Method mix
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Method Mix. CPR & TFR Comparison Chart. CPR (modern methods). TFR. Source: BDHS 1999-2000 & MIS Report. Method Mix Changes Over Time. Trends in Sterilization Performance 1975 to 1999. Bangladesh Demographic and Health Survey, 1999-2000.

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Method Mix

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Method mix

Method

Mix


Cpr tfr comparison chart

CPR & TFR Comparison Chart

CPR (modern methods)

TFR

Source: BDHS 1999-2000 & MIS Report


Method mix changes over time

Method Mix Changes Over Time


Trends in sterilization performance 1975 to 1999

Trends in Sterilization Performance1975 to 1999

Bangladesh Demographic and Health Survey, 1999-2000


Key findings from review of sterilization services 2000

Key findings fromReview of Sterilization Services -2000

  • There is significant unmet demand

  • Infrastructure is adequate

  • Low performance factors:

    • Lack of communication and information

    • Need for more trained personnel

    • Inadequate leadership and management

    • Poor quality of care


Strengthening long term clinical family planning services in bangladesh

Strengthening Long Term Clinical Family Planning Services in Bangladesh

A Field Support Project

implemented by

EngenderHealth

Providing Technical Assistance to the

Government of Bangladesh and NGOs


Key project activities june 2001 september 2002

Key Project ActivitiesJune 2001 – September 2002

  • District and sub-district workshops to provide information and plan for services

    Topics:

    • Contraceptive Update

    • Introduction of NSV techniques

    • Addressing misconceptions

    • BCC techniques

    • Organization and planning of sterilization services

      Example: August -- 3 Districts

      52 workshops

      3095 participants


Key project activities june 2001 september 20021

Key Project ActivitiesJune 2001 – September 2002

  • Close collaboration with Government

  • Roving technical persons do training and provide services as needed

    Ex: August : 51 tubectomies and 32 NSVs performed as training, demonstration, or request for services

  • Expand private sector services

  • Research and BCC activities


Results

Results

Change in Sterilization PerformanceJan to Sept 2001 Vs. Jan to Sept 2002

District 1 (Jhenaidah)

District 2 (Nilpharmari)


Performance comparisons

Performance Comparisons

Control vs. Project: Performance July 2001 to June 2002

2 GOB Districts

comparable in demographics

Tubectomy-- 425

NSV-- 69

Total = 494

Project Districts 1 & 2

Tubectomy-- 3132

NSV-- 5033

Total = 8165

Total sterilization performance in all assisted Districts:

Before and after/during project support

October 2000 to

Sept. 2001

October 2001 to Sept. 2002

= 5,209

14,181

=


Challenges ahead

Challenges Ahead

  • Insuring informed choice and volunteerism

  • Broadening Scope

  • Quality of care

  • Replicating success for rapid expansion of impact


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