FPA India reaches out to people who are poor and vulnerable, for whom access to healthcare especially sexual and reproductive health care is a remote possibility. Through its:
- 40 Reproductive Health and Family Planning Centres (RHFPC)
- 17 satellite clinics
- 62 outreach units
- 432 community based providers
- 40 Associated clinics
- 32 other agencies
- Network of 115 private medical practitioners
In the year 2016, a total of 96,52,848 services were provided to 28,55,785 clients. The total CYP generated was 584,008. 40% clients were under 24 years of age. 88% of the total, belonged to the poor and vulnerable groups.
FPA India has also been engaging men and boys as agents of change to promote gender equality, promote sexual health and prevent sexual and gender based violence. After eight years of successful implementation of the Global Comprehensive Abortion Care Initiative (GCACI), FPA India entered phase IV in February 2016 to continue the efforts to increase access to safe, high quality and rights based abortion care services to all women with a special focus on the most vulnerable.
Lifeline team helped the norcotics addicts to recover in Asia
FPA India ensures access toquality services for the vulnerable populations at highlysubsidised rates or free of cost. Some of them are:
Cervical Cancer screening:
This is performed by the Visual Inspection with Acetic Acid (VIA) technique. It has proved to be a very economical diagnostic tool for early detection of cervical cancer and was offered by 28 branches during 2016 and nine branches also conducted colposcopy procedures.
Cancer cervix services scale up initiative:
This project was implemented in five FPA India branches i.e. Kalchini, New Delhi, Madurai, Belgaum and Bhubaneswar. These branches were supported with Colposcopes and Loop Electrosurgical Excision Procedure(LEEP) therapy equipment for screening, diagnosis and early intervention for cervical cancer. Medical Officers from all these branches received hands-on training in the diagnosis and management of Cervical Intra-Epithelial Neoplasia.
This initiative also gives an opportunity to educate the community about the link between cervical cancer and high risk sexual behaviour or early sexual debut. Identification and syndromic management of STI/RTIs is possible in walk-in clients who may not otherwise present with complaints. “Aceto-whitening” noted in the VIA can thus be used as a tool to identify high risk clients who can also be counselled and tested for HIV.
Laboratory services are being provided by FPA India and have been strengthened in Gomia, Dindigul, Agra, Bhubaneswar, Murhu, North Kanara, and Raichur. Agra and Yamunanagar Branches were supported to continue dedicated SRH services for men and boys.
High Quality Clinic based Family Planning and other SRH Services supported by Mahindra and Mahindra Financial Services Limited (MMFSL):
FPA India Kolkata, Murhu, Raichur, Yamunanagar, Lucknow, Jaipur, Bhubaneshwar, and Panchkula branches have been supported through MMFSL with various equipment like Digital Video Colposcope, laparoscope, hydraulic table, USG, pulse Oxymeter, Shadowless lamp, semi-autoanalyser etc. to strengthen surgical and diagnostic services in FPA India SDPs. Representative from MMFSL visited FPAIndia Yamunanagar branch to assess impact on service delivery after upgradation of the facility with all the equipment provided under this grant. Footfalls in the clinic have increased in the second quarter of this year after installation of the equipment in the clinic premises. Through a separate grant from Mahindra Insurance Brokers Ltd (MIBL), FPA India Jaipur, Agra, Indore, Shimoga and Kolkata Branches also received clinical and diagnostic equipment.
Screening for Gender Based Violence:
Clients walking into FPA India’s RHFPCs are routinely screened for evidence of Gender Based Violence (GBV) and offered counselling and referrals for further management and support. In 2016, more than 100,000 women were screened for GBV.
Global Comprehensive Abortion Care Initiative (GCACI)
GCACI’s objective is to increase access to comprehensive abortion care and contraceptive services as integral to SRH. Many strategies were used to generate awareness about legal and safe abortions, and to encourage women to use these services early in the gestation age to avoid complications from seeking second trimester abortions.
Also, the Association’s clinics are providing essential SRH services to the youth in a friendly environment. FPA India has made concerted efforts to reach out to unmarried adolescents in schools and communities, focussing on the very young (10-14 age group).
In 2015, FPA India covered nearly 30 million people, provided over 7 million services to over 2 million clients, including children and adolescents, of whom 49.6% were in 0-24 age group, and 39.6 % were men. Out of all people that the Association reached, 86% were poor and vulnerable.
After eight years of successful implementation of GCACI, FPA India entered phase IV in February 2016 to continue the efforts to increase access to safe, high quality and rights based abortion care services to all women with a special focus on the most vulnerable.
Currently, Phase IV is being implemented in 18 clinics located in 15 branches spread across 9 states of India. For the first time, clinics from Haryana and Gujarat have been included in the project. The rest of the clinics are those who have been implementing GCACI since 2008. Under the current phase, 18 clinics are providing first trimester abortion care while 5 of these are providing second trimester services. Additionally, 5 clinics are providing medical abortion services through their five satellite outlets in the far-flung areas.
Highlights of 2016:
- 9.9% increase in abortion clients in the year 2016, as compared to the previous year.
- Out of the total abortion clients served during year 2016, more than one third clients were below 25 years of age.
- There was an increase in the number of total contraceptive users by 6.3% in 2016 as compared to year 2015.
- 99.6 % of the clients who had an abortion or incomplete abortion treatment accepted a post-abortion contraceptive method.
- Among those who availed CAC, post-abortion contraception acceptance for Long term methods (sterilisation, IUD) was 34%.
Uptake of contraceptives across all the clinics showed a method mix with the proportion of young people among total FP acceptors at 35%.
Engaging, Empowering and Enabling Men and Boys (E3MB) for SRHR
FPA India has long recognised the importance of working with men and boys as clients, partners and agents of change in efforts to promote gender sensitive and rights based SRH services. Dedicated clinic-based special SRH sessions were continued at Agra, Yamunagar, and Panchkula Branches. Medical specialists were engaged to maintain a special male clinic within the static clinics. This is being initiated at FPA India clinics since 2008 and its third phase started on 1st January 2013 with the inclusion of Mumbai- PSK and Agra clinic.
FPA India has designed an innovative project to meet clients’ needs. We are planning to implement the Innovation Programme project supported by IPPF on Men and boys involvement in SRHR named. CORT Baroda is the research partner for this Project. IPPF’s Innovation Programme is supporting FPA India E3M project to trial the impact evaluation method to increase the understanding of men’s roles and responsibilities in providing care and support to women for maternal and child health care as well as abortion, and involving men and boys’ to prevent sexual and gender-based violence.
The project goal is a gender just and free environment, for men and women to realise their sexual and reproductive health rights. The project has completed its inception stage. Strategies adopted are:
- Engaging men and boys as agents of change to promote gender equality, promote sexual health and prevent sexual and gender based violence
- Empowering men to be better partners and parents by trained service provider
- Enabling uptake of Male SRH services