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:

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

Objectives:

1.       To increase the contraceptive coverage by 20% from the baseline in the project locations by 2014

2.       To increase awareness of family planning by 30 percent point among all men, women and young people by 2015 in in the project locations

3.       Strengthen systems for FPAI 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

 

 Previous SETU Map –

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 FPAI 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 FPAI SETU project for the timely help.

Case study2:

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 FPAI 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 FPAI 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 FPAI there is no discrimination. He felt that he was treated as normal client and so he expressed his gratefulness to FPAI 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”

 

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1)      Rain coats and utility bags provided to the CBDs @ KALCHINI

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2)      The baby checked by the doctor at the outreach camp: @ KALCHINI

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3)      Laparoscopic Sterilization Camp, June 2012 at Santhpur CHC  @ Bidar