Access, is the mantra for successful implementation of reproductivehealth in India. Plans and advocacy can fail if not matched by correspondingaccess to resources. Not just access but access with minimaldifficulty. Increased attention to sexual and reproductive health isa prerequisite for achieving MDG 5 on improving maternal health, andalso contributes significantly to reducing poverty and hunger (MDG1), promoting gender equality and empowerment of women (MDG 3)and combating HIV and other diseases (MDG 6).
Recognising that the sexual and reproductive health needs of men arenot met due to their inhibitions or at times such health care servicesnot being available, FPA India through special initiatives providedinformation and services to men.The male OPD services with specific timings were opened in selectedBranches. Men were not only informed on SRH services, but also ofthe integrated package of HIV related services.The Chennai Branch organized a NGO Meet with 50 representativesfrom various NGOs working in the field of reproductive health. TheNGOs were urged to work with the Government to promote male sterilization.Furthering SRH services for men of the Chennai Branchlaunched a male clinic.
Special Service Sessions on Sexual and Reproductive Health
Special service sessions were conducted by all Branches to increaseaccess to contraceptive services such as for IUD insertions and sterilisation.In addition, the SRH health needs of adolescents and men, andfor women to detect cervical cancer. A number of cases of early stageof cervical cancer were detected and appropriate referrals were made.Nine sexual, reproductive and mother and child health service sessionswere organized by the Hyderabad Branch in both rural andurban settings in coordination with local leaders and the gram panchayatmembers. Cervical and breast cancer screening was carriedout. The support of the community members and youth volunteers ofrural and urban areas was very encouraging. They along with localASHAs and anganwadi workers helped in identifying the cases andmobilizing the people to attend the camps. Lab investigations forhemoglobin, blood sugar, blood grouping, urine examination, HIV andVDRL was done.The Kalchini Branch conducted a laparoscopy ligation camp for over300 tribal women (Santal, Munda, Rava, Mech, Chik Baraik and Nepalese) from different outreach areas like tea gardens, forest villagesand Gram Panchayat based areas. CBDs, SHGs members andASHA workers played an active role in referring the clients and providingfollow up services. The Kalchini Branch also conducted one-dayIUD insertion session at its Clinic. It was observed that most of thewomen had fear about IUD insertion but they were quite comfortableafter counseling and insertion. These camps were conducted onrequest from the community.
Quality Assurance and Commodity Tracking Systems
During the year, almost all the static clinics of FPA India carried outself assessment on quality care issues. In addition, some of the clinicswere assessed for quality of care.
Client-exit interviews and self-assessment Client exit interviews andself-assessment of team was done in all 24 RHFPCs. The exerciseconsisted of structured process of self-examination of staff , identificationof the problems and also finding out solutions through brainstorming.A situation analysis carried out at selected clinics indicated that thereis a need to standardize, modernize and develop a commodity trackingsystem. Guidelines have been developed as the first step to put thesystem in place.
| As a part of Quality Assurance System, all static clinics underwent systematic SDP and management self assessment and synthesized an SDP action plan to improve quality. Apart from this, client exit interviews were conducted to acknowledge the quality issues from clients' perceptions. In addition QOC audit visits were paid to static clinics with recommendation given.
OBSERVANCE OF SPECIAL DAYS
International Women's Day
2011 marks 100 years of the declaration and observation of the InternationalWomen's Day. The first official celebration of Women's Dayhappened on March 19 in 1911 in Austria, Denmark, Germany andSwitzerland. Various organizations, Governments and women'sgroups around the world choose different themes each year thatreflect global and local gender issues. The theme in 2011 year was"Save girl child, Stop female foeticide".FPA India also marked the Day on March 7 with a round of activitiesfor greater appreciation of gender issues. Ahmedabad, Belgaum,Bijapur, Bhubaneswar, Hyderabad, Pune, Mumbai and MaduraiBranches and RTC-Bhopal and Murhu Projects conducted specificprogrammes highlighting issues related to girls' education, safe motherhoodand safe abortion, general health and hygiene, nutrition andearly marriage for a wide section of the population including parents,teachers, student's community members, rag pickers, PLHIV, sexworkers, and ASHA workers. At Mumbai 53 PLHIV were guided onaspects of positive prevention for better understanding and sharedresponsibility to care for their female partners.
World Health Day
Most of the Branches observed the Day through various events. TheBruhat Bangalaru Mahanagar Palike (BBMP) joined hands with Bangalorebranch to launch adolescent health programme, Tharunya, with aview to strengthen commitment and support for sexual and reproductivehealth rights and needs of adolescents. While Belgaum,Bhubaneswar and Ahmedabad Branches organised programmes forSHG members, ASHA workers, ANHS, ICDS workers, the BijapurBranch organized a rally involving Nursing/MSW/BSW Student andDistrict Health and Family Welfare office staff. The Mumbai Branchorganised Cervical Cancer Detection Camps at two clinics. One of thebeneficiaries revealed that this was the first time she came to knowthe importance of "Pap smear" and assured to motivate other women from her village to visit branch clinic.
Safe Motherhood Day
April 11 was India's National Safe Motherhood Day celebrated to bring together the government, donor agencies, UN agencies, health service providers, civil societies, individuals and others to urge for action on the theme: Birth Preparedness and Complication Readiness. The Bhubaneswar Branch organised a meeting at a school followed by lecture-cum-discussion for SHG members, ASHAs, AWWs, and adolescent girls on safe motherhood. The Ahmedabad Branch and Chennai Branch organized a training programme for Medical Officers, Counselors, Program Officers and other health care providers stressing on emergency care and other essential components in safe delivery and motherhood.
World Population Day
The theme of World Population Day (WPD) 2011, "Calling Attention to Urgent Global Issues" was a clarion call to governments, organizations, communities and individuals to understand population issues worldwide and spearhead action.
A number of branches observed the WPD on 11th July through various programmes organized for different groups of audience. Exhibitions, rallies, melas, raths, street plays, poster competition, sammelan for newly married couples, seminars and a conference on Health Mela were held by Ahmedabad, Mohali, Solapur, Bijapur, Belgaum, Bidar, Barwani, Bhubaneswar, Kalchini, Lucknow, Mumbai, North Kanara, Pune, Singhbhum, Solapur Branches. Those who participated included college of nursing students, doctors, teachers, community members including Mukhiyas and Panchayat members. Newly married couples, ASHA and ICDS workers also were enthusiastic participants.
FPA India Foundation Day
Volunteers play an integral role in FPA India's programme and July 23 is observed as FPA India Foundation Day wherein the branches and projects organize a number of programmes. In 2011, various branches organized the programme highlighting the 'Role of Volunteers and Volunteerism' in FPA India. The Mumbai Branch honoured 18 community and Youth volunteers in the function for the dedicated efforts made by them to serve underserved vulnerable population of the society. The Dharwad Branch honoured Doctors for conducting and assisting laparoscopic sterilizations at the clinic voluntarily since 10 months. Bhubaneswar, Bidar Ahmedabad, Rajkot, New Delhi, North Kanara, and Mohali Branches celebrated the Foundation Day by honouring senior volunteers for their dedication to FPA India.
World Contraceptive Day
On the World Contraceptive Day, BAYER India in partnership with FPA India and FOGSI developed a communication campaign giving contraceptive messages which included: FM Radio spots, an article on contraceptive pills in Jet-wings and puzzles.
International Youth Day
The International Youth Day is observed on August 12 each year to recognize efforts of the world's youth in enhancing global society. It also aims to promote ways to engage them in becoming more actively involved in making positive contributions to their communities. The youth volunteers of Mumbai Branch observed "International Youth Day" through condom awareness campaign in various communities with one to one interaction. The branch observed the Day as "Yuva Spandana". Students of 18 Colleges affiliated to Mumbai University participated in six different competitions i.e. Street play, poster making, collage making, elocution, photography and poem on the themes "sex selective abortion", "population and development" and "Youth and HIV". The Ahmedabad Branch arranged an elocution competition for 15 students.
World Breast Feeding Week
World Breastfeeding Week is observed every year from 1 to 7 August in more than 170 countries to encourage breast feeding and improve the health of babies around the world. It commemorates the declaration made by WHO and UNICEF policy-makers in August 1990 to protect promote and support breastfeeding. The week was observed by Solapur, Mumbai, Ahmedadad, Belgaum, Hyderabad Branches through seminars and awareness generation programmes for pregnant women and mothers on the importance of breast feeding and intake of nutritious food for themselves.
The Ahmedabad Branch organized a seminar on nutrition by observing "Nutrition Week" from 1-7th September for school children and the Solapur Branch organized a programme for peer educators, CBD holders, local volunteers, self help