crucial to poverty alleviation as part of overall development. The advocacy brief and the documentary were unveiled during the national dissemination of the project held on June 18, 2014, in New Delhi.

Name of the Project: Human Resource Development for Sexual & Reproductive Health Care Services

Supported / funded by: Tata Trusts

Duration: 3 years (January 2013-December 2015)

Goals: Improve the quality of service provision and enhancement of skills of service providers providing sexual and reproductive health services

Objectives:

  • Capacity building of health care professionals to manage health services effectively
  • Disseminate information related to sexual and reproductive health care and rights to professionals across the country
  • Establish the center as an institution in the area of sexual and reproductive health care and management

Locations / Branches involved: The project is implemented at FPA India - HQs and training courses are being organized at Avabai Wadia Health Center, Tilaknagar, Mumbai. The training courses are for external agencies within the country.

Brief description
The key aspect is to develop human resources for sexual and reproductive health care and management. The project envisages building capacities of 1360 health care professionals through 68 training batches on following themes in three years.

  • Family Planning for Civil Society Organizations
  • Counselling Course in Trauma, Guilt and Self Esteem
  • Meeting Sexual Reproductive Health needs and Rights (SRHR) of survivors of Gender Based Violence
  • Male involvement in SRHR
  • Leadership and Management Programme
  • Basic counselling skills
  • Comprehensive sexuality education
  • Sex and sexuality counselling
  • Use of social media
  • Advocacy Planning
  • Counselling for Children
  • Resource Mobilization through Corporate Social Responsibility

Apart from the above training courses it also organizes custom made training courses for external agencies.

Feedback:

“It is very appreciable for conducting such nice training programs which ultimately helps social organization to achieve goals for the benefits of society. The feedback of training received from our person who has attended training on our behalf is up to mark. We once again congratulate for your move & programs promoted for the benefits of society. We feel proud being associated with you & will definitely attend programs arranged in future dates.” (Shree Bahuddeshiya Sanstha, Nagpur)

Result/ progress/ impact

271 in the year 2013 and 381 individuals in 2014 have attended training courses. Many of them have undergone multiple courses. The participants have improved their knowledge and skills. They are utilizing the information and skills acquired in their routine work. Participants have reported that the training has helped them more in day to day work while dealing with their clients.

Additional info
Here is the training calendar for the year 2015.

Name of the Project: SETU Core +

Supported / funded by: AusAid (Australian Govt.)

Duration: June 2011- June 2014; 3 years (extension 6 months, up to December 2014.)

Goals:

  • People from 10 states, including the poor, marginalized, socially excluded and underserved, have access to family planning and sexual and reproductive health services.

Objectives:

  • To increase the contraceptive coverage by 20% from the baseline in the project locations by 2014
  • To increase awareness of family planning by 30 percent point among all men, women and young people by 2015 in in the project locations
  • Strengthen systems for FPA India to ensure efficient forecasting and logistics management of commodities across the association

Locations / Branches involve: In the year 2014 there has been few changes in the SETU project implementation locations/sites. Previously SETU project was going on in 10 RHFPCS (SETU supported Male clinic) and 18 Outreach locations.

Following units has been winded up under SETU Core+ in 2014

Locations Wind up by - date
10 RHFPCS (SETU supported Male clinic) Madurai  Ahmedabad
Nagaland  Banglore
New Delhi  Bijapur
Nilgiri  Chennai
Panchkula  Dharwad
31st March 2014
2 Outreach Locations North Kanara, Mysore 30th April 2014

Thus, from 1st May 2014 onwards following 17 Outreach locations only, will be functional under SETU Core+

Barwani (Project) Indore
Belgaum Jaipur
Agra Kalachni - Madarihat
Gwalior Kalachni
Bhubaneshwar Lucknow
Bidar Mumbai
Gomia - Bermo New Delhi- 1) Shahadara 2) RK Puram
Gomia - Petravar Pune

Brief description (100 words):
An outreach intervention is implemented in 17 blocks across India in 2014. Each block has a Satellite clinic and an Outreach team. Thesatellite clinic has a Doctor, Staff Nurse, Counselor, Lab Technician, ANM and Aaya. The Outreach team comprises of Community Based Distributor (CBD), Link worker and Project Coordinator. The CBD is the commodity provider at the grassroots level and the rest of the team is for supportive supervision. A block have about 120-200 CBDs with population varying from one-two lakh. Strategies adopted are community mobilization through CBDs for demand generation and referrals to satellite clinic, mobile medical van twice a week, special service sessions in the community and partnerships with private medical practitioner in area.

Case studies/ stories:
Case study 1:
Miss. Muthu Lakshmi, aged 21, was doing her degree course. She was in love with her maternal uncle and her marriage was fixed with him. She had pre marital relationship with her uncle and as a result she became pregnant. After her pregnancy due to some problem in the family her fiancé denied to marry her and went away from the place. Later the family members came to know that he got married to someone else. She felt helpless and was unable to share about her pregnancy to anyone due to fear. At that time there was medical camp organized by SETU project of FPA India in her village. The counsellor explained about treatment for STI/ HIV/AIDS, safe abortion and family Planning. The counsellor also assured that matters shared with her will not be shared with anyone and so the client had confidence on the counsellor and she shared her story. The counsellor explained her about free, legal and safe abortion services. She underwent abortion in RHFPC. Now she is relieved from her distress and able to concentrate in her studies. She is grateful to FPA India SETU project for the timely help.

Case study 1:
Kannan got married 10 years back. His wife is a housewife. They have 3 children. Both husband & wife are HIV infected persons. His wife has undergone 2 operations for the first two deliveries. After the third child was born they decided to go to the private hospitals for doing tubectomy. But in the private hospitals, they refused to do tubectomy due to their HIV infection. The couple came to know about the services provided at the FPA India Madurai branch through the SETU medical camp. The SETU counselor counseled them and shared about the vasectomy. The IEC materials were provided to the client at the camp site. Knowing the services of FPA India the client approached SETU unit after one week. At the second sitting, counselor explained about the vasectomy procedure. They were convinced to do vasectomy after discussing at home. The client came again for the third sitting. The counselor counseled them about the vasectomy and he was confident and accepted for doing vasectomy. After doing vasectomy, the client shared that in many hospitals there was discrimination & stigma for PLHIV but in FPA India there is no discrimination. He felt that he was treated as normal client and so he expressed his gratefulness to FPA India and SETU team.

Case study 3
Mrs. Asha Singh has 3 children and is currently living in Ganga Vihar with her husband and mother-in-law. She was approached by Ms. Sheetal, Link Worker, SETU Project during her survey in the colony. Asha told her that she has not had her menstrual period since 5 days. So, Sheetal immediately referred her to the SETU Clinic where she was given UPT kit to test whether she has conceived. She gave a history of unprotected sex with her husband to the counsellor. Counsellor told her that she has to get MTP done, if she does not want that child. As she was already having 3 children and her husband’s monthly income is very low, Counsellor informed her about other contraceptive methods like IUD, tubectomy after MTP, so that she will not face any other problem once again in future. Therefore she went to her home and consulted her husband . Sheetal also went to her home and counselled her husband and mother-in-law about the procedure. Next day she was taken to RHFPC to get MTP done in the SETU ambulance. After MTP, IUD was also inserted so that she does not face the same situation again. She said, “I was very afraid of the MTP procedure but the staff explained the entire procedure to her before she was operated. Doctors treated me very well and were very supportive. Till now I have not faced any problem and I am living a healthy and normal life.” She also remarked that, “She is very happy with SETU clinic facility in their locality. All the medicines are readily available and staff also treat them very well”.

Result/ progress/ impact (100 words):
During the year 2013, CBDs provided 9, 79,495 (64%) services, satellite clinics provided 6,34,425(42%)services. SETU Project contributed significantly (46%) to the overall branch performance. SETU project model proved to be cost effective for provision of contraceptive services. The cost per contraceptive service by CBD and Satellite clinic was found to be 0.48$ and 0.47$ respectively. Thus a multi-level service delivery point is an efficient and cost effective method of providing family planning and contraceptive information and services. 60% of (1515) of CBDs have opened bank accounts with the help of SETU team. All of these CBDs are women. Honorariums were directly transferred to their bank accounts. This practice gave additional dimension of financial empowerment of women to the project.

Additional info: The Australian AID identifier logo should be at dominant position. The FPA India logo can be included along with the wording - “Australian Aid—managed by FPA India on behalf of AusAID”

  • Rain coats and utility bags provided to the CBDs @ KALCHINI
    IMG_0095.jpg
  • The baby checked by the doctor at the outreach camp: @ KALCHINI
    IMG_0049.jpg
  • Laparoscopic Sterilization Camp, June 2012 at Santhpur CHC @ Bidar
Phase Duration Status Remarks
I 2008-2010 Completed Initiated at 15 FPA India clinics.
II 2011-2012 Completed IDuringsecond phase, Global Comprehensive Abortion Care Project (GCACP) was renamed as Global Comprehensive Abortion Care Initiative (GCACI)
III 2013-2015 Ongoing Began on 1st January 2013. Agra and Mumbai PSK clinics were added.

Supported / funded by

Anonymous donor (The donor has requested that their grant should remain confidential and thus anonymous. The Member Associations and Regional Offices are not permitted to disclose the source of funding and therefore IPPF should be referenced as the donor.)

Duration

Mentioned in above heading

Goals

To increase access to comprehensive abortion care and contraceptive services as an integral component of sexual and reproductive health in 17 Member Association clinics by the end of 2015.

Objectives

  • Increased access to comprehensive abortion care services, resulting in 44,273 clients served through 17 clinics by 2015
  • Provide treatment for incomplete abortion and post abortion care services to 1004 clients by 2015
  • Increased uptake of post-abortion contraceptive services, resulting in at least 98% of the CAC clients adopting a contraceptive method by 2015.
  • Increased access to family planning services, resulting in a total of 55,723 clients choosing a Long-term method and 248,019 clients adopting a short-term contraceptive method by 2015.
  • Use client based data to inform quality of care and programmatic decision making.

Locations / Branches involved:

  • Tamilnadu: Dindigul
  • Jharkhand: Gomia and Murhu
  • Madhya Pradesh: Gwalior and Jabalpur
  • West Bengal: Kalchini and Kolkata
  • Uttar Pradesh: Agra, Nirala Nagar and Cantonment (Lucknow)
  • Maharastra : Avabai Wadia Health Centre (Tilaknagar-Mumbai), Kutumb Sudhar Kendra (Mumbai Central), Kutumb Niyojan Adarsh Kendra (Thane), Prajanan Swasthya Kendra(Bhiwandi), Pune and Solapur
  • Nagaland: Kohima

Brief description ( 100 words)
Global Comprehensive Abortion Care Initiative (GCACI) was designed to address the problem of unsafe abortion by training health care providers and advancing safe abortion technologies through trained service providers.The initiative emphasizes the efforts to increase access to the provision of comprehensive, safe and legal abortion care and abortion related services with special focus on reaching poor, young, marginalized, rural and displaced groups. The initiative includes pre-abortion and post-abortion counseling, surgical and medical abortion, post-abortion care including treatment for incomplete abortion and post-abortion contraceptive services.

Any noteworthy / special comment or case studies/ stories
The stigma attached to abortion at FPA India clinics was addressed through inclusion of rights based messages into counseling session. This intervention was implemented into 5 clinics (Pune, Mumbai, Bijapur, Indore and Bangalore). More than 86% of the clients felt that they were not judged by the clinical staff, felt supported while receiving abortion services and were able to make a decision about the outcome of the pregnancy. This intervention has helped toreduce the abortion stigma at 5 clinics. Most of the clients had fear, myths and misconception about abortion before visiting FPA India clinics. But after counselling session, many of them were able to make the decision about their choice to continue the pregnancy or to go for abortion.

Result/ progress/ impact ( if any) ( 100 words)
The health education and awareness programs were organized at all clinics in collaboration with various stakeholders to sensitize the community about importance of abortion and contraception. All branches adopted different strategies to reach larger section of population through flex boards, wall paintings, sign boards, hand bills, pamphlets, posters, street plays, FM Radio and public transport system (Bus and railways). The establishment of strong referral linkages with other NGOs, CBOs, youth forums, and government health workers, certified or non-certified PMPs, chemist and druggist has resulted into high number of referrals to FPA India clinics. The link workers had played key role in the community mobilization acting as bridge between the community and health service providers.

All clinic staff are oriented to analyze the data and make appropriate decisions at the clinic level to improve the services. Every month the clinic staff have a discussion on the data and analyzes the strengths and weakness to make firm decision. This also resulted into improved reporting of services and a greater coordination in the staff. 11 clinics out of 17, made a programmatic decision using the data. For example: Kolkata made arrangement for night stay for the distant clients; Pune decided to appoint a Consultant for providing NSV services; Mumbai-AWC decided to begin provision of Second trimester abortions in 2014; Kalchini conducted data audit by staff etc.

As a result of GCACI implementation, Jabalpur and Gwalior branches in collaboration with Maries Stopes International (MSI) have been identified as MTP and IUCD insertion training centers for government and private health service providers.

Achievements in 2013:

Total No. of Clients provided with an abortion 16613
Incomplete abortion treatment 305
Total of post abortion clients adopting contraception 16735
Total number of clients using contraception & number of contraceptive services 90140

One special photo

Safe Abortion: Sensitization Workshop Of FPA India Volunteers On Attitudes

Name of the Project: Building Momentum for Sexual and Reproductive Health and HIV Integration in India
Supported / funded by – IPPF- SARO through European Union Duration–
January 2011 – June 2014

Goals - The project will contribute:

  • To MDGs 5 and 6 and significantly increase uptake of both HIV and SRH services, especially for women, young people, people living with HIV and marginalized groups
  • To the fulfillment of international commitments for SRH – HIV integration in the ICPD, the Glion Call for Action and Political Declaration on HIV and AIDS

Objectives:
To advocate for SRH - HIV integration in the operations of the CCM (Country Coordinating Mechanisms) of the Global Fund in India, Afghanistan, Bangladesh, Iran, Maldives, Nepal, Pakistan and Sri Lanka

Locations / Branches involved – implemented by FPA India - HQ

Brief description ( 100 words)

The project is committed to advocacy efforts for SRH and HIV integration. The project has four major components – country team, technical assistance hub, small grants to CSOs and advocacy

Any noteworthy / special comment or case studies/ stories
An issue brief on SRH – HIV Integration has been developed with recommendations for: (i) Policy makers and National Program Managers; (ii) SRH and/or HIV Service Providers; and (iii) Community Groups and Networks of People Living with HIV.
In this project it has been able to form the country team, which includes representatives from – (a) the Ministry of Health and Family Welfare, (b) National AIDS Control Organization, (c) Country Coordinating Mechanism Members and CSOs working SRH and HIV, (d) representative of key populations, (e) National Youth Coalition and (f) youth representatives.
Capacity Building programs:Five workshops; namely on (i) Sexual and Reproductive Health (SRH) and HIV Integration; (ii) Gender Equality and Mainstreaming; (iii) Project Proposal Development and (iv) Project Budgeting and Financial Management were held in Delhi.

Result/ progress/ impact ( if any) ( 100 words)
The learning from the capacity building workshops has shown positive outcomes. During the follow up workshops held in 2013, one of the networks has been able to integration family planning counseling at the Integrated Counseling and Testing Centre (ICTC) and incorporate screening of cancer cervix for antenatal mothers and PLHIV women who access PPTCT/ICTC services.
“An eye-opener that two issues could be integrated to save resources and increase impact. NYK can include such sessions in our regular youth interaction programme… two kinds of support provided to us –technical expertise and second IEC support.” (Representative from Nehru Yuvak Kendra)
“This forum introduced us to like-minded organisations working with young people. It has opened doors for us to collaborate with them. We hope that we can share new research and interventions with each other.”(Representative from International Youth Centre, New Delhi)
One of the CSOs working in the district of Bihar has integrated HIV counseling services in their SRH health centers and has been motivating the pregnant women and their partners for HIV testing. Few CSOs are planning to revise their policies and guidelines and including “SRH – HIV integration” because of the benefits - focus on human rights, meaningfully involve people living with HIV;foster community participation;reduce stigma and discrimination, and recognize the centrality of sexuality.

The project staff has been sharing these experiences and learning at different fora – experience sharing meeting Elizabeth Glazer Pediatric AIDS Foundation and PMTCT’s, private – NGOs, various ‘dialogues’ organized by the European Union (EU) – India to share experiences, perceptions and ‘analyze’ as possible, among EU-funded civil society partners engaged in HIV and/or SRH work, from various angles, mainly advocacy, service delivery and/or capacity building. In the first quarter of 2013 another meeting ‘Kolkata Dialogues’ was organized by EU and the lessons learned and key findings of the project was shared.

As commented by one of the participants “… heard about some pilot projects on SRH-HIV Integration but first time attended such meeting. We received conceptual clarity on linkage and Integration of SRH –HIV Services; an important and responsible issue for youth population” [Indian Committee of Youth Organizations (ICYO) representative].

“Useful and informative … field level through various activities among young people. While we are implementing AEP in schools of Tamil Nadu, we now can tweak the programme to include informing them of the need for integrated SRH services. The advocacy tools and the information provided will pave the way for an innovative programme will pave the way for an innovative programme to bring about healthy change in society” – Youth participant

Another achievement of this project is Building Human Resources: The capacity building programs on different themes – SRH – HIV Integration, Gender Mainstreaming and Equality, Project Proposal and Financial Management and Budgeting has helped the service providers. The participants have shared or organized similar programs in their respective agencies. Few of them submitted project proposals at the local level too.

One special photo
Additional info

Supporting Vulnerable People through the Global Economic Downturn

Name of the Project :Supporting Vulnerable People through the Global Economic Downturn
Supported / funded by – IPPF- SARO through DFID
Duration– 2010 – October 2011
Objectives:
Promoting and Monitoring Health MDGs at national level (Madhya Pradesh and Jharkhand)
Strengthen in-country advocacy and policy development on off track Millennium Development Goals in particular gender equality and women’s empowerment, reducing child mortality, improving maternal health, and ensuring environmental sustainability.

Locations / Branches involved – implemented by Madhya Pradesh and Jharkhand


Brief description ( 100 words)

The activities covered under advocacy section were : (a) Review of national policy, technical protocol/guidelines, and budgetary documents and the sub activities included (i) Advocacy Conduct review of current programs of the governments in India vis a vis the health related MDGs to identify gaps that constrain progress on the MDGs; (ii) Advocacy Dissemination of report among policy makers and stakeholders; (b) Develop strategy for civil society involvement in policy review processes and its sub-activities were (i) Advocacy Meetings with government to follow-up on implementation of recommendation; (ii) Advocacy Capacity building of MAs and partners on Advocacy Planning; (iii) Advocacy Meetings with NGO coalitions; (iv) Advocacy Dissemination workshop to share tools and lessons learnt among other MAs and stakeholders in the region; (c) Identification of and sensitization of champions for SRH – sub activities (i) Advocacy capacity building of youth volunteers on the monitoring tool and (ii) Advocacy capacity building with parliamentarians/state legislators on the importance of health MDGs


Any noteworthy / special comment or case studies/ stories
Result/ progress/ impact ( if any) ( 100 words)
4.1 Review of national policy, technical protocol/guidelines, and budgetary documents

  • Review Reports on MDG status of Jharkhand and Madhya Pradesh
  • Fact sheets on MDG 5 for Jharkhand and Madhya Pradesh (English and Hindi)

4.2 Develop strategy for civil society involvement in policy review processes

  • Capacity building workshop held in Madhya Pradesh (MP) and Jharkhand strategies were developed as part of the advocacy expected results.
  • The NGO coalition meeting were used to share and exchange information and plan ahead.
  • The CSO were involved in building evidence and interacting with the government officials and seeking support of other CSOs

4.3 Identification of and sensitization of champions for SRH

• The MP and MLAs have been sensitized on SRH (10 MP and MLA have been sensitized on SRH. 9 new ‘champions’ (MP and MLA’s) (Jharkhand and Madhya Pradesh) who will speak publically in support of SRH

The CSOS / NGOs capacity building on advocacy planning has them in promoting issues in their own area of work. These are the feedback provided by participants after the advocacy planning workshop.

The project was able to achieve the Advocacy Expected Result in Jharkhand - Booklet on contraception for front line workers in different languages.

One special photo

Additional info

Logos of IPPF –SARO and UK aid

Name of the Project : Addressing Adolescent Fertility in Barwani districts of Madhya Pradesh State, India

Supported / funded by:UNFPA

Duration:December 2010 to December 2014

Goals: Increase in mean age at first conception by 1 to 2 years from baseline levels Percentage of married couples using spacing method increase by 10% from base line levels

Objectives:

  • To increase Mean age at first conception among married women in 15-19 yrs
  • To increase the percentage of married couples using spacing methods up to 30%
  • To promote spacing for married adolescents
  • To promote care seeking behavior for RH amongst boys and girls in target group

Locations / Branches involved:Barwani district Madhya Pradesh state

Brief description (100 words), Adolescent fertility in country demonstrates a severe obstacle to development and can lead to lost productivity. Reports indicated high maternal mortality ratio and every block in the district has high adolescent pregnancy ratio and this indexes at district level will surely enhance good health conditions after addressing Adolescent Fertility, Project Barwani in adolescent populace. It is anticipated that addressing Adolescent Fertility, Project Barwani district will lessen the frequency of unplanned pregnancy and sexually transmitted diseases in adolescent age group and generate awareness about sex-related health problems like harmful practices, unwanted pregnancy, and unsafe abortion. In many blocks of Barwani district an unmarried adolescent mother experiences social ostracism. This project helps adolescent to comprehend severity of social denial and ignorance of family.

Any noteworthy / special comment or case studies/ stories:

SapnaAwale was 16 when she was married off to a farm labourer in Holgaon, a dusty village in Madhya Pradesh’s Barwani district. Her husband was 17.Like most underage brides in the region, Sapna had very little knowledge about sex and none at all about family planning. By 17, she was already a mother, nursing an infant daughter while managing all the housework, caring for her in-laws and working as a farm labourer.Then in 2012, Sapna had a visit from the local ASHA – an accredited social health activist appointed by the Indian government’s ministry of health and family welfare to serve as a community health worker in the village. “She spoke to all of us – my husband, my family and me – and explained to us why it would be better for my health if I delayed a second child,” said Sapna, who is now 19. A few counseling sessions later, Sapna and her husband were convinced. She travelled 12 km by bus to the nearest community health centre to accepted copper-T . “We will wait for at least three years before having another baby,” she said.

Case study: Opposition of Mother in law for using FP methods:

Result/ progress/ impact (if any) (100 words)

The contraceptive acceptance among the adolescent couple has increased from 2% to 24%. The knowledge, confidence level and awareness on contraceptives among the targeted couples has improved. ASHA's capacity to provide information on contraceptive increased and her understanding on her roles & responsibilities also increased. ASHA has started talking on contraceptive methods /SRH comfortably in the community and clarifying the misconception on the contraceptive methods among young couple. It was noted that there is decrease in underage pregnancies and increase in couples accepting IUDs.

One special photo

Name of the Project: Addressing the HIV and SRH needs of informal migrant workers of Chennai Metro Rail Limited’

Supported / funded by : JTF

Duration: 1st October 2012 to 30th September 2014

Goals Empowered and knowledgeable migrant workers leading healthy and productive lives, contributing to reduction in incidence of HIV in India and stigma and discrimination faced by key population including people infected and affected by HIV/AIDS.

Objectives: To increase access to HIV and SRH information among construction workers of Chennai Metro Rail Limited by 75% by March 2014. To increase utilization of HIV and SRH services by migrant construction workers to 50% by March 2014.

Locations / Branches involved: Chennai in Tamil Nadu

Brief description (100 words): The HIV epidemic in India is diverse with predominant heterosexual transmission across India except for some parts, especially in the north east (Manipur and Nagaland). The epidemic is concentrated among high risk groups (FSW, MSM and IDU) and bridge population (truckers and migrants). The focus of the programme has been to break the chain of transmission through sustained awareness generation and safe behavior practices. The "Asian Epidemic model" provides the rationale for such services that targets the core high risk groups and so called the bridge population.The migrant interventions are more difficult due to the nature of people. Thus, the national programme is looking towards partnerships with various NGOs and private Sectors.

Any noteworthy / special comment or case studies/ stories:

The Branch successfully got the permission from the CMRL authorities and the construction companies to implement the project activities in the 10 selected labor camps. After getting the permission the Branch constituted a mobile team consisting of counselors & Lab.Tech .They started visiting each camp twice a month. The Branch has so far conducted 160 Health camps in the 10 selected labor camps during the reporting period. The camps were conducted regularly on the designated days, without any interruption, even during rains. As the staff was regular in attending the camps, they were able to make 7087 interpersonal contacts with the migrant workers. . Among them 5803 were new workers and 1284 were repeated contacts. This means our counselors were able to contact almost all the workers staying in the 10 labor camps numbering 6000. Through these interpersonal contacts our counselors had imparted information on HIV/AIDS and SRH to all the workers.

Result/ progress/ impact (if any) ( 100 words)

Fifty construction workers/supervisors from ten camps sites were trained as Peer Educators and they contacted 3737 workers and distributed 4662 pieces of condoms and 929 ORS packets. 25 Video Shows & 30 Health Education sessions were conducted in the camp sites. At the camp sites a mobile van consisting of medical officer,counselor,lab technician provided SRH-HIV services to the workers. 794 workers accepted VCT and VDRL services. 828 were screened for hepatitis B and 129 were vaccinated .3139 RTI/STI prevention counselingservices were given and 2481 workers have under gone risk assessment counseling. More than 5000 IEC Materials related to HIV & SRH were distributed during IEC sessions.The branch developed partnership with - Chennai Health Education and services (CHES), Chennai positive Network ,Thiruvallur District positive Network and Women positive Network.

Mr.TakeshiOsuga , Minister Political, Embassy of Japan in India visited construction sites and residential site of construction workers and observed the work done by FPA India. Mr.Osuga appreciated the hard work put in by the staff to fulfill JTF objectives and ensured local Japanese consulates full cooperation.

One special photo

Additional info

Name of the ProjectAddressing Stigma and Positive Prevention among PLHIV and Key Population

Supported / funded by: JTF

Duration: 1st April 2010 to 31st March 2012

Goals : People living with HIV among Key Population lead healthy lives

Objectives: To increase the utilization of Positive Prevention services by PLHIV from Key Population by 50% in four locations (Chennai, Mumbai, Kolkata and Nagaland) of FPA India.

To reduce the barriers to accessing (SRH) services for PLHIV particularly from among MSM,TG,IDU and Sex workers , in four locations of FPA India Branches by March 2012

Locations / Branches involved : Chennai in Tamil Nadu, Mumbai in Maharashtra, Kolkata in West Bengal and Nagaland in Kohima

Brief description (100 words)

Family Planning Association of India, has implemented a two year JTF/IPPF funded project, “Positive prevention and addressing stigma, discrimination and gender inequality- for people living with HIV and Key Population” in four locations viz. Chennai ,Mumbai, Kolkata and Kohima. In India, social, legal and health barriers often prevent the provision and access of care and support services for PLHIV among the Key Populations (KPs). Stigma and discrimination among KP is doubled if they are sero-positive. Exclusion and lack of support from friends, colleges, family and partners, as well as pressure from the family to get married are other social barriers. Many MSM fear the loss of their jobs: being HIV positive doubles the risk of losing their livelihood. In the health care setting, many MSM, sex workers and IDUs shy away from testing due to the fear of being identified without informed consent. Stigma and discrimination from healthcare providers at various levels, and lack of support services, like homes and hospices, makes the situation worse. Thus, promoting “positive prevention” strategies among PLHIV helped them to live longer and healthier lives as it contributed to the full enjoyment of sexual and reproductive health and rights and promoted new ways to live in sero-discordant or concordant relationships[1]; it also averted unnecessary illnesses and ensured timely access to treatment, care and support and promoted adherence to ART. It also helped HIV positive people to be empowered to make decisions about their lives without the burden of feeling guilt or shame as a result of their HIV status. This, in turn, will contribute to the well-being of their partners, families and communities.

Any noteworthy / special comment or case studies/ stories

30 years old Sunil, a MSM lives with his family in Mumbai. During the college days he felt attracted toward the boys but he was a confused with whom to discuss all this with. He dropout from the college then some of his friend went with him at MSM site and he started involving in sex work activities. Throughout this period he has unaware about the use of condom and got HIV infection. Today he is working with social organization during this work he feels to work for positive peoples and he started his own organization.

He came to our clinic for Hepatitis B testing. Counselor gave information about all services of FPAI. After testing he came to know that he was also Hepatitis B positive. Being the lone male child, his mother started pressurizing him for marriage. He took a decision marry a HIV positive woman. He brought his wife to the clinic to get her Hep B testing done and fortunately, she was found to be non-reactive for Hep B. She started her vaccination for Hep B at clinic that time.

After one month client came again to the DIC and he shared about his family discrimination. His family was not ready to accept his wife she even does not allow her to enter in the kitchen. That’s why his wife went to her mother’s home. He felt very confusing about his life too. He also afraid about the key population because if they spread that he is MSM he will be in trouble with his wife. The FPA In counselors and staff helped him to overcome this situation and today his wife comes to this clinic for all her services as well as accepted his bi-sexual status.

He is role model for many others Married MSMs who are currently availing the services from FPAI Mumbai.

Result/ progress/ impact ( if any) ( 100 words)

The project was able to reach out 7695 KPs with various services as against a target of 5000 (154% achievement). The project was also able to bring down the barriers to accessing SRH services in KPs – a total of 1284 families had accepted their family member and had accompanied them to accessing SRH services including 372 families of KP living with HIV. The project has also build the capacity of 582 peer volunteers and 261 health care providers during the project period.

One special photo

Name of the Project: Voluntary Counseling and Testing for HIV

Supported / funded by:Aum Foundation

Duration:1st October 2010 to 30th June 2013

Goals: Expanding access to information and services related to HIV prevention, testing, treatment, care and support

Objective: To increase access to HIV testing services in urban Ahmadabad

Locations / Branches involved: Ahmadabad, Gujarat District.

Brief description (100 words)

VCT is an effective strategy for facilitating behavior for clients. Different studies have shown the effects of VCT including a decrease in unprotectedsexual intercourse,reduction in multiple partners, increase in condom use, and more clientschoosing abstinence. It’s an important entry point to other HIV/AIDS services, including prevention of mother to child transmission (PMTCT), prevention and management of HIV related illnesses, and social support. FPAIndia has integrated Voluntary Counseling and testing services into its sexual and reproductive health centres. In 2009, 30,962 persons availed pre-test counseling of which 22,333 clients accessed HIV testing services and 463 were referred to other testing centres. VCT acceptance in the branches is increasing steadily since 2005.

Any noteworthy / special comment or case studies/ stories

Within a short period able to develop strong partnership with NGOs and government officials and strong advocacy helped to reduce stigma and discrimination and awareness in community about HIV and AIDS. Project staff identified seven Clients and referred them for care and support as they were diagnosed at an early stage.Project received good support of Government Officials and Ahmedabad Municipal AIDS Control Society.

Result/ progress/ impact (if any) (100 words)

63,000 populations reached out through various Educational Sessions, awareness programs, Advocacy, Inter Personal Contacts etc. More than 3,000 persons were given prevention counseling and 2,071personsavailed voluntary &counseling HIV testing service. Thirteen persons who tested positive for HIV were referred to ART centre. Thirteen condom depots were established in the community.

Inauguration of V.C.T.Centre, Thakkarbapanagar

Additional info

Project outline & update for Web site

Name of the Project: Linkages in Concentrated Epidemics

Supported / funded by IPPF – Norad

Duration : January 2012 to 31st December 2012

Goals: Create demand and supply services for MSM, TG and key populations in specific sites

Objectives : Increase access to information and services to Key Population groups

Locations / Branches involved : Pune, Solapur, Mumbai in Maharashra, Hyderabad in AP, South Kanara, Bangalore, Belgaum and Bangalore in Karnataka

Brief description ( 100 words)

The bi-directional linkages between SRH and HIV-related policies and programmes can lead to a number of important public health, socio-economic, and individual benefits.FPAI recognizes the imperative of addressing the SRH needs of people living with HIV. Strengthening essential and linked SRH and HIV services in concentrated HIV epidemics will allow FPAI to support the creation of ‘stigma-free zones’ through the delivery of integrated services such as male SRH and HIV services; hepatitis A and B services linked to STI management; and facilitated referral mechanisms for other services.

Any noteworthy / special comment or case studies/ stories

Sensitization programs helped the staff to understand the needs of PLHIV. The findings of the PLHIV Stigma Index study conducted at Tamil Nadu was shared by giving example as how these groups are discriminated specially the double stigma faced by MSM and TG while accessing services. The rights of women living with HIV to have their own family and decide on having children were discussed as it is a common impression that PLHIV should not have children as their life span is short. These myths and misconceptions were clarified. The discussions also had a Branch Executive Committee (BEC) coopted member clarifying their doubts and how stigma impedes the life of PLHIV. It was observed that after the implementation of this project many PLHIV who had been co-opted as members of the BEC joined IPPF+ and the management also taken a decision to coopt a member in the Central Executive Committee.

Result/ progress/ impact ( if any) ( 100 words)

During this short span, branches were able to contact 3378 key population groups of which 1292 are living with HIV. Besides this, 3123 PLHIV from the general community and2938 from the general population were also contacted and provided various SRH and HIV related services.

60 health sessions were conducted at the places either near to their cruising sites or where they reside (in the case of sex workers it was at the brothel or at their CBO office) .This arrangement helped many to access the services like VCT, treatment for RTI/STI, information on Safe Abortion, family planning methods, Hepatitis B screening and vaccination and for other general ailments. Total 9439 clients benefitted from these health sessions. The partner organizations and clients were impressed by the stigma free services provided by FPA India staff and for the medicines “ it is the first time that nobody asked me to go for HIV testing and provided safe abortion service without any discrimination , I am really impressed and now I will tell all my friends” – a female sex worker who availed safe abortion service from one of the reproductive health clinic at Pune. The sex workers from Pune were paying more for safe abortion services from the private health care providers earlier.

One special photo

Additional info:

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(Whether donor logo needs to be included; any hyperlink with donor website etc.)

Supporting Vulnerable People through the Global Economic Downturn

Name of the Project :Supporting Vulnerable People through the Global Economic Downturn

Supported / funded by – IPPF- SARO through DFID

Duration– 2010 – October 2011

Objectives:

Promoting and Monitoring Health MDGs at national level (Madhya Pradesh and Jharkhand)

Strengthen in-country advocacy and policy development on off track Millennium Development Goals in particular gender equality and women’s empowerment, reducing child mortality, improving maternal health, and ensuring environmental sustainability.

Locations / Branches involved – implemented by Madhya Pradesh and Jharkhand

Brief description ( 100 words)

The activities covered under advocacy section were : (a) Review of national policy, technical protocol/guidelines, and budgetary documents and the sub activities included (i) Advocacy Conduct review of current programs of the governments in India vis a vis the health related MDGs to identify gaps that constrain progress on the MDGs; (ii) Advocacy Dissemination of report among policy makers and stakeholders; (b) Develop strategy for civil society involvement in policy review processes and its sub-activities were (i) Advocacy Meetings with government to follow-up on implementation of recommendation; (ii) Advocacy Capacity building of MAs and partners on Advocacy Planning; (iii) Advocacy Meetings with NGO coalitions; (iv) Advocacy Dissemination workshop to share tools and lessons learnt among other MAs and stakeholders in the region; (c) Identification of and sensitization of champions for SRH – sub activities (i) Advocacy capacity building of youth volunteers on the monitoring tool and (ii) Advocacy capacity building with parliamentarians/state legislators on the importance of health MDGs

Any noteworthy / special comment or case studies/ stories

Result/ progress/ impact ( if any) ( 100 words)

4.1 Review of national policy, technical protocol/guidelines, and budgetary documents

  • Review Reports on MDG status of Jharkhand and Madhya Pradesh
  • Fact sheets on MDG 5 for Jharkhand and Madhya Pradesh (English and Hindi)

4.2 Develop strategy for civil society involvement in policy review processes

  • Capacity building workshop held in Madhya Pradesh (MP) and Jharkhand strategies were developed as part of the advocacy expected results.
  • The NGO coalition meeting were used to share and exchange information and plan ahead.
  • The CSO were involved in building evidence and interacting with the government officials and seeking support of other CSOs

4.3 Identification of and sensitization of champions for SRH

• The MP and MLAs have been sensitized on SRH (10 MP and MLA have been sensitized on SRH. 9 new ‘champions’ (MP and MLA’s) (Jharkhand and Madhya Pradesh) who will speak publically in support of SRH

The CSOS / NGOs capacity building on advocacy planning has them in promoting issues in their own area of work. These are the feedback provided by participants after the advocacy planning workshop.

The project was able to achieve the Advocacy Expected Result in Jharkhand - Booklet on contraception for front line workers in different languages.

One special photo

Additional info

Logos of IPPF –SARO and UK aid


Name of the Project : GIZ Shadows and Light

Supported / funded by :IPPF

Duration : 1ST December 2012 to 30th September 2015

Goals : To promote SRH-HIV linkages for key populations within the GFATM

process and programmes

Objectives : To develop IPPF service capacity that addresses SRH-HIV linkages for transgender populations and to increase action on SRH-HIV linkages for transgender within GFATM CCMs in India

Locations / Branches involved :Mumbai in Maharashtra, Chennai in Tamil Nadu, Bangalore in Karnataka and Hyderabad in Andhra Pradesh

Brief description (100 words)

The transgender community in India faces high vulnerability to HIV linked to reportedly high numbers of sexual partners, low condom use and overlaps with sex work. As per National AIDS Control Organisation (NACO), [1] HIV prevalence among Men who have Sex with Men has declined (7.41% in 2007 to4.43% in 2011), but Transgender are emerging as a risk group with high vulnerability and high levels of HIV. There is still considerable stigma and discrimination towards transgender women and [2]hijra communities and they continue to be under-represented in the national HIV response.

The Family Planning Association of India (FPAI) is building on several years of experience in working with MSM and Transgender communities and plans to further scale up targeted interventions for MSM and Transgender women and hijra communities. The initial recruitment of staff from these communities has been well received and well placed to identify the needs and demands. Due to stigma and discrimination in the health care settings, the community members do not access services making them vulnerable to STI/HIV infections. FPA India efforts to partner with other health care providers to address the special needs like gender feminine procedures are showing results.

Any noteworthy / special comment or case studies/ stories

Recruiting staff from the community has been very encouraging as they know the needs and demands well than anyone. Initial comments from the transgender community have been very positive towards seeing a community member at the clinic. One of the transgender clients in Mumbai who had come to enquire about hormone therapy said ‘I am very happy to see one of our community members in the clinic. I feel comfortable sharing my problem with her because she understands my problem’.

  • Engaging a health care provider who is MSM/TG friendly is very important as KPs feel comfortable sharing their problems. As mentioned earlier, all the four locations engaged a health care provider who provides health services to KPs; this helped to reach out to more number of KPs.
  • Addressing their gender transition needs- for example most of them wanted laser therapy than Hormone. In Mumbai and Chennai it was possible to get a specialist who visits agreed to come to the FPAI centre to provide these services. While accessing these services they were motivated to access other services also, It was noticed that most of them accessed other services like screening for Hepatitis, HIV counselling and STI.
  • Effective counseling – most of the TG do not get proper guidance nor counselling regarding the gender transition services. They mostly depend on their peers and due to lack of knowledge and stigma discrimination they do not access neither services nor information and get into vulnerable situation. If they are provided accurate information and counselling in a friendly manner, they understand the implications of their act and take appropriate action.
  • The response to generalized epidemics can frequently lead to neglect of the needs of key populations who experience the epidemic at its most severe. This often overlaps with political and cultural intolerance and denial of the rights or existence of these populations, undermining the likelihood of a targeted response to HIV aimed at the specific targeted SRH-HIV needs of key populations.

Result/ progress/ impact (if any) (100 words)

  • Hormonal therapy initiated: Laser Therapy started at Mumbai and Chennai (this service is given by a specialist who visits the branch once a month)
  • New PLHIV MSM/TG contacted -67
  • HIV related services - 1843
  • STI services -1131 includes STI consultation, treatment and referrals
  • Laboratory services- 1292 includes hepatitis ,KFT,VDRL ,CBC etc.,
  • Condoms and Lubricants- 123 lubricants and 51,000 Pieces of condoms
  • Screening – 93 includes liver disease, allergies etc.,
  • Referrals- 193 includes Sex Reassignment Surgery, Silicon Breast implantation, Laser, Speech Therapy, Urology etc.,

One special photo

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Small Family by Choice Project

Moving from Project to Programme Sustainability

After ten years (1994-2004) the Small Family By Choice Project, funded by IPPF Vision 2000 Fund concluded.

The Project covered the whole districts of Bhopal, Sagar, Vidisha and Raisen of Madhya Pradesh with a population of nearly three million.

The thrust of the Project was to increase the acceptance of family planning through people's participation, simultaneously improving their health and quality of life.

The Project evaluation report shows that contraceptive prevalence rate increased from 36% at the start of the Project to 61% at the end of the Project period. The Project generated a positive health seeking behaviour.

The Project made a visible impact through a holistic approach to development with a focus on sexual and reproductive health rights, women's empowerment and working with young people. The approach adopted was multisectoral collaboration at the District level with forestry and agriculture departments for inclusion of sexual and reproductive health included on the agenda of its departments. A resolution was passed by Panchayats on delaying the age at marriage and sending all girls to school.

The Project had tremendous catalytic effect which reached the State Government (in establishing community delivery rooms), other donor agencies such as DANIDA (adopted the module of TBA training programme), CARE (outreach health services and health funds created by self help groups) and UNICEF (community nutrition education).

The Project established developmental centers which have been handed over to the community as also the main clinic of Vidisha and Raisen; the main clinic in Sagar to a local NGO. The community will sustain all future activities through its own efforts at the local level through fundraising or collaboration with other agencies.

The Project has now become a Regional Training Centre for capacity building of FPA India Branches and Projects and their staff and volunteers in the areas of programme and project development, behaviour change communicating and community participation and extend support to Branches and Projects in the five A's.

"Jigyasa", the Youth Counselling Resource Centre which was started in 2003 offers a complete range of SRH services and will be run by the RTC.


Youth Education on Sexuality (YES) Project, Agra

The Project offered a unique opportunity to young persons to improve their sexual and reproductive helath status. It works in 360 villages of Agra district where more than 4 in 10 girls are married by 16 years of age and 6 in 10 become mothers by 18 with almost no exposure to sexuality education.

A network of 822 community groups of young persons and their parents; 418 learning centers known as Yuva Sutras in schools and community settings; and two community resources have been created with facilities for counseling, health care, vocational training, knowledge enrichment as well as recreational and cultural activities. The Project also focuses on advocacy, capacity building, access to information and services and participation in decision-making. Two Youth Action Committees in Kheragarh and Kiroli sub divisions manage the programme.

Sexuality education is given through formal and non-formal channels including distance learning courses. Counseling is done with the help of 4,208 community facilitators comprising peer educators and community counselors. Today, awareness and education in reproductive health issues is high among young boys and girls. A marked change in attitudes and beliefs is visible as well as confidence gained in facing the future.


The Girl Child and Prevention of Female Foeticide Project

The Girl Child and Prevention of Female Foeticide Project is a three-year Project funded by the Ministry of Health and Family Welfare, Government of India and successfully implemented by 10 FPA India Branches - Bhopal, Gomia, Gwalior, Indore, Jabalpur, Jaipur, Mohali, Panchkula, Patna, Yamunanagar in six Northern states.

The Project has a three-fold objective.

  • Creating awareness in the community about the Prenatal Diagnostic Techniques (Regulation of Prevention and Misuse) Act enacted by the Government of India and operating since 1st January 1996.
  • Generate strong social disapproval of female foeticide and
  • To mobilize social support in favour of girl children; promote the value of the girl child and equal treatment and opportunities for girls in FPA India's operational areas.
  • Several success stories demonstrate that the attitude of the community is slowly changing in making girls wanted and cherished by doing away with customs like child marriage, dowry, gender discrimination and prevention of female foeticide.


Disha

The Disha Project implemented by Five Branches - Dharwad, Bidar, Lucknow, Trivandrum and Rajkot - has helped young people to access SRH information. The 16 Disha Centres established by the five branches have created a space for young people to meet, discuss healthy lifestyles and have opprtunity to learn income generating skills. The capacity building acitivities helped them to gain confidence to acquire healthy lifestyles.


Movement Youth-to-Youth Project

Initiated in Khatauli (Muzaffarnagar), Uttar Pradesh involved over 150 Maulvis (religious teachers) working in 65 Madrasas (Muslim religions schools) to help in providing reproductive health education to adolescents studying in these schools. The students in turn shared their knowledge with out-of-school youth.

The expertise with the Project was used in carrying out the innovation in community settings for the adult population. Facilities like installation of hand pumps, public toilets, literacy centers renewed the confidence of the adult population and enabled community gate keepers to promote reproductive health education through Madrasas.


SPANDANA

SPANDANA (`Sense of Rhythm') funded by the Bernard Van Leer Foundation has reached the heart of villagers through a successful research based educational campaign using flash cards, posters and manuals on reproductive health issues like pregnancy, delivery as also child care, food and nutrition and immunisation. The result? The reproductive health status of women and adolescents in rural Dharwad was enhanced, creating awareness and a demand for reproductive health services. This was Phase I.

In Phase II (2003-2006) the Project is concentrating on sustainability, impact and replication of the experiment in other settings. The Project is a collaborative venture of Dharwad Branch, J.S.S. Institute of Economic Research, Dharwad and Population Research Centre, University of Groningen, the Netherlands.


A Helping Hand to Tsunami Victims: Operation Sea Wave

FPA India has been carrying out relief work in tsunami affected areas through its Branches in Chennai and Hyderabad. The Chennai Branch provided counseling services to people to psychologically recover from the trauma in the Chennai coastal area; collected and distributed relief material in a pack in Kanyakumari district; arranged for clearance and disposal of decomposed bodies and debris in Tharangampadi village of Nagappatinam district; organized a health camp in two villages of Kalpakkam area and identified villages and local NGOs for providing immediate health needs and rehabilitation measures for 4-5 villages as well as for distribution of boats and nets.

Owing to the efforts of FPA India, Meenakshi Temple Trust, Houston USA arranged to donate a boat and nets for the fishermen of Ankalamman Kuppam and purchased and distributed sewing machines to tsunami affected girls through donations received.

The Hyderabad Branch was the first NGO in Andhra Pradesh to extend support to one hamlet by helping 156 families to resume their livelihoods through fishing by providing each family with a fishing net. Other essential materials were also provided to each of them.

The Nagercoil Project in collaboration with the Tamil Nadu Social Welfare Board provided counseling services in relief camps around 6,000 affected people in Kanyakumari district to cope with the crisis; distributed essential materials and provided social and health care.