Strategic Plan (2005-2009)
5 Action Areas: 5 A's
| Access | Advocacy | Adolescents | AIDS | Abortion | Supporting Strategies |
ACCESS
SITUATION
- Men and women have low sexual reproductive health status.
- There are huge geographical, socio-cultural and religious diversities.
- There is a need to meet the special needs of groups such as persons living with disabilities, persons living with HIV/ AIDS, persons with sexual orientation.
GOAL
All people particularly the poor, marginalized, the socially excluded and underserved are able to exercise their rights, to make free and informed choices about their sexual and reproductive health, and have access to SRH information, sexuality education and high quality services including family planning.
STRATEGIC DIRECTION
By removing socio-cultural barriers and promoting people's participation and services to marginalized and poverty affected population
OBJECTIVE
- To empower 50% of marginalized and poverty stricken women.
- To improve access of 30% marginalized and poverty effected population to high quality SRH information and services using rights based approach.
MAJOR ACTIVITIES
- Implementing need based sexual and reproductive health care
- Developing and implementing behaviour change communication strategies
- Providing sexual and reproductive health care through clinical and non clinical outlets
- Maintaining essential standards and adopting quality of care approach
- Involving men in women's health care
- Addressing men's reproductive health concerns
- Addressing women's concerns - gender based violence, increasing self esteem through skills development and income generating activities
- Increasing the perception of the value of the girl child
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ADVOCACY
SITUATION- The global agenda with the MDGs dissipated the ICPD agenda.
- Population stabilization is still a distant cry
- Recession, global gag rule, change in donor perspective - led to reduced funding
- 0.6% spent on health of country's budget inspite of high demand
- Intrusion of the rights' based approach with introduction of two-child norm among legislators.
GOAL
Strong public, political and financial commitment and support for sexual and reproductive health and rights at the national and international levels.
STRATEGIC DIRECTION
By associating communities and policy makers for promoting SRH&R and enlist their support for resource generation.
OBJECTIVE
To achieve greater public support for government commitment and accountability for SRH.
MAJOR ACTIVITIES
- Developing networks at the grassroots level with NGOs/CBOs
- Establishing partnerships with government functionaries at the Panchayat, District, State and National level
- Establishing strategic partnerships with NGOs, research agencies, donor agencies and other institutions
- Involving the media for advocating sexual and reproductive health and rights
- Publishing information material on sexual and reproductive health and rights for mobilising public support
- Influencing decision making at policy level for inclusion of sexual and reproductive health and rights in all areas of development.
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ADOLESCENTS
SITUATION
- Highly vulnerable group
- Lack of knowledge and understanding of SRH
- Not empowered group
- Early marriage and child birth - related complications
- High instances of gender based violence and sexual abuse
- Half of young girls suffer from RH problems
- About half of all HIV infections occur among them
GOAL
All adolescents and young people are aware of their sexual and reproductive rights, are empowered to make informed choices and decisions regarding SRH; and are able to act on them.
STRATEGIC DIRECTION
By building partnerships with municipal and government schools to provide SRH education and services to school going adolescents (10-16 years).
MAJOR ACTIVITIES
- Providing age-linked critical information on human sexuality, relationships etc.
- Building the capacity of adolescents to provide sexuality education to their peers and to provide basic counselling
- Encouraging adolescents to participate at decision making levels for providing adolescent friendly information and services
- Establishing adolescent health centres for sexual and reproductive health care
- Developing culture-sensitive human sexuality curricula for implementation at schools
AIDS
SITUATION
- 5.1 million persons infected with HIV
- 0.9% population of India
- Increase in incidence among women & young people
- In high prevalence states
- Over 1% among antenatal women-adds to PTC transmission
- 5% in STD clinics
- Gender roles, inequities and power relations - increases vulnerability of women and girls.
- Denial, stigma and discrimination still very high
GOAL
Reduction in the incidence of HIV/AIDS and the full protection of the rights of people infected and affected by HIV/AIDS.
STRATEGIC DIRECTION
By integrating gender sensitive programmes for HIV/AIDS prevention and management with ongoing SRH including FP services, in high prone areas served by the MA.
OBJECTIVE
- To increase access to interventions for the prevention of STIs/HIV/AIDS integrate SRH & FP programs at 50% service delivery points
- To reach out to 50% of population in HIV prone areas to reduce social, religious, cultural, economic, legal and political barriers that make people vulnerable to HIV/AIDS.
MAJOR ACTIVITIES
- Upgrading clinics to provide STI management and voluntary counselling and testing
- Promoting condom use for dual purpose
- Providing antenatal care services with voluntary counselling and testing services
- Empowering women to negotiate safe sex
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ABORTION
SITUATION
- Lack of information on legal status of abortion.
- Socio-cultural barriers and provider bias.
- High incidence of sex selective abortions.
- High number of illegal abortions leading to morbidity and mortality.
- Unmet need for FP leading to abortions.
- Lack of facilities for legal and safe abortion
- Dependency on medical methods
GOAL
A universal recognition of a woman's right to choose and have access to safe abortion, and a reduction in the incidence of unsafe abortion.
STRATEGIC DIRECTION
By lobbying and advocating for a women's right to safe abortion, forging partnership with the government and upgrading facilities in the SDPs for prevention of unsafe as well as sex selective abortions.
MAJOR ACTIVITIES
- Promoting the right to choose safe abortion
- Generating awareness on prevention of abortion and the implications of unsafe abortions
- Generating awareness on the implications of sex selective abortions
- Effecting the enforcement of the PC/PNDT Act
- Promoting newer methods of abortion such as MVA and medical abortion
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SUPPORTING STRATEGIES
Leadership & Governance
To invoke the commitment of voluntary leadership to mobilize public, political and financial support SRHR and provide good governance.Capacity Building
Major activities:Providing training to various professional and non-professional groups to enhance their knowledge and skills on sexula and reproductive health to enable them to provide medical care, counselling and information on various levels.
Resource Mobilisation
Major Activities:Increasing the resources of FPA India which includes in-kind resources and stakeholder support.
Knowledge Management
Major Activities:- Reviewing and updating information on SRH issues
- Conducting needs assesment and evaluations
- Dessiminating key findings to key stakeholders
- Utilising information for advocacy and other work of FPA India
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