Global Comprehensive Abortion Care Project (GCACP):

 

Phase

Duration

Status

Remarks

I

2008-2010

Completed

Initiated at 15 FPA India clinics.

II

2011-2012

Completed

Duringsecond 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:

1.      Tamilnadu: Dindigul

2.      Jharkhand: Gomia and Murhu

3.      Madhya Pradesh: Gwalior and Jabalpur

4.      West Bengal: Kalchini and Kolkata

5.      Uttar Pradesh:Agra, Nirala Nagar and  Cantonment (Lucknow)

6.      Maharastra :Avabai Wadia Health Centre (Tilaknagar-Mumbai), Kutumb Sudhar Kendra (Mumbai Central), Kutumb Niyojan Adarsh Kendra (Thane), Prajanan Swasthya Kendra(Bhiwandi), Pune and Solapur

7.      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