Small Family by Choice Project


Moving from Project to Programme Sustainability

After ten years (1994-2004) the Small Family By Choice Project, funded by IPPF Vision 2000 Fund concluded.

The Project covered the whole districts of Bhopal, Sagar, Vidisha and Raisen of Madhya Pradesh with a population of nearly three million.

The thrust of the Project was to increase the acceptance of family planning through people's participation, simultaneously improving their health and quality of life.

The Project evaluation report shows that contraceptive prevalence rate increased from 36% at the start of the Project to 61% at the end of the Project period. The Project generated a positive health seeking behaviour.

The Project made a visible impact through a holistic approach to development with a focus on sexual and reproductive health rights, women's empowerment and working with young people. The approach adopted was multisectoral collaboration at the District level with forestry and agriculture departments for inclusion of sexual and reproductive health included on the agenda of its departments. A resolution was passed by Panchayats on delaying the age at marriage and sending all girls to school.

The Project had tremendous catalytic effect which reached the State Government (in establishing community delivery rooms), other donor agencies such as DANIDA (adopted the module of TBA training programme), CARE (outreach health services and health funds created by self help groups) and UNICEF (community nutrition education).

The Project established developmental centers which have been handed over to the community as also the main clinic of Vidisha and Raisen; the main clinic in Sagar to a local NGO. The community will sustain all future activities through its own efforts at the local level through fundraising or collaboration with other agencies.

The Project has now become a Regional Training Centre for capacity building of FPA India Branches and Projects and their staff and volunteers in the areas of programme and project development, behaviour change communicating and community participation and extend support to Branches and Projects in the five A's.

"Jigyasa", the Youth Counselling Resource Centre which was started in 2003 offers a complete range of SRH services and will be run by the RTC.