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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


Cpr tfr comparison chart
CPR & TFR Comparison Chart

CPR (modern methods)

TFR

Source: BDHS 1999-2000 & MIS Report



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 Activities BangladeshJune 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 Activities BangladeshJune 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 Bangladesh

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

District 1 (Jhenaidah)

District 2 (Nilpharmari)


Performance comparisons
Performance Comparisons Bangladesh

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 Bangladesh

  • Insuring informed choice and volunteerism

  • Broadening Scope

  • Quality of care

  • Replicating success for rapid expansion of impact


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